Cardiothoracic & vascular anesthesia
Ambulatory Cardiology or General Internal Medicine Assessment Before Scheduled Major Vascular Surgery Is Associated with Improved Outcomes
Main findingResult — go to the resultWeighted hazard ratio 0.73 95% CI 0.65–0.82Authors' conclusion
Major vascular surgery patients assessed by a cardiology or GIM physician before surgery have better outcomes than those who are not.
Study context
- Population
- Adults undergoing scheduled major vascular surgery, Ontario, Canada, April 1, 2004 to March 31, 2019
- Participants
- 50,228 adults
- Exposure
- Assessment vs No assessment
- Assessmentn = 20,484
- Outcome
- Mortality
- Follow-up
- 30 days
Methodological detailsinverse probability of treatment weighting
- Inverse probability of treatment weighting
Main finding
As reported in the abstract
Weighted hazard ratio
0.73
95% CI 0.65–0.82
Events by group
Assessment vs No assessment
weighted HR 0.73 (95% CI 0.65–0.82)
Observational data: associations, not effects.
Secondary outcomes
Revised Cardiac Risk Index over 2
P < 0.001
Preoperative cardiac testing
P < 0.001
Composite of 30-day mortality, MI or stroke; 30-day cardiovascular death; 1-year mortality; composite of 1-year mortality, MI or stroke; 1-year cardiovascular death
- Lower rate of all secondary outcomes with assessment after weighting
- Inverse probability of treatment weighting
Original publication
Ambulatory Cardiology or General Internal Medicine Assessment Before Scheduled Major Vascular Surgery Is Associated with Improved Outcomes. Ann Surg. Published 6 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →