Perioperative outcomes of hypertrophic cardiomyopathy: An insight from the National Readmission Database
Recommended Citation
Barssoum K, Abumoawad A, Chowdhury M, Agrawal A, AbdelMassih R, Renjithlal S, Mohamed AH, Alhuarrat M, Abdou C, Saleh M, Ellauzi R, Khalife W, Rai D, Chatila K, and Jneid H. Perioperative outcomes of hypertrophic cardiomyopathy: An insight from the National Readmission Database. Int J Cardiol 2023; 398:131601.
Document Type
Article
Publication Date
3-1-2024
Publication Title
International journal of cardiology
Abstract
BACKGROUND: Data regarding hypertrophic obstructive cardiomyopathy (HOCM) patients undergoing noncardiac surgery is lacking. We sought to examine the perioperative outcomes of HOCM patients undergoing noncardiac surgery using a national database.
METHODS: We used the National readmission database from 2016 to 2019. We identified HOCM, heart undergoing noncardiac surgery using ICD 10 codes. We examined hospital outcomes as well as 90 days readmission outcomes.
RESULTS: We identified 16,098 HOCM patients and 21,895,699 non-HOCM patients undergoing noncardiac surgery. The HOCM group had more comorbidities at baseline. After adjustment for major clinical predictors, the HOCM group experienced more in-hospital death, odds ratio (OR) 1.33 (1.216-1.47), P < 0.001, acute myocardial infarction (AMI), OR 1.18 (1.077-1.292), P < 0.001, acute heart failure odds ratio OR 1.3 to (1.220-1.431), P < 0.001, 90 days readmission OR 1.237 (1.069-1.432), P < 0.01, cardiogenic shock OR 2.094 (1.855-2.363), P < 0.001. Cardiac arrhythmia was the most common cause of readmission, out of the arrhythmias atrial fibrillation was the most prevalent. Acute heart failure was the most common complication of readmission. There was no difference in major adverse cardiovascular events (MACE), and AMI between both groups and readmission.
CONCLUSION: HOCM patients undergoing noncardiac surgery may be at increased risk of in-hospital and readmission events. Acute heart failure was the most common complication during index admission, while cardiac arrhythmias were the most common complication during readmission. More research is needed to address this patient population further.
Medical Subject Headings
Humans; Patient Readmission; Hospital Mortality; Shock, Cardiogenic; Myocardial Infarction; Heart Failure; Cardiomyopathy, Hypertrophic; Risk Factors
PubMed ID
37979792
ePublication
ePub ahead of print
Volume
398
First Page
131601
Last Page
131601
