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Mortality and postoperative care pathways after emergency gastrointestinal surgery in 2904 patients: a population-based cohort study  M. Vester-Andersen,

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Presentation on theme: "Mortality and postoperative care pathways after emergency gastrointestinal surgery in 2904 patients: a population-based cohort study  M. Vester-Andersen,"— Presentation transcript:

1 Mortality and postoperative care pathways after emergency gastrointestinal surgery in patients: a population-based cohort study  M. Vester-Andersen, L.H. Lundstrøm, M.H. Møller, T. Waldau, J. Rosenberg, A.M. Møller  British Journal of Anaesthesia  Volume 112, Issue 5, Pages (May 2014) DOI: /bja/aet487 Copyright © 2014 The Author(s) Terms and Conditions

2 Fig 1 Flow chart of study cohort selection. *In all six hospitals contributed to the cohort: Rigshospitalet, Bispebjerg Hospital, Glostrup Hospital, Herlev Hospital, Hvidovre Hospital, and Hospital of North Zealand (only between January 1, 2010 and December 31, 2010). †NPR double entries. ‡In all, 91.9% of the procedures received from the NPR were matched to DAD. NPR, National Patient Register; DAD, Danish Anaesthesia Database. British Journal of Anaesthesia  , DOI: ( /bja/aet487) Copyright © 2014 The Author(s) Terms and Conditions

3 Fig 2 LOS and 30 day mortality stratified by timing of postoperative ICU admission. Data are presented as absolute values (%) or median (IQR). Mortality rates are within 30 days of surgery. *Four patients had ICU admissions during their postoperative hospital stay, but were excluded from this analysis because of missing data on discharge destination from theatre or PACU. †Thirty-eight (1.6%) patients who were admitted to a five-bed mix surgical and medical GI high-dependency unit outside the ICU treated by non-intensivist surgeons, with a mortality of 28.9%. ‡Calculated from the end of surgery. ¶Missing ICU mortality status in 13 patients with in-hospital deaths because of missing ICU discharge date. PACU, post-anaesthesia care unit; ICU, intensive care unit; LOS, length of hospital stay. British Journal of Anaesthesia  , DOI: ( /bja/aet487) Copyright © 2014 The Author(s) Terms and Conditions

4 Fig 3 Survival within 90 days of emergency GI surgery stratified by postoperative pathway in 2864 patients. No missing data. Ward care, patients admitted to standard ward without ICU; Ward care+ICU, patients admitted to standard ward before ICU admission; ICU, patients admitted to ICU after surgery. Pairwise logrank test, ward care group vs ward care+ICU group, P<0.01; ward care group vs ICU group, P<0.01; and ward care+ICU group vs ICU group, P=0.67. ICU, intensive care unit. British Journal of Anaesthesia  , DOI: ( /bja/aet487) Copyright © 2014 The Author(s) Terms and Conditions


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