Improved postoperative outcomes associated with preoperative statin therapy.

Abstract:

:Statin therapy is well established for prevention of cardiovascular disease. Statins may also reduce postoperative mortality and morbidity via a pleiotropic (non-lipid-lowering) effect. The authors conducted a meta-analysis to determine the influence of statin treatment on adverse postoperative outcomes in patients undergoing cardiac, vascular, or noncardiovascular surgery. Two independent authors abstracted data from 12 retrospective and 3 prospective trials (n = 223,010 patients). A meta-analysis was performed to evaluate the overall effect of preoperative statin therapy on postoperative outcomes. Preoperative statin therapy was associated with 38% and 59% reduction in the risk of mortality after cardiac (1.9% vs. 3.1%; P = 0.0001) and vascular (1.7% vs. 6.1%; P = 0.0001) surgery, respectively. When including noncardiac surgery, a 44% reduction in mortality (2.2% vs. 3.2%; P = 0.0001) was observed. Preoperative statin therapy may reduce postoperative mortality in patients undergoing surgical procedures. However, the statin associated effects on postoperative cardiovascular morbidity are too variable to draw any conclusion.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Hindler K,Shaw AD,Samuels J,Fulton S,Collard CD,Riedel B

doi

10.1097/00000542-200612000-00027

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1260-72; quiz 1289-90

issue

6

eissn

0003-3022

issn

1528-1175

pii

00000542-200612000-00027

journal_volume

105

pub_type

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    authors: Reich DL,Timcenko A,Bodian CA,Kraidin J,Hofman J,DePerio M,Konstadt SN,Kurki T,Eisenkraft JB

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