New Study Suggests Longer Wait for Surgeries Post-Heart Attack to Reduce Risks in Elderly
October 31, 2024The research specifically focuses on the most common type of heart attack, NSTEMI, and aims to establish optimal timing for subsequent surgeries.
The study involved contributions from experts at URMC, RAND Health, Washington University, and others, receiving funding from the National Institute of Aging and various national institutes.
Findings indicate that most significant post-surgical complications occur within the first 30 days after surgery, with risks declining substantially during the first 90 days and leveling off over the next 180 days.
Current guidelines from the American College of Cardiology and American Heart Association recommend a 60-day wait after a heart attack before proceeding with elective surgeries, based on older data from 1999 to 2004.
Dr. Marjorie Gloff, a co-author of the study, noted the frustration experienced by patients needing to postpone elective surgeries, such as knee or hip replacements, after a heart attack.
Research from the University of Rochester highlights that delaying elective noncardiac surgeries for aging adults by three to six months after a heart attack can significantly reduce the risk of life-threatening complications.
Lead author Dr. Laurent Glance emphasizes that these guidelines are outdated and should be revised to reflect advancements in patient care and the diverse health profiles of today's patients.
Ultimately, the findings from this study may lead to significant changes in clinical decision-making for elective surgeries in high-risk elderly populations.
The study analyzed data from the Medicare database, covering 5.2 million surgeries performed on patients aged 67 and older between 2017 and 2020, specifically focusing on those who experienced a non-ST-segment elevation myocardial infarction (NSTEMI).
The study advocates for updated decision-making guidelines for surgical procedures following heart attacks to better align with current medical practices and demographic changes.
Aging patients often present multiple health issues, complicating the decision-making process regarding the timing of surgeries to ensure optimal quality of life.
The research suggests that waiting longer than 180 days post-heart attack may be beneficial for patient outcomes, as risk levels stabilize after this period.
Summary based on 3 sources
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Sources
ScienceDaily • Oct 30, 2024
Researchers identify 'sweet spot' for safe surgery after heart attackMedical Xpress • Oct 30, 2024
Database analysis identifies 'sweet spot' for safe surgery after heart attackURMC Newsroom • Oct 31, 2024
Researchers Identify “Sweet Spot” for Safe Surgery after Heart Attack