Diagnosis of Postoperative Myocardial Injury After Gastric Cancer Surgery May Contribute to the Early Detection of Postoperative Complications.

Matsumoto, Yasunori; Iida, Shinichiro; Nishioka, Yuri; Otsuka, Ryota; Hayano, Koichi; Kurata, Yoshihiro; Toyozumi, Takeshi; Shiraishi, Tadashi et al. · World J Surg · 2025

retrospective_cohort · Level III

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Abstract

Receiver operation curve (ROC) analysis on CRP, D-Amy, and WBC on POD 1 and 3 with inflammatory complications as outcome. CRP 5.0 mg/dL (AUC: 0.748), D-Amy 560 U/L (AUC: 0.683), and WBC 7000/μL (AUC: 0.467) on POD 1; CRP 14.0 mg/dL (AUC: 0. 885), D-Amy 134 U/L (AUC: 0.796), and WBC 9900/μL (AUC: 0.701) on POD 3. In multivariate analysis, MINS positivity was a predictor of inflammatory complications, independent of CRP on POD1 (OR 17.62, 95% CI 3.76-109.88, p = 0.0002). AUC: area under the curve and POD: postoperative day.

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