Postoperative complications: an observational study of trends in the United States from 2012 to 2018

Abstract Background Postoperative complications continue to constitute a major issue for both the healthcare system and the individual patient and are associated with inferior outcomes and higher healthcare costs. The objective of this study was to evaluate the trends of postoperative complication r...

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Autores principales:	Emilie Even Dencker, Alexander Bonde, Anders Troelsen, Kartik Mangudi Varadarajan, Martin Sillesen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Surgery Complications Trends RD1-811
Acceso en línea:	https://doaj.org/article/5fd5c063f7774444b8936bd792e36330
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spelling	oai:doaj.org-article:5fd5c063f7774444b8936bd792e363302021-11-07T12:09:51ZPostoperative complications: an observational study of trends in the United States from 2012 to 201810.1186/s12893-021-01392-z1471-2482https://doaj.org/article/5fd5c063f7774444b8936bd792e363302021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01392-zhttps://doaj.org/toc/1471-2482Abstract Background Postoperative complications continue to constitute a major issue for both the healthcare system and the individual patient and are associated with inferior outcomes and higher healthcare costs. The objective of this study was to evaluate the trends of postoperative complication rates over a 7-year period. Methods The NSQIP datasets from 2012 to 2018 were used to assess 30-day complication incidence rates including mortality rate following surgical procedures within ten surgical subspecialties. Multivariable logistic regression was used to associate complication rates with dataset year, while adjusting for relevant confounders. Results A total of 5,880,829 patients undergoing major surgery were included. Particularly the incidence rates of four complications were found to be decreasing: superficial SSI (1.9 to 1.3%), deep SSI (0.6 to 0.4%), urinary tract infection (1.6 to 1.2%) and patient unplanned return to the operating room (3.1 to 2.7%). Incidence rate for organ/space SSI exhibited an increase (1.1 to 1.5%). When adjusted, regression analyses indicated decreased odds ratios (OR) through the study period years for particularly deep SSI OR 0.92 [0.92–0.93], superficial SSI OR 0.94 [0.94–0.94] and acute renal failure OR 0.96 [0.95–0.96] as the predictor variable (study year) increased (p < 0.01). However, OR’s for organ/space SSI 1.05 [1.05–1.06], myocardial infarction 1.01 [1.01–1.02] and sepsis 1.01 [1.01–1.02] increased slightly over time (all p < 0.01). Conclusions Incidence rates for the complications exhibited a stable trend over the study period, with minor in or decreases observed.Emilie Even DenckerAlexander BondeAnders TroelsenKartik Mangudi VaradarajanMartin SillesenBMCarticleSurgeryComplicationsTrendsSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery Complications Trends Surgery RD1-811
spellingShingle	Surgery Complications Trends Surgery RD1-811 Emilie Even Dencker Alexander Bonde Anders Troelsen Kartik Mangudi Varadarajan Martin Sillesen Postoperative complications: an observational study of trends in the United States from 2012 to 2018
description	Abstract Background Postoperative complications continue to constitute a major issue for both the healthcare system and the individual patient and are associated with inferior outcomes and higher healthcare costs. The objective of this study was to evaluate the trends of postoperative complication rates over a 7-year period. Methods The NSQIP datasets from 2012 to 2018 were used to assess 30-day complication incidence rates including mortality rate following surgical procedures within ten surgical subspecialties. Multivariable logistic regression was used to associate complication rates with dataset year, while adjusting for relevant confounders. Results A total of 5,880,829 patients undergoing major surgery were included. Particularly the incidence rates of four complications were found to be decreasing: superficial SSI (1.9 to 1.3%), deep SSI (0.6 to 0.4%), urinary tract infection (1.6 to 1.2%) and patient unplanned return to the operating room (3.1 to 2.7%). Incidence rate for organ/space SSI exhibited an increase (1.1 to 1.5%). When adjusted, regression analyses indicated decreased odds ratios (OR) through the study period years for particularly deep SSI OR 0.92 [0.92–0.93], superficial SSI OR 0.94 [0.94–0.94] and acute renal failure OR 0.96 [0.95–0.96] as the predictor variable (study year) increased (p < 0.01). However, OR’s for organ/space SSI 1.05 [1.05–1.06], myocardial infarction 1.01 [1.01–1.02] and sepsis 1.01 [1.01–1.02] increased slightly over time (all p < 0.01). Conclusions Incidence rates for the complications exhibited a stable trend over the study period, with minor in or decreases observed.
format	article
author	Emilie Even Dencker Alexander Bonde Anders Troelsen Kartik Mangudi Varadarajan Martin Sillesen
author_facet	Emilie Even Dencker Alexander Bonde Anders Troelsen Kartik Mangudi Varadarajan Martin Sillesen
author_sort	Emilie Even Dencker
title	Postoperative complications: an observational study of trends in the United States from 2012 to 2018
title_short	Postoperative complications: an observational study of trends in the United States from 2012 to 2018
title_full	Postoperative complications: an observational study of trends in the United States from 2012 to 2018
title_fullStr	Postoperative complications: an observational study of trends in the United States from 2012 to 2018
title_full_unstemmed	Postoperative complications: an observational study of trends in the United States from 2012 to 2018
title_sort	postoperative complications: an observational study of trends in the united states from 2012 to 2018
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5fd5c063f7774444b8936bd792e36330
work_keys_str_mv	AT emilieevendencker postoperativecomplicationsanobservationalstudyoftrendsintheunitedstatesfrom2012to2018 AT alexanderbonde postoperativecomplicationsanobservationalstudyoftrendsintheunitedstatesfrom2012to2018 AT anderstroelsen postoperativecomplicationsanobservationalstudyoftrendsintheunitedstatesfrom2012to2018 AT kartikmangudivaradarajan postoperativecomplicationsanobservationalstudyoftrendsintheunitedstatesfrom2012to2018 AT martinsillesen postoperativecomplicationsanobservationalstudyoftrendsintheunitedstatesfrom2012to2018
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Postoperative complications: an observational study of trends in the United States from 2012 to 2018

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