Failure to Rescue in the Surgical Oncology Population: Implications for Nursing and Quality Improvement
Key result
Admission through the emergency department was significantly associated with experiencing a postoperative complication compared to routine admission (71.9% vs 43.9%).
Why the study?
What are the frequency, type, and correlates of postoperative complications for surgical patients with cancer?
Population
24,618 patients with solid tumors hospitalized for tumor-directed surgery in 164 acute care hospitals from…
Comparison
Tumor-directed surgery vs Routine admission versus admission via the…
Design
Cohort
Follow-up
30-day
Authors
Discussion
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Member takes
Implication
ED admission was associated with higher complications; leaves open whether admission pathway optimization improves rescue in surgical oncology.
Study Design
Type
Observational (n=24,618)
Multicenter
Yes
Structured PICO
What are the frequency, type, and correlates of postoperative complications for surgical patients with cancer?
P
Population
24,618 patients with solid tumors hospitalized for tumor-directed surgery across 164 acute care hospitals.
E
Exposure
Tumor-directed surgery
C
Comparator
Routine admission versus admission via the emergency department
O
Outcome
30-day mortality and postoperative complicationssafety
Main Result
Absolute Event Rate: 71.9% vs 43.9%
Postoperative complications are frequent and potentially fatal in surgical oncology patients, highlighting the critical role of early nursing recognition and intervention to improve patient rescue.
Cite This Study
Friese et al. (2008) conducted an observational in Solid tumors requiring tumor-directed surgery (n=24,618). Admission through the emergency department vs. Routine admission was evaluated on Experiencing a postoperative complication. Admission through the emergency department was significantly associated with experiencing a postoperative complication compared to routine admission (71.9% vs 43.9%).