Perioperative medicine & outcomes
Preoperative submaximal cardiopulmonary exercise testing and its association with early postoperative complications
Main finding · POMS ≥1Result — go to the resultAdjusted odds ratio 0.94 95% CI 0.89–0.99Authors' conclusion
Compared with structured surveys (subjective METs or Duke Activity Status Index) or conventional peak CPET values (VO2 or METs), a novel measure, GXCAP-VO2 slope, offered superior early postoperative complication discrimination in low-morbidity subjects.
Study context
- Population
- Adults aged >60 yr undergoing noncardiac surgery, revised cardiac risk index ≤2, self-reported METs >4
- Participants
- 101 adults
- Comparison
- Submaximal cardiopulmonary exercise testing (CPET)-derived measures vs structured surveys (subjective METs, Duke Activity Status Index) for early postoperative complication detection
- Outcome
- Postoperative Morbidity Survey (POMS) ≥1
Methodological detailssingle-centre, open-label
- Single-centre
- Open-label
Main finding
POMS ≥1
Adjusted odds ratio
0.94
95% CI 0.89–0.99
P = 0.011
Submaximal CPET-derived measures vs structured surveys (subjective METs, Duke Activity Status Index) for early postoperative complication detection
aOR 0.94 (95% CI 0.89–0.99); P = 0.011
As reported in the abstract
- Participants with POMS ≥1
- 53 (52.4%)
Secondary outcomes
Increasing LOS
| aOR (95% CI) | P value | ||
|---|---|---|---|
| GXCAP-VO2 slope | 0.98 (0.96–0.99) | P = 0.01 | |
| 0.512Adjusted odds ratio (log scale) |
Cardiac, pulmonary and renal POMS domains (POMS-CPR ≥1)
| aOR (95% CI) | P value | ||
|---|---|---|---|
| GXCAP-VO2 slope | 0.93 (0.88–0.99) | P = 0.015 | |
| 0.512Adjusted odds ratio (log scale) |
Original publication
Preoperative submaximal cardiopulmonary exercise testing and its association with early postoperative complications. BJA Open. Published 24 April 2025. doi:10.
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