Overview
Myocardial injury after noncardiac surgery (MINS) is common, silent, and strongly associated with morbi-mortality.
There are some evidences in the littérature showing that troponin elevation pre and/or postoperatively and surgical Apgar score are strongly and independently associated with postoperative morbi-mortality.
In this cohort study of orthopedic surgery patients (> 50years), the aim is to determine MINS incidence and to assess wich peri-operative factors are associated with the occurrence of MINS. The final objective is to create a score to better identified the patients with a MINS and a poor outcome.
Eligibility
Inclusion Criteria:
- > 50 years
- orthopedic surgery (hip, knee, spine)
- written consent
Exclusion Criteria:
- no troponin measurement prior surgery
- sepsis
- acute coronary syndrome
- pulmonary embolism
- refusing to participate
- guardianship