التفاصيل البيبلوغرافية
| العنوان: |
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis. |
| المؤلفون: |
Abbott T E, F, Ahmad, T, Phull M, K, Fowler A, J, Hewson, R, Biccard B, M, Chew M, S, Gillies, M, Pearse R, M |
| المساهمون: |
Université de Lille, CHU Lille, Queen Mary University of London QMUL, Royal Free Hospital London, UK, NHS Foundation Trust London, University of Cape Town, Linköping university hospital, University of Edinburgh |
| سنة النشر: |
2021 |
| المجموعة: |
LillOA (Lille Open Archive - Université de Lille) |
| الوصف: |
BACKGROUND: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. METHODS: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. RESULTS: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32-0.77); P<0.01], but no difference in complication rates [OR 1.02 (0.88-1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62-0.92); P<0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61-0.88); P<0.01; I2=89%). CONCLUSIONS: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine. ; 120 |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/octet-stream; application/rdf+xml; charset=utf-8; application/pdf |
| اللغة: |
English |
| Relation: |
British journal of anaesthesia; Br. J. Anaesth.; http://hdl.handle.net/20.500.12210/4315.2 |
| الاتاحة: |
https://hdl.handle.net/20.500.12210/4315.2 |
| Rights: |
Attribution-NonCommercial-NoDerivs 3.0 United States ; info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edsbas.37013A79 |
| قاعدة البيانات: |
BASE |