PMID- 38193566
OWN - NLM
STAT- MEDLINE
DCOM- 20240318
LR  - 20240326
IS  - 1879-1190 (Electronic)
IS  - 1072-7515 (Linking)
VI  - 238
IP  - 4
DP  - 2024 Apr 1
TI  - Coronary Artery Calcification and Risk of Cardiac Complication in Geriatric 
      Trauma Population.
PG  - 762-767
LID - 10.1097/XCS.0000000000000945 [doi]
AB  - BACKGROUND: Better means of identifying patients with increased cardiac 
      complication (CC) risk is needed. Coronary artery calcification (CAC) is reported 
      on routine chest CT scans. We assessed the correlation of CAC and CCs in the 
      geriatric trauma population. STUDY DESIGN: A prospective, observational study of 
      patients 55 years and older who had chest CT scan from May to September 2022 at a 
      level 1 trauma center. Radiologists scored CAC as none, mild, moderate, or 
      severe. None-to-mild CAC (NM-CAC) and moderate-to-severe CAC (MS-CAC) were 
      grouped and in-hospital CCs assessed (arrhythmia, ST elevation myocardial 
      infarction [STEMI], non-STEMI, congestive heart failure, pulmonary edema, cardiac 
      arrest, cardiogenic shock, and cardiac mortality). Univariate and bivariate 
      analyses were performed. RESULTS: Five hundred sixty-nine patients had a chest 
      CT, of them 12 were excluded due to missing CAC severity. Of 557 patients, 442 
      (79.3%) had none-to-mild CAC and 115 (20.7%) has MS-CAC; the MS-CAC group was 
      older (73.3 vs 67.4 years) with fewer male patients (48.7% vs 54.5%), had higher 
      cardiac-related comorbidities, and had higher abbreviated injury scale chest 
      injury scores. The MS-CAC group had an increased rate of CC (odds ratio [OR] 
      1.81, p = 0.016). Cardiac complications statistically more common in MS-CAC were 
      congestive heart failure (OR 3.41, p = 0.003); cardiogenic shock (OR 3.3, p = 
      0.006); non-STEMI I or II (OR 2.8, p = 0.017); STEMI (OR 5.9, p = 0.029); and 
      cardiac-caused mortality (OR 5.27, p = 0.036). No statistical significance 
      between pulmonary edema (p = 0.6), new-onset arrhythmia (p = 0.74), or cardiac 
      arrest (p = 0.193). CONCLUSIONS: CAC as reported on chest CT scans demonstrates a 
      significant correlation with CC and should warrant additional cardiac monitoring.
FAU - King, Sarah A
AU  - King SA
AD  - From the Departments of Surgery (King, Jenkins, Yune, Daley, Smith).
FAU - Jenkins, Jacob D
AU  - Jenkins JD
AD  - From the Departments of Surgery (King, Jenkins, Yune, Daley, Smith).
FAU - Livesay, James
AU  - Livesay J
AD  - Cardiology (Livesay, Baljepally), University of Tennessee Medical 
      Center-Knoxville, Knoxville, TN.
FAU - Yune, Ji-Ming
AU  - Yune JM
AD  - From the Departments of Surgery (King, Jenkins, Yune, Daley, Smith).
FAU - Mannino, Elizabeth
AU  - Mannino E
AD  - Department of Surgery (Mannino).
FAU - Webb, Jason M
AU  - Webb JM
AD  - East Tennessee State University Quillen College of Medicine (Webb, Hill), Johnson 
      City, TN.
FAU - Hill, Haddon C
AU  - Hill HC
AD  - East Tennessee State University Quillen College of Medicine (Webb, Hill), Johnson 
      City, TN.
FAU - Baljepally, Raj
AU  - Baljepally R
AD  - Cardiology (Livesay, Baljepally), University of Tennessee Medical 
      Center-Knoxville, Knoxville, TN.
FAU - Daley, Brian J
AU  - Daley BJ
AD  - From the Departments of Surgery (King, Jenkins, Yune, Daley, Smith).
FAU - Smith, Lou M
AU  - Smith LM
AD  - From the Departments of Surgery (King, Jenkins, Yune, Daley, Smith).
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20240315
PL  - United States
TA  - J Am Coll Surg
JT  - Journal of the American College of Surgeons
JID - 9431305
SB  - IM
MH  - Aged
MH  - Humans
MH  - Male
MH  - Arrhythmias, Cardiac/complications
MH  - Coronary Angiography/adverse effects
MH  - *Coronary Artery Disease/complications/diagnostic imaging
MH  - *Heart Arrest
MH  - *Heart Failure
MH  - Prospective Studies
MH  - *Pulmonary Edema/complications
MH  - Risk Factors
MH  - Shock, Cardiogenic/complications
MH  - *ST Elevation Myocardial Infarction/complications
MH  - *Vascular Calcification/complications/diagnostic imaging/epidemiology
MH  - Middle Aged
MH  - Female
EDAT- 2024/01/09 13:42
MHDA- 2024/03/18 06:42
CRDT- 2024/01/09 08:58
PHST- 2024/03/18 06:42 [medline]
PHST- 2024/01/09 13:42 [pubmed]
PHST- 2024/01/09 08:58 [entrez]
AID - 00019464-202404000-00066 [pii]
AID - 10.1097/XCS.0000000000000945 [doi]
PST - ppublish
SO  - J Am Coll Surg. 2024 Apr 1;238(4):762-767. doi: 10.1097/XCS.0000000000000945. 
      Epub 2024 Mar 15.