Self-reported fitness as a measure of perioperative cardiovascular risk: tension between subjective and objective assessments persists.
View/ Open
Accepted version
Embargoed until: 2024-11-01
Reason: 12 months publisher embargo
Embargoed until: 2024-11-01
Reason: 12 months publisher embargo
Volume
132
Pagination
10 - 12
DOI
10.1016/j.bja.2023.10.014
Journal
Br J Anaesth
Issue
Metadata
Show full item recordAbstract
Despite recent high-quality international studies, the optimal sum and sequence of subjective and objective assessments that build the complex picture of fitness for surgery remains to be defined. Physicians' subjective assessment of patient fitness after a typical unstructured interview has poor prognostic accuracy in predicting the risk of major cardiovascular events after noncardiac surgery. How does self-reported fitness assessed by structured questionnaire compare as an indicator of perioperative cardiovascular risk? Here we discuss the latest evidence in this evolving and fundamental aspect of perioperative care.