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Research Letter
April 8, 2020

Optimizable Risk Factors Contributing to Mortality in Patients With Heart Failure Undergoing Noncardiac Surgery

Author Affiliations
  • 1Department of Health Research and Policy (Division of Epidemiology), Stanford University School of Medicine, Stanford, California
  • 2Department of Surgery, University of California, Los Angeles, Los Angeles
  • 3Palo Alto Veterans Affairs Health Care System, Palo Alto, California
  • 4Department of Surgery, Stanford University School of Medicine, Stanford, California
JAMA Surg. Published online April 8, 2020. doi:10.1001/jamasurg.2020.0257

Heart failure (HF) is a major risk factor for postoperative mortality. A recent study found that veteran patients with preoperative HF had a 90-day postoperative mortality of 5.5% (95% CI, 5.3%-5.7%) compared with patients without HF, who had a mortality of 1.2% (95% CI, 1.1%-1.3%).1 The crude risk of mortality in patients with vs without HF was substantially attenuated by multivariable adjustment, a finding suggesting that a portion of the elevated mortality risk may be attributable to risk factors amenable to preoperative optimization.

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