Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis

Abstract The worldwide population is aging, and the number of surgeries performed in geriatric patients is increasing. This systematic review evaluated anesthetic procedures to assess global data on perioperative and anesthesia-related cardiac arrest (CA) rates in geriatric surgical patients. Availa...

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Autores principales:	Karen S. Braghiroli, José R. C. Braz, Bruna Rocha, Regina El Dib, José E. Corrente, Mariana G. Braz, Leandro G. Braz
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1539518f0f2d47e88e191f5d64d545d1
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spelling	oai:doaj.org-article:1539518f0f2d47e88e191f5d64d545d12021-12-02T16:06:04ZPerioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis10.1038/s41598-017-02745-62045-2322https://doaj.org/article/1539518f0f2d47e88e191f5d64d545d12017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02745-6https://doaj.org/toc/2045-2322Abstract The worldwide population is aging, and the number of surgeries performed in geriatric patients is increasing. This systematic review evaluated anesthetic procedures to assess global data on perioperative and anesthesia-related cardiac arrest (CA) rates in geriatric surgical patients. Available data on perioperative and anesthesia-related CA rates over time and by the country’s Human Development Index (HDI) were evaluated by meta-regression, and a pooled analysis of proportions was used to compare perioperative and anesthesia-related CA rates by HDI and time period. The meta-regression showed that perioperative CA rates did not change significantly over time or by HDI, whereas anesthesia-related CA rates decreased over time (P = 0.04) and in high-HDI (P = 0.015). Perioperative and anesthesia-related CA rates per 10,000 anesthetic procedures declined in high-HDI, from 38.6 before the 1990s to 7.7 from 1990–2017 (P < 0.001) and from 9.2 before the 1990s to 1.3 from 1990–2017 (P < 0.001), respectively. The perioperative CA rate from 1990–2017 was higher in low-HDI than in high-HDI countries (P < 0.001). Hence, a reduction in anesthesia-related CA rates over time was observed. Both perioperative and anesthesia-related CA rates only decreased with a high-HDI between time periods, and perioperative CA rates during 1990–2017 were 4-fold higher with low- compared to high-HDI in geriatric patients.Karen S. BraghiroliJosé R. C. BrazBruna RochaRegina El DibJosé E. CorrenteMariana G. BrazLeandro G. BrazNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Karen S. Braghiroli José R. C. Braz Bruna Rocha Regina El Dib José E. Corrente Mariana G. Braz Leandro G. Braz Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
description	Abstract The worldwide population is aging, and the number of surgeries performed in geriatric patients is increasing. This systematic review evaluated anesthetic procedures to assess global data on perioperative and anesthesia-related cardiac arrest (CA) rates in geriatric surgical patients. Available data on perioperative and anesthesia-related CA rates over time and by the country’s Human Development Index (HDI) were evaluated by meta-regression, and a pooled analysis of proportions was used to compare perioperative and anesthesia-related CA rates by HDI and time period. The meta-regression showed that perioperative CA rates did not change significantly over time or by HDI, whereas anesthesia-related CA rates decreased over time (P = 0.04) and in high-HDI (P = 0.015). Perioperative and anesthesia-related CA rates per 10,000 anesthetic procedures declined in high-HDI, from 38.6 before the 1990s to 7.7 from 1990–2017 (P < 0.001) and from 9.2 before the 1990s to 1.3 from 1990–2017 (P < 0.001), respectively. The perioperative CA rate from 1990–2017 was higher in low-HDI than in high-HDI countries (P < 0.001). Hence, a reduction in anesthesia-related CA rates over time was observed. Both perioperative and anesthesia-related CA rates only decreased with a high-HDI between time periods, and perioperative CA rates during 1990–2017 were 4-fold higher with low- compared to high-HDI in geriatric patients.
format	article
author	Karen S. Braghiroli José R. C. Braz Bruna Rocha Regina El Dib José E. Corrente Mariana G. Braz Leandro G. Braz
author_facet	Karen S. Braghiroli José R. C. Braz Bruna Rocha Regina El Dib José E. Corrente Mariana G. Braz Leandro G. Braz
author_sort	Karen S. Braghiroli
title	Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
title_short	Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
title_full	Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
title_fullStr	Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
title_full_unstemmed	Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
title_sort	perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/1539518f0f2d47e88e191f5d64d545d1
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Perioperative and anesthesia-related cardiac arrests in geriatric patients: a systematic review using meta-regression analysis

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