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Non Cardiac Surgery

MET: REevaluation for Perioperative cArdIac Risk (MET-REPAIR)

Sponsored by European Society of Anaesthesiology

About this trial

Last updated 2 years ago

Study ID

MET-REPAIR

Status

Completed

Type

Observational

Placebo

No

Accepting

18-75 Years
45+ Years
All
All

Not accepting

Not accepting
Healthy Volunteers

Trial Timing

Ended 5 years ago

What is this trial about?

Multicentre international prospective cohort study designed to answer the question: "In patients undergoing elevated risk noncardiac surgery, are METs estimated by questionnaire associated with perioperative major adverse cardiovascular events or cardiovascular mortality?" If so: 1. What is the optimal cut-off for METs estimated by questionnaire to predict perioperative major adverse cardiovascular events or cardiovascular mortality? 2. How does the optimal cut-off compare with the currently guideline-endorsed 4-MET cut-off?

What are the participation requirements?

Yes

Inclusion Criteria

- Planned as Inpatients after surgery

- 45 years of age or older AND undergoing elective elevated-risk noncardiac surgery as defined by either a Revised Cardiac Risk Index ≥ 2 [9] OR NSQIP MICA>1% [10]

- 65 years of age or older and undergoing intermediate or high-risk procedures [3]

- Signed Written informed consent

No

Exclusion Criteria

- Non-elective surgery, i.e. planned to occur ≤ 72 hours after diagnosis of the acute condition that makes the procedure necessary

- Acute coronary syndrome or uncontrolled congestive heart failure within the last 30 days of planned day of surgery

- Stroke within the last 7 days of planned day of surgery

- Outpatients

- Patients unable to perform ambulation due to congenital or longstanding illnesses/states (e.g. paraplegics, polio, etc; but explicitly not patients with fractures, needing hip replacement, etc.)

- Unable to consent or unwilling to participate

- Previous enrolment in MET REPAIR (in case of repeated surgery)

Locations

Location

Status