Hypertension and intra-operative incidents: a multicentre study of 125000 surgical procedures in Swiss hospitals.

Détails

ID Serval
serval:BIB_202459185147
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Hypertension and intra-operative incidents: a multicentre study of 125000 surgical procedures in Swiss hospitals.
Périodique
Anaesthesia
Auteur(s)
Beyer K., Taffé P., Halfon P., Pittet V., Pichard S., Haller G., Burnand B.
Collaborateur(s)
ADS study Group
Contributeur(s)
Ravussin P., Schaerrer A., Bosshard JP., Buchser E., Cassina T., Castelanelli S., Chabloz H., Delachaux A., Erard PY., Favre JM., Febvre R., Flubacher P., Gosteli P., Milliet N., Muller J., Oberhauser M., Reber A., Rehsteiner M., Rossier M., Saegesser P., Scherrer P., Schneuwly O., Senly C.
ISSN
1365-2044 (Electronic)
ISSN-L
0003-2409
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
64
Numéro
5
Pages
494-502
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Résumé
It is debated whether chronic hypertension increases the risk of cardiovascular incidents during anaesthesia. We studied all elective surgical operations performed in adults under general or regional anaesthesia between 2000 and 2004, in 24 hospitals collecting computerised clinical data on all anaesthetics since 1996. The focus was on cardiovascular incidents, though other anaesthesia-related incidents were also evaluated. Among 124,939 interventions, 27,881 (22%) were performed in hypertensive patients. At least one cardiovascular incident occurred in 7549 interventions (6% (95% CI 5.9-6.2%)). The average adjusted odds ratio of cardiovascular risk for chronic hypertension was 1.38 (95% CI 1.27-1.49). However, across hospitals, adjusted odd ratios varied from 0.41 up to 2.25. Hypertension did not increase the risk of other incidents. Hypertensive patients are still at risk of intra-operative cardiovascular incidents, while risk heterogeneity across hospitals, despite taking account of casemix and hospital characteristics, suggests variations in anaesthetic practices.
Mots-clé
Adolescent, Adult, Aged, Anesthesia/adverse effects, Anesthesia/methods, Cardiovascular Diseases/epidemiology, Cardiovascular Diseases/etiology, Chronic Disease, Humans, Hypertension/complications, Hypertension/epidemiology, Intraoperative Complications/epidemiology, Middle Aged, Surgical Procedures, Elective, Switzerland/epidemiology, Young Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
27/06/2009 15:59
Dernière modification de la notice
20/08/2019 13:56
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