Integration of the Duke Activity Status Index into preoperative risk evaluation: a multicentre prospective cohort study.
- Wijeysundera, DN
- Beattie, WS
- Hillis, GS
- Abbott, TEF
- Shulman, MA
- Ackland, GL
- Mazer, CD
- Myles, PS
- Pearse, RM
- Cuthbertson, BH
- Measurement of Exercise Tolerance before Surgery Study Investigators
- Myles, PS
- Shulman, MA
- Wallace, S
- Farrington, C
- Thompson, B
- Ellis, M
- Borg, B
- Kerridge, RK
- Douglas, J
- Brannan, J
- Pretto, J
- Godsall, MG
- Beauchamp, N
- Allen, S
- Kennedy, A
- Wright, E
- Malherbe, J
- Ismail, H
- Riedel, B
- Melville, A
- Sivakumar, H
- Murmane, A
- Kenchington, K
- Kirabiyik, Y
- Gurunathan, U
- Stonell, C
- Brunello, K
- Steele, K
- Tronstad, O
- Masel, P
- Dent, A
- Smith, E
- Bodger, A
- Abolfathi, M
- Sivalingam, P
- Hall, A
- Painter, TW
- Macklin, S
- Elliott, A
- Carrera, AM
- Terblanche, NCS
- Pitt, S
- Samuels, J
- Wilde, C
- Leslie, K
- MacCormick, A
- Bramley, D
- Southcott, AM
- Grant, J
- Taylor, H
- Bates, S
- Towns, M
- Tippett, A
- Marshall, F
- Mazer, CD
- Kunasingam, J
- Yagnik, A
- Crescini, C
- Yagnik, S
- McCartney, CJL
- Choi, S
- Somascanthan, P
- Flores, K
- Wijeysundera, DN
- Beattie, WS
- Karkouti, K
- Clarke, HA
- Jerath, A
- McCluskey, SA
- Wasowicz, M
- Granton, JT
- Day, L
- Pazmino-Canizares, J
- Oh, P
- Belliard, R
- Lee, L
- Dobson, K
- Chan, V
- Brull, R
- Ami, N
- Stanbrook, M
- Hagen, K
- Campbell, D
- Short, T
- Van Der Westhuizen, J
- Higgie, K
- Lindsay, H
- Jang, R
- Wong, C
- Mcallister, D
- Ali, M
- Kumar, J
- Waymouth, E
- Kim, C
- Dimech, J
- Lorimer, M
- Tai, J
- Miller, R
- Sara, R
- Collingwood, A
- Olliff, S
- Gabriel, S
- Houston, H
- Dalley, P
- Hurford, S
- Hunt, A
- Andrews, L
- Navarra, L
- Jason-Smith, A
- Thompson, H
- McMillan, N
- Back, G
- Croal, BL
- Lum, M
- Martin, D
- James, S
- Filipe, H
- Pinto, M
- Kynaston, S
- Pearse, RM
- Abbott, TEF
- Phull, M
- Beilstein, C
- Bodger, P
- Everingham, K
- Hu, Y
- Niebrzegowska, E
- Corriea, C
- Creary, T
- Januszewska, M
- Ahmad, T
- Whalley, J
- Haslop, R
- McNeil, J
- Brown, A
- MacDonald, N
- Pakats, M
- Greaves, K
- Jhanji, S
- Raobaikady, R
- Black, E
- Rooms, M
- Lawrence, H
- Koutra, M
- Pirie, K
- Gertsman, M
- Jack, S
- Celinski, M
- Levett, D
- Edwards, M
- Salmon, K
- Bolger, C
- Loughney, L
- Seaward, L
- Collins, H
- Tyrell, B
- Tantony, N
- Golder, K
- Ackland, GL
- Stephens, RCM
- Gallego-Paredes, L
- Reyes, A
- Gutierrez Del Arroyo, A
- Raj, A
- Lifford, R
- International and National Coordinators
- Central Project Office Operations Committee
- CPET Methods Committee
- Outcome Adjudication Committee
- International Steering Committee
DOIAbstract
BACKGROUND: The Duke Activity Status Index (DASI) questionnaire might help incorporate self-reported functional capacity into preoperative risk assessment. Nonetheless, prognostically important thresholds in DASI scores remain unclear. We conducted a nested cohort analysis of the Measurement of Exercise Tolerance before Surgery (METS) study to characterise the association of preoperative DASI scores with postoperative death or complications. METHODS: The analysis included 1546 participants (≥40 yr of age) at an elevated cardiac risk who had inpatient noncardiac surgery. The primary outcome was 30-day death or myocardial injury. The secondary outcomes were 30-day death or myocardial infarction, in-hospital moderate-to-severe complications, a...
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