Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours

Abstract Long-term all-cause mortality and dependency after complex surgical procedures have not been assessed in the framework of value-based medicine. The aim of this study was to investigate the postoperative and long-term outcomes after surgical procedures lasting for more than six hours. Retros...

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Autores principales:	Natalia Cornellà, Joan Sancho, Antonio Sitges-Serra
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f5b1ecfa6d774517a738282221d226c3
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spelling	oai:doaj.org-article:f5b1ecfa6d774517a738282221d226c32021-12-02T12:32:49ZShort and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours10.1038/s41598-017-09833-72045-2322https://doaj.org/article/f5b1ecfa6d774517a738282221d226c32017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-09833-7https://doaj.org/toc/2045-2322Abstract Long-term all-cause mortality and dependency after complex surgical procedures have not been assessed in the framework of value-based medicine. The aim of this study was to investigate the postoperative and long-term outcomes after surgical procedures lasting for more than six hours. Retrospective cohort study of patients undergoing a first elective complex surgical procedure between 2004 and 2013. Heart and transplant surgery was excluded. Mortality and dependency from the healthcare system were selected as outcome variables. Gender, age, ASA, creatinine, albumin kinetics, complications, benign vs malignant underlying condition, number of drugs at discharge, and admission and length of stay in the ICU were recorded as predictive variables. Some 620 adult patients were included in the study. Postoperative, <1year and <5years cumulative mortality was 6.8%, 17.6% and 45%, respectively. Of patients discharged from hospital after surgery, 76% remained dependent on the healthcare system. In multivariate analysis for postoperative, <1year and <5years mortality, postoperative albumin concentration, ASA score and an ICU stay >7days, were the most significant independent predictive variables. Prolonged surgery carries a significant short and long-term mortality and disability. These data may contribute to more informed decisions taken concerning major surgery in the framework of value-based medicine.Natalia CornellàJoan SanchoAntonio Sitges-SerraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Natalia Cornellà Joan Sancho Antonio Sitges-Serra Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
description	Abstract Long-term all-cause mortality and dependency after complex surgical procedures have not been assessed in the framework of value-based medicine. The aim of this study was to investigate the postoperative and long-term outcomes after surgical procedures lasting for more than six hours. Retrospective cohort study of patients undergoing a first elective complex surgical procedure between 2004 and 2013. Heart and transplant surgery was excluded. Mortality and dependency from the healthcare system were selected as outcome variables. Gender, age, ASA, creatinine, albumin kinetics, complications, benign vs malignant underlying condition, number of drugs at discharge, and admission and length of stay in the ICU were recorded as predictive variables. Some 620 adult patients were included in the study. Postoperative, <1year and <5years cumulative mortality was 6.8%, 17.6% and 45%, respectively. Of patients discharged from hospital after surgery, 76% remained dependent on the healthcare system. In multivariate analysis for postoperative, <1year and <5years mortality, postoperative albumin concentration, ASA score and an ICU stay >7days, were the most significant independent predictive variables. Prolonged surgery carries a significant short and long-term mortality and disability. These data may contribute to more informed decisions taken concerning major surgery in the framework of value-based medicine.
format	article
author	Natalia Cornellà Joan Sancho Antonio Sitges-Serra
author_facet	Natalia Cornellà Joan Sancho Antonio Sitges-Serra
author_sort	Natalia Cornellà
title	Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
title_short	Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
title_full	Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
title_fullStr	Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
title_full_unstemmed	Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours
title_sort	short and long-term outcomes after surgical procedures lasting for more than six hours
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/f5b1ecfa6d774517a738282221d226c3
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Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours

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