作者
Duminda N Wijeysundera, Rupert M Pearse, Mark A Shulman, Tom EF Abbott, Elizabeth Torres, Althea Ambosta, Bernard L Croal, John T Granton, Kevin E Thorpe, Michael PW Grocott, Catherine Farrington, Paul S Myles, Brian H Cuthbertson, Sophie Wallace, Bruce Thompson, Mathew Ellis, Brigette Borg, Ross K Kerridge, Jeanene Douglas, John Brannan, Jeff Pretto, Guy Godsall, Nicola Beauchamp, Sandra Allen, Ann Kennedy, Ewan Wright, Johan Malherbe, Hilmy Ismail, Bernhard Riedel, Andrew Melville, Harry Sivakumar, Andrew Murmane, Kay Kenchington, Yesim Kirabiyik, Usha Gurunathan, Chris Stonell, Kate Brunello, Katherine Steele, Oystein Tronstad, Philip Masel, Annette Dent, Emma Smith, Alanna Bodger, Miriam Abolfathi, Pal Sivalingam, Adrian Hall, Thomas W Painter, Simon Macklin, Adrian Elliott, Anna Maria Carrera, Nico CS Terblanche, Simon Pitt, Joanne Samuel, Chris Wilde, Kate Leslie, Andrew MacCormick, David Bramley, Anne Marie Southcott, John Grant, Hugh Taylor, Samantha Bates, Miriam Towns, Anna Tippett, Fiona Marshall, C David Mazer, Janarthanee Kunasingam, Anmol Yagnik, Charmagne Crescini, Sanjay Yagnik, Colin JL McCartney, Priya Somascanthan, Stephen Choi, Kathrina Flores, Shelly Au, W Scott Beattie, Keyvan Karkouti, Hance A Clarke, Angela Jerath, Stuart A McCluskey, Marcin Wasowicz, Lauren Day, Janneth Pazmino-Canizares, Paul Oh, Rene Belliard, Leanna Lee, Karen Dobson, Vincent Chan, Richard Brull, Noam Ami, Matthew Stanbrook, Katherine Hagen, Douglas Campbell, Timothy Short, Joreline Van Der Westhuizen, Kushlin Higgie, Helen Lindsay, Ryan Jang, Chris Wong, Davina McAllister, Marlynn Ali, Jonathan Kumar, Ellen Waymouth, Chang Joon Kim, Julian Dimech, Michael Lorimer, Joyce Tai, Reuben Miller, Rachel Sara, Andrew Collingwood, Sue Olliff, Sharon Gabriel, Helen Houston, Paul Dalley, Sally Hurford, Anna Hunt, Lynn Andrews, Leanlove Navarra, Adelaide Jason-Smith, Helen Thompson, Natalie McMillan, Geraldine Back, Mark Lum, Daniel Martin, Sarah James, Helder Filipe, Manuel Pinto, Stephen Kynaston, Mandeep Phull, Christian Beilstein, Pheobe Bodger, Kirsty Everingham, Ying Hu, Edyta Niebrzegowska, Carmen Corriea, Thais Creary, Marta Januszewska, Tahania Ahmad, Jan Whalley, Richard Haslop, Jane McNeil, Alistair Brown, Neil MacDonald, Mari Liis Pakats, Kathryn Greaves, Shaman Jhanji, Ravishanar Raobaikady, Ethel Black, Martin Rooms, Helen Lawrence, Maria Koutra
发表日期
2018/6/30
期刊
The Lancet
卷号
391
期号
10140
页码范围
2631-2640
出版商
Elsevier
简介
Background
Functional capacity is an important component of risk assessment for major surgery. Doctors' clinical subjective assessment of patients' functional capacity has uncertain accuracy. We did a study to compare preoperative subjective assessment with alternative markers of fitness (cardiopulmonary exercise testing [CPET], scores on the Duke Activity Status Index [DASI] questionnaire, and serum N-terminal pro-B-type natriuretic peptide [NT pro-BNP] concentrations) for predicting death or complications after major elective non-cardiac surgery.
Methods
We did a multicentre, international, prospective cohort study at 25 hospitals: five in Canada, seven in the UK, ten in Australia, and three in New Zealand. We recruited adults aged at least 40 years who were scheduled for major non-cardiac surgery and deemed to have one or more risk factors for cardiac complications (eg, a history of heart failure, stroke, or …
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DN Wijeysundera, RM Pearse, MA Shulman… - The Lancet, 2018