Please use this identifier to cite or link to this item: https://repository.southwesthealthcare.com.au/swhealthcarejspui/handle/1/3892
Full metadata record
DC FieldValueLanguage
dc.contributor.authorDivakaran, Pranav-
dc.contributor.authorHong, Joshua Sungho-
dc.contributor.authorAbbas, Saleh-
dc.contributor.authorGwini, Stella-May-
dc.contributor.authorNagra, Sonalmeet-
dc.contributor.authorStupart, Douglas-
dc.contributor.authorGuest, Glenn-
dc.contributor.authorWatters, David-
dc.date.accessioned2023-05-26T00:38:56Z-
dc.date.available2023-05-26T00:38:56Z-
dc.date.issued2023-05-24-
dc.identifier.urihttps://repository.southwesthealthcare.com.au/swhealthcarejspui/handle/1/3892-
dc.description.abstractBackground Failure to rescue (FTR) is increasingly recognised as a measure of the quality care provided by a health service in recognising and responding to patient deterioration. We report the association between a patient’s pre-operative status and FTR following major abdominal surgery. Methods A retrospective chart review was conducted on patients who underwent major abdominal surgery and who suffered Clavien–Dindo (CDC) III-V complications at the University Hospital Geelong between 2012 and 2019. For each patient suffering a major complication, pre-operative risk factors including demographics, comorbidities (Charlson Comorbidity Index (CCI)), American Society of Anaesthesiology (ASA) Score and biochemistry were compared for patients who survived and patients who died. Statistical analysis utilised logistic regression with results reported as odds ratios (ORs) and 95% confidence intervals (CIs). Results There were 2579 patients who underwent major abdominal surgery, of whom 374 (14.5%) suffered CDC III-V complications. Eighty-eight patients subsequently died from their complication representing a 23.5% FTR and an overall operative mortality of 3.4%. Pre-operative risk factors for FTR included ASA score ≥ 3, CCI ≥ 3 and pre-operative serum albumin of < 35 g/L. Operative risk factors included emergency surgery, cancer surgery, greater than 500 ml intraoperative blood loss and need for ICU admission. Patients who suffered end-organ failure were more likely to die from their complication. Conclusion Identification of patients at high risk of FTR should they develop a complication would inform shared decision-making, highlight the need for optimisation prior to surgery, or in some cases, result in surgery not being undertaken.en
dc.publisherSpringeren
dc.subjectFailure to Rescueen
dc.subjectClavien–Dindo (CDC) III-Ven
dc.subjectSurgeryen
dc.titleFailure to Rescue in Major Abdominal Surgery: A Regional Australian Experienceen
dc.typeJournal Articleen
dc.identifier.journaltitleWorld Journal of Surgeryen
dc.accession.numberPMID: 37225931en
dc.description.affiliationDepartment of Surgery, University Hospital Geelong, Barwon Health 272-322 Bellarine Street and Ryrie Street, Geelong, VIC, 3220, Australia. Warrnambool Base Hospital, Southwest Healthcare, 25 Ryot Street, Warrnambool, VIC, 3280, Australia. Department of Surgery, University Hospital Geelong, Barwon Health 272-322 Bellarine Street and Ryrie Street, Geelong, VIC, 3220, Australia. Geelong Clinical School, Deakin University School of Medicine, Little Malop Street, Geelong, VIC, 3220, Australia. Biostatistics Support Service, Level 2 Kitchner House, University Hospital Geelong, Barwon Health 272-322 Bellarine Street and Ryrie Street, Geelong, VIC, 3220, Australia.en
dc.identifier.importdoihttps://doi.org/10.1007/s00268-023-07061-xen
dc.contributor.swhauthorHong, Joshua Sungho-
Appears in Collections:SWH Staff Publications



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Google Media

Google ScholarTM

Who's citing