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Postoperative mortality after inpatient surgery: Incidence and risk factors

التفاصيل البيبلوغرافية
العنوان: Postoperative mortality after inpatient surgery: Incidence and risk factors
المؤلفون: Karamarie Fecho, Anne T Lunney, Philip G Boysen, Peter Rock, Edward A Norfleet
المصدر: Therapeutics and Clinical Risk Management, Vol 2008, Iss Issue 4, Pp 681-688 (2008)
بيانات النشر: Dove Medical Press, 2008.
سنة النشر: 2008
المجموعة: LCC:Therapeutics. Pharmacology
مصطلحات موضوعية: Therapeutics. Pharmacology, RM1-950
الوصف: Karamarie Fecho1, Anne T Lunney1, Philip G Boysen1, Peter Rock2, Edward A Norfleet11Department of Anesthesiology, School of Medicine, University of North Carolina, Chapel Hill, NC, USA; 2Department of Anesthesiology, University of Maryland, Baltimore, MD, USAPurpose: This study determined the incidence of and identified risk factors for 48 hour (h) and 30 day (d) postoperative mortality after inpatient operations.Methods: A retrospective cohort study was conducted using Anesthesiology’s Quality Indicator database as the main data source. The database was queried for data related to the surgical procedure, anesthetic care, perioperative adverse events, and birth/death/operation dates. The 48 h and 30 d cumulative incidence of postoperative mortality was calculated and data were analyzed using Chi-square or Fisher’s exact test and generalized estimating equations.Results: The 48 h and 30 d incidence of postoperative mortality was 0.57% and 2.1%, respectively. Higher American Society of Anesthesiologists physical status scores, extremes of age, emergencies, perioperative adverse events and postoperative Intensive Care Unit admission were identified as risk factors. The use of monitored anesthesia care or general anesthesia versus regional or combined anesthesia was a risk factor for 30 d postoperative mortality only. Time under anesthesia care, perioperative hypothermia, trauma, deliberate hypotension and invasive monitoring via arterial, pulmonary artery or cardiovascular catheters were not identified as risk factors.Conclusions: Our findings can be used to track postoperative mortality rates and to test preventative interventions at our institution and elsewhere.Keywords: postoperative mortality, risk factors, operations, anesthesia, inpatient surgery
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1176-6336
1178-203X
Relation: http://www.dovepress.com/postoperative-mortality-after-inpatient-surgery-incidence-and-risk-fac-a2131; https://doaj.org/toc/1176-6336; https://doaj.org/toc/1178-203X
URL الوصول: https://doaj.org/article/36aa48c92a30489d960c674a317133b5
رقم الأكسشن: edsdoj.36aa48c92a30489d960c674a317133b5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:11766336
1178203X