Titre
Hypertension and intra-operative incidents: a multicentre study of 125000 surgical procedures in Swiss hospitals.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Beyer, K.
Auteure/Auteur
Taffé, P.
Auteure/Auteur
Halfon, P.
Auteure/Auteur
Pittet, V.
Auteure/Auteur
Pichard, S.
Auteure/Auteur
Haller, G.
Auteure/Auteur
Burnand, B.
Auteure/Auteur
Contributrices/contributeurs
Ravussin, P.
Schaerrer, A.
Bosshard, JP.
Buchser, E.
Cassina, T.
Castelanelli, S.
Chabloz, H.
Delachaux, A.
Erard, PY.
Favre, JM.
Febvre, R.
Flubacher, P.
Gosteli, P.
Milliet, N.
Muller, J.
Oberhauser, M.
Reber, A.
Rehsteiner, M.
Rossier, M.
Saegesser, P.
Scherrer, P.
Schneuwly, O.
Senly, C.
Groupes de travail
ADS study Group
Liens vers les personnes
Liens vers les unités
ISSN
1365-2044
Statut éditorial
Publié
Date de publication
2009
Volume
64
Numéro
5
Première page
494
Dernière page/numéro d’article
502
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Publication Status: ppublish
Résumé
It is debated whether chronic hypertension increases the risk of cardiovascular incidents during anaesthesia. We studied all elective surgical operations performed in adults under general or regional anaesthesia between 2000 and 2004, in 24 hospitals collecting computerised clinical data on all anaesthetics since 1996. The focus was on cardiovascular incidents, though other anaesthesia-related incidents were also evaluated. Among 124,939 interventions, 27,881 (22%) were performed in hypertensive patients. At least one cardiovascular incident occurred in 7549 interventions (6% (95% CI 5.9-6.2%)). The average adjusted odds ratio of cardiovascular risk for chronic hypertension was 1.38 (95% CI 1.27-1.49). However, across hospitals, adjusted odd ratios varied from 0.41 up to 2.25. Hypertension did not increase the risk of other incidents. Hypertensive patients are still at risk of intra-operative cardiovascular incidents, while risk heterogeneity across hospitals, despite taking account of casemix and hospital characteristics, suggests variations in anaesthetic practices.
PID Serval
serval:BIB_202459185147
PMID
Open Access
Oui
Date de création
2009-06-27T13:59:39.963Z
Date de création dans IRIS
2025-05-20T18:14:49Z