Analysis of the guideline “Perioperative management of patients with coronary artery disease”, “Perioperative management of patients with concomitant pathology of the heart valves” and “Perioperative management of patients with concomitant morbid obesity”: modified Delphi method-Reference-Cited by-同舟云学术

Analysis of the guideline “Perioperative management of patients with coronary artery disease”, “Perioperative management of patients with concomitant pathology of the heart valves” and “Perioperative management of patients with concomitant morbid obesity”: modified Delphi method

Published:2024-04-27 Issue:2 Volume: Page:21-30
ISSN:1818-474X
Container-title:Annals of Critical Care
language:
Short-container-title:Annals of Critical Care

Author:

Lakhin R. E.¹^ORCID,Dunts Pavel V.²^ORCID,Trembach N. V.³^ORCID,Andreenko A. A.⁴^ORCID,Bayalieva A. Zh.⁵^ORCID,Gorokhovsky V. S.⁶^ORCID,Grigoryev E. V.⁷^ORCID,Gritsan A. I.⁸^ORCID,Gruzdev V. E.⁹^ORCID,Ezhevskaya A. A.¹⁰^ORCID,Ershov V. I.¹¹^ORCID,Kitiashvili I. Z.¹²^ORCID,Kokhno V. N.¹³^ORCID,Kuzovlev A. N.¹⁴^ORCID,Kuligin A. V.¹⁵^ORCID,Levit A. L.¹⁶^ORCID,Leiderman I. N.¹⁷^ORCID,Magomedov M. A.¹⁸^ORCID,Myasnikova V. V.³^ORCID,Ovezov A. M.¹⁹^ORCID,Orlov Yu. P.²⁰^ORCID,Popugaev K. A.²¹^ORCID,Potievskaya V. I.²²^ORCID,Savvina I. A.²³^ORCID,Sitkin S. I.²⁴^ORCID,Spasova A. P.²⁵^ORCID,Fisher V. V.²⁶^ORCID,Khoronenko V. E.²⁷^ORCID,Shen N. P.²⁸^ORCID

Affiliation:

1. Military Medical Academy, St. Petersburg, Russia; Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

2. Pacific State Medical University, Vladivostok, Russia; Regional Clinical Hospital No 2, Vladivostok, Russia

3. Kuban State Medical University, Krasnodar, Russia

4. Military Medical Academy, St. Petersburg, Russia

5. Kazan State Medical University, Kazan, Russia

6. Far Eastern State Medical University, Khabarovsk, Russia

7. Kemerovo State Medical University, Kemerovo, Russia

8. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia

9. Lapino-2 Cancer Center, Lapino, Russia

10. Privolzhsky Research Medical University, Nizhny Novgorod, Russia

11. Orenburg State Medical University, Orenburg, Russia

12. Russian Medical Academy of Continuous Professional Education, Moscow, Russia

13. Novosibirsk State Medical University, Novosibirsk, Russia

14. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia

15. Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia

16. Ural State Medical University, Yekaterinburg, Russia

17. Almazov National Medical Research Centre, St. Petersburg, Russia

18. Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia

19. Moscow Regional Research and Clinical Institute, Moscow, Russia

20. Omsk State Medical University, Omsk, Russia

21. A.I. Burnasyan Federal Medical Biophysical Center FMBA, Moscow, Russia

22. National Medical Research Radiological Centre, Moscow, Russia

23. Almazov National Medical Research Centre, St. Petersburg, Russia; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

24. Tver State Medical Academy, Tver, Russia

25. Petrozavodsk State University, Petrozavodsk, Russia

26. Stavropol State Medical University, Stavropol, Russia

27. P.A. Hertsen Moscow Oncology Research Center, Moscow, Russia; RUDN University, Moscow, Russia

28. Tyumen State Medical University, Tyumen, Russia

Abstract

INTRODUCTION: The development of clinical and methodological recommendations improves the quality of medical care and reduces the risk of complications. OBJECTIVE: To analyze the methodological recommendations “Perioperative management of patients with coronary heart disease”, “Perioperative management of patients with concomitant pathology of the valvular heart apparatus” and “Perioperative management of patients with concomitant morbid obesity” using the modified Delphi method. MATERIALS AND METHODS: A modified Delphi method was used with two rounds of questionnaires to develop a consensus. The agreement of specialists was reached in three stages: the preparatory stage, the discussion stage and the stage of developing a consensus conclusion. RESULTS: When discussing the methodological recommendation “Perioperative management of patients with coronary heart disease”, a consensus was reached on 35 out of 37 provisions and 7 out of 8 criteria for the quality of medical care. The analysis of the methodological recommendation “Perioperative management of patients with concomitant pathology of the valvular heart apparatus” showed that 57 out of 60 provisions, as well as all 13 criteria for the quality of medical care, were agreed upon. The discussion of the methodological recommendations “Perioperative management of patients with concomitant morbid obesity” showed that 22 of the 23 provisions of the recommendation and all 5 quality criteria were agreed upon. CONCLUSIONS: The results of the Delphic examination, obtained as a result of a detailed analysis by independent experts, will be useful for the co-authors of the discussed methodological recommendations before the planned revision.

Publisher

Practical Medicine Publishing House

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