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Cardiac anesthesia risk management. Multicenter outcome research
1Multicenter Study of Perioperative Ischemia Research Group, San Francisco, CA, UCSF, Veterans Affairs Medical Center 94121.
Journal of Cardiothoracic and Vascular Anesthesia
|February 1, 1994
Summary
Perioperative cardiovascular morbidity poses a significant healthcare challenge, costing billions annually. Large-scale therapeutic trials are crucial for developing effective treatments to reduce heart attack and stroke risks in surgical patients.
Area of Science:
- Cardiology
- Neurosurgery
- Health Economics
Background:
- Perioperative cardiovascular morbidity is a major healthcare challenge, impacting millions of patients undergoing surgery annually.
- Current costs associated with perioperative cardiovascular morbidity are substantial, encompassing both in-hospital and post-hospitalization care.
- Despite advancements in early detection, perioperative heart and brain infarctions remain critical issues.
Purpose of the Study:
- To highlight the significant burden of perioperative cardiovascular morbidity and its associated costs.
- To emphasize the need for large-scale therapeutic trials to improve patient outcomes.
- To introduce the McSPI Research Group's focus on addressing heart attack and stroke in the perioperative setting.
Main Methods:
- Review of existing data on perioperative cardiovascular morbidity and associated healthcare costs.
- Discussion of past and present strategies for managing perioperative cardiovascular and central nervous system morbidity.
- Introduction of the McSPI Research Group as a platform for future research.
Main Results:
- Perioperative cardiovascular morbidity incurs significant financial costs, estimated in the billions of dollars annually.
- Over one million patients in the U.S. experience postsurgical cardiovascular morbidity each year.
- Existing technologies for early detection of infarction surrogates have not sufficiently resolved the problem of perioperative infarctions.
Conclusions:
- Future advancements in perioperative care necessitate large-scale therapeutic trials.
- The McSPI Research Group aims to identify effective therapies for perioperative cardiovascular and neurological events.
- The group also focuses on fostering the academic development of clinical investigators in this field.