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January 1, 1983Age and Ageing

The Role of the Routine Pre-Operative Electro-Cardiogram in the Elderly Surgical Patient

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Why the study?

Does routine pre-operative electrocardiogram predict post-operative cardiovascular complications in general surgical patients aged 65 years and over?

Population

222 general surgical patients aged 65 years and over

Design

Cohort

Follow-up

post-operative period

Authors

DSD. Gwyn SeymourUniversity of AberdeenRPR PringleSalford Royal NHS Foundation TrustWMW. J. MacLennanSouthampton General Hospital

Discussion

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Implication

Preoperative ECG should not guide postoperative risk prediction in elderly surgical patients; leaves open its utility as baseline or for acute detection.

Structured PICO

Does routine pre-operative electrocardiogram predict post-operative cardiovascular complications in general surgical patients aged 65 years and over?

P
Population
222 general surgical patients aged 65 years and over
I
Intervention
Routine pre-operative electrocardiogram (e.c.g.)
O
Outcome
Post-operative cardiovascular complications and e.c.g. changeshard clinical

Routine pre-operative ECG in elderly surgical patients is useful as a baseline and to detect acute issues deferring surgery, but has little to no value in predicting post-operative cardiovascular complications.

Cite This Study

Seymour et al. (1983) studied this question.

synapsesocial.com/papers/6a76230474b63c188eb21de5https://doi.org/10.1093/ageing/12.2.97
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preoperative Electrocardiogram Abnormalities Do Not Predict Postoperative Cardiac Complications in Geriatric Surgical Patients2002 · 167 citations
  2. 2The Utility of Preoperative Electrocardiograms in the Ambulatory Surgical Patient1992 · 83 citations
  3. 3The Role of Routine ECG Testing in Preoperative Evaluation Prior to Non Cardiac Surgery2015 · 6 citations
  4. 4Utilisation of the pre‐operative ECG1995 · 28 citations
  5. 5Is There Still a Role for Preoperative 12‐Lead Electrocardiography?2011 · 37 citations