Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김충기 | * |
dc.contributor.author | 신상훈 | * |
dc.date.accessioned | 2023-10-19T16:31:20Z | - |
dc.date.available | 2023-10-19T16:31:20Z | - |
dc.date.issued | 2023 | * |
dc.identifier.issn | 0002-9343 | * |
dc.identifier.other | OAK-34097 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/266311 | - |
dc.description.abstract | Background: The optimal antiplatelet therapy (APT) for patients undergoing non-cardiac surgery within 1 year after percutaneous coronary intervention (PCI) is not yet established. Methods: Patients who underwent non-cardiac surgery within 1 year after second-generation drug-eluting stent implantation were included from a multicenter prospective registry in Korea. The primary endpoint was 30-day net adverse clinical event (NACE), including all-cause death, major adverse cardiovascular event (MACE), and major bleeding events. Covariate adjustment using propensity score was performed. Results: Among 1130 eligible patients, 708 (62.7%) continued APT during non-cardiac surgery. After propensity score adjustment, APT continuation was associated with a lower incidence of NACE (3.7% vs 5.5%; adjusted odds ratio [OR], 0.48; 95% confidence interval [CI], 0.26-0.89; P = .019) and MACE (1.1% vs 1.9%; adjusted OR, 0.35; 95% CI, 0.12-0.99; P = .046), whereas the incidence of major bleeding events was not different between the 2 APT strategies (1.7% vs 2.6%; adjusted OR, 0.61; 95% CI, 0.25-1.50; P = .273). Conclusions: The APT continuation strategy was chosen in a substantial proportion of patients and was associated with the benefit of potentially reducing 30-day NACE and MACE with similar incidence of major bleeding events, compared with APT discontinuation. This study suggests a possible benefit of APT continuation in non-cardiac surgery within 1 year of second-generation drug-eluting stent implantation. © 2023 Elsevier Inc. | * |
dc.language | English | * |
dc.publisher | Elsevier Inc. | * |
dc.subject | Antiplatelet therapy | * |
dc.subject | Net adverse clinical events | * |
dc.subject | Non-cardiac surgery | * |
dc.subject | Percutaneous coronary intervention | * |
dc.title | Perioperative Antiplatelet Strategy in Patients Undergoing Noncardiac Surgery Within One Year After Percutaneous Coronary Intervention | * |
dc.type | Article | * |
dc.relation.issue | 10 | * |
dc.relation.volume | 136 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1026 | * |
dc.relation.lastpage | 1.03E04 | * |
dc.relation.journaltitle | American Journal of Medicine | * |
dc.identifier.doi | 10.1016/j.amjmed.2023.06.003 | * |
dc.identifier.wosid | WOS:001081625700001 | * |
dc.identifier.scopusid | 2-s2.0-85164592489 | * |
dc.author.google | Lee | * |
dc.author.google | Sang-Hyup | * |
dc.author.google | Kim | * |
dc.author.google | Choongki | * |
dc.author.google | Shin | * |
dc.author.google | Sanghoon | * |
dc.author.google | Hyeongsoo | * |
dc.author.google | Park | * |
dc.author.google | Jong-Kwan | * |
dc.author.google | Oh | * |
dc.author.google | Seung-Jin | * |
dc.author.google | Ahn | * |
dc.author.google | Sung Gyun | * |
dc.author.google | Cho | * |
dc.author.google | Sungsoo | * |
dc.author.google | Oh-Hyun | * |
dc.author.google | Moon | * |
dc.author.google | Jae Youn | * |
dc.author.google | Won | * |
dc.author.google | Hoyoun | * |
dc.author.google | Suh | * |
dc.author.google | Yongsung | * |
dc.author.google | Yun-Hyeong | * |
dc.author.google | Jung Rae | * |
dc.author.google | Byoung-Kwon | * |
dc.author.google | Yong-Joon | * |
dc.author.google | Seung-Jun | * |
dc.author.google | Hong | * |
dc.author.google | Sung-Jin | * |
dc.author.google | Dong-Ho | * |
dc.author.google | Chul-Min | * |
dc.author.google | Byeong-Keuk | * |
dc.author.google | Ko | * |
dc.author.google | Young-Guk | * |
dc.author.google | Choi | * |
dc.author.google | Donghoon | * |
dc.author.google | Myeong-Ki | * |
dc.author.google | Jang | * |
dc.author.google | Yangsoo | * |
dc.author.google | Jung-Sun | * |
dc.contributor.scopusid | 김충기(55697727500) | * |
dc.contributor.scopusid | 신상훈(7403646689;27868133100) | * |
dc.date.modifydate | 20240426130307 | * |