2019 Update in perioperative cardiovascular medicine

Article Figures & Data

TABLE 1

The Duke Activity Status Index

Can you:	Weight
Take care of yourself–eat, dress, bathe, use the toilet?	2.75
Walk indoors, such as around your house?	1.75
Walk a block or two on level ground?	2.75
Climb a flight of stairs or walk up a hill?	5.50
Run a short distance?	8.00
Do light work around the house like dusting or washing dishes?	2.70
Do moderate work around the house like vacuuming, sweeping floors, or carrying groceries?	3.50
Do heavy work around the house like scrubbing floors or lifting or moving heavy furniture?	8.00
Do garden work like raking leaves, weeding, or pushing a lawn mower?	4.50
Have sexual relations?	5.25
Participate in moderate recreational activities like golf, bowling, dancing, doubles tennis, or thtring a ball?	6.00
Participate in strenuous sports like swimming, singles tennis, football, basketball, or skiing?	7.50
Best score	58.20

Higher scores correlate with higher functional capacity, but specific cutoffs to predict postoperative risk have not been established.

TABLE 2

Aspirin has little effect on 30-day outcomes after surgery: The POISE-2 trial

	Aspirin group	Placebo group	Hazard ratio
Primary outcome (death or myocardial infarction)
Main trial^a	7.0%	7.1%	0.99
In aneurysm surgery	13.7%	9.0%	1.48
In surgery for occlusive disease	15.8%	13.6%	1.16
In nonvascular surgery	6.4%	6.8%	0.95
Secondary outcomes
Vascular occlusive complications
Main trial	0.4%	0.5%	0.82
In aneurysm surgery	0.8%	3.0%	0.25
In surgery for occlusive disease	5.6%	8.8%	0.59
In nonvascular surgery	0.2%	0.2%	1.01
Major or life-threatening bleeding
Main trial	6.3%	5.1%	1.22^b
In aneurysm surgery	6.9%	5.2%	1.45
In surgery for occlusive disease	8.9%	8.0%	1.10
In nonvascular surgery	6.1%	5.0%	1.24^b

↵a N = 10,010, including 265 undergoing aneurysm surgery, 272 undergoing surgery for occlusive disease, and 9,330 undergoing nonvascular surgery.
↵b Statistically significant (P < .05). Data from Biccard et al, reference 7.