Outcomes of patients with stable heart failure undergoing elective noncardiac surgery

Ye Olivia Xu-Cai, Daniel Brotman, Christopher O. Phillips, Franklin A. Michota, W. H Wilson Tang, Christopher M. Whinney, Ashok Panneerselvam, Eric D. Hixson, Mario Garcia, Gary S. Francis, Amir K. Jaffer

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To evaluate modern surgical outcomes in patients with stable heart failure undergoing elective major noncardiac surgery and to compare the experience of patients with heart failure who have reduced vs preserved left ventricular ejection fraction (EF). PATIENTS AND METHODS: We retrospectively studied 557 consecutive patients with heart failure (192 EF ≤40% and 365 EF >40%) and 10,583 controls who underwent systematic evaluation by hospitalists in a preoperative clinic before having major elective noncardiac surgery between January 1, 2003, and March 31, 2006. We examined outcomes in the entire cohort and in propensity-matched case-control groups. RESULTS: Unadjusted 1-month postoperative mortality in patients with both types of heart failure vs controls was 1.3% vs 0.4% ( P=.009), but this difference was not significant in propensity-matched groups ( P=.09). Unadjusted differences in mean hospital length of stay among heart failure patients vs controls (5.7 vs 4.3 days; P40%, and 1.4 (95% CI, 1.2-1.8) in those who had EF >40% ( P

Original languageEnglish (US)
Pages (from-to)280-288
Number of pages9
JournalMayo Clinic Proceedings
Volume83
Issue number3
DOIs
StatePublished - 2008

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Heart Failure
Length of Stay
Hospitalists
Stroke Volume
Research Design
Control Groups
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Xu-Cai, Y. O., Brotman, D., Phillips, C. O., Michota, F. A., Tang, W. H. W., Whinney, C. M., ... Jaffer, A. K. (2008). Outcomes of patients with stable heart failure undergoing elective noncardiac surgery. Mayo Clinic Proceedings, 83(3), 280-288. https://doi.org/10.4065/83.3.280

Outcomes of patients with stable heart failure undergoing elective noncardiac surgery. / Xu-Cai, Ye Olivia; Brotman, Daniel; Phillips, Christopher O.; Michota, Franklin A.; Tang, W. H Wilson; Whinney, Christopher M.; Panneerselvam, Ashok; Hixson, Eric D.; Garcia, Mario; Francis, Gary S.; Jaffer, Amir K.

In: Mayo Clinic Proceedings, Vol. 83, No. 3, 2008, p. 280-288.

Research output: Contribution to journalArticle

Xu-Cai, YO, Brotman, D, Phillips, CO, Michota, FA, Tang, WHW, Whinney, CM, Panneerselvam, A, Hixson, ED, Garcia, M, Francis, GS & Jaffer, AK 2008, 'Outcomes of patients with stable heart failure undergoing elective noncardiac surgery', Mayo Clinic Proceedings, vol. 83, no. 3, pp. 280-288. https://doi.org/10.4065/83.3.280
Xu-Cai, Ye Olivia ; Brotman, Daniel ; Phillips, Christopher O. ; Michota, Franklin A. ; Tang, W. H Wilson ; Whinney, Christopher M. ; Panneerselvam, Ashok ; Hixson, Eric D. ; Garcia, Mario ; Francis, Gary S. ; Jaffer, Amir K. / Outcomes of patients with stable heart failure undergoing elective noncardiac surgery. In: Mayo Clinic Proceedings. 2008 ; Vol. 83, No. 3. pp. 280-288.
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