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REDUCING GLOBAL PERIOPERATIVE RISK


This resource center is jointly hosted by The American Journal of Medicine,
The American Journal of Cardiology, and the Canadian Journal of Cardiology.

Risk Identification

key Findings

  • Among the first 15,000 patients who had fourth-generation Troponin T (TnT) measured, the peak postoperative TnT measurement during the first 3 days after surgery was significantly associated with 30-day mortality.
  • MINS occurred in 8% of the study population, and 85% of MINS would have been missed without perioperative troponin monitoring.

Key Highlights

  • The VISION Study (Vascular Events in Noncardiac Surgery Patients Cohort Evaluation) is a prospective multicenter international cohort study.
  • Main study objectives included evaluation of perioperative vascular complications in patients >45 years of age undergoing non-cardiac surgery. The study also assessed the value of routine Troponin (T) measurement for detection of myocardial injury after non-cardiac surgery (MINS) and adverse event prognostication.

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Funding for this site was received from the PHRI via support from the Canadian Institutes of Health Research’s Strategy for
Patient Oriented Research, through the Ontario SPOR Support Unit, as well as the Ontario Ministry of Health and Long-Term Care.