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Preventable mortality after common urological surgery: failing to rescue?

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Preventable mortality after common urological surgery: failing to rescue? / Sammon, Jesse D; Pucheril, Daniel; Abdollah, Firas; Varda, Briony; Sood, Akshay; Bhojani, Naeem; Chang, Steven L; Kim, Simon P; Ruhotina, Nedim; Schmid, Marianne; Sun, Maxine; Kibel, Adam S; Menon, Mani; Semel, Marcus E; Trinh, Quoc-Dien.

in: BJU INT, Jahrgang 115, Nr. 4, 01.04.2015, S. 666-74.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Sammon, JD, Pucheril, D, Abdollah, F, Varda, B, Sood, A, Bhojani, N, Chang, SL, Kim, SP, Ruhotina, N, Schmid, M, Sun, M, Kibel, AS, Menon, M, Semel, ME & Trinh, Q-D 2015, 'Preventable mortality after common urological surgery: failing to rescue?', BJU INT, Jg. 115, Nr. 4, S. 666-74. https://doi.org/10.1111/bju.12833

APA

Sammon, J. D., Pucheril, D., Abdollah, F., Varda, B., Sood, A., Bhojani, N., Chang, S. L., Kim, S. P., Ruhotina, N., Schmid, M., Sun, M., Kibel, A. S., Menon, M., Semel, M. E., & Trinh, Q-D. (2015). Preventable mortality after common urological surgery: failing to rescue? BJU INT, 115(4), 666-74. https://doi.org/10.1111/bju.12833

Vancouver

Sammon JD, Pucheril D, Abdollah F, Varda B, Sood A, Bhojani N et al. Preventable mortality after common urological surgery: failing to rescue? BJU INT. 2015 Apr 1;115(4):666-74. https://doi.org/10.1111/bju.12833

Bibtex

@article{8dc73c8dd99846ae91244ac018973e76,
title = "Preventable mortality after common urological surgery: failing to rescue?",
abstract = "OBJECTIVE: To assess in-hospital mortality in patients undergoing many commonly performed urological surgeries in light of decreasing nationwide perioperative mortality over the past decade. This phenomenon has been attributed in part to a decline in 'failure to rescue' (FTR) rates, e.g. death after a complication that was potentially recognisable/preventable.PATIENTS AND METHODS: Discharges of all patients undergoing urological surgery between 1998 and 2010 were extracted from the Nationwide Inpatient Sample and assessed for overall and FTR mortality. Admission trends were assessed with linear regression. Logistic regression models fitted with generalised estimating equations were used to estimate the impact of primary predictors on over-all and FTR mortality and changes in mortality rates.RESULTS: Between 1998 and 2010, an estimated 7 725 736 urological surgeries requiring hospitalisation were performed in the USA; admissions for urological surgery decreased 0.63% per year (P = 0.008). Odds of overall mortality decreased slightly (odds ratio [OR] 0.990, 95% confidence interval [CI] 0.988-0.993), yet the odds of mortality attributable to FTR increased 5% every year (OR 1.050, 95% CI 1.038-1.062). Patient age, race, Charlson Comorbidity Index, public insurance status, as well as urban hospital location were independent predictors of FTR mortality (P < 0.001).CONCLUSION: A shift from inpatient to outpatient surgery for commonly performed urological procedures has coincided with increasing rates of FTR mortality. Older, sicker, minority group patients and those with public insurance were more likely to die after a potentially recognisable/preventable complication. These strata of high-risk individuals represent ideal targets for process improvement initiatives.",
author = "Sammon, {Jesse D} and Daniel Pucheril and Firas Abdollah and Briony Varda and Akshay Sood and Naeem Bhojani and Chang, {Steven L} and Kim, {Simon P} and Nedim Ruhotina and Marianne Schmid and Maxine Sun and Kibel, {Adam S} and Mani Menon and Semel, {Marcus E} and Quoc-Dien Trinh",
note = "{\textcopyright} 2014 The Authors. BJU International {\textcopyright} 2014 BJU International.",
year = "2015",
month = apr,
day = "1",
doi = "10.1111/bju.12833",
language = "English",
volume = "115",
pages = "666--74",
journal = "BJU INT",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "4",

}

RIS

TY - JOUR

T1 - Preventable mortality after common urological surgery: failing to rescue?

AU - Sammon, Jesse D

AU - Pucheril, Daniel

AU - Abdollah, Firas

AU - Varda, Briony

AU - Sood, Akshay

AU - Bhojani, Naeem

AU - Chang, Steven L

AU - Kim, Simon P

AU - Ruhotina, Nedim

AU - Schmid, Marianne

AU - Sun, Maxine

AU - Kibel, Adam S

AU - Menon, Mani

AU - Semel, Marcus E

AU - Trinh, Quoc-Dien

N1 - © 2014 The Authors. BJU International © 2014 BJU International.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - OBJECTIVE: To assess in-hospital mortality in patients undergoing many commonly performed urological surgeries in light of decreasing nationwide perioperative mortality over the past decade. This phenomenon has been attributed in part to a decline in 'failure to rescue' (FTR) rates, e.g. death after a complication that was potentially recognisable/preventable.PATIENTS AND METHODS: Discharges of all patients undergoing urological surgery between 1998 and 2010 were extracted from the Nationwide Inpatient Sample and assessed for overall and FTR mortality. Admission trends were assessed with linear regression. Logistic regression models fitted with generalised estimating equations were used to estimate the impact of primary predictors on over-all and FTR mortality and changes in mortality rates.RESULTS: Between 1998 and 2010, an estimated 7 725 736 urological surgeries requiring hospitalisation were performed in the USA; admissions for urological surgery decreased 0.63% per year (P = 0.008). Odds of overall mortality decreased slightly (odds ratio [OR] 0.990, 95% confidence interval [CI] 0.988-0.993), yet the odds of mortality attributable to FTR increased 5% every year (OR 1.050, 95% CI 1.038-1.062). Patient age, race, Charlson Comorbidity Index, public insurance status, as well as urban hospital location were independent predictors of FTR mortality (P < 0.001).CONCLUSION: A shift from inpatient to outpatient surgery for commonly performed urological procedures has coincided with increasing rates of FTR mortality. Older, sicker, minority group patients and those with public insurance were more likely to die after a potentially recognisable/preventable complication. These strata of high-risk individuals represent ideal targets for process improvement initiatives.

AB - OBJECTIVE: To assess in-hospital mortality in patients undergoing many commonly performed urological surgeries in light of decreasing nationwide perioperative mortality over the past decade. This phenomenon has been attributed in part to a decline in 'failure to rescue' (FTR) rates, e.g. death after a complication that was potentially recognisable/preventable.PATIENTS AND METHODS: Discharges of all patients undergoing urological surgery between 1998 and 2010 were extracted from the Nationwide Inpatient Sample and assessed for overall and FTR mortality. Admission trends were assessed with linear regression. Logistic regression models fitted with generalised estimating equations were used to estimate the impact of primary predictors on over-all and FTR mortality and changes in mortality rates.RESULTS: Between 1998 and 2010, an estimated 7 725 736 urological surgeries requiring hospitalisation were performed in the USA; admissions for urological surgery decreased 0.63% per year (P = 0.008). Odds of overall mortality decreased slightly (odds ratio [OR] 0.990, 95% confidence interval [CI] 0.988-0.993), yet the odds of mortality attributable to FTR increased 5% every year (OR 1.050, 95% CI 1.038-1.062). Patient age, race, Charlson Comorbidity Index, public insurance status, as well as urban hospital location were independent predictors of FTR mortality (P < 0.001).CONCLUSION: A shift from inpatient to outpatient surgery for commonly performed urological procedures has coincided with increasing rates of FTR mortality. Older, sicker, minority group patients and those with public insurance were more likely to die after a potentially recognisable/preventable complication. These strata of high-risk individuals represent ideal targets for process improvement initiatives.

U2 - 10.1111/bju.12833

DO - 10.1111/bju.12833

M3 - SCORING: Journal article

C2 - 24913548

VL - 115

SP - 666

EP - 674

JO - BJU INT

JF - BJU INT

SN - 1464-4096

IS - 4

ER -