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Observational Study
. 2013 Nov 16:2013:931-8.
eCollection 2013.

Validation of pre-operative patient self-assessment of cardiac risk for non-cardiac surgery: foundations for decision support

Sharad Manaktala  1 , Todd Rockwood  2 , Terrence J Adam  1
Affiliations
Observational Study

Validation of pre-operative patient self-assessment of cardiac risk for non-cardiac surgery: foundations for decision support

Sharad Manaktala et al. AMIA Annu Symp Proc. .

Abstract

Objectives: To better characterize patient understanding of their risk of cardiac complications from non-cardiac surgery and to develop a patient driven clinical decision support system for preoperative patient risk management.

Methods: A patient-driven preoperative self-assessment decision support tool for perioperative assessment was created. Patient' self-perception of cardiac risk and self-report data for risk factors were compared with gold standard preoperative physician assessment to evaluate agreement.

Results: The patient generated cardiac risk profile was used for risk score generation and had excellent agreement with the expert physician assessment. However, patient subjective self-perception risk of cardiovascular complications had poor agreement with expert assessment.

Conclusion: A patient driven cardiac risk assessment tool provides a high degree of agreement with expert provider assessment demonstrating clinical feasibility. The limited agreement between provider risk assessment and patient self-perception underscores a need for further work including focused preoperative patient education on cardiac risk.

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Figure 1:
Figure 1:
Overview of Methods
Figure 2:
Figure 2:
Overview of Survey Development
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