MET: REevaluation for Perioperative cArdIac Risk (MET-REPAIR)

Launched by EUROPEAN SOCIETY OF ANAESTHESIOLOGY · Jan 9, 2017

Keywords

ClinConnect Summary

In spite of scarce and non-conclusive evidence on the prognostic value of self-reported functional capacity for perioperative cardiovascular events, the estimation of cardiovascular functional capacity in metabolic equivalents (METs) based on a questionnaire represent the core question in the preoperative cardiac risk assessment in patients undergoing elevated risk noncardiac surgery endorsed by ESA, the ESC, and the ACC/AHA. MET-REPAIR will examine the ability of MET estimated using a questionnaire to predict perioperative cardiovascular events correcting for preoperative risk factors, (e....

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Planned as Inpatients after surgery
• • 45 years of age or older AND undergoing elective elevated-risk noncardiac surgery as defined by either a Revised Cardiac Risk Index ≥ 2 \[9\] OR NSQIP MICA\>1% \[10\]
• • 65 years of age or older and undergoing intermediate or high-risk procedures \[3\]
• • Signed Written informed consent
• Exclusion Criteria:
• • Non-elective surgery, i.e. planned to occur ≤ 72 hours after diagnosis of the acute condition that makes the procedure necessary
• • Acute coronary syndrome or uncontrolled congestive heart failure within the last 30 days of planned day of surgery
• • Stroke within the last 7 days of planned day of surgery
• • Outpatients
• • Patients unable to perform ambulation due to congenital or longstanding illnesses/states (e.g. paraplegics, polio, etc; but explicitly not patients with fractures, needing hip replacement, etc.)
• • Unable to consent or unwilling to participate
• • Previous enrolment in MET REPAIR (in case of repeated surgery)