European Society of Cardiology quality indicators for the cardiovascular pre-operative assessment and management of patients considered for non-cardiac surgery. Developed in collaboration with the European Society of Anaesthesiology and Intensive Care
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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European Society of Cardiology quality indicators for the cardiovascular pre-operative assessment and management of patients considered for non-cardiac surgery. Developed in collaboration with the European Society of Anaesthesiology and Intensive Care. / 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.
I: European Heart Journal - Quality of Care and Clinical Outcomes, Bind 9, Nr. 4, 2023, s. 331–341.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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T1 - European Society of Cardiology quality indicators for the cardiovascular pre-operative assessment and management of patients considered for non-cardiac surgery. Developed in collaboration with the European Society of Anaesthesiology and Intensive Care
AU - Gencer, Baris
AU - Gale, Chris P.
AU - Aktaa, Suleman
AU - Halvorsen, Sigrun
AU - Beska, Ben
AU - Abdelhamid, Magdy
AU - Mueller, Christian
AU - Tutarel, Oktay
AU - McGreavy, Paul
AU - Schirmer, Henrik
AU - Geissler, Tobias
AU - Sillesen, Henrik
AU - Niessner, Alexander
AU - Zacharowski, Kai
AU - Mehilli, Julinda
AU - Potpara, Tatjana
PY - 2023
Y1 - 2023
N2 - Aims To establish a set of quality indicators (QIs) for the cardiovascular (CV) assessment and management of patients undergoing non-cardiac surgery (NCS). Methods and results The Quality Indicator Committee of the European Society of Cardiology (ESC) and European Society of Anaesthesiology and Intensive Care (ESAIC) in collaboration with Task Force members of the 2022 ESC Guidelines on CV assessment and management of patients undergoing NCS 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 NCS, (2) development of candidate QIs following a systematic literature review, (3) selection of the final set of QIs using a modified Delphi method, and (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 NCS y. These indicators are supported by evidence from the literature, underpinned by expert consensus, and align with the 2022 ESC Guidelines on CV assessment and management of patients undergoing NCS.
AB - Aims To establish a set of quality indicators (QIs) for the cardiovascular (CV) assessment and management of patients undergoing non-cardiac surgery (NCS). Methods and results The Quality Indicator Committee of the European Society of Cardiology (ESC) and European Society of Anaesthesiology and Intensive Care (ESAIC) in collaboration with Task Force members of the 2022 ESC Guidelines on CV assessment and management of patients undergoing NCS 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 NCS, (2) development of candidate QIs following a systematic literature review, (3) selection of the final set of QIs using a modified Delphi method, and (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 NCS y. These indicators are supported by evidence from the literature, underpinned by expert consensus, and align with the 2022 ESC Guidelines on CV assessment and management of patients undergoing NCS.
KW - Guidelines center dot Non-cardIac surgery center dot Pre-operative cardiac risk assessment center dot Pre-operative cardiac testing center dot Pre-operative coronary artery revascularization center dot Perioperative cardiac management center dot Anaesthes
KW - WORKING GROUP
KW - ASSOCIATION
KW - MORTALITY
KW - DISEASE
U2 - 10.1093/ehjqcco/qcac057
DO - 10.1093/ehjqcco/qcac057
M3 - Review
C2 - 36069905
VL - 9
SP - 331
EP - 341
JO - European Heart Journal - Quality of Care and Clinical Outcomes
JF - European Heart Journal - Quality of Care and Clinical Outcomes
SN - 2058-5225
IS - 4
ER -
ID: 347417533