{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:09:35Z","timestamp":1790813375706,"version":"4.1.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,4,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Cardiac complications are associated with perioperative mortality, but perioperative adverse cardiac events (PACEs) that are associated with long\u2010term mortality have not been clearly defined. We identified PACE as a composite of myocardial infarction, coronary revascularization, congestive heart failure, arrhythmic attack, acute pulmonary embolism, cardiac arrest, or stroke during the 30\u2010day postoperative period and we compared mortality according to PACE occurrence.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              From January 2011 to June 2019, a total of 203\u00a0787 consecutive adult patients underwent noncardiac surgery at our institution. After excluding those with 30\u2010day mortality, mortality during a 1\u2010year follow\u2010up was compared. Machine learning with the extreme gradient boosting algorithm was also used to evaluate whether PACE was associated with 1\u2010year mortality. After excluding 1203 patients with 30\u2010day mortality, 202\u00a0584 patients were divided into 7994 (3.9%) patients with PACE and 194\u00a0590 (96.1%) without PACE. After an adjustment, the mortality was higher in the PACE group (2.1% versus 7.7%; hazard ratio [HR], 1.90; 95% CI, 1.74\u20132.09;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Results were similar for 7839 pairs of propensity\u2010score\u2010matched patients (4.9% versus 7.9%; HR, 1.64; 95% CI, 1.44\u20131.87;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). PACE was significantly associated with mortality in the extreme gradient boostingmodel.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">PACE as a composite outcome was associated with 1\u2010year mortality. Further studies are needed for PACE to be accepted as an end point in clinical studies of noncardiac surgery.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.024325","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T09:49:30Z","timestamp":1649756970000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Association Between Perioperative Adverse Cardiac Events and Mortality During One\u2010Year Follow\u2010Up After Noncardiac Surgery"],"prefix":"10.1161","volume":"11","author":[{"given":"Ah Ran","family":"Oh","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"},{"name":"Department of Anesthesiology and Pain Medicine Kangwon National University Hospital Chuncheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungchan","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"},{"name":"Department of Biomedical Sciences Ajou University Graduate School of Medicine Suwon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong\u2010Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hara","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7176-4935","authenticated-orcid":false,"given":"Kwangmo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences Ajou University Graduate School of Medicine Suwon Korea"},{"name":"Center for Health Promotion Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-3132","authenticated-orcid":false,"given":"Jin\u2010ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5768-5990","authenticated-orcid":false,"given":"Joonghyun","family":"Ahn","sequence":"additional","affiliation":[{"name":"Statistics and Data Center Research Institute for Future Medicine Samsung Medical Center Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1006-5727","authenticated-orcid":false,"given":"Ji Dong","family":"Sung","sequence":"additional","affiliation":[{"name":"Rehabilitation &amp; Prevention Center Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-7519","authenticated-orcid":false,"given":"Seung\u2010Hwa","family":"Lee","sequence":"additional","affiliation":[{"name":"Rehabilitation &amp; Prevention Center Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea"},{"name":"Department of Biomedical Engineering Seoul National University College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.07.021"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.110895"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000022"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu285"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000156"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1502824"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588407X168253"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-7-4"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.03.012"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60601-7"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.08.1038"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1915"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp332"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1145\/2939672.2939785"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.artint.2021.103502"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.6205"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-019-0166-5"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14118"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000106"},{"key":"e_1_3_1_22_2","first-page":"1","article-title":"Association between cardiologist evaluation and mortality in myocardial injury after non\u2010cardiac surgery","author":"Park J","year":"2021","unstructured":"Park J, Oh AR, Kwon J\u2010H, Kim S, Kim J, Yang K, Choi J\u2010H, Kim K, Ahn J, Sung J, et al. Association between cardiologist evaluation and mortality in myocardial injury after non\u2010cardiac surgery. Heart. 2021;1\u20138. doi: 10.1136\/heartjnl\u20102021\u2010319511","journal-title":"Heart"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.06.1314"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v6.i8.802"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.121.024325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:54:52Z","timestamp":1715601292000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.121.024325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,19]]},"references-count":23,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,4,19]]}},"alternative-id":["10.1161\/JAHA.121.024325"],"URL":"https:\/\/doi.org\/10.1161\/jaha.121.024325","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,19]]},"assertion":[{"value":"2021-10-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e024325"}}