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Fig 1.

Flow diagram of study identification and selection.

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Table 1.

Bias assessment with Quips tool [38].

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Table 2.

Study and patient related characteristics of included studies.

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Table 2 Expand

Fig 2.

Unadjusted odds ratios for elevation in preoperative cTn to predict short-term adverse outcome.

Forest plot showing the individual and pooled unadjusted odds ratios from the included studies. cTn = Cardiac troponin. CI = Confidence interval. # = Number of.

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Fig 2 Expand

Table 3.

Association between cardiac troponin and adverse outcome.

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Table 3 Expand

Fig 3.

Adjusted odds ratios for elevation in preoperative cTn to predict short-term adverse outcome.

Forest plot showing the individual and pooled adjusted odds ratios from the included studies. cTn = Cardiac troponin. CI = Confidence interval. # = Number of.

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Fig 4.

Unadjusted odds ratios for elevation in preoperative cTn to predict long-term adverse outcome.

Forest plot showing the individual and pooled unadjusted odds ratios from the included studies. cTn = Cardiac troponin. CI = Confidence interval. # = Number of.

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Fig 4 Expand

Fig 5.

Adjusted hazard ratios for elevation in preoperative cTn to predict long-term adverse outcome.

Forest plot showing the individual and pooled adjusted hazard ratios from the included studies. cTn = Cardiac troponin. CI = Confidence interval. # = Number of.

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Fig 5 Expand

Fig 6.

Unadjusted odds ratios for an absolute perioperative change in cTn to predict short-term adverse outcome.

Forest plot showing the individual and pooled unadjusted odds ratios from the included studies. cTn = Cardiac troponin. CI = Confidence interval. # = Number of.

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Fig 6 Expand

Fig 7.

Summary receiver operating characteristic (SROC) curve for prognostic performance of preoperative cTn to predict short-term adverse outcome.

Filled dots = observed data. Unfilled dot = pooled sensitivity (0.43 [CI 0.29–0.58]) and specificity (0.85 [CI 0.73–0.94]). Black curve = SROC curve (AUC = 0.68). Black-lined region = 95% confidence region. Dashed-lined region = 95% prediction region.

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