Evidence mapPaperPMID 40895159Full record

ArticleCurrent anesthesiology reports2025

Perioperative Cardiovascular Outcomes and Risk Assessment in Older Adults for Noncardiac Surgery.

Seok Jae Hong, Nathaniel R Smilowitz

Abstract read
In one paragraph

Article in Current anesthesiology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Seok Jae HongLeon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York.
Nathaniel R SmilowitzLeon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York.

Funding

NHLBI NIH HHS K23 HL150315
6 · The paper itself

Abstract

Purpose of Review: Older adults age >65 years are the fastest growing segment of the United States population, and many undergo non-cardiac surgery each year. Despite the high prevalence of cardiovascular disease in this population, data to guide perioperative care in older adults are limited. This review summarizes the literature on cardiovascular outcomes associated with noncardiac surgery in older adults, identifies unique clinical factors to consider in geriatric cohorts, and highlights clinical practice guidelines relevant to perioperative management of older adults. Recent Findings: Cardiovascular complications of noncardiac surgery are most common in older adults. Current cardiovascular risk calculators may significantly underestimate preoperative cardiovascular risk in these patients. Frailty assessments and novel risk calculators can improve risk stratification in older adults. Clinical factors, including coronary artery disease, heart failure, vascular stiffness, and aortic stenosis are key pathologies that may impact surgical outcomes. Pre-operative diagnostic cardiovascular testing may be helpful to identify cardiovascular disease in select patients, but routine testing is not generally recommended. Summary: Older adults have worse perioperative cardiovascular outcomes than younger individuals. Providers should consider clinical factors beyond those captured in traditional risk perioperative calculators to guide clinical decision making prior to noncardiac surgery.

Indexed as

cardiovascular riskfrailtygeriatricsnon-cardiac surgeryperioperative riskrisk calculators

Identifiers

PMID40895159
PMCPMC12393174

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.