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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: A 7-day cohort study of elective surgery
British Journal of Anaesthesia, Volume 119, No. 2, Year 2017
Notification
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Description
The incidence and impact of postoperative complications are poorly described. Failure-to-rescue, the rate of death following complications, is an important quality measure for perioperative care but has not been investigated across multiple health care systems. Methods. We analysed data collected during the International Surgical Outcomes Study, an international 7-day cohort study of adults undergoing elective inpatient surgery. Hospitals were ranked by quintiles according to surgical procedural volume (Q1 lowest to Q5 highest). For each quintile we assessed in-hospital complications rates, mortality, and failure-to-rescue. We repeated this analysis ranking hospitals by risk-adjusted complication rates (Q1 lowest to Q5 highest). Results. A total of 44 814 patients from 474 hospitals in 27 low-, middle-, and high-income countries were available for analysis. Of these, 7508 (17%) developed one or more postoperative complication, with 207 deaths in hospital (0.5%), giving an overall failure-to-rescue rate of 2.8%. When hospitals were ranked in quintiles by procedural volume, we identified a threefold variation in mortality (Q1: 0.6% vs Q5: 0.2%) and a two-fold variation in failure-to-rescue (Q1: 3.6% vs Q5: 1.7%). Ranking hospitals in quintiles by risk-adjusted complication rate further confirmed the presence of important variations in failureto- rescue, indicating differences between hospitals in the risk of death among patients after they develop complications. Conclusions. Comparison of failure-to-rescue rates across health care systems suggests the presence of preventable postoperative deaths. Using such metrics, developing nations could benefit from a data-driven approach to quality improvement, which has proved effective in high-income countries. © The Author 2017. Published by Oxford University Press.
Authors & Co-Authors
Ahmad, Tareq
United Kingdom, London
Queen Mary University of London
Bouwman, R. Arthur
Netherlands, Eindhoven
Catharina Ziekenhuis
Grigoras, Ioana
Romania, Iasi
Universitatea de Medicina si Farmacie Grigore T. Popa Din Iasi
Aldecoa Álvarez-Santuyano, César
Spain, Valladolid
Hospital Universitario Río Hortega
Hofer, Christoph Karl
Switzerland, Zurich
Stadtspital Triemli
Hoeft, Andreas
Germany, Bonn
Universitätsklinikum Bonn
Holt, Peter James Edward
United Kingdom, London
St George’s, University of London
Buhre, Wolfgang F.F.A.
Netherlands, Maastricht
Universiteit Maastricht
Netherlands, Maastricht
Maastricht Universitair Medisch Centrum+
Pearse, Rupert M.
United Kingdom, London
Queen Mary University of London
Clavien, Pierre Alain
Unknown Affiliation
Demartines, Nicolas
Unknown Affiliation
Grocott, Michael P.W.
Unknown Affiliation
Haddow, James Boyd
Unknown Affiliation
Holt, Peter J.E.
Unknown Affiliation
Moreno, Rui Paulo
Unknown Affiliation
Pritchard, Naomi
Unknown Affiliation
Rhodes, Andrew
Unknown Affiliation
Wilson, Matt G.
Unknown Affiliation
Ahmed, Tahania
Unknown Affiliation
Halliwell, Richard M.T.
Australia, Sydney
Westmead Hospital
Shulman, Mark A.
Australia, Melbourne
The Alfred
Myles, Paul S.
Unknown Affiliation
Schmid, Werner
Austria, Vienna
Allgemeines Krankenhaus Wien
Hiesmayr, Michael J.
Unknown Affiliation
Wouters, Patrick F.
Belgium, Ghent
Universitair Ziekenhuis Gent
de Hert, Stefan G.
Belgium, Ghent
Universitair Ziekenhuis Gent
Lobo, Suzana Margareth Ajeje
Brazil, Sao Jose do Rio Preto
Hospital de Base
Beattie, William Scott
Canada, Toronto
Toronto General Hospital
Wijeysundera, Duminda N.
Canada, Toronto
Toronto General Hospital
Fang, Xiangming
Unknown Affiliation
Rasmussen, Lars Simon
Denmark, Copenhagen
Rigshospitalet
Futier, Emmanuel
France, Clermont-ferrand
Centre Hospitalier Universitaire de Clermont-ferrand
Biais, Matthieu
France, Talence
Centre Hospitalier Universitaire de Bordeaux
Vénara, Aurélien
France, Angers
Chu Angers
Slim, Karem
Unknown Affiliation
Sander, Michael
Unknown Affiliation
Koulenti, Despoina
Unknown Affiliation
Arvaniti, Kostoula
Greece, Thessaloniki
Papageorgiou General Hospital
Chan, Matthew Tak Vai
China, Hong Kong
Alice ho Miu Ling Nethersole Hospital
Hong Kong
Prince of Wales Hospital Hong Kong
Kulkarni, Atul Prabhakar
India, Mumbai
Tata Memorial Hospital
Chandra, Susilo
Indonesia, Central Jakarta
Universitas Indonesia, Rsupn Dr. Cipto Mangunkusumo
Tantri, Aida Rosita
Indonesia, Central Jakarta
Universitas Indonesia, Rsupn Dr. Cipto Mangunkusumo
Geddoa, Emad
Unknown Affiliation
Abbas, Muntadhar
Unknown Affiliation
Della-Rocca, Giorgio
Italy, Udine
Policlinico Universitario, Udine
Sivasakthi, Datin
Unknown Affiliation
Mansor, Marzida Binti
Malaysia, Kuala Lumpur
University of Malaya Medical Centre
Luna, Pastor
Mexico
American British Cowdray Medical Center
Beavis, Vanessa S.
New Zealand, Auckland
Auckland City Hospital
Campbell, Doug A.
New Zealand, Auckland
Auckland City Hospital
Short, Timothy G.
New Zealand, Auckland
Auckland City Hospital
Osinaike, Tunde
Unknown Affiliation
Matos, Ricardo
Unknown Affiliation
Grigoras, Ioana
Unknown Affiliation
Kirov, M. Yu
Russian Federation, Arkhangelsk
Northern State Medical University
Protsenko, Denis N.
Unknown Affiliation
Biccard, Bruce Mclure
Unknown Affiliation
Aldecoa, Cesar
Spain, Valladolid
Hospital Universitario Río Hortega
Chew, Michelle S.
Sweden, Halmstad
Hallands Sjukhus Halmstad
Hübner, Martin
Switzerland, Lausanne
Centre Hospitalier Universitaire Vaudois
Ditai, James
Uganda, Mbale
Mbale Regional Referral Hospital
Szakmany, Tamas
United Kingdom, Llantrisant
Royal Glamorgan Hospital
Fleisher, Lee A.
United States, Philadelphia
University of Pennsylvania
Ferguson, Marissa T.
Australia, Melbourne
The Alfred
MacMahon, Michael
Australia, Melbourne
The Alfred
Cherian, Ritchie
Australia, Blacktown
Blacktown & Mount Druitt Hospital
Currow, Helen
Australia, Blacktown
Blacktown & Mount Druitt Hospital
Kanathiban, Kathirgamanathan
Australia, Blacktown
Blacktown & Mount Druitt Hospital
Gillespie, David
Unknown Affiliation
Pathmanathan, Edward
Unknown Affiliation
Phillips, Katherine
Unknown Affiliation
Reynolds, Jenifer R.
Unknown Affiliation
Rowley, Joanne
Unknown Affiliation
Douglas, Jeanene Lizbeth
Australia, Newcastle
John Hunter Hospital
Kerridge, Ross K.
Australia, Newcastle
John Hunter Hospital
Garg, Sameer
Australia, Blacktown
Blacktown & Mount Druitt Hospital
Bennett, Michael H.
Australia, Sydney
Prince of Wales Hospital
Jain, Megha
Australia, Sydney
Prince of Wales Hospital
Alcock, David
Australia, Hobart
Royal Hobart Hospital
Terblanche, Nico C.S.
Australia, Hobart
Royal Hobart Hospital
Cotter, Rochelle
Australia, Melbourne
Royal Melbourne Hospital
Leslie, Kate E.
Australia, Melbourne
Royal Melbourne Hospital
Stewart, Marcelle
Australia, Melbourne
Royal Melbourne Hospital
Zingerle, Nicolette
Australia, Melbourne
Royal Melbourne Hospital
Clyde, Antony
Australia, Sydney
Royal North Shore Hospital
Hambidge, Oliver R.H.
Australia, Sydney
Royal North Shore Hospital
Rehak, Adam
Australia, Sydney
Royal North Shore Hospital
Cotterell, Sharon
Australia, Sydney
Royal Prince Alfred Hospital
Huynh, Wilson Binh Quan
Australia, Sydney
Royal Prince Alfred Hospital
McCulloch, Timothy James
Australia, Sydney
Royal Prince Alfred Hospital
Ben-Menachem, Erez
Australia, Fitzroy
St. Vincent's Hospital Melbourne
Egan, Thomas
Australia, Fitzroy
St. Vincent's Hospital Melbourne
Cope, Jennifer
Australia, Sydney
Westmead Hospital
Fellinger, Paul
Austria, Vienna
Allgemeines Krankenhaus Wien
Markus, Phaisjackl
Austria, Vienna
Allgemeines Krankenhaus Wien
Haselberger, Simone
Austria, Vienna
Allgemeines Krankenhaus Wien
Holaubek, Caroline
Austria, Vienna
Allgemeines Krankenhaus Wien
Lichtenegger, Paul
Austria, Vienna
Allgemeines Krankenhaus Wien
Scherz, Florian
Austria, Vienna
Allgemeines Krankenhaus Wien
Klug, Reinhold
Unknown Affiliation
Buerkle, Christian
Austria, Feldkirch
Landeskrankenhaus Feldkirch
Forget, Patrice
Belgium, Brussels
Cliniques Universitaires Saint-luc
Kahn, David A.
Belgium, Brussels
Cliniques Universitaires Saint-luc
Lois, Fernande Jane
Belgium, Brussels
Cliniques Universitaires Saint-luc
Momeni, Mona
Belgium, Brussels
Cliniques Universitaires Saint-luc
Pospiech, Audrey L.
Belgium, Brussels
Cliniques Universitaires Saint-luc
Steyaert, Arnaud
Belgium, Brussels
Cliniques Universitaires Saint-luc
Poelaert, Jan I.T.
Belgium, Jette
Universitair Ziekenhuis Brussel
Bouchez, Stefaan M.
Belgium, Ghent
Universitair Ziekenhuis Gent
Heyse, Björn E.K.
Belgium, Ghent
Universitair Ziekenhuis Gent
Jacobs, Tom Frans
Belgium, Ghent
Universitair Ziekenhuis Gent
Roels, Nathalie R.A.
Belgium, Ghent
Universitair Ziekenhuis Gent
Vanpeteghem, Caroline M.
Belgium, Ghent
Universitair Ziekenhuis Gent
Wyffels, Piet A.H.
Belgium, Ghent
Universitair Ziekenhuis Gent
Dylst, Dimitri
Belgium, Genk
Ziekenhuis Oost-limburg
Sá Malbouisson, Luiz Marcelo
Brazil, Sao Paulo
Universidade de São Paulo
Junior, Paulo do Nascimento
Brazil, Sao Paulo
Universidade Estadual Paulista Júlio de Mesquita Filho
Caser, Eliana Bernadete
Unknown Affiliation
Piras, Cláudio
Brazil, Vitoria-gasteiz
Vitória Apart Hospital
Funk, Duane J.
Canada, Winnipeg
Health Sciences Centre Winnipeg
George, Ronald B.
Canada, Halifax
Iwk Health Centre
Canada, Halifax
Qeii Health Sciences Centre
Jones, Philip M.G.
Canada, London
London Health Sciences Centre
Hall, Richard I.
Canada, Halifax
Qeii Health Sciences Centre
Hare, Gregory M.T.
Canada, Toronto
Saint Michael's Hospital University of Toronto
Choi, Stephen Deanne
Canada, Toronto
Sunnybrook Health Sciences Centre
McCartney, Colin J.L.
Canada, Toronto
Sunnybrook Health Sciences Centre
Carroll, Jo Ann
Canada, Toronto
Toronto General Hospital
Perlas, Anahi
Canada, Toronto
Toronto Western Hospital University of Toronto
Yuan, Fang
China, Shenyang
Shenyang General Hospital of Pla
Rasmussen, Bodil Steen
Denmark, Aalborg
Aalborg Universitetshospital
Larsen, Michael Hareskov
Denmark, Odense
Odense Universitetshospital
Belœil, Hélène
France, Rennes
Centre Hospitalier Universitaire de Rennes
Lasocki, Sigismond
France, Angers
Chu Angers
Legouge, Marie Lim
France, Paris
Chu, Paris
Tesnier̀e, Antoine
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Ouaïssi, Mehdi
France, Marseille
Hopital la Timone
Régimbeau, Jean Marc
France, Amiens
Chu Amiens Picardie
Lebuffe, Gilles R.
France, Lille
Chu Lille
Hoeft, Andreas
Germany, Bonn
Universitätsklinikum Bonn
Wittmann, Maria
Germany, Bonn
Universitätsklinikum Bonn
Goebel, Ulrich
Germany, Freiburg Im Breisgau
Universitätsklinikum Freiburg
Harris, Sarah E.
Germany, Freiburg Im Breisgau
Universitätsklinikum Freiburg
Gkiokas, Georgios A.
Greece, Athens
Aretaio Hospital
Georgiou, Georgios K.
Greece, Xanthi
General Hospital of Xanthi
Tsigou, Evdoxia
Unknown Affiliation
Mainas, Efstratios
Greece, Athens
Hippokration General Hospital
Ioannidis, Orestis M.
Greece, Thessaloniki
Papageorgiou General Hospital
Stamatiou, Konstantinos
Unknown Affiliation
Andreou, Alexandros G.
Greece, Heraklion
Heraklion University Hospital
Koulouras, Vasilios P.
Greece, Ioannina
University General Hospital of Ioannina
Papadopoulos, Dimitrios B.
Greece, Ioannina
University General Hospital of Ioannina
Stamoulis, Konstantinos G.
Greece, Larissa
University Hospital of Larissa
Koo, Emily Gar Yee
China, Hong Kong
Pamela Youde Nethersole Eastern Hospital
Shah, Bhagyesh Ashwinkumar
India, Ahmedabad
Cims Hospital
Divatia, Jigeeshu Vasishtha
India, Mumbai
Tata Memorial Hospital
Mishra, Sanghamitra S.
India, Mumbai
Tata Memorial Hospital
Spadaro, S.
Italy, Cona
Azienda Ospedaliero-universitaria Di Ferrara
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
Italy, Gallarate
St. Antonio Abate Hospital
Pata, Francesco
Italy, Gallarate
St. Antonio Abate Hospital
Joseph, James
Unknown Affiliation
Statistics
Citations: 62
Authors: 166
Affiliations: 162
Identifiers
Doi:
10.1093/bja/aex185
ISSN:
00070912
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Approach
Quantitative