ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation
In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery. The aim of this focused guideline was to provide updated guidance regarding the pre-, post- and combined pre-and postoperative use of cardiac troponin and B-type natriuretic p...
Saved in:
Published in | European journal of anaesthesiology Vol. 40; no. 12; p. 888 |
---|---|
Main Authors | , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.12.2023
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery.
The aim of this focused guideline was to provide updated guidance regarding the pre-, post- and combined pre-and postoperative use of cardiac troponin and B-type natriuretic peptides in adult patients undergoing noncardiac surgery.
The guidelines were prepared using Grading of Recommendations Assessment Development and Evaluation (GRADE) methodology. This included the definition of critical outcomes, a systematic literature search, appraisal of certainty of evidence, evaluation of biomarker measurement in terms of the balance of desirable and undesirable effects including clinical outcomes, resource use, health inequality, stakeholder acceptance, and implementation. The panel differentiated between three different scopes of applications: cardiac biomarkers as prognostic factors, as tools for risk prediction, and for biomarker-enhanced management strategies.
In a modified Delphi process, the task force defined 12 critical outcomes. The systematic literature search resulted in over 25,000 hits, of which 115 full-text articles formed the body of evidence for recommendations. The evidence appraisal indicated heterogeneity in the certainty of evidence across critical outcomes. Further, there was relevant gradient in the certainty of evidence across the three scopes of application. Recommendations were issued and if this was not possible due to limited evidence, clinical practice statements were produced.
The ESAIC focused guidelines provide guidance on the perioperative use of cardiac troponin and B-type natriuretic peptides in patients undergoing noncardiac surgery, for three different scopes of application. |
---|---|
AbstractList | In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery.
The aim of this focused guideline was to provide updated guidance regarding the pre-, post- and combined pre-and postoperative use of cardiac troponin and B-type natriuretic peptides in adult patients undergoing noncardiac surgery.
The guidelines were prepared using Grading of Recommendations Assessment Development and Evaluation (GRADE) methodology. This included the definition of critical outcomes, a systematic literature search, appraisal of certainty of evidence, evaluation of biomarker measurement in terms of the balance of desirable and undesirable effects including clinical outcomes, resource use, health inequality, stakeholder acceptance, and implementation. The panel differentiated between three different scopes of applications: cardiac biomarkers as prognostic factors, as tools for risk prediction, and for biomarker-enhanced management strategies.
In a modified Delphi process, the task force defined 12 critical outcomes. The systematic literature search resulted in over 25,000 hits, of which 115 full-text articles formed the body of evidence for recommendations. The evidence appraisal indicated heterogeneity in the certainty of evidence across critical outcomes. Further, there was relevant gradient in the certainty of evidence across the three scopes of application. Recommendations were issued and if this was not possible due to limited evidence, clinical practice statements were produced.
The ESAIC focused guidelines provide guidance on the perioperative use of cardiac troponin and B-type natriuretic peptides in patients undergoing noncardiac surgery, for three different scopes of application. |
Author | De Hert, Stefan van Waes, Judith Chew, Michelle S Lurati Buse, Giovanna Afshari, Arash Nucaro, Anthony Popova, Ekaterine Roth, Sebastian Fellahi, Jean-Luc Puelacher, Christian Sheka, Mootii Kavsak, Peter Richards, Toby Abelha, Fernando Szczeklik, Wojciech Walder, Bernhard Ackland, Gareth Abbott, Tom E F M'Pembele, Rene Bollen Pinto, Bernardo Longrois, Dan Giossi, Laure |
Author_xml | – sequence: 1 givenname: Giovanna surname: Lurati Buse fullname: Lurati Buse, Giovanna email: UnIC@RISE organization: From the Department of Anaesthesiology, University Hospital Dusseldorf, Dusseldorf, Germany (GLB, RMP, AN, SR), Division of Anaesthesiology, Geneva University Hospitals (HUG), Geneva, Switzerland (BBP, MS, BW), Department of Anesthesiology, Centro Hospitalar Universitário de São João, Porto, Portugal (FA), Cardiovascular Research and Development Center (UnIC@RISE), Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal (FA), William Harvey Research Institute, Queen Mary University of London, London, UK (TEA, GA), Department of Anaesthesia and Perioperative Medicine, Royal London Hospital, Barts Health NHS Trust, London, UK (GA), Department of Paediatric and Obstetric Anaesthesia, Rigshospitalet & Department of Clinical Medicine, Copenhagen University, Denmark (AA), Department of Anaesthesiology and Perioperative Medicine, Ghent University Hospital, Ghent University, Ghent, Belgium (SDH), Service d'Anesthésie-Réanimation, Hôpital Universitaire Louis Pradel, Hospices Civils de Lyon, 59 boulevard Pinel, 69500 Lyon, France (J-LF), "Patients as Partners" program, Geneva University Hospitals (HUG), Geneva, Switzerland (LG), Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada (PK), Department of Anesthesiology and Intensive Care, Bichat Claude-Bernard Hospital, Assistance Publique-Hopitaux de Paris - Nord, University of Paris, INSERM U1148, Paris, France (DL), Institut d'Investigació Biomèdica Sant Pau (IIB SANT PAU), Barcelona, Spain (EP), Centro Cochrane Iberoamericano, Barcelona, Spain (EP), Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel-Stadt, Switzerland (CP), Department of Internal Medicine, University Hospital Basel, University of Basel, Petersgraben 4, 4031 Basel, Basel-Stadt, Switzerland (CP), Division of Surgery, University of Western Australia, Perkins South Building, Fiona Stanley Hospital, Murdoch, Perth, WA, Australia (TR), Institute of Clinical Trials and Methodology and Division of Surgery, University College London, UK (TR), Department of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland (WS), Department of Anesthesiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands (JvW), Department of Anaesthesia and Intensive Care, Biomedical and Clinical Sciences, Linköping University Hospital, Sweden (MSC) – sequence: 2 givenname: Bernardo surname: Bollen Pinto fullname: Bollen Pinto, Bernardo – sequence: 3 givenname: Fernando surname: Abelha fullname: Abelha, Fernando – sequence: 4 givenname: Tom E F surname: Abbott fullname: Abbott, Tom E F – sequence: 5 givenname: Gareth surname: Ackland fullname: Ackland, Gareth – sequence: 6 givenname: Arash surname: Afshari fullname: Afshari, Arash – sequence: 7 givenname: Stefan surname: De Hert fullname: De Hert, Stefan – sequence: 8 givenname: Jean-Luc surname: Fellahi fullname: Fellahi, Jean-Luc – sequence: 9 givenname: Laure surname: Giossi fullname: Giossi, Laure – sequence: 10 givenname: Peter surname: Kavsak fullname: Kavsak, Peter – sequence: 11 givenname: Dan surname: Longrois fullname: Longrois, Dan – sequence: 12 givenname: Rene surname: M'Pembele fullname: M'Pembele, Rene – sequence: 13 givenname: Anthony surname: Nucaro fullname: Nucaro, Anthony – sequence: 14 givenname: Ekaterine surname: Popova fullname: Popova, Ekaterine – sequence: 15 givenname: Christian surname: Puelacher fullname: Puelacher, Christian – sequence: 16 givenname: Toby surname: Richards fullname: Richards, Toby – sequence: 17 givenname: Sebastian surname: Roth fullname: Roth, Sebastian – sequence: 18 givenname: Mootii surname: Sheka fullname: Sheka, Mootii – sequence: 19 givenname: Wojciech surname: Szczeklik fullname: Szczeklik, Wojciech – sequence: 20 givenname: Judith surname: van Waes fullname: van Waes, Judith – sequence: 21 givenname: Bernhard surname: Walder fullname: Walder, Bernhard – sequence: 22 givenname: Michelle S surname: Chew fullname: Chew, Michelle S |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37265332$$D View this record in MEDLINE/PubMed |
BookMark | eNpNj91KxDAQhYMo7o--gUheoGuSadL2spR1XVnwQr3xZkmTqcbttiVpF3x7Ayo4F3M438DhzIKcd32HhNxwtuKsyO7Wj-WK_RueK3lG5hyUTASkakYWIXzGg-SMX5IZZEJJADEnb-vnclvRpjdTQEvfJ2exdR1G4un4gTRi2jfUaG-dNrR2_VH7A_pAXUcH9K6PS4_uhNS7cKB40u0Ufd9dkYtGtwGvf3VJXu_XL9VDsnvabKtyl5hUyDExCqxgQqICIyTUDJgWDePATa4KAxYgL7QyuU61LhouGYg0djcZQ5XbQizJ7U_uMNVHtPvBu1jxa__3pPgG3oJT-w |
CitedBy_id | crossref_primary_10_1213_ANE_0000000000006845 crossref_primary_10_1007_s00101_023_01363_4 crossref_primary_10_24884_2078_5658_2024_21_2_6_17 crossref_primary_10_1007_s00101_024_01411_7 crossref_primary_10_1007_s00101_024_01417_1 crossref_primary_10_1080_14779072_2023_2283123 crossref_primary_10_1007_s00101_024_01422_4 crossref_primary_10_1016_j_bja_2024_01_010 crossref_primary_10_1007_s00134_024_07477_6 crossref_primary_10_24884_2078_5658_2023_20_5_6_16 crossref_primary_10_1136_bmjopen_2023_078307 crossref_primary_10_3390_jcm13051473 crossref_primary_10_1111_aas_14472 crossref_primary_10_1016_j_anrea_2023_12_005 crossref_primary_10_1016_j_bja_2023_10_021 crossref_primary_10_1016_j_bja_2023_12_017 crossref_primary_10_1016_j_bja_2023_10_014 crossref_primary_10_1097_EJA_0000000000001909 |
ContentType | Journal Article |
Copyright | Copyright © 2023 European Society of Anaesthesiology and Intensive Care. Unauthorized reproduction of this article is prohibited. |
Copyright_xml | – notice: Copyright © 2023 European Society of Anaesthesiology and Intensive Care. Unauthorized reproduction of this article is prohibited. |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1097/EJA.0000000000001865 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
EISSN | 1365-2346 |
ExternalDocumentID | 37265332 |
Genre | Journal Article Practice Guideline |
GroupedDBID | --- .Z2 026 0R~ 1J1 1OC 36B 5GY 5RE 5VS 6PF AAAAV AAAXR AAGIX AAHPQ AAIQE AAMOA AAQKA AARTV AASCR AAWTL AAXQO AAYEP ABASU ABBUW ABDIG ABITZ ABJNI ABVCZ ABXVJ ABZAD ACDDN ACEWG ACGFS ACILI ACWDW ACWRI ACXJB ACXNZ ADGGA ADHPY AE6 AENEX AFDTB AFUWQ AGINI AHMBA AHOMT AHQNM AHVBC AHXIK AIJEX AINUH AJIOK AJNWD AJZMW AKULP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW ATUCA AWKKM BOYCO BQLVK C45 CGR CS3 CUY CVF DIWNM DU5 E.X EBS ECM EEVPB EIF ERAAH EX3 F5P FCALG FL- GNXGY GQDEL HLJTE HZ~ IKREB IKYAY IN~ IPNFZ JK3 JK8 KD2 L-C N9A NPM O9- ODA OHH OJAPA OPUJH OVD OVDNE OVIDH OVLEI OXXIT P2P PQQKQ RCA RIG RLZ S4S TEORI TSPGW V2I W3M WOW X3V X3W YFH |
ID | FETCH-LOGICAL-c425t-c63d2025e63c253b030a2f0131c869c3d3389a6c8a4aa9f150324332c70e68d92 |
IngestDate | Sat Sep 28 08:16:39 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 12 |
Language | English |
License | Copyright © 2023 European Society of Anaesthesiology and Intensive Care. Unauthorized reproduction of this article is prohibited. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c425t-c63d2025e63c253b030a2f0131c869c3d3389a6c8a4aa9f150324332c70e68d92 |
OpenAccessLink | https://doi.org/10.1097/eja.0000000000001865 |
PMID | 37265332 |
ParticipantIDs | pubmed_primary_37265332 |
PublicationCentury | 2000 |
PublicationDate | 2023-12-01 |
PublicationDateYYYYMMDD | 2023-12-01 |
PublicationDate_xml | – month: 12 year: 2023 text: 2023-12-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | European journal of anaesthesiology |
PublicationTitleAlternate | Eur J Anaesthesiol |
PublicationYear | 2023 |
SSID | ssj0005101 |
Score | 2.5001152 |
Snippet | In recent years, there has been increasing focus on the use of cardiac biomarkers in patients undergoing noncardiac surgery.
The aim of this focused guideline... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 888 |
SubjectTerms | Adult Biomarkers Health Status Disparities Humans Natriuretic Peptide, Brain Postoperative Period Troponin |
Title | ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation |
URI | https://www.ncbi.nlm.nih.gov/pubmed/37265332 |
Volume | 40 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JTsMwELUKSIgLArFv8oFbFaB24yTHggoIAReKhLggr9ADSVWaC3_DnzJeQsImlh6iypas1u91OjN-M0ZoV0rKBTNpJJSGAKUreJSlVEYdoYhWIubGVb1fXLLT6-7ZTXzTar00VEvlROzJ5y_rSv6DKowBrrZK9g_Ivi0KA_Ae8IUnIAzPX2Hcv-rBJppClk_gN96XtmWV9Ror6WDpE_XSsUC2bam9VeOMg3Z8PCxGOnT-dhLzuvX3twn74LzynMPfyYN-Gr5Ly5-Xdjmrpnd50hOrdM3zOua3WQowusPcXd7UPrTJyLEq6jMoe37v_Gmf3m7MiKAsGRSP7X7QI4dsBaEN5Yf2FtbJ6mjIOwYT7Ds2VVQjDYOa-kv_Phl630C4f9bzDSjDq5P6iyca2I8eHfg0IQw8W_Lz7If229XUFJpKUmtCL206qNIQgUGr6jGzZP-rjzOHZqslPkQuzoMZLKD5EHrgnufRImrpfAndOg7hwCH8xiEYGWMAGMMwLgwOHMI1h_Awx-84hC2HcM2hZXR93B8cnUbhvo1IguWeRJJRBZjFmlFJYirA_nNibEMmmbJMUkXBu-VMprzLeWYglABvHL6XTA40S1VGVtB0XuR6DWGZdZROVEyMYV0hMkGZUfaEWYADGlO-jlb9VtyNfFOVu2qTNr6d2URzNaO20IyBX7HeBpdwInYcLK-ZA2Gu |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=ESAIC+focused+guideline+for+the+use+of+cardiac+biomarkers+in+perioperative+risk+evaluation&rft.jtitle=European+journal+of+anaesthesiology&rft.au=Lurati+Buse%2C+Giovanna&rft.au=Bollen+Pinto%2C+Bernardo&rft.au=Abelha%2C+Fernando&rft.au=Abbott%2C+Tom+E+F&rft.date=2023-12-01&rft.eissn=1365-2346&rft.volume=40&rft.issue=12&rft.spage=888&rft_id=info:doi/10.1097%2FEJA.0000000000001865&rft_id=info%3Apmid%2F37265332&rft_id=info%3Apmid%2F37265332&rft.externalDocID=37265332 |