Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data
Background: Postoperative complications are associated with reduced long-term survival. We characterise healthcare use changes after sentinel postoperative complications. Methods: We linked primary and secondary care records of patients undergoing elective surgery at four East London hospitals (2012...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | BJA Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772609623000217 |
| _version_ | 1797677671411351552 |
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| author | Alexander J. Fowler Adam B. Brayne Rupert M. Pearse John R. Prowle |
| author_facet | Alexander J. Fowler Adam B. Brayne Rupert M. Pearse John R. Prowle |
| author_sort | Alexander J. Fowler |
| collection | DOAJ |
| description | Background: Postoperative complications are associated with reduced long-term survival. We characterise healthcare use changes after sentinel postoperative complications. Methods: We linked primary and secondary care records of patients undergoing elective surgery at four East London hospitals (2012–7) with at least 90 days follow-up. Complication codes (wound infection, urinary tract infection, pneumonia, new stroke, and new myocardial infarction) recorded within 90 days of surgery were identified from primary or secondary care. Outcomes were change in healthcare contact days in the 2 yr before and after surgery, and 2 yr mortality. We report rate ratios (RaR) with 95% confidence intervals and adjusted for baseline healthcare use and confounders using negative binomial regression. Results: We included 49 913 patients (median age 49 yr [inter-quartile range {IQR}: 34–64]), 27 958 (56.0%) were female. Amongst 3883 (7.8%) patients with complications (median age 58 [IQR: 43–72]), there were 18.4 days per year in contact with healthcare before surgery and 25.3 days after surgery (RaR: 1.38 [1.37–1.39]). Patients without complications (median age 48 [IQR: 33–63]) had 12.3 days per year in contact with healthcare before surgery and 14.0 days after surgery (RaR: 1.14 [1.14–1.15]). The adjusted incidence rate ratio of days in contact with healthcare associated with complications was 1.67 (1.49–1.87). More patients (391; 10.1%) with complications died within 2 yr than those without (1428; 3.1%). Conclusions: Patients with postoperative complications are older with greater healthcare use before surgery. However, their absolute and relative increases in healthcare use after surgery are greater than patients without complications. |
| first_indexed | 2024-03-11T22:48:39Z |
| format | Article |
| id | doaj.art-53127e631f394c4bbb21aa772136f5dd |
| institution | Directory Open Access Journal |
| issn | 2772-6096 |
| language | English |
| last_indexed | 2024-03-11T22:48:39Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | BJA Open |
| spelling | doaj.art-53127e631f394c4bbb21aa772136f5dd2023-09-22T04:40:11ZengElsevierBJA Open2772-60962023-09-017100142Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine dataAlexander J. Fowler0Adam B. Brayne1Rupert M. Pearse2John R. Prowle3Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Broomfield Hospital, Mid and South Essex NHS Foundation Trust, Chelmsford, Essex, UK; Corresponding author. Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; University Hospitals Plymouth, Derriford Road, Plymouth, Devon, UKFaculty of Medicine and Dentistry, Queen Mary University of London, London, UKFaculty of Medicine and Dentistry, Queen Mary University of London, London, UKBackground: Postoperative complications are associated with reduced long-term survival. We characterise healthcare use changes after sentinel postoperative complications. Methods: We linked primary and secondary care records of patients undergoing elective surgery at four East London hospitals (2012–7) with at least 90 days follow-up. Complication codes (wound infection, urinary tract infection, pneumonia, new stroke, and new myocardial infarction) recorded within 90 days of surgery were identified from primary or secondary care. Outcomes were change in healthcare contact days in the 2 yr before and after surgery, and 2 yr mortality. We report rate ratios (RaR) with 95% confidence intervals and adjusted for baseline healthcare use and confounders using negative binomial regression. Results: We included 49 913 patients (median age 49 yr [inter-quartile range {IQR}: 34–64]), 27 958 (56.0%) were female. Amongst 3883 (7.8%) patients with complications (median age 58 [IQR: 43–72]), there were 18.4 days per year in contact with healthcare before surgery and 25.3 days after surgery (RaR: 1.38 [1.37–1.39]). Patients without complications (median age 48 [IQR: 33–63]) had 12.3 days per year in contact with healthcare before surgery and 14.0 days after surgery (RaR: 1.14 [1.14–1.15]). The adjusted incidence rate ratio of days in contact with healthcare associated with complications was 1.67 (1.49–1.87). More patients (391; 10.1%) with complications died within 2 yr than those without (1428; 3.1%). Conclusions: Patients with postoperative complications are older with greater healthcare use before surgery. However, their absolute and relative increases in healthcare use after surgery are greater than patients without complications.http://www.sciencedirect.com/science/article/pii/S2772609623000217epidemiologyhealth services researchperioperative medicinepostoperative complicationsprimary care |
| spellingShingle | Alexander J. Fowler Adam B. Brayne Rupert M. Pearse John R. Prowle Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data BJA Open epidemiology health services research perioperative medicine postoperative complications primary care |
| title | Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data |
| title_full | Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data |
| title_fullStr | Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data |
| title_full_unstemmed | Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data |
| title_short | Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data |
| title_sort | long term healthcare use after postoperative complications an analysis of linked primary and secondary care routine data |
| topic | epidemiology health services research perioperative medicine postoperative complications primary care |
| url | http://www.sciencedirect.com/science/article/pii/S2772609623000217 |
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