Perioperative medicine & outcomes

Association between the Duke Activity Status Index and complications after noncardiac surgery: A systematic review

J Clin AnesthPublished Systematic review

Authors' conclusion

Amongst adults undergoing noncardiac surgery, the DASI score is associated with postoperative complications, cardiovascular complications and mortality.

Study context

Population
Adults undergoing elective or emergency noncardiac surgery
Participants
3,100 adults · 9 studies
Comparison
Duke Activity Status Index (DASI) score and postoperative complications
Outcome
Association between the DASI score and postoperative complications
Methodological detailsmarked study heterogeneity precluded meta-analysis, Search of MEDLINE, EMBASE, EMCARE and Cochrane CENTRAL, January 1st, 1988 to August 8th, 2024
  • Marked study heterogeneity precluded meta-analysis
  • Search of MEDLINE, EMBASE, EMCARE and Cochrane CENTRAL, January 1st, 1988 to August 8th, 2024

Pooled result

As reported in the abstract

Fair prediction of postoperative complications (3 studies), AUC range

0.71 to 0.75

Further pooled results

Variable association between DASI scores and hospital LOS

Original publication

Association between the Duke Activity Status Index and complications after noncardiac surgery: A systematic review. J Clin Anesth. Published 17 March 2025. doi:10.1016/j.jclinane.2025.111808

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