Table 1.
Characteristics of articles in the meta-analysis.
References | Case | Operation type | Testing index | Acquisition time | Threshold | Measurement | Follow-up time | MAC | NOS |
---|---|---|---|---|---|---|---|---|---|
Ausset et al., 2008 | 87 | Hip surgery | cTnI | The first three postoperative days | >0.08ng/ml | Ortho Vitros ECi; Ortho-Clinical Diagnostics | during hospital and 1 year | cardiac death, MI,HF, ACS | 7 |
Biccard et al., 2012 | 788 | Vascular surgery | cTnI | Immediately,1,2,3,7 days postoperation | – | Advia Centaur Xp (Siemens Healthcare) | 30 d | Death or cTnI equal to or higher then reference level | 7 |
Cagini et al., 2014 | 294 | Pneumonectomies, lobectomies, anatomical segmentectomies or wedge resections | BNP | Before and 1,4 days postoperation | >118.5pg/ml | – | 24h | AF,PSVT,VT, AMI,UP, ARF, TIA,DVT, thromboembolic events | 6 |
Chong et al., 2009 | 102 | Emergency orthopedic surgery | cTnI | Pre-operation and on days 1, 2, and 3 post-operation | >0.3 mcg/l | Architect STAT Troponin I assay (Abbott Diagnostics) | In hospital / 1 year | MI, HF, AF, major arrhythmia | 7 |
Dawson-Bowling et al., 2008 | 108 | Fractured of neck and femur | cTnT | Admission day 1–2 postoperation | >0.03ng/ml | – | In hospital | MI, HF, unstable angina, major arrhythmias requiring treatment | 5 |
Feringa et al., 2007 | 335 | Abdominal aortic repair, lower extremity revascularization | NT-proBNP | Before surgery | ≥319 ng/L | Electrochemiluminescence immunoassay | 14 ± 6 year | Cardiac death, MI | 8 |
Gibson et al., 2006 | 44 | Below knee amputation | cTnT | Before surgery | >0.3ng/ml | Elecsys 2010 (Roche Diagnostics) | 6 weeks postoperation | Non-fatal MI, cardiac death | 9 |
Gillmann et al., 2014 | 455 | Elective open aortic, peripheral vascular, or carotid surgery | cTnT | Before and 24 h postoperation | ≥17.8ng/L | Immunoassay | 30 days | Cardiovascular death, MI, ischemia | 7 |
Golubović et al., 2018 | 79 | Abdominal, thoracic, orthopedic, and vascular surgery | cTnT | 48h prior to surgery | >7.5ng/L | Immunoluminometric electrochemiluminescence immunoassay | 14 days | HF, MI, all-cause mortality | 6 |
Kim et al., 2016 | 506 | Non-cardiac surgery of elderly patients with normal left ventricular systolic function | NT-proBNP | Before surgery | ≥425.3pg/ml | Elecsys 2010 (Roche Diagnostics) | 30 d | Cardiac death, AMI, HF, stroke, AF | 7 |
Kim et al., 2018 | 262 | Hip fracture surgery | cTnI | Before surgery | >6.5ng/L | Immunoassay analyzer | 90 days | All-cause deaths, HF, AF, MI | 7 |
Kopec et al., 2017 | 572 | Major noncardiac surgery, | cTnT NT-proBNP | Before surgery | ≥14 ng/L/ >108ng/L | Elecsys 2010 (Roche Diagnostics) | The first 3 days after surgery | MI | 7 |
Long et al., 2016 | 1120 | Primary total knee arthroplasty | BNP | Before surgery | ≥822.5pg/ml | Elecsys electrochemiluminescence immunoassay (ECLIA) | ≥2 years | AF, AHF, MI | 6 |
Lopez-Jimenez et al., 1997 | 772 | Noncardiac surgery without clinical evidence of severe ischemia | cTnT | In the recovery room and during the next 2 days | >0.1ng/ml | – | 6 months | Cardiac deaths, nonfatal MI, unstable angina | 8 |
Martins et al., 2011 | 101 | Aortic and peripheral artery revascularizations | Hs-CRP | before surgery | >100 mg/L | VITROS Chemistry Products (Ortho-Clinical Diagnostics) | Until discharge | AMI, noncardiac death, AF, HF, ARF | 8 |
Oscarsson et al., 2009b | 186 | Emergent or urgent non-cardiac surgery | cTnT NT-proBNP | Within 1 h before surgery | 0.06 μg/l/>1800 pg/ml | Stratus CS Acute CareTM Diagnostic System (Dade International Holding GmBH) | 30 d | AMI, cardiovascular death | 8 |
Oscarsson et al., 2009a | 69 | Unscheduled hip surgery | NT-proBNP | 1 h before surgery | ≥3984ng/ml | Stratus CS Acute CareTM Diagnostic System (Dade International Holding GmBH) | 30 days after operation | AMI, cardiac events | 8 |
Oscarsson et al., 2004 | 161 | Gynecology, orthopedics, urology, vascular surgery | cTnT | 5−7 h postoperation | ≥0.02 ng/ml | ECLIA on Elecays 2010 analyzer | 1 year | AMI, coronary intervention | 8 |
Owens et al., 2007 | 91 | Autogenous lower extremity revascularization | Hs-CRP | Immediately before surgery | >5 mg/L | BD Diagnostics | 342 days (range, 36 to 694) | Stroke, MI, cardiac revascularization procedure, death fromAny cause | 8 |
Rajagopalan et al., 2008 | 136 | Subcritical limb ischemia or abdominal aortic aneurysm (AAA) repair | NT-proBNP | Before surgery | >308pg/ml | Elecsys 2010 (Roche Diagnostics) | 2 days | Revascularization procedure, or death from any cause | 6 |
Rajagopalan et al., 2011 | 136 | Open abdominal aortic aneurysm (AAA) repair and aorto-femoral and infrainguinal revascularization for critical limb ischaemia | NT-proBNP | The day before surgery and on the first postoperative day after surgery | ≥359pg/ml | Electrochemiluminescence sandwich immunoassay (ECLIA) | 2 years | Death due to an obvious cardiac cause or coronary revascularization | 7 |
Scrutinio et al., 2011 | 239 | Elective carotid or peripheral lower extremity revascularization or aortic surgery | Hs-CRP | On the preoperative day | >3.2 mg/L | Siemens Healthcare Diagnostics | 30days | cTn-I elevation above the decision limit of 0.15 g/L, death, ACS, stroke, AHF | 8 |
Shroff et al., 2012 | 376 | Kidney transplantation | cTnI | Before surgery | ≥0.04 ng/ml | Vitros, Ortho Clinical Diagnostics | In hospital | Death, MI, arrhythmia or HF | 8 |
Stone et al., 2014 | 118 | Lower extremity, EVT | hs-CRP/ BNP | Before surgery | >0.8mg/dl/ >100pg/ml | Immunometric assay | 1year, 2 years | Stroke, MI, death | 6 |
Vetrugno et al., 2012 | 227 | Elective prosthesis orthopedic surgery | BNP | Before surgery | >39 pg/dl | Bayer ADVIA Centaur™ | In hospital | AF, AHF, non-fatal/fatal MI | 7 |
Winkel et al., 2010 | 513 | Vascular surgery | cTnT | Before surgery | >0.1ng/ml | Electrochemiluminescence immunoassay (TropT version 2, Roche Diagnostics GmbH). | Postoperative days 1,3, 7, 30 2 years | Cardiac death, MI | 8 |
NOS, Newcastle-Ottawa Scale; cTnI, cardiac troponin I; BNP, brain natriuretic peptide; NT-proBNP, amino-terminal pro-hormone of brain natriuretic peptide; HF, heart failure; AHF, acute heart failure; ACS, acute coronary syndrome; AF, atrial fibrillation; PSVT, paroxysmal supraventricular tachycardia; VT, ventricular tachycardia; UP, angina pectoris; MI, myocardial infarction; AMI, acute myocardial infarction; DVT, deep vein thrombosis; ARF, acute renal failure; TIA, transient ischemic attack.