Document Detail


Cardiopulmonary exercise testing as a risk assessment method in non cardio-pulmonary surgery: a systematic review.
MedLine Citation:
PMID:  19604193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study reviews the predictive value of maximum oxygen consumption (VO2max) and anaerobic threshold, obtained through cardiopulmonary exercise testing, in calculating peri-operative morbidity and mortality in non-cardiopulmonary thoraco-abdominal surgery. A literature review provided nine studies that investigated either one or both of these two variables across a wide range of surgical procedures. Six of the seven studies that reported sufficiently detailed results on peak oxygen consumption and four of the six studies that reported sufficiently detailed results on anaerobic threshold found them to be significant predictors. We conclude that peak oxygen consumption and possibly anaerobic threshold are valid predictors of peri-operative morbidity and mortality in non-cardiopulmonary thoraco-abdominal surgery. These indicators could potentially provide a means of allocating increased care to high-risk patients.
Authors:
T B Smith; C Stonell; S Purkayastha; P Paraskevas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Anaesthesia     Volume:  64     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-16     Completed Date:  2009-08-13     Revised Date:  2011-05-26    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  883-93     Citation Subset:  AIM; IM    
Affiliation:
St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Anaerobic Threshold / physiology
Exercise Test / methods*
Health Status Indicators*
Humans
Oxygen Consumption / physiology
Postoperative Complications
Preoperative Care / methods*
Prognosis
Risk Assessment / methods
Comments/Corrections
Comment In:
Anaesthesia. 2011 May;66(5):393-4   [PMID:  21480842 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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