2019
DOI: 10.1016/j.eclinm.2019.04.011
|View full text |Cite
|
Sign up to set email alerts
|

Days at Home after Surgery: An Integrated and Efficient Outcome Measure for Clinical Trials and Quality Assurance

Abstract: Background Surgical audit, sometimes including public reporting, is an important foundation of high quality health care. We aimed to assess the validity of a novel outcome metric, days at home up to 30 days after surgery , as a surgical outcome measure in clinical trials and quality assurance. Methods This was a multicentre, registry-based cohort study. We used prospectively collected hospital and national healthcare registry data obtained fro… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1

Citation Types

4
102
1

Year Published

2019
2019
2024
2024

Publication Types

Select...
8
2

Relationship

0
10

Authors

Journals

citations
Cited by 90 publications
(112 citation statements)
references
References 57 publications
4
102
1
Order By: Relevance
“…DAOH is a validated measure that includes death, LOS in hospital, need for ongoing rehabilitation and the occurrence and duration of hospital readmission. [29][30][31][32] Days spent in a rehabilitation facility or high-level nursing facility to day 60 are considered as days in the hospital. Participants who die prior to day 60 will be recorded as having zero DAOH 60 .…”
Section: Concomitant Therapiesmentioning
confidence: 99%
“…DAOH is a validated measure that includes death, LOS in hospital, need for ongoing rehabilitation and the occurrence and duration of hospital readmission. [29][30][31][32] Days spent in a rehabilitation facility or high-level nursing facility to day 60 are considered as days in the hospital. Participants who die prior to day 60 will be recorded as having zero DAOH 60 .…”
Section: Concomitant Therapiesmentioning
confidence: 99%
“…Recording of adverse events and postoperative complications were performed by an external assessor through medical records and graded by both the Clavien-Dindo classi cation [25] and the Comprehensive Complication Index [26]. Any readmission and Days at Home within 30 days after surgery (DAH-30) [27] was asses through entries in medical records.…”
Section: Other Variablesmentioning
confidence: 99%
“…Systems changes perhaps provide a greater opportunity for measurable improvements 8 . Important impacts of innovations include the effect on sequelae of hospital complications of relevance to both patients and fundholders, such as length of hospital stay and re-admissions 9,10 and overall days at home after surgery (DAH) 11,12 . All these sequelae are closely associated with in-hospital quality of care, and thus provide a useful 'composite' endpoint of the impact of hospital interventions and innovations.…”
Section: Introductionmentioning
confidence: 99%