Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors
Introduction: Failure-to-rescue (FTR), defined as death after a surgical complication, is a quality metric that is an important variable affecting mortality rates in hospitals. This study aims to analyze complications, FTR rates, and its predictors at the index hospital setting. Methods: This was...
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| Format: | Article |
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Society of Surgeons of Nepal
2021-12-01
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| Series: | Journal of Society of Surgeons of Nepal |
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| Online Access: | https://nepjol.info/index.php/JSSN/article/view/42830 |
| _version_ | 1818288930633547776 |
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| author | Narendra Pandit Kunal B Deo Laligen Awale Sameer Bhattarai Tek Narayan Yadav |
| author_facet | Narendra Pandit Kunal B Deo Laligen Awale Sameer Bhattarai Tek Narayan Yadav |
| author_sort | Narendra Pandit |
| collection | DOAJ |
| description |
Introduction: Failure-to-rescue (FTR), defined as death after a surgical complication, is a quality metric that is an important variable affecting mortality rates in hospitals. This study aims to analyze complications, FTR rates, and its predictors at the index hospital setting.
Methods: This was a retrospective cohort study performed at an academic hospital from 2015 to 2020 in the Department of Surgical Gastroenterology. We included all patients who had major complications following elective major benign or malignant abdominal surgeries. The primary and secondary endpoint was FTR rates and the overall major complications and deaths, re-operation rate, and its predictors respectively.
Results: Among 762 patients, the rate of any major complication was 14.9% . The overall mortality rate was 2.8%. However, the mortality rate among patients with complications was 27.4% (FTR). Twenty-seven (52.9%) patients underwent re-operation for complications, out of which 70% survived. Three (21.4%) patients had a delay in prompt diagnosis and interventions of complications and had FTR due to the anastomotic leak and bleeding. The ASA grade, co-morbidities,, re-operation, and nature of the disease (benign vs. malignant) did not predict the FTR.
Conclusion: This study conducted at an academic, low-volume center had higher rates of FTR. It can be further reduced by both prompt and appropriate interventions of postoperative complications in a multidisciplinary setup.
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| first_indexed | 2024-12-13T02:04:12Z |
| format | Article |
| id | doaj.art-46bd93ccf74c41ba96fac9f1de263db5 |
| institution | Directory Open Access Journal |
| issn | 1815-3984 2392-4772 |
| language | English |
| last_indexed | 2024-12-13T02:04:12Z |
| publishDate | 2021-12-01 |
| publisher | Society of Surgeons of Nepal |
| record_format | Article |
| series | Journal of Society of Surgeons of Nepal |
| spelling | doaj.art-46bd93ccf74c41ba96fac9f1de263db52022-12-22T00:03:10ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722021-12-01242Failure to Rescue After Abdominal Surgery: an Audit on Incidence and PredictorsNarendra Pandit0Kunal B Deo1Laligen Awale2Sameer Bhattarai3Tek Narayan Yadav4B.P. Koirala Institute of Health Sciences, Dharan, NepalB.P. Koirala Institute of Health Sciences, Dharan, NepalB.P. Koirala Institute of Health Sciences, Dharan, NepalB.P. Koirala Institute of Health Sciences, Dharan, NepalB.P. Koirala Institute of Health Sciences, Dharan, Nepal Introduction: Failure-to-rescue (FTR), defined as death after a surgical complication, is a quality metric that is an important variable affecting mortality rates in hospitals. This study aims to analyze complications, FTR rates, and its predictors at the index hospital setting. Methods: This was a retrospective cohort study performed at an academic hospital from 2015 to 2020 in the Department of Surgical Gastroenterology. We included all patients who had major complications following elective major benign or malignant abdominal surgeries. The primary and secondary endpoint was FTR rates and the overall major complications and deaths, re-operation rate, and its predictors respectively. Results: Among 762 patients, the rate of any major complication was 14.9% . The overall mortality rate was 2.8%. However, the mortality rate among patients with complications was 27.4% (FTR). Twenty-seven (52.9%) patients underwent re-operation for complications, out of which 70% survived. Three (21.4%) patients had a delay in prompt diagnosis and interventions of complications and had FTR due to the anastomotic leak and bleeding. The ASA grade, co-morbidities,, re-operation, and nature of the disease (benign vs. malignant) did not predict the FTR. Conclusion: This study conducted at an academic, low-volume center had higher rates of FTR. It can be further reduced by both prompt and appropriate interventions of postoperative complications in a multidisciplinary setup. https://nepjol.info/index.php/JSSN/article/view/42830Gastrointestinal SurgeryHospital mortalitycomplicationsfailure to rescue |
| spellingShingle | Narendra Pandit Kunal B Deo Laligen Awale Sameer Bhattarai Tek Narayan Yadav Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors Journal of Society of Surgeons of Nepal Gastrointestinal Surgery Hospital mortality complications failure to rescue |
| title | Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors |
| title_full | Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors |
| title_fullStr | Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors |
| title_full_unstemmed | Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors |
| title_short | Failure to Rescue After Abdominal Surgery: an Audit on Incidence and Predictors |
| title_sort | failure to rescue after abdominal surgery an audit on incidence and predictors |
| topic | Gastrointestinal Surgery Hospital mortality complications failure to rescue |
| url | https://nepjol.info/index.php/JSSN/article/view/42830 |
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