scholarly journals The Vascular Quality Initiative Cardiac Risk Index for prediction of myocardial infarction after vascular surgery

2016 ◽  
Vol 64 (5) ◽  
pp. 1411-1421.e4 ◽  
Author(s):  
Daniel J. Bertges ◽  
Dan Neal ◽  
Andres Schanzer ◽  
Salvatore T. Scali ◽  
Philip P. Goodney ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Vascular Surgery ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Risk Index

Prediction of postoperative myocardial infarction after suprainguinal bypass using the Vascular Quality Initiative Cardiac Risk Index

2019 ◽  
Vol 69 (6) ◽  
pp. 1831-1839 ◽  
Author(s):  
Kyle R. Diamond ◽  
Karen Woo ◽  
Dan Neal ◽  
Yuanyuan Zhao ◽  
Roan J. Glocker ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Risk Index ◽  
Postoperative Myocardial Infarction

Predictors of Myocardial Infarction after Suprainguinal Bypass Using the Vascular Quality Initiative Cardiac Risk Index

2018 ◽  
Vol 48 ◽  
pp. 19-20
Author(s):  
Kyle R. Diamond ◽  
Karen Woo ◽  
Dan Neal ◽  
Yuanyuan Zha ◽  
Roan J. Glocker ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Risk Index

scholarly journals A newly reclassified fragmented revised cardiac risk index as a prognostic marker in patients undergoing non-cardiac vascular surgery

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P5159-P5159
Author(s):  
M. H. Bae ◽  
W. S. Choi ◽  
S. Y. Jang ◽  
J. H. Kim ◽  
S. H. Park ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Prognostic Marker ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Risk Index

Abstract 15582: Patterns of Statin Initiation in Patients Undergoing Intermediate to High Risk Non-Cardiac Surgery

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Elisabetta Patorno ◽  
Shirley Wang ◽  
Sebastian Schneeweiss ◽  
Jun Liu ◽  
Brian Bateman
Keyword(s):  
Cardiac Surgery ◽  
High Risk ◽  
Vascular Surgery ◽  
Elective Surgery ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Events ◽  
Initiation Rate ◽  
Cardiac Risk Index ◽  
Recent Estimate

Background: Starting from early to mid 2000s a growing body of literature has been produced on the potential role of statins in reducing perioperative cardiac events in patients undergoing non-cardiac surgery. However, evidence remains inconsistent and little is known regarding the use of perioperative statins in clinical practice. Objectives: To examine pattern of statin initiation among patients undergoing non-cardiac elective surgery in the US. Methods: Using data from a large US healthcare insurer, we identified patients ≥18 years who underwent moderate- to high-risk non-cardiac elective surgery and initiated statins within 30-days before surgery. We assessed trends of statin initiation over time and predictors of initiation. To ensure statin initiation was precipitated by non-cardiac surgery vs. alternative indications, we also assessed the effect of temporal proximity to surgery on initiation in a matched analysis. Results: Of 460,154 patients undergoing surgery between 2003-2012, 5,628 (1.2%) initiated a statin before surgery. Initiation rate increased from 0.8% in 2003 to 1.5% in 2012 (p = .0004). The increase was more pronounced among patients with revised cardiac risk index (RCRI) score ≥2 and patients undergoing vascular surgery, with initiation rates equal to 7.2% and 14.9% respectively by the end of 2012. Proximity to surgery was predictive of statin initiation (p < .0001). Significant predictors of initiation were older age, male sex, revised cardiac risk index (RCRI) score ≥1, vascular or orthopedic surgery. At the most recent estimate, patients undergoing vascular surgery and with a RCRI score ≥2 had initiation rates equal to 19.9%. Conclusions: The rate of statin initiation progressively increased from 2003 to 2012, particularly among patients with higher RCRI score and undergoing major vascular surgery. Research is needed to further define the risks and benefits of initiation of statins prior to surgery.

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