Prospective study on long-term outcome after abdominal surgery
To access publisher's full text version of this article click on the hyperlink below 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 influen...
Published in: | Acta Anaesthesiologica Scandinavica |
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Online Access: | http://hdl.handle.net/2336/620467 https://doi.org/10.1111/aas.13025 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620467 2023-05-15T16:48:45+02:00 Prospective study on long-term outcome after abdominal surgery Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. 1 Landspitali, Dept Internal Med, Reykjavik, Iceland Show more 2 Univ Iceland, Fac Med, Reykjavik, Iceland Show more 3 Duke Univ, Sch Med, Dept Anesthesiol, Durham, NC USA 4 Landspitali, Dept Anaesthesia & Intens Care Med, Reykjavik, Iceland 5 Landspitali, Dept Surg, Reykjavik, Iceland Department of Internal Medicine; Landspitali - The National University Hospital of Iceland; Reykjavik Iceland Department of Anesthesiology; Duke University School of Medicine; Durham NC USA Department of Anaesthesia and Intensive Care Medicine; Landspitali - The National University Hospital of Iceland; Reykjavik Iceland Faculty of Medicine; University of Iceland; Reykjavik Iceland 2018 http://hdl.handle.net/2336/620467 https://doi.org/10.1111/aas.13025 en eng Wiley http://doi.wiley.com/10.1111/aas.13025 Prospective study on long-term outcome after abdominal surgery 2018, 62 (2):147 Acta Anaesthesiologica Scandinavica 00015172 doi:10.1111/aas.13025 http://hdl.handle.net/2336/620467 Acta Anaesthesiologica Scandinavica Archived with thanks to Acta Anaesthesiologica Scandinavica National Consortium - Landsaðgangur Skurðlækningar Kviðarhol Lífslíkur Dánarmein SAM12 AAA12 Postoperative Complications Surgical Procedures Operative Survival Mortality Abdomen Article 2018 ftlandspitaliuni https://doi.org/10.1111/aas.13025 2022-05-29T08:22:19Z To access publisher's full text version of this article click on the hyperlink below 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. Landspitali The National University Hospital of Iceland Research Fund Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Acta Anaesthesiologica Scandinavica 62 2 147 158 |
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Open Polar |
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Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Skurðlækningar Kviðarhol Lífslíkur Dánarmein SAM12 AAA12 Postoperative Complications Surgical Procedures Operative Survival Mortality Abdomen |
spellingShingle |
Skurðlækningar Kviðarhol Lífslíkur Dánarmein SAM12 AAA12 Postoperative Complications Surgical Procedures Operative Survival Mortality Abdomen Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. Prospective study on long-term outcome after abdominal surgery |
topic_facet |
Skurðlækningar Kviðarhol Lífslíkur Dánarmein SAM12 AAA12 Postoperative Complications Surgical Procedures Operative Survival Mortality Abdomen |
description |
To access publisher's full text version of this article click on the hyperlink below 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. Landspitali The National University Hospital of Iceland Research Fund |
author2 |
1 Landspitali, Dept Internal Med, Reykjavik, Iceland Show more 2 Univ Iceland, Fac Med, Reykjavik, Iceland Show more 3 Duke Univ, Sch Med, Dept Anesthesiol, Durham, NC USA 4 Landspitali, Dept Anaesthesia & Intens Care Med, Reykjavik, Iceland 5 Landspitali, Dept Surg, Reykjavik, Iceland Department of Internal Medicine; Landspitali - The National University Hospital of Iceland; Reykjavik Iceland Department of Anesthesiology; Duke University School of Medicine; Durham NC USA Department of Anaesthesia and Intensive Care Medicine; Landspitali - The National University Hospital of Iceland; Reykjavik Iceland Faculty of Medicine; University of Iceland; Reykjavik Iceland |
format |
Article in Journal/Newspaper |
author |
Brynjarsdottir, E. D. Sigurdsson, M. I. Sigmundsdottir, E. Möller, P. H. Sigurdsson, G. H. |
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 |
2018 |
url |
http://hdl.handle.net/2336/620467 https://doi.org/10.1111/aas.13025 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://doi.wiley.com/10.1111/aas.13025 Prospective study on long-term outcome after abdominal surgery 2018, 62 (2):147 Acta Anaesthesiologica Scandinavica 00015172 doi:10.1111/aas.13025 http://hdl.handle.net/2336/620467 Acta Anaesthesiologica Scandinavica |
op_rights |
Archived with thanks to Acta Anaesthesiologica Scandinavica National Consortium - Landsaðgangur |
op_doi |
https://doi.org/10.1111/aas.13025 |
container_title |
Acta Anaesthesiologica Scandinavica |
container_volume |
62 |
container_issue |
2 |
container_start_page |
147 |
op_container_end_page |
158 |
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1766038834545426432 |