Perioperative Interdisciplinary, Intersectoral Process Optimization in Heart Failure

combined primary endpoint at 90 days post-operation : re-hospitalization,AKI, bacterial infection and cardiac decompensation

Chronic heart failure affects up to three million people in Germany, with prevalence
 increasing with age. It is a leading cause of cardiovascular disease-related deaths. Patients
 with heart failure undergoing non-cardiac surgery face higher risks of complications and
 death compared to those with coronary artery disease. Despite guidelines recommending
 comprehensive preoperative evaluation, there is no systematic risk assessment structure in
 place, leading to inadequate perioperative care. This study aims to evaluate a
 multidisciplinary approach for high-risk patients aged 65 and above, regardless of prior
 heart failure diagnosis, to mitigate postoperative complications. The investigators measure
 the NTpro BNP before surgery and include patients with NTproBNP 450 in this study and
 randomize them either to the standard care group or the intervention group.The hypothesis is
 that standardized risk screening and multidimensional care (Intervention group) can reduce
 complications in these patients undergoing non-cardiac surgery.