Diagnostic and prognostic value of cardiac stress testing before major noncardiac surgery-A cohort study.

ABSTRACT:

Objective

To assess the incremental contribution of preoperative stress test results toward a diagnosis of obstructive coronary artery disease (CAD), prediction of mortality, or prediction of perioperative myocardial infarction in patients considering noncardiac, nonophthalmologic surgery.

Design, setting, participants

A retrospective cohort study of visits to a preoperative risk assessment and optimization clinic in a large health system between 2008 and 2018.

Measurements

To assess diagnostic information of preoperative stress testing, we used the Begg and Greenes method to calculate test characteristics adjusted for referral bias, with a gold standard of angiography. To assess prognostic information, we first created multiply-imputed logistic regression models to p

SUBMITTER: Pappas MA 

PROVIDER: S-EPMC10529226 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature