March 1, 2002The Medical Journal of Australia
Postoperative serious adverse events in a teaching hospital: a prospective study
Key result
Postoperative serious adverse events occurred in 16.9% of surgical inpatients and carried a 7.1% mortality rate, with highest risks in patients over 75 years of age having unscheduled surgery.
Population
1,125 subjects having inpatient surgery at a tertiary teaching hospital in Melbourne, Victoria
Design
Cohort
Follow-up
Inhospital
Authors
Discussion
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Member takes
Implication
May inform risk stratification for elderly unscheduled surgery patients; leaves open whether interventions reduce mortality.
Study Design
Type
Observational (n=1,125)
Multicenter
No
Structured PICO
P
Population
1,125 subjects having inpatient surgery at a tertiary teaching hospital in Melbourne, Victoria
O
Outcome
Inhospital mortality, length of hospital stay, and serious adverse events (myocardial infarction, pulmonary embolism, acute pulmonary oedema, unscheduled tracheostomy, respiratory failure, cardiac arrest, stroke, severe sepsis, acute renal failure, and emergency admission to intensive care unit)safety
Postoperative serious adverse events are common and associated with significantly prolonged hospital stays and high mortality, particularly in older patients and those undergoing unscheduled surgery.
Cite This Study
Bellomo et al. (2002) conducted an observational in Inpatient surgery (n=1,125). Inpatient surgery was evaluated on Inhospital mortality, length of hospital stay, and SAEs. Postoperative serious adverse events occurred in 16.9% of surgical inpatients and carried a 7.1% mortality rate, with highest risks in patients over 75 years of age having unscheduled surgery.