Abstract

BACKGROUND
The risk of perioperative death in general surgery wards depends on many factors, including the underlying disease, type of surgical intervention and model of perioperative management. The aim of the study was to determine the reasons for major differences in mortality rates recorded in general surgery wards of the three university hospitals.
METHODS
The retrospective study was carried out and involved the data of 32 231 surgical patients. In one of the hospitals, postoperative patients were treated in the recovery room supervised by anaesthetists; in the remaining two, perioperative care was delivered by surgical ward staff. A multiple regression model with random effects was used to adjust for differences in three death risk groups of patients according to underlying diseases: low, moderate and high.
RESULTS
In the hospital with postoperative care administered by anaesthetic staff the mortality rate was 0.45 whereas in the two remaining ones with postoperative patients supervised by surgical staff - 1.86 and 2.52. In each group, increased mortality was observed among patients receiving therapy in general surgery wards after transfer from another hospital ward.
CONCLUSION
The major factor determining the mortality rates in general surgery wards is the model of perioperative management.

Links

Publisher Full Text

Authors

Piechota M

Institution

Department of Anaesthesiology and Intensive Therapy, Military University Hospital in Łódź, Poland. mariuszpiechota@poczta.onet.pl

Source

Anestezjologia intensywna terapia 43:4 pg 208-13

MeSH

Hospital Mortality
Humans
Intraoperative Care
Models, Organizational
Outcome and Process Assessment (Health Care)
Patient Care Team
Physician's Practice Patterns
Poland
Postoperative Care
Postoperative Complications
Quality Assurance, Health Care
Surgery Department, Hospital

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22343436