Rates and patterns of death after surgery in the United States, 1996 and 2006

Semel, Marcus E.; Lipsitz, Stuart R.; Funk, Luke M.; Bader, Angela M.; Weiser, Thomas; Gawande, Atul A.

doi:10.1016/j.surg.2011.07.021

Cited by 124 publications

(95 citation statements)

References 35 publications

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“…McDonald et al [6] in a 10-year review of surgical mortality in Southampton, UK, reported a mortality rate of 2.3 %, approximately one third of the death rate in our study. Similarly, Semel et al [13] in a nationwide survey of surgical deaths in the USA noted a declining inpatient surgical mortality of 1.68 % in 1996 to 1.32 % in 2006. This significant difference in surgical mortality rates between resource-poor and developed countries may be due to the late presentation of surgical diseases, poverty, limited resources and poor infrastructure that are prevalent in resource-poor nations.…”

Section: Discussionmentioning

confidence: 84%

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

et al. 2014

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There is paucity of reports describing the pattern of surgical mortality in Nigeria. The aim of this study was to determine the incidence and pattern of mortality associated with surgical care in our hospital and to identify areas of improvement. The records of all patients who died after admission for surgical care at the Federal Medical Centre Makurdi between January 2009 and December 2011 were studied retrospectively. Data extracted were patients' demographics, surgical diagnosis, co-morbidity, surgical procedures performed, duration of hospital admission and outcome of treatment. Data were analyzed with SPSS version 17. There were 2,273 admissions into the surgical wards within the study period. During this period, there were 151 deaths with a crude mortality rate of 6.6 %. Ninety-four (62.3 %) patients were males and 57 (37.7 %) were females (M:F=1.6:1). The age of the patients ranged from 8 days to 95 years with a mean age of 36.1±20.1 years. Acute abdomen (37, 24.5 %), traumatic brain injury (32, 21.2 %) and malignancy (28, 18.5 %) were the commonest surgical diagnosis. Trauma-related deaths accounted for 48 (31.8 %) of all the deaths. Road traffic crash (89.6 %) was the commonest cause of injury. Surgical operations were performed in 75 (49.7 %) of the patients who died, while 76 (50.3 %) did not have any operative intervention. Mortality in patients admitted into the surgical ward was 6.6 %. Trauma-related death was the commonest. Traumatic brain injury, typhoid perforation of the bowel and malignancy were the leading causes of surgical death in our centre.

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Section: Discussionmentioning

confidence: 84%

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

et al. 2014

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“…1 The surgical care pathway is characterized by multiple transitions, from preoperative assessment to inpatient stay, discharge from hospital, and follow-up care. Providing optimal care across all the phases of the surgical pathway has become increasingly challenging, due to the complexity of procedures, increasing time pressures on staff, and demands for a patient-centered approach.…”

Section: Introductionmentioning

confidence: 99%

Patient perspective on care transitions after colorectal surgery

Kelly

Noyes

Fleming

et al. 2016

Journal of Surgical Research

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For patients and caregivers, postoperative planning starts long before surgery and hospital admission. Providers should consider these dynamics in designing interventions to improve care transitions, patient satisfaction, and long-term outcomes. This study was limited to colorectal surgical patients treated in a single institution and may be not generalizable to other surgical procedures, non-academic settings or different regions.

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“…In 1996, the in-hospital postoperative death ratio (deaths per operation) was 1.64-1.68%, which declined over the next ten years to 1.14-1.32% in 2006. 23,24 The cause for improvement is not clear, but the studies provide evidence that improvements are possible -some 60,000 deaths did not occur as evidenced by the decline in the death ratios. These mortality rates are similar in other countries, e.g., in the Netherlands, a review of 3.7 million surgical procedures at 102 hospitals over 15 years showed a perioperative mortality of 1.85%.…”

Section: Why You Should Care That Your Surgical Team Uses a Checklistmentioning

confidence: 99%

Review article: Perioperative checklist methodologies

Weiser

Berry

2012

Can J Anesth/J Can Anesth

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Purpose Checklists are increasingly being used by surgical teams in the perioperative period to improve clinical care and increase patient safety. In this article, we review some of the mechanisms by which checklists work and evaluate evidence supporting their use. Principal findings There is a growing body of evidence showing the importance of team-based checklists in clinical care. In multiple complex clinical environments, from the operating room to the intensive care unit, checklists can help ensure adherence to known standards of care and improve communication amongst team members. In addition, the efficacy of checklists is being shown in both developed and developing settings. Conclusion Checklists can aid clinicians involved in complex processes and multidisciplinary team interactions to improve the quality and safety of care by prompting dialogue and exchange of information.

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Rates and patterns of death after surgery in the United States, 1996 and 2006

Cited by 124 publications

References 35 publications

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

Patient perspective on care transitions after colorectal surgery

Review article: Perioperative checklist methodologies

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