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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries
Intensive Care Medicine, Volume 43, No. 7, Year 2017
Notification
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Description
Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2%], standard ward: 99/39,566 patients [0.3%]; adjusted OR 3.01 [2.10–5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery. © 2017, Springer-Verlag Berlin Heidelberg and ESICM.
Authors & Co-Authors
Kahan, Brennan C.
United Kingdom, London
Queen Mary University of London
Koulenti, Despoina
Greece, Athens
Attikon University Hospital
Australia, Brisbane
The University of Queensland
Arvaniti, Kostoula
Greece, Thessaloniki
Papageorgiou General Hospital
Beavis, Vanessa S.
New Zealand, Auckland
Auckland City Hospital
Campbell, Doug A.
New Zealand, Auckland
Auckland City Hospital
Chan, Matthew Tak Vai
Hong Kong, Hong Kong
Chinese University of Hong Kong
Moreno, Rui Paulo
Portugal, Lisbon
Hospital de São José
Pearse, Rupert M.
United Kingdom, London
Queen Mary University of London
United Kingdom, London
The Royal London Hospital
Beattie, William Scott
Unknown Affiliation
Demartines, Nicolas
Unknown Affiliation
Grocott, Michael P.W.
Unknown Affiliation
Haddow, James Boyd
Unknown Affiliation
Hoeft, Andreas
Unknown Affiliation
Holt, Peter James Edward
Unknown Affiliation
Pritchard, Naomi
Unknown Affiliation
Rhodes, Andrew
Unknown Affiliation
Wijeysundera, Duminda N.
Unknown Affiliation
Wilson, Matt G.
Unknown Affiliation
Ahmed, Tahania
Unknown Affiliation
Everingham, Kirsty
Unknown Affiliation
Hewson, Russell W.
Unknown Affiliation
Januszewska, Marta
Unknown Affiliation
Halliwell, Richard M.T.
Unknown Affiliation
Shulman, Mark A.
Unknown Affiliation
Myles, Paul S.
Unknown Affiliation
Schmid, Werner
Unknown Affiliation
Hiesmayr, Michael J.
Unknown Affiliation
Wouters, Patrick F.
Unknown Affiliation
de Hert, Stefan G.
Unknown Affiliation
Lobo, Suzana Margareth Ajeje
Unknown Affiliation
Fang, Xiangming
Unknown Affiliation
Rasmussen, Lars Simon
Unknown Affiliation
Futier, Emmanuel
Unknown Affiliation
Biais, Matthieu
Unknown Affiliation
Vénara, Aurélien
Unknown Affiliation
Slim, Karem
Unknown Affiliation
Sander, Michael
Unknown Affiliation
Chandra, Susilo
Unknown Affiliation
Tantri, Aida Rosita
Unknown Affiliation
Geddoa, Emad
Unknown Affiliation
Abbas, Muntadhar
Unknown Affiliation
Della-Rocca, Giorgio
Unknown Affiliation
Sivasakthi, Datin
Unknown Affiliation
Mansor, Marzida Binti
Unknown Affiliation
Luna, Pastor
Unknown Affiliation
Bouwman, R. Arthur
Unknown Affiliation
Buhre, Wolfgang F.F.A.
Unknown Affiliation
Short, Timothy G.
Unknown Affiliation
Osinaike, Tunde
Unknown Affiliation
Matos, Ricardo
Unknown Affiliation
Grigoras, Ioana
Unknown Affiliation
Kirov, M. Yu
Unknown Affiliation
Protsenko, Denis N.
Unknown Affiliation
Aldecoa Álvarez-Santuyano, César
Unknown Affiliation
Chew, Michelle S.
Unknown Affiliation
Hofer, Christoph Karl
Unknown Affiliation
Ditai, James
Unknown Affiliation
Szakmany, Tamas
Unknown Affiliation
Ferguson, Marissa T.
Unknown Affiliation
MacMahon, Michael
Unknown Affiliation
Cherian, Ritchie
Unknown Affiliation
Currow, Helen
Unknown Affiliation
Kanathiban, Kathirgamanathan
Unknown Affiliation
Gillespie, David
Unknown Affiliation
Pathmanathan, Edward
Unknown Affiliation
Phillips, Katherine
Unknown Affiliation
Reynolds, Jenifer R.
Unknown Affiliation
Rowley, Joanne
Unknown Affiliation
Douglas, Jeanene Lizbeth
Unknown Affiliation
Kerridge, Ross K.
Unknown Affiliation
Bennett, Michael H.
Unknown Affiliation
Jain, Megha
Unknown Affiliation
Alcock, David
Unknown Affiliation
Terblanche, Nico C.S.
Unknown Affiliation
Cotter, Rochelle
Unknown Affiliation
Leslie, Kate E.
Unknown Affiliation
Zingerle, Nicolette
Unknown Affiliation
Clyde, Antony
Unknown Affiliation
Hambidge, Oliver R.H.
Unknown Affiliation
Rehak, Adam
Unknown Affiliation
Cotterell, Sharon
Unknown Affiliation
McCulloch, Timothy James
Unknown Affiliation
Ben-Menachem, Erez
Unknown Affiliation
Egan, Thomas
Unknown Affiliation
Cope, Jennifer
Unknown Affiliation
Fellinger, Paul
Unknown Affiliation
Haselberger, Simone
Unknown Affiliation
Holaubek, Caroline
Unknown Affiliation
Lichtenegger, Paul
Unknown Affiliation
Scherz, Florian
Unknown Affiliation
Klug, Reinhold
Unknown Affiliation
Buerkle, Christian
Unknown Affiliation
Forget, Patrice
Unknown Affiliation
Kahn, David A.
Unknown Affiliation
Lois, Fernande Jane
Unknown Affiliation
Momeni, Mona
Unknown Affiliation
Pospiech, Audrey L.
Unknown Affiliation
Steyaert, Arnaud
Unknown Affiliation
Poelaert, Jan I.T.
Unknown Affiliation
Bouchez, Stefaan M.
Unknown Affiliation
Heyse, Björn E.K.
Unknown Affiliation
Roels, Nathalie R.A.
Unknown Affiliation
Vanpeteghem, Caroline M.
Unknown Affiliation
Wyffels, Piet A.H.
Unknown Affiliation
Dylst, Dimitri
Unknown Affiliation
Junior, Paulo do Nascimento
Unknown Affiliation
Caser, Eliana Bernadete
Unknown Affiliation
Piras, Cláudio
Unknown Affiliation
Funk, Duane J.
Unknown Affiliation
Hall, Richard I.
Unknown Affiliation
Hare, Gregory M.T.
Unknown Affiliation
Choi, Stephen Deanne
Unknown Affiliation
McCartney, Colin J.L.
Unknown Affiliation
Carroll, Jo Ann
Unknown Affiliation
Chan, Vincent W.S.
Unknown Affiliation
Perlas, Anahi
Unknown Affiliation
Yuan, Fang
Unknown Affiliation
Larsen, Michael Hareskov
Unknown Affiliation
Belœil, Hélène
Unknown Affiliation
Lasocki, Sigismond
Unknown Affiliation
Legouge, Marie Lim
Unknown Affiliation
Tesnier̀e, Antoine
Unknown Affiliation
Mutter, Didier
Unknown Affiliation
Ouaïssi, Mehdi
Unknown Affiliation
Lebuffe, Gilles R.
Unknown Affiliation
Wittmann, Maria
Unknown Affiliation
Goebel, Ulrich
Unknown Affiliation
Harris, Sarah E.
Unknown Affiliation
Gkiokas, Georgios A.
Unknown Affiliation
Georgiou, Georgios K.
Unknown Affiliation
Tsigou, Evdoxia
Unknown Affiliation
Mainas, Efstratios
Unknown Affiliation
Ioannidis, Orestis M.
Unknown Affiliation
Stamatiou, Konstantinos
Unknown Affiliation
Andreou, Alexandros G.
Unknown Affiliation
Koulouras, Vasilios P.
Unknown Affiliation
Papadopoulos, Dimitrios B.
Unknown Affiliation
Stamoulis, Konstantinos G.
Unknown Affiliation
Koo, Egy
Unknown Affiliation
Shah, Bhagyesh Ashwinkumar
Unknown Affiliation
Divatia, Jigeeshu Vasishtha
Unknown Affiliation
Mishra, Sanghamitra S.
Unknown Affiliation
Spadaro, S.
Unknown Affiliation
Roasio, Agostino
Unknown Affiliation
Bignami, Elena Giovanna
Unknown Affiliation
Cabrini, Luca
Unknown Affiliation
Landoni, Giovanni
Unknown Affiliation
Winterton, Dario
Unknown Affiliation
Zangrillo, Alberto
Unknown Affiliation
Gastaldi, Christian
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Joseph, James
Unknown Affiliation
Hussain, Nageena
Unknown Affiliation
Hollmann, M. Werner
Unknown Affiliation
Lancé, Marcus Daniel
Unknown Affiliation
van Klei, Wilton A.
Unknown Affiliation
McAllister, Davina J.
Unknown Affiliation
Wilson, Leona F.
Unknown Affiliation
Sara, Rachel A.
Unknown Affiliation
Olliff, Sue
Unknown Affiliation
Smith, Neil C.E.
Unknown Affiliation
Cooper, Richard Jason
Unknown Affiliation
Sule, Umar Musa
Unknown Affiliation
Atiku, Mamuda
Unknown Affiliation
Sarki, Adamu Muhammad
Unknown Affiliation
Adekola, Oo O.
Unknown Affiliation
Akanmu, Nurudeen Olanrewaju
Unknown Affiliation
Olajumoke, Tokunbo O.
Unknown Affiliation
Oyebamiji, Emmanuel O.
Unknown Affiliation
Adenekan, Anthony Taiwo
Unknown Affiliation
Adetoye, Adedapo Omowonuola
Unknown Affiliation
Faponle, Folayemi Aramide
Unknown Affiliation
Olateju, Simeon Olugbade
Unknown Affiliation
Owojuyigbe, Afolabi Muyiwa
Unknown Affiliation
Talabi, Ademola Olusegun
Unknown Affiliation
Collins, Nwokoro Chingbundu
Unknown Affiliation
Fatungase, Oluwabunmi Motunrayo
Unknown Affiliation
Ademola, Adeyinka Francis
Unknown Affiliation
Adeolu, Augustine Abiodun
Unknown Affiliation
Adigun, Tinuola A.
Unknown Affiliation
Akinwale, Mukaila Oyegbade
Unknown Affiliation
Fasina, Oluyemi O.
Unknown Affiliation
Gbolahan, Olalere Omoyosola
Unknown Affiliation
Idowu, Olusola Kayode
Unknown Affiliation
Osinaike, Babatunde Babasola
Unknown Affiliation
Asudo, Felicia D.
Unknown Affiliation
Mshelia, Danladi B.
Unknown Affiliation
Abdur-Rahman, Lukman Olajide
Unknown Affiliation
Agodirin, Olayide Sulaiman
Unknown Affiliation
Bello, Jibril O.
Unknown Affiliation
Bolaji, Benjamin Olusomi
Unknown Affiliation
Oyedepo, Olanrewaju Olubukola
Unknown Affiliation
Ezike, Humphrey Azubuike
Unknown Affiliation
Onuora, Elias Chukwujioke
Unknown Affiliation
Onyeka, Tonia Chinyelu
Unknown Affiliation
Ugwu, Innocent
Unknown Affiliation
Umeh, Friday
Unknown Affiliation
Alagbe-Briggs, Olubusola T.
Unknown Affiliation
Dodiyi-Manuel, Amabra
Unknown Affiliation
Echem, Richard C.
Unknown Affiliation
Obasuyi, Bright I.
Unknown Affiliation
Onajin-Obembe, Bisola O.I.
Unknown Affiliation
Branco, Teresa
Unknown Affiliation
Monte, J́ulia R.C.
Unknown Affiliation
Marques, Sofia
Unknown Affiliation
Statistics
Citations: 99
Authors: 205
Affiliations: 8
Identifiers
Doi:
10.1007/s00134-016-4633-8
ISSN:
03424642
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Approach
Quantitative