Cardiopulmonary exercise testing predicts 5 yr survival after major surgery †

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Cardiopulmonary exercise testing predicts 5 yr survival after major surgery.

BACKGROUND Cardiopulmonary exercise testing (CPET) is used to assess perioperative risk in surgical patients. While previous studies have looked at short-term outcomes, this paper explores the ability of CPET to predict 5 yr survival after major surgery. METHODS Over a period (1996-2009), 1725 patients referred for CPET subsequently underwent major surgery. Breath-by-breath data derived durin...

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Cardiopulmonary exercise testing and survival after major surgery.

Editor—We read with interest the recent article by Colson and colleagues on cardiopulmonary exercise testing (CPET) predicting 5 yr survival after major surgery. We would like to raise a few points regarding this article. First, the authors stratified outcome according to seven classes of surgical intervention. It is worthwhile noting that the upper gastrointestinal patients fared the worst. Th...

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Cardiopulmonary exercise testing, prehabilitation, and Enhanced Recovery After Surgery (ERAS)

PURPOSE This review evaluates the current and future role of cardiopulmonary exercise testing (CPET) in the context of Enhanced Recovery After Surgery (ERAS) programs. PRINCIPAL FINDINGS There is substantial literature confirming the relationship between physical fitness and perioperative outcome in general. The few small studies in patients undergoing surgery within an ERAS program describe ...

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Survival after In-Hospital Cardiopulmonary Resuscitation in a Major Referral Center during 2001-2008

Despite efforts to save more people suffering from in-hospital cardiac arrest, rates of survival after in-hospital cardiopulmonary resuscitation (CPR) are no better today than they were more than a decade ago. This study was undertaken to assess the demographics, clinical parameters and outcomes of patients undergoing CPR by the code blue team at our center during 2001 to 2008. Data were collec...

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Cardiopulmonary exercise testing as a screening test for perioperative management of major surgery in the elderly.

STUDY OBJECTIVE To develop an integrated strategy for the identification and subsequent management of high-risk patients in order to reduce both morbidity and mortality. DESIGN Prospective consecutive series in which all patients underwent cardiopulmonary exercise (CPX) testing. SETTING CPX laboratory and level 3 ICU and high-dependency unit (HDU) of a metropolitan teaching hospital. PATI...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2012

ISSN: 0007-0912

DOI: 10.1093/bja/aes263