A simplified (modified) Duke Activity Status Index (M-DASI) to characterise functional capacity: a secondary analysis of the Measurement of Exercise Tolerance before Surgery (METS) study.
Duke Activity Status Index
anaerobic threshold
cardiopulmonary exercise test
functional capacity
maximal oxygen uptake
preoperative risk assessment
questionnaire
Journal
British journal of anaesthesia
ISSN: 1471-6771
Titre abrégé: Br J Anaesth
Pays: England
ID NLM: 0372541
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
14
01
2020
revised:
13
04
2020
accepted:
05
06
2020
pubmed:
22
7
2020
medline:
29
1
2021
entrez:
22
7
2020
Statut:
ppublish
Résumé
Accurate assessment of functional capacity, a predictor of postoperative morbidity and mortality, is essential to improving surgical planning and outcomes. We assessed if all 12 items of the Duke Activity Status Index (DASI) were equally important in reflecting exercise capacity. In this secondary cross-sectional analysis of the international, multicentre Measurement of Exercise Tolerance before Surgery (METS) study, we assessed cardiopulmonary exercise testing and DASI data from 1455 participants. Multivariable regression analyses were used to revise the DASI model in predicting an anaerobic threshold (AT) >11 ml kg Five questions were identified to have dominance in predicting AT>11 ml kg The M-DASI provides a simple screening tool for further preoperative evaluation, including with cardiopulmonary exercise testing, to guide perioperative management.
Sections du résumé
BACKGROUND
Accurate assessment of functional capacity, a predictor of postoperative morbidity and mortality, is essential to improving surgical planning and outcomes. We assessed if all 12 items of the Duke Activity Status Index (DASI) were equally important in reflecting exercise capacity.
METHODS
In this secondary cross-sectional analysis of the international, multicentre Measurement of Exercise Tolerance before Surgery (METS) study, we assessed cardiopulmonary exercise testing and DASI data from 1455 participants. Multivariable regression analyses were used to revise the DASI model in predicting an anaerobic threshold (AT) >11 ml kg
RESULTS
Five questions were identified to have dominance in predicting AT>11 ml kg
CONCLUSIONS
The M-DASI provides a simple screening tool for further preoperative evaluation, including with cardiopulmonary exercise testing, to guide perioperative management.
Identifiants
pubmed: 32690247
pii: S0007-0912(20)30462-1
doi: 10.1016/j.bja.2020.06.016
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
181-190Investigateurs
S Wallace
(S)
B Thompson
(B)
M Ellis
(M)
B Borg
(B)
R K Kerridge
(RK)
J Douglas
(J)
J Brannan
(J)
J Pretto
(J)
M G Godsall
(MG)
N Beauchamp
(N)
S Allen
(S)
A Kennedy
(A)
E Wright
(E)
J Malherbe
(J)
H Ismail
(H)
B Riedel
(B)
A Melville
(A)
H Sivakumar
(H)
A Murmane
(A)
K Kenchington
(K)
Y Kirabiyik
(Y)
U Gurunathan
(U)
C Stonell
(C)
K Brunello
(K)
K Steele
(K)
O Tronstad
(O)
P Masel
(P)
A Dent
(A)
E Smith
(E)
A Bodger
(A)
M Abolfathi
(M)
P Sivalingam
(P)
A Hall
(A)
T W Painter
(TW)
S Macklin
(S)
A Elliott
(A)
A M Carrera
(AM)
N C S Terblanche
(NCS)
S Pitt
(S)
J Samuels
(J)
C Wilde
(C)
K Leslie
(K)
A MacCormick
(A)
D Bramley
(D)
A M Southcott
(AM)
J Grant
(J)
H Taylor
(H)
S Bates
(S)
M Towns
(M)
A Tippett
(A)
F Marshall
(F)
C D Mazer
(CD)
J Kunasingam
(J)
A Yagnik
(A)
C Crescini
(C)
S Yagnik
(S)
C J L McCartney
(CJL)
S Choi
(S)
P Somascanthan
(P)
K Flores
(K)
S Au
(S)
W S Beattie
(WS)
K Karkouti
(K)
H A Clarke
(HA)
A Jerath
(A)
S A McCluskey
(SA)
M Wasowicz
(M)
L Day
(L)
J Pazmino-Canizares
(J)
P Oh
(P)
R Belliard
(R)
L Lee
(L)
K Dobson
(K)
V Chan
(V)
R Brull
(R)
N Ami
(N)
M Stanbrook
(M)
K Hagen
(K)
D Campbell
(D)
T Short
(T)
J Van Der Westhuizen
(J)
J K Higgie
(JK)
H Lindsay
(H)
R Jang
(R)
C Wong
(C)
D Mcallister
(D)
M Ali
(M)
J Kumar
(J)
E Waymouth
(E)
C Kim
(C)
J Dimech
(J)
M Lorimer
(M)
J Tai
(J)
R Miller
(R)
R Sara
(R)
A Collingwood
(A)
S Olliff
(S)
S Gabriel
(S)
H Houston
(H)
P Dalley
(P)
S Hurford
(S)
A Hunt
(A)
L Andrews
(L)
L Navarra
(L)
A Jason-Smith
(A)
H Thompson
(H)
N McMillan
(N)
G Back
(G)
M Lum
(M)
D Martin
(D)
S S James
(S)
H Filipe
(H)
M Pinto
(M)
S Kynaston
(S)
M Phull
(M)
C Beilstein
(C)
P Bodger
(P)
K Everingham
(K)
Y Hu
(Y)
E Niebrzegowska
(E)
C Corriea
(C)
T Creary
(T)
M Januszewska
(M)
T Ahmad
(T)
J Whalley
(J)
R Haslop
(R)
J McNeil
(J)
A Brown
(A)
N MacDonald
(N)
M Pakats
(M)
K Greaves
(K)
S Jhanji
(S)
R Raobaikady
(R)
E Black
(E)
M Rooms
(M)
H Lawrence
(H)
M Koutra
(M)
K Pirie
(K)
M Gertsman
(M)
S Jack
(S)
M Celinski
(M)
D Levett
(D)
M Edwards
(M)
K Salmon
(K)
C Bolger
(C)
L Loughney
(L)
L Seaward
(L)
H Collins
(H)
B Tyrell
(B)
N Tantony
(N)
K Golder
(K)
G L Ackland
(GL)
R C M Stephens
(RCM)
L Gallego-Paredes
(L)
A Reyes
(A)
A Gutierrez Del Arroyo
(A)
A Raj
(A)
R R Lifford
(R)
M Melo
(M)
M Mamdani
(M)
G Hillis
(G)
H C Wijeysundera
(HC)
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020. Published by Elsevier Ltd.