Perioperative medicine & outcomes
Increased Preoperative Stress Test Utilization is Not Associated With Reduced Adverse Cardiac Events in Current US Surgical Practice
Authors' conclusion
Increased testing was not associated with reduced perioperative MACE or MI.
Study context
- Population
- Patients undergoing 1 of 8 elective major surgical procedures (general, vascular, or oncologic), US, 2015 to 2019
- Participants
- 185,612 patients · 133 centres
- Exposure
- Lowest vs highest quintile centres of preoperative stress test use
- Outcome
- In-hospital MACE
Methodological detailsmulticentre database (Vizient Clinical Data Base), centres grouped into quintiles of stress test use
- Multicentre database (Vizient Clinical Data Base)
- Centres grouped into quintiles of stress test use
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Mean $
| Outcome | Lowest quintile | Highest quintile |
|---|---|---|
| Mean added cost for stress testing per 1000 patients who underwent surgery | 26,996 | 357,300 |
Myocardial infarction (MI) (in-hospital)
- MI event rates similar, lowest vs highest quintile centres
- 0.5% vs 0.5%
- P =0.737
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Increased Preoperative Stress Test Utilization is Not Associated With Reduced Adverse Cardiac Events in Current US Surgical Practice. Ann Surg. Published 15 June 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →