Differences between patients in whom physicians agree versus disagree about the preoperative diagnosis of heart failure.

ABSTRACT:

Study objective

To quantify preoperative heart failure (HF) diagnostic agreement and identify characteristics of patients in whom physicians agreed versus disagreed about the diagnosis.

Design

Observational cohort study.

Setting

Patients undergoing major non-cardiac surgery at an academic center between 2015 and 2019.

Patients

40,659 patients undergoing major non-cardiac surgery, among which a stratified subsample of 1018 patients with and without documented HF was reviewed.

Interventions

Via a panel of physicians frequently managing patients with HF (cardiologists, cardiac anesthesiologists, intensivists), detailed chart reviews were performed (two per patient; median review time 32 min per reviewer per patient) to render adjudicated HF diagnoses.

Me

SUBMITTER: Kamyszek RW 

PROVIDER: S-EPMC11221412 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature