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25 December 2021: Clinical Research

Association of Perioperative Myocardial Injury with 30-Day and Long-Term Mortality in Older Adult Patients Undergoing Orthopedic Surgery in China

Wenlan Hu 1BCDE , Youzhou Chen 1BCD , Kaiping Zhao 2BCD , Jihong Wang 1BCD , Mei Zheng 1BCD , Ying Zhao 1BCD , Hao Han 1BCD , Qiong Zhao 3AE* , Xingshan Zhao 1AE*

DOI: 10.12659/MSM.932036

Med Sci Monit 2021; 27:e932036

Table 2 Univariable and multivariable associated factors of 30-day mortality.

UnivariableMultivariable
OR (95% CI)POR (95% CI)P
Age1.40 (0.50–3.92)0.517
Male4.17 (1.49–11.70)6.25 (2.03–19.27)
Coronary heart disease3.24 (1.16–9.05)
Cerebrovascular disease0.72 (0.16–3.27)0.668
Hypertension1.11 (0.41–2.96)0.842
Diabetes mellitus1.23 (0.42–3.63)0.707
RCRI ≥24.38 (1.60–12.01)5.05 (1.67–15.31)
ASA ≥30.76 (0.24–2.40)0.635
General anesthesia0.80 (0.30–2.14)0.658
Procedure type
 SpineReference
 Hip or knee1.76 (0.47–6.61)0.405
 Orthopaedic trauma0.49 (0.08–2.10)0.285
Intraoperative blood transfusion >400 ml0.44 (0.10–1.98)0.284
Surgery >150 min0.38 (0.09–1.67)0.149
MI8.29 (1.08–63.6)9.13 (1.13–73.63)
OR – odds ratio; CI – confidence interval; RCRI – Revised Cardiac Risk Index; ASA – American Society of Anesthesiologists Physical Status Classification; MI – myocardial infarction. Variables with P-values

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750