Status:

ACTIVE_NOT_RECRUITING

Myocardial Injury in Noncardiac Surgery in Sweden

Lead Sponsor:

Linkoeping University

Collaborating Sponsors:

Region Östergötland

Medical Research Council of Southeast Sweden

Conditions:

Perioperative/Postoperative Complications

Risk Factor, Cardiovascular

Eligibility:

All Genders

50+ years

Brief Summary

The purpose of this multicentre, prospective, observational study is to identify robust biochemical markers that predict adverse cardiovascular outcomes and mortality in patients undergoing major abdo...

Detailed Description

Inclusion Adults at least 50 years old undergoing elective, major or major/complex abdominal surgery defined according to the Surgical Outcome Risk Tool (www.sortsurgery.com), requiring general anaest...

Eligibility Criteria

Inclusion

  • Adult patients undergoing elective, major abdominal surgery\*.
  • (\*Major abdominal surgery requiring general anaesthesia, and requiring at least one overnight stay. Major abdominal surgery is defined as those classified as major OR major/complex by the Surgical Outcome Risk Tool (SORT) (www.sortsurgery.com).
  • In essence major surgery is one that penetrates and exposes a body cavity or produces a substantial impairment of physical or physiologic function or involves extensive dissection or transection. Examples of a major abdominal surgery include, but are not limited to, any procedure involving a laparotomy or laparoscopic procedures of the stomach, duodenum, small and large intestine and rectum. It also includes but is not limited to procedures on the reproductive system (total abdominal hysterectomy, salpingo-oophorectomy) and genitourinary system (nephrectomy, cystectomy).)

Exclusion

  • Patient not fulfilling inclusion study criteria above and/or clinician refusal and/or non-eligible as defined below.
  • Patients undergoing the following surgical procedures will NOT be eligible:
  • transplantation
  • trauma
  • endocrine
  • vascular
  • endovascular
  • The presence of any one of the following will also lead to exclusion of the patient:
  • ACS at presentation (clinical assessment or documentation)
  • New or decompensated congestive heart failure at presentation (clinical assessment or documentation)
  • Documented severe aortic stenosis (valve area \< 1cm2)
  • Reduced LVEF (\<40%); if no LVEF is available, it will be assumed to be \>40%
  • Inability to follow the procedures of the study, e.g. due to language problems, dementia, etc. of the participant

Key Trial Info

Start Date :

May 15 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 31 2025

Estimated Enrollment :

1269 Patients enrolled

Trial Details

Trial ID

NCT03436238

Start Date

May 15 2017

End Date

December 31 2025

Last Update

November 18 2024

Active Locations (7)

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Page 1 of 2 (7 locations)

1

Kristianstad KRYH Hospital

Kristianstad, Skåne County, Sweden

2

Eskilstuna Hospital

Eskilstuna, Sweden

3

Ryhov County Hospital

Jönköping, Sweden

4

Skane University Hospital Lund

Lund, Sweden