Perioperative medicine & outcomes
Association between preoperative cardiac risk assessment and health care costs in major noncardiac surgery: a multicentre health economic analysis
Authors' conclusion
In patients undergoing major noncardiac surgery, common measures of functional capacity are not consistently associated with total postoperative cost.
Study context
- Population
- Adults scheduled for major elective noncardiac surgery, METS participants in Ontario, Canada, 2013–2016
- Participants
- 487 adults
- Exposure
- Preoperative cardiac risk measures vs postoperative costs
- Outcome
- Association of preoperative cardiac risk measures with postoperative costs (in-hospital and one year)
- Follow-up
- One year
Methodological detailsmulticentre, linked health administrative data, multiple regression models
- Multicentre
- Linked health administrative data
- Multiple regression models
Main finding
As reported in the abstract
Association of preoperative cardiac risk measures with postoperative costs
- None of the four preoperative measures of cardiac risk associated with in-hospital or one-year postoperative costs
Observational data: associations, not effects.
Further findings
Postoperative costs, all patients
- Median [IQR] cost within one year postoperatively, CAD
- 27,587 [13,902-32,590]
- Median [IQR] in-hospital cost, CAD
- 12,928 [10,253-12,810]
- Median [IQR] cost by 30 days, CAD
- 14,497 [10,917-15,017]
Sensitivity analyses (surgical procedure type, preoperative cost burden, cost quantiles)
- Lack of strong association persisted
Original publication
Association between preoperative cardiac risk assessment and health care costs in major noncardiac surgery: a multicentre health economic analysis. Can J Anaesth. Published 10 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →