NCT05532917

Cardiology Consultation in Noncardiac Surgery

Completed Last updated 13 April 2023

What this trial tests

trial testing Gupta score in Myocardial Infarction in 898 participants. Completed in 12 April 2023.

Timeline

15 January 2022

Primary endpoint
31 March 2023

12 April 2023

Quick facts

Lead sponsor	Diskapi Yildirim Beyazit Education and Research Hospital
Status	Completed
Study type	OBSERVATIONAL
Enrollment	898
Start date	15 January 2022
Primary completion	31 March 2023
Estimated completion	12 April 2023
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• Gupta score

Conditions studied

• Myocardial Infarction — all drugs for Myocardial Infarction →
• Surgery-Complications — all drugs for Surgery-Complications →

Sponsor

Diskapi Yildirim Beyazit Education and Research Hospital

Who can join

Adults 18 to 99, any sex, with Myocardial Infarction or Surgery-Complications. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Recently, a predictive model has been developed to assess the risk of myocardial infarction or cardiac arrest (MICA) during and after surgery using the American Society of Surgeons' National Surgical Quality Improvement Program (NSQIP) database. In this MICA model, 180 hospital databases were used in 2007 and 2008 and included more than 200 000 patients. The Gupta score developed with this MICA model identified five predictors of perioperative myocardial infarction and cardiac arrest: type of surgery, functional status, creatinine increase (\>130 mmol/L or \>1.5 mg/dL), age, and American Association of Anesthesiologists (ASA) class. The Gupta score is presented as an interactive risk calculation program in the 2014 guideline of the ACC/AHA. The risk can be calculated simply and accurately at the bedside or clinic. The Gupta score is in spreadsheet format and can be downloaded online at http://www.surgicalriskcalculator.com/miorcardiacarrest. Unlike the previously used indexes, a scoring system has not been established. An estimate of the probability of myocardial infarction/cardiac arrest is provided for individual patients.

In this study, the primary aim was to compare the frequency of cardiology consultation requests according to the use of the Gupta score. The secondary aim is to evaluate the perioperative clinical results (coronary angiography, ECHO, acute coronary syndrome, arrhythmia, 30-day mortality, etc.).SPSS 21.0 (Version 22.0, SPSS, Inc, Chicago, IL, USA) program will be used for statistical analysis. After applying the Shapiro-Wilk test for normality, the student's t-test will be used if the distribution is normal, and the Mann-Whitey U test will be used if the distribution is not normal. Fisher's exact test or chi-square test will be used for categorical variables. Results p\<0.05 will be considered significant.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Effect of the Gupta Score on Pre-operative Cardiology Consultation Requests in Noncardiac Nonvascular Surgery.
   Atar F, Özkan Sipahioğlu F, Keskin G, Dönmez A. · · 2023 · PMID 38149366 · DOI 10.4274/tjar.2023.231464