Evidence map›Paper›PMID 33728934›Full record

ArticleJournal of the American Heart Association2021

Associations Between Preoperative Glucose and Hemoglobin A1c Level and Myocardial Injury After Noncardiac Surgery.

Jungchan Park, Ah Ran Oh, Seung-Hwa Lee, Jong-Hwan Lee, Jeong Jin Min, Ji-Hye Kwon, Jihoon Kim, Kwangmo Yang, Jin-Ho Choi, Sang-Chol Lee and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Myocardial injury in noncardiac surgery.Korean journal of anesthesiology · 2022
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Association Between Renal Dysfunction and Lipid Ratios in Rural Black South Africans.International journal of environmental research and public health · 2025
    Article
  9. Article
  10. Article
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  12. Article
  13. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jungchan ParkDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Ah Ran OhDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Seung-Hwa LeeDivision of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Jong-Hwan LeeDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Jeong Jin MinDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Ji-Hye KwonDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Jihoon KimDivision of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Kwangmo YangCenter for Health Promotion Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Jin-Ho ChoiDivision of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Sang-Chol LeeDivision of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Hyeon-Cheol GwonDivision of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.
Kyunga KimStatistics and Data Center Research Institute for Future Medicine Samsung Medical Center Seoul Korea.
Joonghyun AhnStatistics and Data Center Research Institute for Future Medicine Samsung Medical Center Seoul Korea.
Sangmin Maria LeeDepartment of Anesthesiology and Pain Medicine Samsung Medical CenterSungkyunkwan University School of Medicine Seoul Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Perioperative blood glucose level has shown an association with postoperative outcomes. We compared the incidences of myocardial injury after noncardiac surgery (MINS) and 30-day mortality, according to preoperative blood glucose and hemoglobin A1c (HbA1c) levels. Methods and Results The patients were divided according to blood glucose level within 1 day before surgery. The hyperglycemia group was defined with fasting glucose >140 mg/dL or random glucose >180 mg/dL. In addition, we compared the outcomes according to HbA1c >6.5% among patients with available HbA1c within 3 months before surgery. The primary outcome was MINS, and 30-day mortality was also compared. A total of 12 304 patients were enrolled and divided into 2 groups: 8324 (67.7%) in the normal group and 3980 (32.3%) in the hyperglycemia group. After adjustment with inverse probability of weighting, the hyperglycemia group exhibited significantly higher incidences of MINS and 30-day mortality (18.7% versus 27.6%; odds ratio, 1.29; 95% CI, 1.18-1.42;

Indexed as

Blood GlucoseFemaleFollow-Up StudiesGlycated HemoglobinHumansIncidenceMaleMiddle AgedMyocardial Reperfusion InjuryPostoperative ComplicationsPostoperative PeriodRepublic of KoreaRetrospective StudiesSurgical Procedures, OperativeSurvival RateBlood GlucoseGlycated Hemoglobinblood glucose levelhemoglobin A1cmyocardial injurynoncardiac surgery

Identifiers

PMID33728934
PMCPMC8174354

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.