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Myocardial injury after noncardiac surgery (MINS) is common, silent, and strongly associated with morbi-mortality.
There are some evidences in the littérature showing that troponin elevation pre and/or postoperatively and surgical Apgar score are strongly and independently associated with postoperative morbi-mortality.
In this cohort study of orthopedic surgery patients (> 50years), the aim is to determine MINS incidence and to assess wich peri-operative factors are associated with the occurrence of MINS. The final objective is to create a score to better identified the patients with a MINS and a poor outcome.
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| Measure | Description | Time Frame |
|---|---|---|
| Postoperative MINS incidence | Troponin elevation > 5ng/l compared to previous measurement OR troponin elevation > 65 ng/l | 3 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with cardiac arrest | Cardiac arrest | 3 months |
| Number of Participants with an episode of acute pulmonary oedema | Acute pulmonary oedema |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged of 50 years and more, with elective orthopedic surgery in Brest community-affiliated hospital
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olivier HUET, MD,PhD | Contact | +33298347288 | olivier.huet@chu-brest.fr | |
| Anaïs CAILLARD, MD | Contact | +33298347288 | anais.caillard@chu-brest.fr |
| Name | Affiliation | Role |
|---|---|---|
| Olivier HUET, MD, PhD | CHRU BREST | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU Brest | Recruiting | Brest | 29200 | France |
All collected data that underlie results in a publication
Data will be available beginning 21 months and ending five years following the publication
Data access requests will be reviewed by the international committee of Brest UH . Requestors will be required to sign and complete a data acess agreement
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| 3 months |
| Number of Participants with coronary angioplasty | Coronary angioplasty | 3 months |
| Number of Participants with myocardial infarction | Myocardial infarction | 3 months |
| Number of Participants with stroke | Stroke | 3 months |
| Number of Participants with transient stroke | Transient stroke | 3 months |
| Mortality rate | Death | 3 months |
| Revised Cardiac Risk Index for Pre-Operative Risk (Lee score) | Minimum value = 0 Minimum value = 0, maximum value = 6, higher scores mean a worse outcome (higher peri operative mortality risk) | Inclusion |
| Metabolic Equivalent of Task (MET) | Minimum value = 1, Maximum value= 10, a low score (MET <4) is associated with a capacity to do some light intensity activities and is associated with cardiovascular risk. | Inclusion |
| CHU Rennes | Recruiting | Rennes | 35033 | France |
|