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Association between intra‐operative incidents and postoperative outcome and resource utilisation
Author(s) -
Niskanen M. M.,
Ruokonen E. T.
Publication year - 2002
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2002.02789.x
Subject(s) - medicine , multivariate analysis , emergency medicine , resource use , health care , unit (ring theory) , anesthesia , mathematics education , mathematics , natural resource economics , economics , economic growth
Summary We assessed the predictive value of intra‐operative quality indicators (incidents) with respect to outcome (hospital mortality) and resource utilisation (length of stay in the postanaesthesia care unit and in hospital). Institutional data obtained from reports of a quality system that complies with the ISO 9002 standard were evaluated retrospectively. Incidents occurred in 2009 of 25 091 anaesthetics. Mortality was higher after incidents than after uneventful anaesthetics, but in multivariate analysis the incidents did not contribute to mortality. Length of stay in the postanaesthesia care unit and hospital were longer after incidents (p < 0.001 for both). In multivariate analysis, incidents independently contributed to length of stay in the postanaesthesia care unit among ASA I−III patients (p < 0.05, 0.001 and 0.001, respectively) and to length of hospital stay among ASA II−III patients undergoing scheduled operations (p < 0.05 and < 0.01, respectively). Intra‐operative incidents are associated with increased resource utilisation following surgery.