A retrospective assessment of prognostication in 456,685 patients undergoing elective major non-cardiac surgery

A retrospective assessment of prognostication in 456,685 patients undergoing elective major... Can J Anesth/J Can Anesth (2017) 64:908–918 DOI 10.1007/s12630-017-0909-x REPORTS O F O RIGINAL I NVES TIGATIONS A retrospective assessment of prognostication in 456,685 patients undergoing elective major non-cardiac surgery ´ ´ Une evaluation retrospective du pronostic de 456 685 patients subissant une chirurgie non cardiaque et non urgente majeure . . Daniel McIsaac, MD, MPH Luke T. Lavalle ´e, MD, MSc Carl van Walraven, MD, MSc Received: 5 December 2016 / Revised: 22 February 2017 / Accepted: 8 June 2017 / Published online: 5 July 2017 Canadian Anesthesiologists’ Society 2017 Abstract Results We identified 456,685 patients of which 17,266 Background The accuracy of patient prognostication (3.8%) died within one year of surgery. Patients whose varies extensively in studies of select populations. expected one-year death risk was [ 25% accounted for Prognostication is an important component of patient 5.3% of the entire cohort (n = 24,178) but 51.7% of all selection for elective surgery. This retrospective study deaths (n = 8,927). The overall observed death risk was assessed patient prognostication prior to elective surgery significantly lower than expected (standardized mortality by comparing the observed with the expected number of ratio [SMR], 0.72; 95% confidence interval, 0.71 to 0.73; deaths http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer Journals

A retrospective assessment of prognostication in 456,685 patients undergoing elective major non-cardiac surgery

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Publisher
Springer US
Copyright
Copyright © 2017 by Canadian Anesthesiologists' Society
Subject
Medicine & Public Health; Anesthesiology; Pain Medicine; Intensive / Critical Care Medicine; Pneumology/Respiratory System; Cardiology; Pediatrics
ISSN
0832-610X
eISSN
1496-8975
D.O.I.
10.1007/s12630-017-0909-x
Publisher site
See Article on Publisher Site

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