• Br J Anaesth · Jan 2024

    Editorial

    Self-reported fitness as a measure of perioperative cardiovascular risk: tension between subjective and objective assessments persists.

    • Katrina Knight, Duminda N Wijeysundera, and AbbottTom E FTEFWilliam Harvey Research Institute, Queen Mary University of London, London, UK. Electronic address: t.abbott@qmul.ac.uk..
    • Academic Unit of Surgery, Glasgow Royal Infirmary, University of Glasgow, Glasgow, UK.
    • Br J Anaesth. 2024 Jan 1; 132 (1): 101210-12.

    AbstractDespite recent high-quality international studies, the optimal sum and sequence of subjective and objective assessments that build the complex picture of fitness for surgery remains to be defined. Physicians' subjective assessment of patient fitness after a typical unstructured interview has poor prognostic accuracy in predicting the risk of major cardiovascular events after noncardiac surgery. How does self-reported fitness assessed by structured questionnaire compare as an indicator of perioperative cardiovascular risk? Here we discuss the latest evidence in this evolving and fundamental aspect of perioperative care.Copyright © 2023 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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