Cardiorespiratory Events Associated With Ophthalmic Surgery: A Single-Center, Retrospective Records Review of 130 775...

Area of Science:

• Ophthalmology
• Cardiology
• Public Health

Background:

• The last comprehensive study on ophthalmic surgery complications was published in 1995, using data from 1977-1988.
• Current research addresses the gap in understanding perioperative cardiorespiratory events in ophthalmic surgery.

Purpose of the Study:

• To analyze the incidence and risk factors of cardiorespiratory events and mortality in ophthalmic surgery patients.
• To update the understanding of ophthalmic surgery morbidity and mortality rates.

Main Methods:

• Retrospective analysis of 130,775 ophthalmic surgery patient records from 1999-2015.
• Utilized International Classification of Diseases-9-CM codes to identify cardiorespiratory events.
• Examined preoperative risk factors including anesthetic type, surgical procedure, comorbidities, and bradycardia.

Main Results:

• A total of 59 cardiorespiratory events (0.45 per 1000 patients) occurred.
• 14 patients experienced cardiorespiratory arrest, with 9 deaths (0.07 per 1000).
• Diabetes was a significant risk factor (P < .001), particularly in patients with retinopathy and renal insufficiency.

Conclusions:

• Diabetes and its complications are major risk factors for cardiorespiratory morbidity and mortality in ophthalmic surgery.
• The findings highlight the importance of managing diabetes in patients undergoing eye procedures.
• The study reinforces the connection between ocular health and overall systemic health.