TY - JOUR
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
T2 - Developed in collaboration with the European Society of Anaesthesiology & 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
N1 - © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2023/6/21
Y1 - 2023/6/21
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 - Aftercare
KW - Anesthesiology
KW - Cardiology
KW - Cardiovascular Diseases/diagnosis
KW - Humans
KW - Patient Discharge
KW - Quality Indicators, Health Care
KW - Quality of Life
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 - Pre-operative cardiac testing
KW - Quality indicators
KW - Guidelines
KW - Non-cardIac surgery
KW - Pre-operative cardiac risk assessment
KW - Perioperative cardiac management
KW - Anaesthesiology
KW - Clinical Practice Guidelines
KW - Pre-operative coronary artery revascularization
KW - Post-operative cardiac surveillance
U2 - 10.1093/ehjqcco/qcac057
DO - 10.1093/ehjqcco/qcac057
M3 - Journal article
C2 - 36069905
SN - 2058-5225
VL - 9
SP - 331
EP - 341
JO - European heart journal. Quality of care & clinical outcomes
JF - European heart journal. Quality of care & clinical outcomes
IS - 4
ER -