| The influence of surgery on the onset of symptomatic coronary artery disease. | |
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MedLine Citation:
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PMID: 22251104 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We speculated that asymptomatic patients undergoing routine surgery might be at higher risk of subsequent cardiac events. We studied 183 534 patients with no prior admission for heart disease, aged 50-75 years, admitted electively for one of five operations considered medium to low risk of peri-operative cardiac morbidity, between January 1997 and December 2005. Controls were generated from linked records. Within 3 years 3444 (1.9%) patients undergoing operations had subsequent myocardial infarction/acute coronary syndrome (MI/ACS) compared with 3708 (2.0%) controls (p < 0.001). Overall 8406 (4.6%) patients undergoing surgery had MI/ACS compared with 9306 (5.1%) controls (p < 0.001). Of patients undergoing surgery, 20.2% died compared with 25.7% of controls (p < 0.001). Patients undergoing certain surgical procedures did not have a higher incidence of readmission for cardiac events, but had a general survival benefit compared with other elective hospital admissions. Assessment for surgery may represent a health benefit beyond the original surgery. |
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Authors:
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H J McFarlane; L Girdwood; A Bhaskar; D Clark; N R Webster |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Anaesthesia Volume: 67 ISSN: 1365-2044 ISO Abbreviation: Anaesthesia Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-01-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370524 Medline TA: Anaesthesia Country: England |
Other Details:
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Languages: eng Pagination: 110-4 Citation Subset: AIM; IM |
Copyright Information:
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Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland. |
Affiliation:
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Consultant, Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK Senior information Analyst Information Analyst Principal Information Analyst Information Services Division (ISD), NHS National Services Scotland, Edinburgh, UK Professor, Anaesthesia and Intensive Care, University of Aberdeen, Aberdeen, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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