The first chapter of this thesis analyzes perioperative cardiovascular mortality in noncardiac surgery at the Erasmus Medical Center, Rotterdam, The Netherlands. The performance of Lee et al’s index in predicting perioperative cardiovascular mortality is validated in a 10-year surgical cohort of patients undergoing noncardiac surgery. Based on the results of chapter one, the analysis of perioperative mortality risk factors is continued in chapter two. In this chapter, over one million Dutch patients undergoing noncardiac surgery between 1991-2002 were studied. The influence of well known perioperative risk factors in high risk patients was analyzed in the general noncardiac surgical population, and the impact of surgery related risk on perioperative mortality was further clarified. The total cohort was used to derive and validate a newly constructed perioperative risk index to accurately predict all-cause mortality in noncardiac surgery.

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Netherlands Heart Foundation, Pentax Nederland B.V., The Surgical Company, GlaxoSmithKline, CenE Bankiers
D. Poldermans (Don)
Erasmus University Rotterdam
hdl.handle.net/1765/20827
Erasmus MC: University Medical Center Rotterdam

Noordzij, P. (2006, December 13). Preoperative Screening at the Outpatient Clinic: Predicting cardiac risk in noncardiac surgery. Retrieved from http://hdl.handle.net/1765/20827