Title |
Risk stratification by pre-operative cardiopulmonary exercise testing improves outcomes following elective abdominal aortic aneurysm surgery: a cohort study
|
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Published in |
Perioperative Medicine, May 2013
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DOI | 10.1186/2047-0525-2-10 |
Pubmed ID | |
Authors |
Stephen J Goodyear, Heng Yow, Mahmud Saedon, Joanna Shakespeare, Christopher E Hill, Duncan Watson, Colette Marshall, Asif Mahmood, Daniel Higman, Christopher HE Imray |
Abstract |
In 2009, the NHS evidence adoption center and National Institute for Health and Care Excellence (NICE) published a review of the use of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAAs). They recommended the development of a risk-assessment tool to help identify AAA patients with greater or lesser risk of operative mortality and to contribute to mortality prediction.A low anaerobic threshold (AT), which is a reliable, objective measure of pre-operative cardiorespiratory fitness, as determined by pre-operative cardiopulmonary exercise testing (CPET) is associated with poor surgical outcomes for major abdominal surgery. We aimed to assess the impact of a CPET-based risk-stratification strategy upon perioperative mortality, length of stay and non-operative costs for elective (open and endovascular) infra-renal AAA patients. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 2 | 3% |
United Kingdom | 1 | 1% |
Unknown | 77 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 20% |
Student > Bachelor | 11 | 14% |
Researcher | 10 | 13% |
Other | 8 | 10% |
Student > Ph. D. Student | 7 | 9% |
Other | 17 | 21% |
Unknown | 11 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 44 | 55% |
Agricultural and Biological Sciences | 10 | 13% |
Sports and Recreations | 8 | 10% |
Nursing and Health Professions | 4 | 5% |
Psychology | 1 | 1% |
Other | 0 | 0% |
Unknown | 13 | 16% |