Troponin T monitoring to detect myocardial injury after noncardiac surgery: a cost-consequence analysis.

ABSTRACT:

Background

Myocardial injury after noncardiac surgery (MINS) is a mostly asymptomatic condition that is strongly associated with 30-day mortality; however, it remains mostly undetected without systematic troponin T monitoring. We evaluated the cost and consequences of postoperative troponin T monitoring to detect MINS.

Methods

We conducted a model-based cost-consequence analysis to compare the impact of routine troponin T monitoring versus standard care (troponin T measurement triggered by ischemic symptoms) on the incidence of MINS detection. Model inputs were based on Canadian patients enrolled in the Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION) study, which enrolled patients aged 45 years or older undergoing inpatient noncardiac surgery. We co

SUBMITTER: Buse GL 

PROVIDER: S-EPMC5973906 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature