Anaesthesiologists’ guideline adherence in pre-operative evaluation: a retrospective observational study
Authors' conclusion
Guideline adherence in pre-operative evaluation leaves room for improvement.
Study context
- Population
- Patients visiting the pre-anaesthesia outpatient clinic of a German university hospital before non-cardiac surgery, June 2018–June 2020
- Participants
- 2,003 patients
- Exposure
- Pre-operative examinations performed vs software-derived guideline recommendations (2018 ESAIC, 2014 ESC/ESA, 2017 German recommendations)
- Outcome
- Proportion of guideline recommendations followed in pre-operative anaesthetic evaluation
Methodological detailsmonocentric, software-based guideline comparison
- Monocentric
- Software-based guideline comparison
Main finding
As reported in the abstract
Guideline adherence by ASA score
P < 0.001
- Highest adherence: performed ECG
- 78.1%
- Highest adherence: cardiac stress imaging tests
- 86.1%
Observational data: associations, not effects.
Further findings
Guideline adherence by surgical risk — High-risk surgery vs Intermediate- or low-risk surgery
P < 0.001
Technical and laboratory tests performed pre-operatively not covered by a guideline recommendation
- Tests not covered by a guideline recommendation
- 67.2%
Original publication
Anaesthesiologists’ guideline adherence in pre-operative evaluation: a retrospective observational study. Perioper Med (Lond). Published 28 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →