Measurement of exercise tolerance before surgery (mets) study: a protocol for an international multicentre prospective cohort study of cardiopulmonary exercise testing prior to major non-cardiac surgery

HIGHLIGHTS

  • who: Elizabeth Torres and collaborators from the By defining the most accurate approaches for evaluating preoperative cardiopulmonary fitness, the results of the METS Study will help clinicians to better identify highrisk patients who would benefit from preoperative optimisation, interventions, haemodynamic management, closer postoperative surveillance or avoidance of surgeryFurthermore, once patients with poor functional capacity can be more accurately identified, opportunities will arise for randomised controlled trials of interventions to improve their outcomes, such as preoperative exercise training programmes [52] perioperative haemodynamic optimisation, and enhanced postoperative care (eg, hospitalist-surgeon co-management models) [55, ]. Thus, the METS Study . . .

     

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