Gencer, Baris; Gale, Chris P; Aktaa, Suleman; Halvorsen, Sigrun; Beska, Ben; Abdelhamid, Magdy; Mueller, Christian; Tutarel, Oktay; McGreavy, Paul; Schirmer, Henrik; Geissler, Tobias; Sillesen, Henrik; Niessner, Alexander; Zacharowski, Kai; Mehilli, Julinda; Potpara, Tatjana (2023). European Society of Cardiology Quality Indicators for the Cardiovascular Preoperative Assessment and Management of patients considered for non-cardiac surgery. Developed in collaboration with the European Society of Anaesthesiology & Intensive Care. European heart journal. Quality of care & clinical outcomes, 9(4), pp. 331-341. Oxford University Press 10.1093/ehjqcco/qcac057
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AIMS
To establish a set of quality indicators (QIs) for the cardiovascular (CV) assessment and management of patients undergoing non-cardiac surgery.
METHODS AND RESULTS
The Quality Indicator Committee of the European Society of Cardiology (ESC) and European Society of Anaesthesiology & Intensive Care (ESAIC) in collaboration with Task Force members of the 2022 ESC Guidelines on CV assessment and management of patients undergoing non-cardiac surgery followed the ESC methodology for QI development. This included 1) identification, by constructing a conceptual framework of care, of domains of the CV assessment and management of patients with risk factors or established cardiovascular disease (CVD) who are considered for or undergoing non-cardiac surgery, 2) development of candidate QIs following a systematic literature review, 3) selection of the final set of QIs using a modified Delphi method, 4) evaluation of the feasibility of the developed QIs. In total, eight main and nine secondary QIs were selected across six domains: 1) Structural framework (written policy), 2) Patient education and quality of life (CV risk discussion), 3) Peri-operative risk assessment (indication for diagnostic tests), 4) Peri-operative risk mitigation (use of hospital therapies), 5) Follow-up (post-discharge assessment) and 6) Outcomes (major CV events).
CONCLUSION
We present the 2022 ESC/ESAIC QIs for the CV assessment and management of patients with risk factors or established CVD who are considered for or are undergoing non-cardiac surgery. These indicators are supported by evidence from the literature, underpinned by expert consensus and align with 2022 ESC Guidelines on CV assessment and management of patients undergoing non-cardiac surgery.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Gencer, Baris Faruk |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2058-1742 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Doris Kopp Heim |
Date Deposited: |
15 Sep 2022 19:29 |
Last Modified: |
09 Sep 2023 00:25 |
Publisher DOI: |
10.1093/ehjqcco/qcac057 |
PubMed ID: |
36069905 |
Uncontrolled Keywords: |
AnAestHesiOlogY Clinical Practice Guidelines GuidElinEs Non-CardIac SurgEry POst-OperAtivE caRdiaC suRveiLlanCe PRe-oPeraTive corOnarY arTery revAscuLariZatiOn PeriOperAtivE caRdiaC maNageMent Pre-OperAtivE caRdiaC teStinG Pre-opeRatiVe cArdiAc rIsk AsseSsmeNt Quality Indicators |
BORIS DOI: |
10.48350/172979 |
URI: |
https://boris.unibe.ch/id/eprint/172979 |
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