Mortality after surgery in Europe: a 7 day cohort study
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 intern...
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2012
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Online Access: | https://cris.maastrichtuniversity.nl/en/publications/c1559158-501c-4e32-bebf-c59d658e3ddd https://doi.org/10.1016/S0140-6736(12)61148-9 |
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ftumaastrichtcri:oai:cris.maastrichtuniversity.nl:publications/c1559158-501c-4e32-bebf-c59d658e3ddd 2024-04-14T08:13:54+00:00 Mortality after surgery in Europe: a 7 day cohort study Pearse, R. M. Moreno, R. P. Bauer, P. Pelosi, P. Metnitz, P. Spies, C. Vallet, B. Vincent, J.L. Hoeft, A. EuSOS (incl. Poeze), M. Rhodes, A. 2012-01-01 https://cris.maastrichtuniversity.nl/en/publications/c1559158-501c-4e32-bebf-c59d658e3ddd https://doi.org/10.1016/S0140-6736(12)61148-9 eng eng https://cris.maastrichtuniversity.nl/en/publications/c1559158-501c-4e32-bebf-c59d658e3ddd info:eu-repo/semantics/closedAccess Pearse , R M , Moreno , R P , Bauer , P , Pelosi , P , Metnitz , P , Spies , C , Vallet , B , Vincent , J L , Hoeft , A , EuSOS (incl. Poeze) , M & Rhodes , A 2012 , ' Mortality after surgery in Europe: a 7 day cohort study ' , Lancet , vol. 380 , no. 9847 , pp. 1059-65 . https://doi.org/10.1016/S0140-6736(12)61148-9 article 2012 ftumaastrichtcri https://doi.org/10.1016/S0140-6736(12)61148-9 2024-03-21T16:59:55Z 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 chi(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 ... Article in Journal/Newspaper Iceland Maastricht University Research Publications The Lancet 380 9847 1059 1065 |
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Open Polar |
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Maastricht University Research Publications |
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ftumaastrichtcri |
language |
English |
description |
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 chi(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 ... |
format |
Article in Journal/Newspaper |
author |
Pearse, R. M. Moreno, R. P. Bauer, P. Pelosi, P. Metnitz, P. Spies, C. Vallet, B. Vincent, J.L. Hoeft, A. EuSOS (incl. Poeze), M. Rhodes, A. |
spellingShingle |
Pearse, R. M. Moreno, R. P. Bauer, P. Pelosi, P. Metnitz, P. Spies, C. Vallet, B. Vincent, J.L. Hoeft, A. EuSOS (incl. Poeze), M. Rhodes, A. Mortality after surgery in Europe: a 7 day cohort study |
author_facet |
Pearse, R. M. Moreno, R. P. Bauer, P. Pelosi, P. Metnitz, P. Spies, C. Vallet, B. Vincent, J.L. Hoeft, A. EuSOS (incl. Poeze), M. Rhodes, A. |
author_sort |
Pearse, R. M. |
title |
Mortality after surgery in Europe: a 7 day cohort study |
title_short |
Mortality after surgery in Europe: a 7 day cohort study |
title_full |
Mortality after surgery in Europe: a 7 day cohort study |
title_fullStr |
Mortality after surgery in Europe: a 7 day cohort study |
title_full_unstemmed |
Mortality after surgery in Europe: a 7 day cohort study |
title_sort |
mortality after surgery in europe: a 7 day cohort study |
publishDate |
2012 |
url |
https://cris.maastrichtuniversity.nl/en/publications/c1559158-501c-4e32-bebf-c59d658e3ddd https://doi.org/10.1016/S0140-6736(12)61148-9 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Pearse , R M , Moreno , R P , Bauer , P , Pelosi , P , Metnitz , P , Spies , C , Vallet , B , Vincent , J L , Hoeft , A , EuSOS (incl. Poeze) , M & Rhodes , A 2012 , ' Mortality after surgery in Europe: a 7 day cohort study ' , Lancet , vol. 380 , no. 9847 , pp. 1059-65 . https://doi.org/10.1016/S0140-6736(12)61148-9 |
op_relation |
https://cris.maastrichtuniversity.nl/en/publications/c1559158-501c-4e32-bebf-c59d658e3ddd |
op_rights |
info:eu-repo/semantics/closedAccess |
op_doi |
https://doi.org/10.1016/S0140-6736(12)61148-9 |
container_title |
The Lancet |
container_volume |
380 |
container_issue |
9847 |
container_start_page |
1059 |
op_container_end_page |
1065 |
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1796311990973497344 |