Cardiopulmonary Exercise Testing and Other Tests of Functional Capacity.
6-min walk test
Cardiopulmonary exercise testing
Duke Activity Status Index
Functional status assessment
Perioperative medicine
Risk assessment
Journal
Current anesthesiology reports
ISSN: 1523-3855
Titre abrégé: Curr Anesthesiol Rep
Pays: United States
ID NLM: 100888957
Informations de publication
Date de publication:
2022
2022
Historique:
accepted:
27
10
2021
pubmed:
30
11
2021
medline:
30
11
2021
entrez:
29
11
2021
Statut:
ppublish
Résumé
Assessment of functional capacity is a cornerstone of preoperative risk assessment. While subjective clinician assessment of functional capacity is poorly predictive of postoperative outcomes, other objective functional assessment measures may provide more useful information. Cardiopulmonary exercise testing (CPET) is generally accepted as the gold standard for functional capacity assessment. However, CPET is resource-intensive and not universally available. Simpler objective tests of functional capacity such as the Duke Activity Status Index (DASI) and the 6-min walk test (6MWT) are cheap and efficient. In addition, they predict important postoperative outcomes including death, disability, and myocardial infarction. Simple preoperative tests such as the DASI may be useful for routine preoperative assessment. CPET may be helpful to investigate further patients with functional status limitation, and to guide prehabilitation and perioperative shared decision-making in high-risk patients.
Identifiants
pubmed: 34840532
doi: 10.1007/s40140-021-00499-6
pii: 499
pmc: PMC8605465
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
26-33Informations de copyright
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.
Déclaration de conflit d'intérêts
Conflict of interestThe authors do not have any potential conflicts of interest to disclose.
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