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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Global patient outcomes after elective surgery: Prospective cohort study in 27 low-, middle- and high-income countries
British Journal of Anaesthesia, Volume 117, No. 5, Year 2016
Notification
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Description
Background: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. Methods: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. Results: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. Conclusions: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. © The Author 2016.
Authors & Co-Authors
Pearse, Rupert M.
Unknown Affiliation
Clavien, Pierre Alain
Unknown Affiliation
Demartines, Nicolas
Unknown Affiliation
Fleisher, Lee A.
Unknown Affiliation
Grocott, Michael P.W.
Unknown Affiliation
Haddow, James Boyd
Unknown Affiliation
Holt, Peter James Edward
Unknown Affiliation
Moreno, Rui Paulo
Unknown Affiliation
Pritchard, Naomi
Unknown Affiliation
Rhodes, Andrew
Unknown Affiliation
Wilson, Matt G.
Unknown Affiliation
Ferguson, Marissa T.
Australia, Melbourne
The Alfred
MacMahon, Michael
Australia, Melbourne
The Alfred
Shulman, Mark A.
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
Halliwell, Richard M.T.
Australia, Sydney
Westmead Hospital
Fellinger, Paul
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
Schmid, Werner
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
de Hert, Stefan G.
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
Wouters, Patrick F.
Belgium, Ghent
Universitair Ziekenhuis Gent
Wyffels, Piet A.H.
Belgium, Ghent
Universitair Ziekenhuis Gent
Dylst, Dimitri
Belgium, Genk
Ziekenhuis Oost-limburg
Lobo, Suzana Margareth Ajeje
Brazil, Sao Jose do Rio Preto
Hospital de Base
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
Beattie, William Scott
Canada, Toronto
Toronto General Hospital
Carroll, Jo Ann
Canada, Toronto
Toronto General Hospital
Wijeysundera, Duminda N.
Canada, Toronto
Toronto General Hospital
Chan, Vincent W.S.
Canada, Toronto
Toronto Western Hospital University of Toronto
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
Rasmussen, Lars Simon
Denmark, Copenhagen
Rigshospitalet
Belœil, Hélène
France, Rennes
Centre Hospitalier Universitaire de Rennes
Lasocki, Sigismond
France, Angers
Chu Angers
Vénara, Aurélien
France, Angers
Chu Angers
Biais, Matthieu
France, Talence
Centre Hospitalier Universitaire de Bordeaux
Legouge, Marie Lim
France, Paris
Chu, Paris
Tesnier̀e, Antoine
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Mutter, Didier
France, Strasbourg
Les Hôpitaux Universitaires de Strasbourg
Ouaïssi, Mehdi
France, Marseille
Hopital la Timone
Régimbeau, Jean Marc
France, Amiens
Chu Amiens Picardie
Futier, Emmanuel
France, Clermont-ferrand
Centre Hospitalier Universitaire de Clermont-ferrand
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
Arvaniti, Kostoula
Greece, Thessaloniki
Papageorgiou 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
Chan, Matthew Tak Vai
Australia, Sydney
Prince of Wales Hospital
China, Hong Kong
Alice ho Miu Ling Nethersole Hospital
Divatia, Jigeeshu Vasishtha
India, Mumbai
Tata Memorial Hospital
Kulkarni, Atul Prabhakar
India, Mumbai
Tata Memorial Hospital
Mishra, Sanghamitra S.
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
Spadaro, S.
Italy, Cona
Azienda Ospedaliero-universitaria Di Ferrara
Della-Rocca, Giorgio
Italy, Udine
Policlinico Universitario, Udine
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: 362
Authors: 132
Affiliations: 148
Identifiers
Doi:
10.1093/bja/aew316
ISSN:
00070912
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative