Table 2.
Studies evaluating activities of daily living assessment. n, number of patients. ∗All individuals had an indication for cardiac stress testing; indications included unknown or suspected poor functional capacity, exertional angina. †No predictive variables reported in this study. ‡Myocardial infarction, acute congestive heart failure, cardiac arrest, acute myocardial ischaemia, acute renal failure, stroke, respiratory failure, peripheral vascular occlusion. ADLs, activities of daily living; AUROC, area under the receiver operating characteristic curve; MET, metabolic equivalent.
First author, year (n) | Surgical cohort | Study design | Outcomes | Accuracy of prediction |
---|---|---|---|---|
Weinstein, 20183 (170) | Non-cardiac surgery∗ | Retrospective | Compared METs achieved on history (ADLs assessment) vs METs achieved on cardiac stress testing | METs estimated by ADLs: 3.3 METs lower than that achieved on cardiac stress testing Agreement between the two methods: Cohen's kappa=0.02† |
Wiklund, 200125 (5,939) | Elective, inpatient non-cardiac surgery | Retrospective | Cardiovascular, respiratory, neurological or renal complications; mortality‡ | Functional capacity <4 METs (as estimated by ADLs): Predicted cardiac complications (AUROC=0.66) Predicted mortality (AUROC=0.52) |