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Pregled bibliografske jedinice broj: 1069993

Mortality After Surgery in Europe: A 7 Day Cohort Study


(European Surgical Outcomes Study (EuSOS) group) Pearse, Rupert M; Moreno, Rui P; Bauer, Peter; Pelosi, Paolo; Metnitz, Philipp; Spies, Claudia; Vallet, Benoit; Vincent, Jean-Louis; Hoeft, Andreas; Rhodes, Andrew; EuSOS study group
Mortality After Surgery in Europe: A 7 Day Cohort Study // Lancet Global Health, 380 (2012), 9847; 1059-1065 doi:10.1016/S0140-6736(12)61148-9 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1069993 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Mortality After Surgery in Europe: A 7 Day Cohort Study

Autori
Pearse, Rupert M ; Moreno, Rui P ; Bauer, Peter ; Pelosi, Paolo ; Metnitz, Philipp ; Spies, Claudia ; Vallet, Benoit ; Vincent, Jean-Louis ; Hoeft, Andreas ; Rhodes, Andrew ; EuSOS study group

Kolaboracija
European Surgical Outcomes Study (EuSOS) group

Izvornik
Lancet Global Health (2214-109X) 380 (2012), 9847; 1059-1065

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Clinical outcomes ; mortality ; surgery

Sažetak
Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non- cardiac surgery in Europe. Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ(2) and Fisher's exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries. Findings: We included 46, 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9- 3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0-3·0] for Iceland to 21·5% [16·9- 26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19- 1·05 ; p=0·06] for Finland to 6·92 [2·37-20·27 ; p=0·0004] for Poland). Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Tatjana Šimurina, collaborator



POVEZANOST RADA


Ustanove:
Stomatološki fakultet, Zagreb,
Klinički bolnički centar Osijek,
KBC "Sestre Milosrdnice",
Klinička bolnica "Dubrava",
Klinički bolnički centar Rijeka

Poveznice na cjeloviti tekst rada:

Pristup cjelovitom tekstu rada doi www.ncbi.nlm.nih.gov

Citiraj ovu publikaciju:

(European Surgical Outcomes Study (EuSOS) group) Pearse, Rupert M; Moreno, Rui P; Bauer, Peter; Pelosi, Paolo; Metnitz, Philipp; Spies, Claudia; Vallet, Benoit; Vincent, Jean-Louis; Hoeft, Andreas; Rhodes, Andrew; EuSOS study group
Mortality After Surgery in Europe: A 7 Day Cohort Study // Lancet Global Health, 380 (2012), 9847; 1059-1065 doi:10.1016/S0140-6736(12)61148-9 (međunarodna recenzija, članak, znanstveni)
(European Surgical Outcomes Study (EuSOS) group) (European Surgical Outcomes Study (EuSOS) group) Pearse, R., Moreno, R., Bauer, P., Pelosi, P., Metnitz, P., Spies, C., Vallet, B., Vincent, J., Hoeft, A., Rhodes, A. & EuSOS study group (2012) Mortality After Surgery in Europe: A 7 Day Cohort Study. Lancet Global Health, 380 (9847), 1059-1065 doi:10.1016/S0140-6736(12)61148-9.
@article{article, author = {Pearse, Rupert M and Moreno, Rui P and Bauer, Peter and Pelosi, Paolo and Metnitz, Philipp and Spies, Claudia and Vallet, Benoit and Vincent, Jean-Louis and Hoeft, Andreas and Rhodes, Andrew}, year = {2012}, pages = {1059-1065}, DOI = {10.1016/S0140-6736(12)61148-9}, keywords = {Clinical outcomes, mortality, surgery}, journal = {Lancet Global Health}, doi = {10.1016/S0140-6736(12)61148-9}, volume = {380}, number = {9847}, issn = {2214-109X}, title = {Mortality After Surgery in Europe: A 7 Day Cohort Study}, keyword = {Clinical outcomes, mortality, surgery} }
@article{article, author = {Pearse, Rupert M and Moreno, Rui P and Bauer, Peter and Pelosi, Paolo and Metnitz, Philipp and Spies, Claudia and Vallet, Benoit and Vincent, Jean-Louis and Hoeft, Andreas and Rhodes, Andrew}, year = {2012}, pages = {1059-1065}, DOI = {10.1016/S0140-6736(12)61148-9}, keywords = {Clinical outcomes, mortality, surgery}, journal = {Lancet Global Health}, doi = {10.1016/S0140-6736(12)61148-9}, volume = {380}, number = {9847}, issn = {2214-109X}, title = {Mortality After Surgery in Europe: A 7 Day Cohort Study}, keyword = {Clinical outcomes, mortality, surgery} }

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