Charlotte Kanstrup (Hillerød / DK), Kristina Svarre (Hillerød / DK), Camilla Mattesen Serup (Hillerød / DK), Maja Christine Rasmussen (Hillerød / DK), Jakob Kleif (Hillerød / DK), Lars Hyldborg Lundstrøm (Hillerød / DK), Claus Anders Bertelsen (Hillerød / DK)
Abstract text (incl. references and figure legends)
Introduction
Acute high-risk abdominal (AHA) surgery is associated with a high risk of developing myocardial injury after non-cardiac surgery (MINS). MINS is diagnosed by an elevated troponin level (TnI) and significantly associated with an increased risk of both cardiac complications and mortality1. Thus, we implemented TnI screening as a standard care of AHA-patients to investigate whether TnI-screening for risk stratification with subsequent intervention and intermedial care to improve survival rates. We aim to compare the mortality rate after AHA surgery in patients undergoing postoperative TnI-screening and subsequent intervention with a historical group of patients not undergoing TnI-screening.
Material & Methods
TnI-screening was implemented on March 1, 2019 at Copenhagen University Hospital – North Zealand. Patients undergoing AHA-surgery from then were included in the TnI-screening group. The control group consists of all patients from January 1, 2018 and until February 28, 2019. Patients in the TnI screening group underwent measurements of plasma-TnI preoperatively, and 6-12 hours and on postoperative day 1–4. Patients with an increased TnI-level were assessed individually to decide further treatment and higher level of care. Data on vital status is collected from the Danish Civil Registration System.
Results
Currently 398 patients are included in the TnI-screening group and 185 patients in the control group. Data are still being processed and will be ready for presentation in January 2023.
Conclusions
The conclusion will be based on the results.
References
Botto et al. Myocardial injury after noncardiac surgery: a large, international, prospective cohort study establishing diagnostic criteria, characteristics, predictors, and 30-day outcomes. Anesthesiology. 2014;120:564-78Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
The authors declare no conflict of interest.