Academic Journal
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
| العنوان: | The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis |
|---|---|
| المؤلفون: | Abbott TEF, Ahmad T, Phull MK, Fowler AJ, Hewson R, Biccard BM, Chew MS, Gillies M, Pearse RM, International Surgical Outcomes Study (ISOS) group Neil Waworuntu, Hadi Awad, Akram Fuad, Burair Geddoa, Abdel Razzaq Khalaf, Sabah Al Hussaini, Safauldeensalem Albaj, Maithem Kenber, Alessandra Bettinelli, Savino Spadaro, Volta CA, Luigi Giancarlo, Vicari Sottosanti, Elisa Copetti, Lorenzo Spagnesi, Ilaria Toretti, Chiara Alloj, Silvano Cardellino, Livio Carmino, Eleonora Costanzo, Lucia Caterina Fanfani, Maria Teresa Novelli, Agostino Roasio, Mattia Bellandi, Luigi Beretta, Elena Bignami, Speranza Bocchino, Luca Cabrini, Daniele Corti, Giovanni Landoni, Roberta Meroni, Elena Moizo, Giacomo Monti, Margherita Pintaudi, Valentina Paola Plumari, Daiana Taddeo, Valentina Testa, Dario Winterton, Alberto Zangrillo, Luigi Maria Cloro, Chiara Colangelo, Antonio Colangelo, Giuseppe Rotunno, Miguel Angel Paludi, Cloro Paolo Maria, Antonio Pata, Vieri Parrini, Alessandro Gatta, Mauro Nastasi, Carla Tinti, Antonio Baroselli, Mario Arrigo, Angelo Benevento, Corrado Bottini, Maurizio Cannavo', Christian Gastaldi, Alessandro Marchesi, Angelantonio Pascazio, Francesco Pata, Emilio Pozzi, Alberto Premoli, Gaetano Tessera, Luca Boschi, Rocco D'Andrea, Federico Ghignone, Gilberto Poggioli, Andrea Sibilio, Mario Taffurelli, Giampaolo Ugolini, Mohd Azuan Ab Majid, Rusnah Ab Rahman, James Joseph, Furquan Pathan |
| المساهمون: | Abbott, Tef, Ahmad, T, Phull, Mk, Fowler, Aj, Hewson, R, Biccard, Bm, Chew, M, Gillies, M, Pearse, Rm, International Surgical Outcomes Study (ISOS) group Neil Waworuntu, Hadi, Awad, Akram, Fuad, Burair, Geddoa, Abdel Razzaq Khalaf, Sabah Al Hussaini, Safauldeensalem, Albaj, Maithem, Kenber, Alessandra, Bettinelli, Spadaro, Savino, Volta, Ca, Luigi, Giancarlo, Vicari, Sottosanti, Elisa, Copetti, Lorenzo, Spagnesi, Ilaria, Toretti, Chiara, Alloj, Silvano, Cardellino, Livio, Carmino, Eleonora, Costanzo, Lucia Caterina Fanfani, Maria Teresa Novelli, Agostino, Roasio, Mattia, Bellandi, Luigi, Beretta, Elena, Bignami, Speranza, Bocchino, Luca, Cabrini, Daniele, Corti, Giovanni, Landoni, Roberta, Meroni, Elena, Moizo, Giacomo, Monti, Margherita, Pintaudi, Valentina Paola Plumari, Daiana, Taddeo, Valentina, Testa, Dario, Winterton, Alberto, Zangrillo, Luigi Maria Cloro, Chiara, Colangelo, Antonio, Colangelo, Giuseppe, Rotunno, Miguel Angel Paludi, Cloro Paolo Maria, Antonio, Pata, Vieri, Parrini, Alessandro, Gatta, Mauro, Nastasi, Carla, Tinti, Antonio, Baroselli, Mario, Arrigo, Angelo, Benevento, Corrado, Bottini, Maurizio, Cannavo', Christian, Gastaldi, Alessandro, Marchesi, Angelantonio, Pascazio, Francesco, Pata, Emilio, Pozzi, Alberto, Premoli, Gaetano, Tessera, Luca, Boschi, Rocco, D'Andrea, Federico, Ghignone, Gilberto, Poggioli, Andrea, Sibilio, Mario, Taffurelli, Giampaolo, Ugolini, Mohd Azuan Ab Majid, Rusnah Ab Rahman, James, Joseph, Furquan, Pathan |
| سنة النشر: | 2018 |
| المجموعة: | Università degli Studi di Ferrara: CINECA IRIS |
| مصطلحات موضوعية: | cohort studie, operative/mortality, postoperative care/method, postoperative care/statistics and numerical data, surgery, surgical procedure, surgical procedures |
| 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. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | ELETTRONICO |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/29397122; info:eu-repo/semantics/altIdentifier/wos/WOS:000435989400028; volume:120; issue:1; firstpage:146; lastpage:155; numberofpages:10; journal:BRITISH JOURNAL OF ANAESTHESIA; http://hdl.handle.net/11392/2471549; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85045575974; https://www.sciencedirect.com/science/article/pii/S0007091217539458; http://bjanaesthesia.org/article/S0007091217539458/pdf |
| DOI: | 10.1016/j.bja.2017.08.002 |
| الاتاحة: | http://hdl.handle.net/11392/2471549 https://doi.org/10.1016/j.bja.2017.08.002 https://www.sciencedirect.com/science/article/pii/S0007091217539458 http://bjanaesthesia.org/article/S0007091217539458/pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.377B5307 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.bja.2017.08.002 |
|---|