Scopus
YÖKSİS Eşleşti
Pathological findings associated with the updated European Society of Cardiology 2022 guidelines for preoperative cardiac testing: an observational cohort modelling study
British Journal of Anaesthesia · Nisan 2024
YÖKSİS Kayıtları
Pathological findings associated with the updated European Society of Cardiology 2022 guidelines for preoperative cardiac testing: an observational cohort modelling study
British Journal of Anaesthesia · 2024 SCI
PROFESÖR OĞUZHAN ARUN →
Makale Bilgileri
DergiBritish Journal of Anaesthesia
Yayın TarihiNisan 2024
Cilt / Sayfa132 · 675-684
Scopus ID2-s2.0-85184759945
Özet
Background: In 2022, the European Society of Cardiology updated guidelines for preoperative evaluation. The aims of this study were to quantify: (1) the impact of the updated recommendations on the yield of pathological findings compared with the previous guidelines published in 2014; (2) the impact of preoperative B-type natriuretic peptide (NT-proBNP) use for risk estimation on the yield of pathological findings; and (3) the association between 2022 guideline adherence and outcomes. Methods: This was a secondary analysis of MET-REPAIR, an international, prospective observational cohort study (NCT03016936). Primary endpoints were reduced ejection fraction (EF<40%), stress-induced ischaemia, and major adverse cardiovascular events (MACE). The explanatory variables were class of recommendations for transthoracic echocardiography (TTE), stress imaging, and guideline adherence. We conducted second-order Monte Carlo simulations and multivariable regression. Results: In total, 15,529 patients (39% female, median age 72 [inter-quartile range: 67–78] yr) were included. The 2022 update changed the recommendation for preoperative TTE in 39.7% patients, and for preoperative stress imaging in 12.9% patients. The update resulted in missing 1 EF <40% every 3 fewer conducted TTE, and in 4 additional stress imaging per 1 additionally detected ischaemia events. For cardiac stress testing, four more investigations were performed for every 1 additionally detected ischaemia episodes. Use of NT-proBNP did not improve the yield of pathological findings. Multivariable regression analysis failed to find an association between adherence to the updated guidelines and MACE. Conclusions: The 2022 update for preoperative cardiac testing resulted in a relevant increase in tests receiving a stronger recommendation. The updated recommendations for TTE did not improve the yield of pathological cardiac testing.
Yazarlar (100)
1
Alexandra Stroda
2
Eckhard Mauermann
ORCID: 0000-0001-5592-0822
3
Daniela Ionescu
4
Wojciech Szczeklik
5
Stefan De Hert
6
Miodrag Filipovic
ORCID: 0000-0003-1764-7145
7
Beatrice Beck-Schimmer
ORCID: 0000-0002-0648-6115
8
Savino Spadaro
9
Purificación Matute
10
Michael T. Ganter
ORCID: 0000-0003-1234-1833
11
Alexey Ovezov
12
Sanem C. Turhan
13
Judith van Waes
14
Filipa Lagarto
15
Kassiani Theodoraki
ORCID: 0000-0003-4890-4642
16
Anil Gupta
ORCID: 0000-0003-1606-6082
17
Hans Jörg Gillmann
ORCID: 0000-0003-1178-3701
18
Luca Guzzetti
19
Katarzyna Kotfis
20
Jan Larmann
ORCID: 0000-0003-3365-4572
21
Dan Corneci
ORCID: 0000-0002-1170-0614
22
Donal J. Buggy
ORCID: 0000-0003-3922-4397
23
Simon J. Howell
24
Giovanna Lurati Buse
ORCID: 0000-0002-8076-5737
25
Johann Kemper
26
Lena Kohaupt
27
Jette Witzler
28
Michael Tuzhikov
29
Sebastian Roth
30
René M'Pembele
ORCID: 0009-0007-7499-3331
31
Theresa Tenge
32
Cornelia Schultze
33
Nele Verbarg
34
Christian Gehrke
35
Anna Katharina Klemann
36
Friederike Hagebölling
37
Svenja Albrecht
38
Jakob Stroeder
39
Ann Kristin Schubert
40
Florian Espeter
41
Benedikt Russe
42
Markus A. Weigand
43
Lars Bergmann
44
Matthias Unterberg
45
Petra Bischoff
46
Raphael Pirzer
47
Patric Rene Rach
48
Klaus Ott
49
Alexander Zarbock
50
Ana Kowark
51
Claudia Neumann
52
Bahareh Marchand
53
Christoph Sponholz
54
Henrik Rueffert
55
Mira Kramer
56
Kai Zacharowski
57
Patrick Meybohm
58
Simone Lindau
59
Melissa Carollo
60
Cecilia Novazzi
61
Fiorenza Toso
62
Alessandro Bacuzzi
63
Riccardo Ragazzi
64
Carlo Alberto Volta
65
Francesco De Giorgi
66
Barbara Bacer
67
Antonio Federico
68
Davide Chiumello
69
Luigi Vetrugno
70
Alberto Castella
71
Simonetta Tesoro
72
Antonella Cotoia
73
Elena Bignami
74
Agrippino Bellissima
75
Andrea Cortegiani
76
Marco Crisman
77
Arturo Toninelli
78
Ornella Piazza
79
Lucia Mirabella
80
Matteo Bossolasco
81
Francesco Bona
82
Juan Manuel Perdomo
83
Miquel Coca-Martinez
84
Albert Carramiñana
85
Marta Giné Servén
86
Astrid Batalla González
87
José Maria Gil Sánchez
88
Ángel Becerra-Bolaños
89
Aurelio Rodríguez-Pérez
90
Anna Artigas Soler
91
Morena Basso
92
Anna Peig Font
93
Diana Vernetta
94
Julia Hernando Santos
95
Enrique Alday Muñoz
96
Mercedes Cabellos Olivares
97
Gregorio Marco
98
Maria Bermudez Lopez
99
Javier Barrio
100
María Isabel Forés
Anahtar Kelimeler
echocardiography
ejection fraction
guideline adherence
major adverse cardiovascular events
NT-proBNP
perioperative medicine
stress echocardiography
Kurumlar
Ankara Üniversitesi
Ankara Turkey
ARNAS Garibaldi
Catania Italy
ASL CN1
Turin Italy
ASST Santi Paolo e Carlo
Milan Italy
ASST Spedali Civili of Brescia
Brescia Italy
ASUIUD
Udine Italy
Azienda Ospedaliera di Perugia
Perugia Italy
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese
Varese Italy
Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona - OO. RR. Scuola Medica Salernitana
Salerno Italy
Azienda Ospedaliero-Universitaria di Ferrara
Cona Italy
Azienda Ospedaliero-Universitaria di Parma
Parma Italy
Azienda Sanitaria Universitaria Giuliano Isontina
Trieste Italy
Azienda USL di Bologna
Bologna Italy
Corporació Sanitària Parc Taulí
Sabadell Spain
FPO IRCCS CANDIOLO
Italy
Fundacio Puigvert
Barcelona Spain
Hannover Medical School
Hannover Germany
Helios Klinik Schkeuditz
Schkeuditz Germany
Hospital Arnau de Vilanova
Valencia Spain
Hospital Beatriz Ângelo
Loures Portugal
Hospital Clínic de Barcelona
Barcelona Spain
Hospital de Gran Canaria Dr. Negrin
Las Palmas de Gran Canaria Spain
Hospital de La Santa Creu I Sant Pau
Barcelona Spain
Hospital of Foggia
Foggia Italy
Hospital Universitario de Guadalajara
Guadalajara Spain
Hospital Universitario Dr. Peset
Valencia Spain
Hospital Universitario La Princesa
Spain
Hospital Universitario Lucus Augusti
Lugo, Galicia Spain
Hospital Universitari Santa Maria
Santa Maria Spain
IRCCS Ospedale San Raffaele
Milan Italy
Jagiellonian University Medical College
Krakow Poland
Kantonsspital St.Gallen
St Gallen Switzerland
Karolinska Universitetssjukhuset
Stockholm Sweden
Klinik Hirslanden
Zurich Switzerland
Marien Hospital Herne
Herne Germany
Mater Misericordiae University Hospital
Dublin Ireland
Moscow Regional Research and Clinical Institute
Moscow Russian Federation
National and Kapodistrian University of Athens
Athens Greece
Pomeranian Medical University in Szczecin
Szczecin Poland
Uniklinik RWTH Aachen
Aachen Germany
Università degli Studi di Foggia
Foggia Italy
Universitair Ziekenhuis Gent
Ghent Belgium
Universitat de Barcelona
Barcelona Spain
Universitatea de Medicina si Farmacie Carol Davila din Bucuresti
Bucharest Romania
Universitatea de Medicina si Farmacie Iuliu Hatieganu din Cluj-Napoca
Cluj Napoca Romania
Universitätsklinikum Augsburg
Augsburg Germany
Universitätsklinikum Bonn
Bonn Germany
Universitätsklinikum Düsseldorf
Dusseldorf Germany
Universitätsklinikum Frankfurt
Frankfurt am Main Germany
Universitätsklinikum Gießen und Marburg, Standort Marburg
Marburg Germany
Universitätsklinikum Heidelberg
Heidelberg Germany
Universitätsklinikum Jena und Medizinische Fakultät
Jena Germany
Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH
Bochum Germany
Universitätsklinikum Münster
Munster Germany
Universitätsklinikum Würzburg
Wurzburg Germany
Universitätsspital Basel
Basel Switzerland
UniversitatsSpital Zurich
Zurich Switzerland
Universität Witten/Herdecke
Witten Germany
University Hospital Policlinico P. Giaccone
Italy
University Medical Center Utrecht
Utrecht Netherlands
University of Ferrara
Ferrara Italy
University of Leeds, School of Medicine
Leeds United Kingdom
Metrikler
4
Atıf
100
Yazar
7
Anahtar Kelime