Anesthesia-related mortality and morbidity in Japan (1999)

Kawashima, Y.; Seo, Norimasa; Morita, Kiyoshi; Irita, Kazuo; Iwao, Yasuhide; Tsuzaki, Koichi; Kobayashi, Tsutomu; Goto, Y; Dohi, Shuji

doi:10.1007/s005400200049

Cited by 35 publications

(44 citation statements)

References 18 publications

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“…On the negative side, the number of epidural anesthesia complications revealed in our study seems to be relatively high, and the incidence of critical complications (2/180) is higher than that in developed countries [22,25]. Despite this, one distinct characteristic of this survey was Vietnamese patients' high satisfaction with the services they received, which mostly likely reflects an overall high quality of care.…”

Section: Clinical Assessments and International Comparisonmentioning

confidence: 66%

“…To provide additional insight into the interpretation of our results, we compared hospital statistics on surgery and anesthesia from Vietnam with those reported from other East Asian, Southeast Asian, and non-Asian countries (Table 4). Two reports from Italy-one in which classic medical indicators were used [22] and another in which more comprehensive assessment tools were applied, including patient satisfaction and staff mental state [3]-and one each from Hong Kong [11], Thailand [23,24], and Japan [25] are reported. The proportion of major surgical cases at UMC was approximately the same as that in Italy.…”

Section: Clinical Assessments and International Comparisonmentioning

confidence: 99%

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Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Soejima

Goto

et al. 2010

Environ Health Prev Med

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Objectives Vietnamese patients' views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients' impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patientcentered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24 h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting the patients' perceptions of anesthesia safety, postoperative symptoms, and pain was examined using multiple logistic regression analysis.Results The perception of a low level of anesthesia safety by 105 patients (59%) was associated with a low satisfaction in terms of preoperative anesthesia education [odds ratio (OR) 15.03], poor interaction with family (OR 21.80), and absence of perioperative adverse effects (OR 6.10). The occurrence of three or more postoperative symptoms (59%) was associated with a surgery C3 h (OR 2.00). Severe pain at 2 h (25%) post-surgery was associated with male gender (OR 2.08) and open surgery (OR 3.30), no reduction in pain at 24 h (51%) was associated with female gender (OR 2.08), and experiencing as much or more pain than expected (46%) was associated with blood loss C100 ml (OR 1.04) and low satisfaction with staff communication (OR 1.90). Conclusion Our results suggest that facilitating patients' communication with staff and families and paying attention to gender differences in pain management are important factors to take into consideration when the aim is to improve perioperative care in the rapidly developing healthcare environment of Vietnam.

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Section: Clinical Assessments and International Comparisonmentioning

confidence: 66%

Section: Clinical Assessments and International Comparisonmentioning

confidence: 99%

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Soejima

Goto

et al. 2010

Environ Health Prev Med

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“…Yet, this issue is not specific for hypospadias patients and large series with children undergoing general anesthesia have been published to assess eventual age related risks. In multiple earlier and recent studies it has clearly been shown that neonates and infants (age < 1 year) have a significantly higher perioperative anesthetic morbidity and mortality (20)(21)(22)(23)(24)(25)(26)(27). Part of this morbidity can be explained by major life threatening malformations; however reduced respiratory and cardiovascular reserves in this age group have a significant negative effect making anesthesia of children < 1 year more demanding.…”

Section: Discussionmentioning

confidence: 99%

Is there an ideal age for hypospadias repair? A pilot study

Weber

Schönbucher

Gobet

et al. 2009

Journal of Pediatric Urology

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Objective:The aim of this study is to assess whether repairing hypospadias before or after 18 months affects psychological adjustment, health-related quality of life (HRQoL) and surgical outcome. Subjects/Patients77 boys with a current age of 6 to 17 years were assigned to two groups, according to whether they had a hypospadias repair before or after the age of 18 months. The surgical outcome was assessed with the Pediatric Penile Perception Score by non involved urologists. A psychologist interviewed the patients to assess HRQoL and gender-role behavior. The child's psychological adjustment was assessed with a questionnaire for parents. ResultsThe surgical outcome and complication rate were not significantly different. A covariance analysis of HRQoL, gender-role behavior and psychological adjustment as a function of age at the last operation with current age as covariant was performed, but differences did not reach significance. ConclusionThis study cannot provide evidence to support recommendations concerning the ideal age for hypospadias repair. In the absence of evidence of a benefit of early surgery, anesthesia related risk factors must be considered when operating in very early infancy.2 Large, prospective studies, measuring surgical and psychological outcome with similar instruments to those presented may reveal whether there is a truly ideal age for hypospadias surgery. KeywordsHypospadias, surgery, outcome assessment, psychosexual development, gender-role behaviour, health related quality of life

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“…Perioperative morbidity and mortality in the first year of life 5 2. In the data analysis of Kawashima et al, 15 regarding the compilation and analysis of data presented by Morita et al 7 for the annual study of mortality and morbidity in Japan in 1999, mortality was higher in children under one month of age. However, mortality in children aged between one and 12 months, even though higher than that of older children, has been superseded by that of individuals aged between 66 and 85 years or more.…”

Section: Mortality In Children In the First Year Of Agementioning

confidence: 96%

Perioperative morbidity and mortality in the first year of life: a systematic review (1997–2012)

Catré

Lopes

Viana

et al. 2015

Brazilian Journal of Anesthesiology (English Edition)

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The current literature indicates great variability in mortality and morbidity in the age group under consideration and in its subgroups. However, despite the obvious methodological heterogeneity and absence of specific studies, epidemiological profiles of morbidity and mortality related to anesthesia in children in the first year of life show higher frequency of morbidity and mortality in this age group, with the highest peaks of incidence in the neonates' anesthesia.

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Anesthesia-related mortality and morbidity in Japan (1999)

Cited by 35 publications

References 18 publications

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Is there an ideal age for hypospadias repair? A pilot study

Perioperative morbidity and mortality in the first year of life: a systematic review (1997–2012)

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