In-hospital deaths as fraction of all deaths within 30 days of hospital admission for surgery: analysis of routine statistics

Goldacre, Michael J

doi:10.1136/bmj.324.7345.1069

Cited by 39 publications

(26 citation statements)

References 1 publication

(1 reference statement)

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“…Care must be exercised whenever an outcome other than 30-day mortality is examined with POSSUM; in-hospital mortality rates may be significantly different from 30-day rates 30 . Care must also be used when POSSUM is employed to analyse new procedures.…”

Section: Value Of Possum In Specialist Surgerymentioning

confidence: 99%

The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM)

Neary

Heather

Earnshaw

2003

British Journal of Surgery

148

115

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Section: Value Of Possum In Specialist Surgerymentioning

confidence: 99%

The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM)

Neary

Heather

Earnshaw

2003

British Journal of Surgery

148

115

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“…In-hospital surgical mortality is traditionally defined as death occurring within 30 days of admission for surgical care [2]. This definition, however, does not distinguish deaths that are not related to surgical care occurring during this period and mortality from surgical care occurring after 30 days which are potential sources of overestimation and underestimation of surgical death rates, respectively.…”

Section: Introductionmentioning

confidence: 99%

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

et al. 2014

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There is paucity of reports describing the pattern of surgical mortality in Nigeria. The aim of this study was to determine the incidence and pattern of mortality associated with surgical care in our hospital and to identify areas of improvement. The records of all patients who died after admission for surgical care at the Federal Medical Centre Makurdi between January 2009 and December 2011 were studied retrospectively. Data extracted were patients' demographics, surgical diagnosis, co-morbidity, surgical procedures performed, duration of hospital admission and outcome of treatment. Data were analyzed with SPSS version 17. There were 2,273 admissions into the surgical wards within the study period. During this period, there were 151 deaths with a crude mortality rate of 6.6 %. Ninety-four (62.3 %) patients were males and 57 (37.7 %) were females (M:F=1.6:1). The age of the patients ranged from 8 days to 95 years with a mean age of 36.1±20.1 years. Acute abdomen (37, 24.5 %), traumatic brain injury (32, 21.2 %) and malignancy (28, 18.5 %) were the commonest surgical diagnosis. Trauma-related deaths accounted for 48 (31.8 %) of all the deaths. Road traffic crash (89.6 %) was the commonest cause of injury. Surgical operations were performed in 75 (49.7 %) of the patients who died, while 76 (50.3 %) did not have any operative intervention. Mortality in patients admitted into the surgical ward was 6.6 %. Trauma-related death was the commonest. Traumatic brain injury, typhoid perforation of the bowel and malignancy were the leading causes of surgical death in our centre.

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“…A study of routine data on in-hospital deaths 18 found that this measure gave an incomplete reflection of mortality within 30 days of admission for surgery, and that the measure was less valid in more recent years than historically. "In-hospital deaths" are usually defined as deaths in the admission in which surgery was performed, but counting only these deaths excludes those that occur elsewhere-whether at home or in other hospitals after transfer-but which may nonetheless be related to the operative care.…”

Section: Validity and Reliabilitymentioning

confidence: 99%

Using routine comparative data to assess the quality of health care: understanding and avoiding common pitfalls

Powell

Davies²,

Thomson³

2003

Quality and Safety in Health Care

186

148

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In-hospital deaths as fraction of all deaths within 30 days of hospital admission for surgery: analysis of routine statistics

Cited by 39 publications

References 1 publication

The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM)

The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM)

Mortality Pattern of Hospitalized Surgical Patients in a Nigerian Tertiary Hospital

Using routine comparative data to assess the quality of health care: understanding and avoiding common pitfalls

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