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Risks of noncardiac surgery early after percutaneous coronary intervention

American Heart Journal Sep 15, 2019

Smilowitz NR, et al. - In a large cohort of patients who underwent percutaneous coronary intervention (PCI) in the United States, researchers estimated the rate of early hospital readmission for noncardiac surgery (NCS) and related outcomes. They used the Nationwide Readmission Database to identify adults undergoing PCI between January 1 and June 30, 2014, and patients who were readmitted for NCS within 6 months of PCI. In-hospital mortality, myocardial infarction (MI), and bleeding defined by International Classification of Diseases, Ninth Revision, codes, were evaluated as outcomes of interest. Avoiding operation early after PCI is clearly recommended by guidelines; however, the investigators found that 1 of every 29 patients with recent PCI was operated on for NCS, corresponding to as many as approximately 30,000 patients each year nationwide. In this setting, the reported surgical mortality and perioperative MI were high. It is thus crucial to implement strategies to reduce perioperative thrombotic and bleeding risks during readmission for NCS post-PCI, concluded the researchers.

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