학술논문
Evaluation of choosing wisely recommendations on preprocedural cardiovascular testing
Document Type
article
Author
Source
American Heart Journal Plus, Vol 13, Iss , Pp 100107- (2022)
Subject
Language
English
ISSN
2666-6022
Abstract
Study objective: The Choosing Wisely (CW) initiative currently has multiple recommendations focused on avoiding preprocedural testing in asymptomatic patients prior to low-risk surgery. The purpose of this study was to measure the potential impact of the CW recommendations as they relate to preprocedural testing prior to cataract surgery. Design: Retrospective cohort study. Setting: Single academic medical center. Participants: Patients undergoing cataract surgery from 01/02/2018 to 12/31/2018. Interventions: N/A. Main outcome measures: Prevalence of preprocedural testing in elevated versus low cardiac risk patients as defined by the Revised Cardiac Risk Index (RCRI). Results: Of a total 909 patients, 90 (9.9%) had some form of preprocedural testing ordered; testing was more common among elevated risk (n = 50/315, 15.9%) compared to low-risk patients (n = 40/594, 6.7%; p