Preoperative cardiac evaluation and management of patients undergoing elective non-cardiac surgery

Scott, Ian A., Shohag, Hasan A., Kam, Peter C. A., Jelinek, Michael V. and Khadem, Golam M. (2013) Preoperative cardiac evaluation and management of patients undergoing elective non-cardiac surgery. Medical Journal of Australia, 199 10: 667-673. doi:10.5694/mja13.11066


Author Scott, Ian A.
Shohag, Hasan A.
Kam, Peter C. A.
Jelinek, Michael V.
Khadem, Golam M.
Title Preoperative cardiac evaluation and management of patients undergoing elective non-cardiac surgery
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2013-11-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.5694/mja13.11066
Open Access Status DOI
Volume 199
Issue 10
Start page 667
End page 673
Total pages 7
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Pubishing
Language eng
Formatted abstract
In the 2010–11 financial year, 2.4 million surgical operations were performed in Australian hospitals, most (80%) being elective non-cardiac surgery.1 Cardiac complications — myocardial infarction (MI), cardiac arrest and other serious arrhythmias, and acute heart failure — occur in about 5% of patients aged 70 years or older undergoing non-cardiac surgery.2,3 Such complications carry 30-day mortality rates between 15% and 20% and account for a third of all postoperative deaths.2,3 They also prolong hospital length of stay, increase illness burden and reduce long-term survival.4,5 Some are potentially preventable: the Australian Incident Monitoring Study found that 3.1% of adverse events in hospital resulted from inadequate or incorrect preoperative assessment or preparation of patients.6 Inadequate preoperative assessment and medical optimisation of patients also causes delays or cancellations in surgery.

In this article, we supplement evidence presented in previous guidelines7,8 relating to preoperative evaluation and management of cardiac risk in patients undergoing elective non-cardiac surgery.
Keyword Medicine, General & Internal
General & Internal Medicine
MEDICINE, GENERAL & INTERNAL
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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