Most preoperative stress tests fail to comply with practice guideline indications and do not reduce cardiac events.

ABSTRACT:

Background

There is wide variation in stress test utilization before major vascular surgery and adherence to practice guidelines is unclear. We defined rates of stress test compliance at our institution and led a quality improvement initiative to improve compliance with American Heart Association (ACC/AHA) guidelines.

Methods

We implemented a stress testing order set in the electronic medical record at one tertiary hospital. We reviewed all patients who underwent elective, major vascular surgery in the 6 months before (Jan 1, 2022 - Jul 1, 2022) and 6 months after (Aug 1, 2022 - Jan 31, 2023) implementation. We studied stress test guideline compliance, changes in medical or surgical management, and major adverse cardiac events (MACE).

Results

Before order set implemen

SUBMITTER: Ponukumati AS 

PROVIDER: S-EPMC11727674 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature