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Status: Bibliographieeintrag

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Verfasst von:Stroda, Alexandra [VerfasserIn]   i
 Mauermann, Eckhard [VerfasserIn]   i
 Lange, Daniela [VerfasserIn]   i
 Szczeklik, Wojciech [VerfasserIn]   i
 De Hert, Stefan [VerfasserIn]   i
 Filipovic, Miodrag [VerfasserIn]   i
 Beck Schimmer, Beatrice [VerfasserIn]   i
 Spadaro, Savino [VerfasserIn]   i
 Matute, Purificación [VerfasserIn]   i
 Ganter, Michael Thomas [VerfasserIn]   i
 Ovezov, Alexey [VerfasserIn]   i
 Turhan, Sanem C. [VerfasserIn]   i
 van Waes, Judith [VerfasserIn]   i
 Lagarto, Filipa [VerfasserIn]   i
 Theodoraki, Kassiani [VerfasserIn]   i
 Gupta, Anil [VerfasserIn]   i
 Gillmann, Hans-Jörg [VerfasserIn]   i
 Guzzetti, Luca [VerfasserIn]   i
 Kotfis, Katarzyna [VerfasserIn]   i
 Larmann, Jan [VerfasserIn]   i
 Corneci, Dan [VerfasserIn]   i
 Buggy, Donal J. [VerfasserIn]   i
 Howell, Simon J. [VerfasserIn]   i
 Lurati Buse, Giovanna [VerfasserIn]   i
Titel:Pathological findings associated with the updated European Society of Cardiology 2022 guidelines for preoperative cardiac testing
Titelzusatz:an observational cohort modelling study
Verf.angabe:Alexandra Stroda, Eckhard Mauermann, Daniela Ionescu, Wojciech Szczeklik, Stefan De Hert, Miodrag Filipovic, Beatrice Beck Schimmer, Savino Spadaro, Purificación Matute, Michael T. Ganter, Alexey Ovezov, Sanem C. Turhan, Judith van Waes, Filipa Lagarto, Kassiani Theodoraki, Anil Gupta, Hans-Jörg Gillmann, Luca Guzzetti, Katarzyna Kotfis, Jan Larmann, Dan Corneci, Donal J. Buggy, Simon J. Howell, Giovanna Lurati Buse
E-Jahr:2024
Jahr:9 February 2024
Umfang:10 S.
Fussnoten:Gesehen am 16.12.2024
Titel Quelle:Enthalten in: British journal of anaesthesia
Ort Quelle:[Amsterdam] : Elsevier, 1923
Jahr Quelle:2024
Band/Heft Quelle:132(2024), 4, Seite 675-684
ISSN Quelle:1471-6771
Abstract: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.
DOI:doi:10.1016/j.bja.2023.12.036
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.bja.2023.12.036
 Volltext: https://www.sciencedirect.com/science/article/pii/S0007091224000126
 DOI: https://doi.org/10.1016/j.bja.2023.12.036
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:echocardiography
 ejection fraction
 guideline adherence
 major adverse cardiovascular events
 NT-proBNP
 perioperative medicine
 stress echocardiography
K10plus-PPN:1912372053
Verknüpfungen:→ Zeitschrift

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