An Analysis of Deaths in the Operating Room and Within 24 Hours of Surgery

Schapira, M; Kepes, Edith R.; Hurwitt, Elliott S.

doi:10.1213/00000539-196003000-00007

Cited by 7 publications

(3 citation statements)

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“…Based on their study results, Beecher and Todd estimated that the annual number of anesthesia-related deaths in the United States was over 5100, or 3.3 deaths per 100,000 population, which was more than twice the mortality attributable to poliomyelitis at that time. The report by Beecher and Todd helped identify anesthesia safety as a public health problem and spawned many follow-up studies in the United States7–10 and other countries 11–14. This intense research effort has played an important role in the continuing improvement of anesthesia safety.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Anesthesia-related Mortality in the United States, 1999–2005

Li¹,

Warner

Lang³

et al. 2009

Anesthesiology

342

175

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Background Previous research on anesthesia-related mortality in the United States was limited to data from individual hospitals. The purpose of this study was to examine the epidemiologic patterns of anesthesia-related deaths at the national level. Methods We searched the International Classification of Diseases, 10th Revision, manuals for codes specifically related to anesthesia/anesthetics. These codes were used to identify anesthesia-related deaths from the US multiple-cause-of-death data files for the years 1999–2005. Rates from anesthesia-related deaths were calculated based on population and hospital surgical discharge data. Results We identified 46 anesthesia/anesthetic codes, including complications of anesthesia during pregnancy, labor, and puerperium (O29.0–O29.9, O74.0–74.9, O89.0–O89.9), overdose of anesthetics (T41.0–T41.4), adverse effects of anesthetics in therapeutic use (Y45.0, Y47.1, Y48.0–Y48.4, Y55.1), and other complications of anesthesia (T88.2–T88.5, Y65.3). Of the 2,211 recorded anesthesia-related deaths in the United States during 1999–2005, 46.6% were attributable to overdose of anesthetics, 42.5% to adverse effects of anesthetics in therapeutic use, 3.6% to complications of anesthesia during pregnancy, labor, and puerperium, and 7.3% to other complications of anesthesia. The estimated rates from anesthesia-related deaths were 1.1 per million population per year (1.45 for males and 0.77 for females) and 8.2 per million hospital surgical discharges (11.7 for men and 6.5 for women). The highest death rates were found in persons aged 85 years and older. Conclusion Each year in the United States, anesthesia/anesthetics are reported as the underlying cause in approximately 34 deaths and contributing factors in another 281 deaths, with excess mortality risk in the elderly and men.

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Section: Introductionmentioning

confidence: 99%

Epidemiology of Anesthesia-related Mortality in the United States, 1999–2005

Li¹,

Warner

Lang³

et al. 2009

Anesthesiology

342

175

View full text Add to dashboard Cite

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Section: Decline In Anesthesia‐related Mortality: Reality or Myth?mentioning

confidence: 99%

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Yoho

Romaine²,

O'Neil³

2006

Dermatologic Surgery

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“…Figure 1 presents a replotting of a figure originally presented by Orkin, 2 which depicts the trend of anesthesia deaths that have been reported in the literature between 1954 and 1987. 3,[8][9][10][11][12][13][14][15][16][17][18][19][20] Additionally, the current death rate has been extrapolated from either a power or logarithmic fit of these figures. The resulting fatality incidence of between 1 in 5,000 and 1 in 10,000 markedly contrasts to a frequency of 1 in 300,000 extrapolated from a logarithmic fit of the same data from 1954 to 1987 by Orkin.…”

Section: Decline In Anesthesia-related Mortality: Reality or Myth?mentioning

confidence: 99%

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Yoho

Romaine²,

O'Neil³

2005

Dermatologic Surgery

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Despite the lack of reliable, comprehensive reporting of deaths and complications resulting from cosmetic surgeries, published data demonstrate that the risks associated with liposuction and rhytidectomy compare favorably with those from most general surgical procedures. In contrast, the morbidity and mortality rates from abdominoplasty remain unacceptably high. A significant lack of literature documenting cosmetic breast implant surgery and blepharoplasty risks is observed, which should be of concern to both patients and physicians. Liposuction and face-lift surgery data generally show that surgical centers are statistically safer than hospital operating rooms, although the data have not been standardized for the patients' American Society of Anesthesiologists (ASA) risk class, the health of the patient prior to surgery. General anesthesia may carry a risk roughly equivalent to or perhaps greater than cosmetic surgery, although, again, ASA class variables confound clear comparison between studies. Recent anesthesia literature refutes the many claims that general anesthesia risks are now remote: a landmark study that surveyed the entire scholarly literature showed a mortality rate of 1 in 13,000, roughly similar to overall cosmetic surgery mortality risks. Moreover, a prolonged operating time has been repeatedly implicated in other surgical literature to be related to morbidity and mortality. The latter certainly has relevance to cosmetic surgery.

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An Analysis of Deaths in the Operating Room and Within 24 Hours of Surgery

Cited by 7 publications

References 0 publications

Epidemiology of Anesthesia-related Mortality in the United States, 1999–2005

Epidemiology of Anesthesia-related Mortality in the United States, 1999–2005

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

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