Key result
ASA status and surgical duration emerge as the primary factors linked to postoperative DAH30.
Why the study?
Identifying factors associated with DAH30 scores following surgery is needed to support healthcare providers in optimizing patient care and outcomes.
What preoperative and postoperative factors are associated with Days Alive and at Home within 30 Days (DAH30) scores following surgery?
Systematic Review (n=2,262,838)
What preoperative and postoperative factors are associated with Days Alive and at Home within 30 Days (DAH30) scores following surgery?
ASA Physical Status and surgery duration are the primary factors influencing Days Alive and at Home within 30 Days (DAH30), highlighting the importance of preoperative health optimization and efficient surgical times.
Prioritizing ASA optimization and shorter operative times may improve DAH30; extends systematic evidence on dominant predictors of surgical recovery.
Background/Objectives: Days Alive and at Home within 30 days (DAH30) is a patient-centred measurement tool designed to assist with the decision-making and management of patients undergoing surgery. Thus, identifying factors associated with better DAH30 scores would support healthcare providers to optimise patient care and outcomes. This systematic review aimed to determine factors associated with DAH30 scores following surgery. Methods: A sensitive electronic search was conducted in MEDLINE, Embase, Scopus, Web of Science and CINAHL databases in September 2022. Eligible studies included patients undergoing surgery and reporting the association of preoperative and/or postoperative factors and DAH30. Risk of bias was assessed using the QUIPs tool. Results: Of the 14 studies identified, the majority (n = 13, 93%) were cohort studies, presenting moderate or high (n = 8, 60%) risk of bias. This review identified a number of factors influencing DAH30 scores in patients undergoing surgery. ASA Physical Status and surgery duration were the most common factors influencing DAH30 scores. Conclusions: Optimising patients’ health prior to surgery and reducing surgical time have the potential to improve patients’ recovery.
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Bartyn et al. (2024) conducted a systematic review in Surgery (n=2,262,838). Preoperative and postoperative factors (e.g., ASA Physical Status, surgery duration) was evaluated on Days Alive and at Home within 30 Days (DAH30). ASA Physical Status and surgery duration were the most common factors influencing Days Alive and at Home within 30 Days (DAH30) scores in patients undergoing surgery.
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