What is it about?
Are you in doubt about your anesthesiologist evaluation? Is your patient an HRSP? exploits the negative predictive value of BNP to stratify the preoperative risk.
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Why is it important?
More patient with suspected preoperative for MACE (major cardiac events) could be screened before cardiac consultation.
Perspectives
I work shove how a test with a hight negative predictive value (NPV) helpful in role-out low risk patient undergoing non cardiac surgery. This is also an economical evaluation although speculative. It must be remembered that in the Economic Finance Document of 2018 (ITALY), the ratio between health expenditure and GDP fell to 6.5%, the threshold indicated by the WHO, below which it is no longer possible to guarantee a qualitative and qualitative assistance. not even access to care, with a certain reduction in life expectancy. Therefore, taking advantage of low-cost weapons that have a high negative predictive value means recognizing precociously and 'reclassifying', increasing that '66% 'of the National Confidential Inquiry into PeriOperative Deaths Registry. The CCS guidelines move in this direction. A warm hug
Luigi Vetrugno
Department of Medicine, University of Udine
Read the Original
This page is a summary of: The Possible Use of Preoperative Natriuretic Peptides for Discriminating Low Versus Moderate-High Surgical Risk Patient, Seminars in Cardiothoracic and Vascular Anesthesia, January 2018, SAGE Publications,
DOI: 10.1177/1089253217752061.
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