Sepsis Canada and Sunnybrook Health Sciences Centre Researchers complete large Population-based Cohort Study to evaluate the Risk Factors for Major Cardiovascular Events in Adult Sepsis Survivors
Sepsis is the leading cause of morbidity and mortality with approximately 50 million cases per year worldwide. Many patients who survive an episode of sepsis may experience long-term sequelae, for example, recurrent sepsis, hospital readmission, cardiovascular disease, and increased risk of mortality.
A recent population-based cohort study led by Sepsis Canada researchers from Sunnybrook Health Sciences Centre explored which characteristics were associated with a higher risk of major cardiovascular events during long-term follow-up after surviving sepsis.
The study included 268,259 adult patients over the age of 18 years without pre-existing cardiovascular disease who survived a first sepsis hospitalization between April 2008 and January 2017 in the province of Ontario and found that 10.4% of those who survived experienced a major cardiovascular event during long-term follow-up.
Those patients with risk factors such as older age, male sex, pre-existing comorbidities such as hypertension, atrial fibrillation, and diabetes mellitus, as well as higher severity of the sepsis episode have a higher risk of sepsis-related cardiovascular events during long-term follow-up.
Dr. Federico Angriman, Intensivist, Sunnybrook Health Sciences Centre, and lead investigator in this study, concludes that “both classic cardiovascular risk factors and sepsis-specific characteristics are associated with a higher hazard of experiencing subsequent major cardiovascular events after a hospitalization for sepsis.”
“Future research should seek to evaluate potential mitigation strategies (e.g., statin therapy) in those patients deemed at highest risk, with the overall aim of reducing long-term cardiovascular outcomes in sepsis survivors.”
Dr. Angriman is available to discuss the results of this study in more detail at direct request.
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Kristine Russell
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