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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care

Baris Gencer; Chris P Gale; Suleman Aktaa; Sigrun Halvorsen; Ben Beska; Magdy Abdelhamid; Christian Mueller; Oktay Tutarel; Paul McGreavy; Henrik Schirmer; Tobias Geissler; Henrik Sillesen; Alexander Niessner; Kai Zacharowski; Julinda Mehilli; Tatjana Potpara

doi:10.1093/ehjqcco/qcac057

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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care

Baris Gencer^*, Chris P Gale, Suleman Aktaa, Sigrun Halvorsen, Ben Beska, Magdy Abdelhamid, Christian Mueller, Oktay Tutarel, Paul McGreavy, Henrik Schirmer, Tobias Geissler, Henrik Sillesen, Alexander Niessner, Kai Zacharowski, Julinda Mehilli, Tatjana Potpara

^*Corresponding author for this work

Department of Vascular Surgery

7 Citations (Scopus)

Abstract

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.

Original language	English
Journal	European heart journal. Quality of care & clinical outcomes
Volume	9
Issue number	4
Pages (from-to)	331-341
Number of pages	11
ISSN	2058-5225
DOIs	https://doi.org/10.1093/ehjqcco/qcac057
Publication status	Published - 21 Jun 2023

Keywords

Aftercare
Anesthesiology
Cardiology
Cardiovascular Diseases/diagnosis
Humans
Patient Discharge
Quality Indicators, Health Care
Quality of Life
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 Anaesthesiology center dot Post-operative cardiac surveillance center dot Quality indicators center dot Clinical Practice Guidelines
Pre-operative cardiac testing
Quality indicators
Guidelines
Non-cardIac surgery
Pre-operative cardiac risk assessment
Perioperative cardiac management
Anaesthesiology
Clinical Practice Guidelines
Pre-operative coronary artery revascularization
Post-operative cardiac surveillance

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Gencer, B., Gale, C. P., Aktaa, S., Halvorsen, S., Beska, B., Abdelhamid, M., Mueller, C., Tutarel, O., McGreavy, P., Schirmer, H., Geissler, T., Sillesen, H., Niessner, A., Zacharowski, K., Mehilli, J., & Potpara, T. (2023). 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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care. European heart journal. Quality of care & clinical outcomes, 9(4), 331-341. https://doi.org/10.1093/ehjqcco/qcac057

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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care. / Gencer, Baris; Gale, Chris P; Aktaa, Suleman et al.
In: European heart journal. Quality of care & clinical outcomes, Vol. 9, No. 4, 21.06.2023, p. 331-341.

Research output: Contribution to journal › Journal article › Research › peer-review

Gencer, B, Gale, CP, Aktaa, S, Halvorsen, S, Beska, B, Abdelhamid, M, Mueller, C, Tutarel, O, McGreavy, P, Schirmer, H, Geissler, T, Sillesen, H, Niessner, A, Zacharowski, K, Mehilli, J & Potpara, T 2023, '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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care', European heart journal. Quality of care & clinical outcomes, vol. 9, no. 4, pp. 331-341. https://doi.org/10.1093/ehjqcco/qcac057

Gencer B, Gale CP, Aktaa S, Halvorsen S, Beska B, Abdelhamid M et al. 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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care. European heart journal. Quality of care & clinical outcomes. 2023 Jun 21;9(4):331-341. doi: 10.1093/ehjqcco/qcac057

Gencer, Baris ; Gale, Chris P ; Aktaa, Suleman et al. / 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 : Developed in collaboration with the European Society of Anaesthesiology & Intensive Care. In: European heart journal. Quality of care & clinical outcomes. 2023 ; Vol. 9, No. 4. pp. 331-341.

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title = "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: Developed in collaboration with the European Society of Anaesthesiology & Intensive Care",

abstract = "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.",

keywords = "Aftercare, Anesthesiology, Cardiology, Cardiovascular Diseases/diagnosis, Humans, Patient Discharge, Quality Indicators, Health Care, Quality of Life, 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 Anaesthesiology center dot Post-operative cardiac surveillance center dot Quality indicators center dot Clinical Practice Guidelines, Pre-operative cardiac testing, Quality indicators, Guidelines, Non-cardIac surgery, Pre-operative cardiac risk assessment, Perioperative cardiac management, Anaesthesiology, Clinical Practice Guidelines, Pre-operative coronary artery revascularization, Post-operative cardiac surveillance",

author = "Baris Gencer and Gale, {Chris P} and Suleman Aktaa and Sigrun Halvorsen and Ben Beska and Magdy Abdelhamid and Christian Mueller and Oktay Tutarel and Paul McGreavy and Henrik Schirmer and Tobias Geissler and Henrik Sillesen and Alexander Niessner and Kai Zacharowski and Julinda Mehilli and Tatjana Potpara",

note = "{\textcopyright} The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.",

year = "2023",

month = jun,

day = "21",

doi = "10.1093/ehjqcco/qcac057",

language = "English",

volume = "9",

pages = "331--341",

journal = "European heart journal. Quality of care & clinical outcomes",

issn = "2058-5225",

publisher = "Oxford University Press",

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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 -