April 12, 1999Archives of Internal Medicine
Physician Estimates of Perioperative Cardiac Risk in Patients Undergoing Noncardiac Surgery
Why the study?
Do physician estimates of perioperative cardiac risk agree with validated cardiac risk indices in patients undergoing noncardiac surgery?
Population
297 patients (308 preoperative consultations) undergoing noncardiac surgery at 5 Canadian teaching hospitals
Comparison
Physician estimates of perioperative cardiac risk vs Risk estimates derived using validated cardiac…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Physician estimates show only fair agreement with validated indices; leaves open whether routine index use improves perioperative outcomes.
Structured PICO
Do physician estimates of perioperative cardiac risk agree with validated cardiac risk indices in patients undergoing noncardiac surgery?
P
Population
297 patients (308 preoperative consultations) undergoing noncardiac surgery at 5 Canadian teaching hospitals
I
Intervention
Physician estimates of perioperative cardiac risk (low, moderate, or high)
C
Comparator
Risk estimates derived using validated cardiac risk indices
O
Outcome
Agreement between physician ratings of cardiac risk and risk estimates derived using validated cardiac risk indices
Physicians underuse validated cardiac risk indices, and their subjective estimates of perioperative cardiac risk show only fair agreement with validated indices.
Cite This Study
Devereaux et al. (1999) studied this question.