Prospective study on long‐term outcome after abdominal surgery
Background Complications following major abdominal surgery are common and an important cause of morbidity and mortality. The aim of this study was to describe 1‐year mortality and identify factors that influence adverse outcomes after abdominal surgery. Methods This prospective observational cohort...
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crwiley:10.1111/aas.13025 2024-06-02T08:09:23+00:00 Prospective study on long‐term outcome after abdominal surgery Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. Landspitali - The National University Hospital of Iceland Research Fund 2017 http://dx.doi.org/10.1111/aas.13025 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faas.13025 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aas.13025 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Anaesthesiologica Scandinavica volume 62, issue 2, page 147-158 ISSN 0001-5172 1399-6576 journal-article 2017 crwiley https://doi.org/10.1111/aas.13025 2024-05-03T10:43:15Z Background Complications following major abdominal surgery are common and an important cause of morbidity and mortality. The aim of this study was to describe 1‐year mortality and identify factors that influence adverse outcomes after abdominal surgery. Methods This prospective observational cohort study was performed in Landspitali University Hospital and included all adult patients undergoing abdominal surgery requiring > 24‐h hospital admission over 13 months. The follow‐up period was 60 days for complications and 24 months for mortality. Results Data were available for 1113 (99.5%) of the 1119 patients who fulfilled inclusion criteria. A total of 23% of patients had at least one underlying co‐morbidity. Non‐elective surgeries were 48% and 13% of the patients were admitted to ICU post‐operatively. A total of 20% of patients developed complications. Mortality at 30 days, 1 and 2 years was 1.8%, 5.6%, and 8.3% respectively. One‐year mortality for those admitted to ICU was 18%. The long‐term survival of the individuals surviving 30 days was significantly worse than for an age‐ and gender‐matched population control group. Independent predictors for 1‐year mortality were age, pre‐operative acute kidney injury and intermediate‐ or major surgery. Conclusion Post‐operative complication rates and mortality following abdominal surgery in Iceland were comparable or in the lower range of previously published outcomes, validating the utility of offering a full host of abdominal surgical services in geographically isolated region with a relatively small referral base. Article in Journal/Newspaper Iceland Wiley Online Library Acta Anaesthesiologica Scandinavica 62 2 147 158 |
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Background Complications following major abdominal surgery are common and an important cause of morbidity and mortality. The aim of this study was to describe 1‐year mortality and identify factors that influence adverse outcomes after abdominal surgery. Methods This prospective observational cohort study was performed in Landspitali University Hospital and included all adult patients undergoing abdominal surgery requiring > 24‐h hospital admission over 13 months. The follow‐up period was 60 days for complications and 24 months for mortality. Results Data were available for 1113 (99.5%) of the 1119 patients who fulfilled inclusion criteria. A total of 23% of patients had at least one underlying co‐morbidity. Non‐elective surgeries were 48% and 13% of the patients were admitted to ICU post‐operatively. A total of 20% of patients developed complications. Mortality at 30 days, 1 and 2 years was 1.8%, 5.6%, and 8.3% respectively. One‐year mortality for those admitted to ICU was 18%. The long‐term survival of the individuals surviving 30 days was significantly worse than for an age‐ and gender‐matched population control group. Independent predictors for 1‐year mortality were age, pre‐operative acute kidney injury and intermediate‐ or major surgery. Conclusion Post‐operative complication rates and mortality following abdominal surgery in Iceland were comparable or in the lower range of previously published outcomes, validating the utility of offering a full host of abdominal surgical services in geographically isolated region with a relatively small referral base. |
author2 |
Landspitali - The National University Hospital of Iceland Research Fund |
format |
Article in Journal/Newspaper |
author |
Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. |
spellingShingle |
Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. Prospective study on long‐term outcome after abdominal surgery |
author_facet |
Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. |
author_sort |
Brynjarsdottir, E. D. |
title |
Prospective study on long‐term outcome after abdominal surgery |
title_short |
Prospective study on long‐term outcome after abdominal surgery |
title_full |
Prospective study on long‐term outcome after abdominal surgery |
title_fullStr |
Prospective study on long‐term outcome after abdominal surgery |
title_full_unstemmed |
Prospective study on long‐term outcome after abdominal surgery |
title_sort |
prospective study on long‐term outcome after abdominal surgery |
publisher |
Wiley |
publishDate |
2017 |
url |
http://dx.doi.org/10.1111/aas.13025 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Faas.13025 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aas.13025 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Acta Anaesthesiologica Scandinavica volume 62, issue 2, page 147-158 ISSN 0001-5172 1399-6576 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/aas.13025 |
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Acta Anaesthesiologica Scandinavica |
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62 |
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2 |
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147 |
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158 |
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