Postoperative day one: a high risk period for respiratory events

Taylor, Shiv; Kirton, Orlando C.; Staff, Ilene; Kozol, Robert A.

doi:10.1016/j.amjsurg.2005.07.015

Cited by 159 publications

(117 citation statements)

References 20 publications

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“…17,18 Ramachandran et al 1 examined the incidence of early unplanned reintubation and found that one-half of all reintubations within a 30-day period occurred during the first 3 days, which was associated with a 9-fold increase in mortality. When adjusting for preoperative risk factors, these authors established a mortality rate of 9.7% to 30.6% in the first 3 days.…”

Section: Discussionmentioning

confidence: 99%

Association of Unplanned Reintubation with Higher Mortality in Old, Frail Patients: A National Surgical Quality-Improvement Program Analysis

Karamanos

Schmoekel

Blyden

et al. 2016

TPJ

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Background: Unplanned postoperative reintubation increases the risk of mortality, but associated factors are unclear.Objective: To elucidate factors associated with increased mortality risk in patients with unplanned postoperative reintubation.Design: Retrospective study. Patients older than 40 years who underwent unplanned reintubation from 2005 to 2010 were identified using the American College of Surgeons National Surgical Quality Improvement Program database. Multiple regression models were used to examine the impact on mortality of factors that included the modified frailty index (mFI) we developed, American Society of Anesthesiologists (ASA) score, age decile, and days to reintubation.Main Outcome Measure: Mortality.Results: A total of 17,051 postoperative reintubations in adults were analyzed. Overall mortality was 29.4% (n = 5009). On postoperative day 1, 4434 patients were reintubated and 878 (19.8%) died. On postoperative day 7 and beyond, 6329 patients were reintubated and 2215 (35.0%) died. Increasing mFI resulted in increasing incidence of mortality (mFl of 0 = 20.5% mortality vs mFl of 0.37-0.45 = 41.7% mortality). As ASA score increased from 1 to 5, reintubation was associated with a mortality of 12.1% to 41.6%, respectively. Similarly, increasing age decile was associated with increasing incidence of mortality (40-49 years, 17.9% vs 80-89 years, 42.1%). After adjustment for confounding factors, mFI, ASA score, age decile, and increasing number of days to reintubation were independently and significantly associated with increased mortality in the study population.Conclusion: Among patients who underwent unplanned reintubation, older and more frail patients had an increased risk of mortality.

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Section: Discussionmentioning

confidence: 99%

Association of Unplanned Reintubation with Higher Mortality in Old, Frail Patients: A National Surgical Quality-Improvement Program Analysis

Karamanos

Schmoekel

Blyden

et al. 2016

TPJ

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“…Unnecessary use of analgesics, especially opioids, increases the patient's discomfort because of the side effects, such as nausea, vomiting and pruritus. Unnecessary opioid administration also increases the probability of sedation and potentially dangerous respiratory depression (Cashman and Dolin, 2004;Taylor et al, 2005). An increase of opioid oversedation is reported after the implementation of the new standards of the Joint Commission (Vila et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study

Dijk

Wijck

Kappen

et al. 2012

International Journal of Nursing Studies

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What is already known about the topic?Pain assessment is the foundation of pain management when a patient is experiencing postoperative pain. A frequent and thorough assessment of patients' pain by registered nurses provides information to achieve optimal pain relief. Clinical guidelines are developed for postoperative pain management based on the patient's pain score. In these guidelines different cut-off points are used to treat the pain. What this paper addsPatients and professionals do interpret the numeric rating scores for postoperative pain differently.

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“…9 Several studies have examined preoperative risk factors and the administration of naloxone in the postoperative period since the publication of Joint Commission standards. [9][10][11] These have found that older age, presence of comorbidities such as obstructive sleep apnea (OSA), and use of medications such as benzodiazepines were all associated with increased risk for postoperative naloxone administration.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Delayed Postoperative Respiratory Depression Assessed From Naloxone Administration

Weingarten

Herasevich

McGlinch

et al. 2016

Survey of Anesthesiology

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Postoperative day one: a high risk period for respiratory events

Cited by 159 publications

References 20 publications

Association of Unplanned Reintubation with Higher Mortality in Old, Frail Patients: A National Surgical Quality-Improvement Program Analysis

Association of Unplanned Reintubation with Higher Mortality in Old, Frail Patients: A National Surgical Quality-Improvement Program Analysis

Postoperative pain assessment based on numeric ratings is not the same for patients and professionals: A cross-sectional study

Predictors of Delayed Postoperative Respiratory Depression Assessed From Naloxone Administration

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