Compensated Patient Injuries in the Treatment of Abdominal Aortic and Iliac Artery Aneurysms in Finland: A Nationwide Patient Insurance Registry Study

Laukkavirta, Minna; Blomgren, Karin; Väärämäki, Suvi; Nikulainen, Veikko; Helmiö, Päivi

doi:10.1016/j.avsg.2021.08.055

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…The PIC claim process involves expert medical professionals who evaluate the claims and their compensability. The criteria for compensation have been described in more detail in previous studies 33 34 35 . All postoperative AEs reported in the claims were collected and classified by Clavien-Dindo Classification.…”

Section: Methodsmentioning

confidence: 99%

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Nurminen,

Järvinen,

Robinson

et al. 2024

Endosc Int Open

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Background and study aims Upper gastrointestinal endoscopy (EGD) is one of the most common diagnostic procedures done to examine the foregut, but it can also be used for therapeutic interventions. The main objectives of this study were to investigate trends in EGD utilization and mortality related to it in a national low-threshold healthcare system, assess perioperative safety, and identify and describe patient-reported malpractice claims from the national database. Patients and methods We retrospectively identified patients from the Finnish Patient Care Registry who underwent diagnostic or procedural EGD between 2010 and 2018. In addition, patient-reported claims for malpractice were analyzed from the National Patient Insurance Center (PIC) database. Patient survival data were gathered collectively from the National Death Registry from Statistics Finland. Results During the study period, 409,153 EGDs were performed in Finland for 298,082 patients, with an annual rate of 9.30 procedures per 1,000 inhabitants, with an annual increase of 2.6%. Thirty-day all-cause mortality was 1.70% and 90-day mortality was 3.84%. For every 1,000 patients treated, 0.23 malpractice claims were filed. Conclusions The annual rate of EGD increased by 2.6% during the study, while the rate of interventional procedures remained constant. Also, while the 30-day mortality rate declined over the study period, it is an unsuitable quality metric for EGDs in comprehensive centers because a patient’s underlying disease plays a larger role than the procedure in perioperative mortality. Finally, there were few malpractice claims, with self-evident causes prevailing.

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Section: Methodsmentioning

confidence: 99%

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Nurminen,

Järvinen,

Robinson

et al. 2024

Endosc Int Open

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“…The PIC holds a national database of all filed patient injuries, including applicable patient records and the outcome of the claim. The most common criterion for a claim to be deemed compensable is its preventability: The PIC experts evaluate whether an experienced medical professional could have avoided the injury by choosing a different course of action [ 26 , 27 ].…”

Section: Methodsmentioning

confidence: 99%

Malpractice claims after antireflux surgery and paraesophageal hernia repair: a population-based analysis

Nurminen,

Järvinen,

Kytö

et al. 2023

Surg Endosc

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Background The complication rate of modern antireflux surgery or paraesophageal hernia repair is unknown, and previous estimates have been extrapolated from institutional cohorts. Methods A population-based retrospective cohort study of patient injury cases involving antireflux surgery and paraesophageal hernia repair from the Finnish National Patient Injury Centre (PIC) register between Jan 2010 and Dec 2020. Additionally, the baseline data of all the patients who underwent antireflux and paraesophageal hernia operations between Jan 2010 and Dec 2018 were collected from the Finnish national care register. Results During the study period, 5734 operations were performed, and the mean age of the patients was 54.9 ± 14.7 years, with 59.3% (n = 3402) being women. Out of all operations, 341 (5.9%) were revision antireflux or paraesophageal hernia repair procedures. Antireflux surgery was the primary operation for 79.9% (n = 4384) of patients, and paraesophageal hernia repair was the primary operation for 20.1% (n = 1101) of patients. A total of 92.5% (5302) of all the operations were laparoscopic. From 2010 to 2020, 60 patient injury claims were identified, with half (50.0%) of the claims being related to paraesophageal hernia repair. One of the claims was made due to an injury that resulted in a patient's death (1.7%). The mean Comprehensive Complication Index scores were 35.9 (± 20.7) and 47.6 (± 20.8) (p = 0.033) for antireflux surgery and paraesophageal hernia repair, respectively. Eleven (18.3%) of the claims pertained to redo surgery. Conclusions The rate of antireflux surgery has diminished and the rate of paraesophageal hernia repair has risen in Finland during the era of minimally invasive surgery. Claims to the PIC remain rare, but claims regarding paraesophageal hernia repairs and redo surgery are overrepresented. Additionally, paraesophageal hernia repair is associated with more serious complications.

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“…Pacientes portadores de diabetes mellitus (DM) controlado não apresentaram mais complicações que não portadores de DM no pós-operatório de artroplastia total de quadril (Goel et al, 2022). De forma semelhante, não houve diferença estatisticamente significante na idade das pacientes com a ocorrência do desfecho de perda da reconstrução mamária (Laukkavirta et al, 2022).…”

Section: Estudo Prospectivounclassified

“…A categoria Comorbidades aborda a relação entre o surgimento de complicações pós-operatórias diante das comorbidades dos idosos. Na categoria Terapêuticas foram incluídos estudos que estabeleceram a ocorrência de complicações associadas a terapêuticas(Laukkavirta et al, 2022). O grupo octogenário foi significativamente maior do que os outros grupos em ralação as complicações pós-operatórias de ATJ que incluíram perda da amplitude do movimento, anemia, celulite e trombose venosa profunda.…”

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Complicações pós-cirúrgicas em pacientes idosos: revisão integrativa de literatura

Barros

Pena

Silva

et al. 2022

RSD

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ResumoObjetivo: O objetivo deste estudo é identificar e analisar as produções científicas na literatura mundial sobre complicações no pós-operatório em pacientes idosos. Método: Trata-se de uma revisão integrativa da literatura cuja busca de dados foi realizada em diferentes bases de dados utilizando os descritores "Health of the Elderly", "Perioperative Care", "Postoperative Complications", "Patient Care" nas bases de dados eletrônicas: Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) via via Biblioteca Virtual de Saúde (BVS). Scientific Eletronic Library Online (SciELO), Web of Science (WOS), Cinahl e Scopus via Portal de Periódicos CAPES e Cochrane Library. Resultados e Discussão: Identificou-se, um total de 938 estudos nas referidas bases de dados. Sendo 163 Medline, 86 no LILACS, 73 na SciELO, 296 na base de dados Scopus, 208 no Web of Science, 54 na base da Cochrane Library e 58 na CINAHL, após critérios de exclusão a amostra final foi 13 artigos. Complicações foram observadas em diversas especialidades cirúrgicas, sendo a fragilidade na saúde do idoso um potencial para complicações e aumento do tempo de internação hospitalar. Conclusão: O fator "idade" predispõe às complicações no perioperatório. Foram observadas complicações em várias especialidades cirúrgicas, sendo a fragilidade na saúde do idoso o potencial para complicações e aumento do tempo de internação hospitalar. Procedimentos invasivos e de longa duração está sendo realizados cada vez mais em idosos. O controle e vigilância da anestesia e os protocolos hospitalares são de grande utilidade nessa fase. Palavras-chave: Complicações pós-operatórias; Assistência perioperatória; Assistência ao paciente; Saúde do idoso.

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Compensated Patient Injuries in the Treatment of Abdominal Aortic and Iliac Artery Aneurysms in Finland: A Nationwide Patient Insurance Registry Study

Cited by 4 publications

References 24 publications

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis

Malpractice claims after antireflux surgery and paraesophageal hernia repair: a population-based analysis

Complicações pós-cirúrgicas em pacientes idosos: revisão integrativa de literatura

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