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Intra-operative tachycardia and peri-operative outcome
Bernd Hartmann1, Axel Junger, Rainer Röhrig
1Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital of Giessen, Rudolf-Buchheim Strasse 7, 35392 Giessen, Germany.
Langenbeck'S Archives of Surgery
|August 16, 2003
Summary
Intra-operative tachycardia in non-cardiac surgery patients increases peri-operative risk, leading to higher mortality and ICU admissions. This finding highlights tachycardia as a critical indicator for quality assurance in anesthesia.
Area of Science:
- Anesthesiology
- Cardiology
- Critical Care Medicine
Background:
- Intra-operative tachycardia is a frequent adverse event in surgery.
- It is often used as a quality indicator in anesthesia assurance projects.
Purpose of the Study:
- To investigate the impact of intra-operative tachycardia on patient outcomes.
- To assess the association between tachycardia and mortality, ICU admission, and hospital stay.
Main Methods:
- Retrospective analysis of 28,065 patient records from a tertiary care university hospital.
- Matched case-control study comparing patients with intra-operative tachycardia to controls with similar risk factors.
- Outcome measures included hospital mortality, ICU admission, and prolonged hospital stay.
Main Results:
- 1.7% of patients (474/28,065) experienced intra-operative tachycardia.
- Tachycardia cases showed significantly higher mortality (5.5% vs 2.5%), ICU admission (22.3% vs 11.0%), and prolonged hospital stay (25.1% vs 15.1%) compared to matched controls.
- Statistical significance was observed for all outcome measures (P<0.05).
Conclusions:
- Intra-operative tachycardia in non-cardiac surgery is associated with increased peri-operative risk.
- Patients with tachycardia face a greater likelihood of adverse outcomes, including death and prolonged hospitalization.
- Tachycardia serves as a significant predictor of poor outcomes in the peri-operative period.