Key result
Review by a multidisciplinary high-risk surgery committee led to care plan changes in 57% of patients, with those proceeding to surgery experiencing a 7.4% 30-day mortality versus 14.2% expected.
Why the study?
Surgeons must evaluate and communicate procedural risk for patients at high risk of poor postoperative outcomes, and multidisciplinary approaches to complex decision making are needed.
Does a multidisciplinary high-risk surgery committee improve perioperative decision making and outcomes in patients considered for surgery with expected 30-day mortality >5%?
Design
Single-center retrospective review
Follow-up
One-year
Authors
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Multidisciplinary review may prompt care plan changes in high-risk VA surgical patients; leaves open whether it improves outcomes prospectively.
Observational (n=76)
No
Does a multidisciplinary high-risk surgery committee improve perioperative decision making and outcomes in patients considered for surgery with expected 30-day mortality >5%?
Absolute Event Rate: 7.4% vs 14.2%
Implementation of a multidisciplinary high-risk surgery committee frequently alters perioperative care plans and may be associated with lower-than-expected 30-day mortality in high-risk surgical patients.
Jones et al. (2021) conducted an observational in High-risk surgical patients (n=76). Multidisciplinary high-risk surgery committee review vs. Expected mortality (VASQIP risk calculator) was evaluated on 30-day mortality. Review by a multidisciplinary high-risk surgery committee led to care plan changes in 57% of patients, with those proceeding to surgery experiencing a 7.4% 30-day mortality versus 14.2% expected.
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