Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours

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• dc.contributor.author Cornellà, Nataliaca
• dc.contributor.author Sancho Insenser, Juanca
• dc.contributor.author Sitges-Serra, Antonioca
• dc.date.accessioned 2018-07-26T07:20:22Z
• dc.date.available 2018-07-26T07:20:22Z
• dc.date.issued 2017
• dc.description.abstract Long-term all-cause mortality and dependency after complex surgical procedures have not been assessed in the framework of value-based medicine. The aim of this study was to investigate the postoperative and long-term outcomes after surgical procedures lasting for more than six hours. Retrospective cohort study of patients undergoing a first elective complex surgical procedure between 2004 and 2013. Heart and transplant surgery was excluded. Mortality and dependency from the healthcare system were selected as outcome variables. Gender, age, ASA, creatinine, albumin kinetics, complications, benign vs malignant underlying condition, number of drugs at discharge, and admission and length of stay in the ICU were recorded as predictive variables. Some 620 adult patients were included in the study. Postoperative, <1year and <5years cumulative mortality was 6.8%, 17.6% and 45%, respectively. Of patients discharged from hospital after surgery, 76% remained dependent on the healthcare system. In multivariate analysis for postoperative, <1year and <5years mortality, postoperative albumin concentration, ASA score and an ICU stay >7days, were the most significant independent predictive variables. Prolonged surgery carries a significant short and long-term mortality and disability. These data may contribute to more informed decisions taken concerning major surgery in the framework of value-based medicine.
• dc.format.mimetype application/pdf
• dc.identifier.citation Cornellà N, Sancho J, Sitges-Serra A. Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours. Sci Rep. 2017 Aug 23;7(1):9221. DOI: 10.1038/s41598-017-09833-7
• dc.identifier.doi http://dx.doi.org/10.1038/s41598-017-09833-7
• dc.identifier.issn 2045-2322
• dc.identifier.uri http://hdl.handle.net/10230/35268
• dc.language.iso eng
• dc.publisher Nature Publishing Groupca
• dc.relation.ispartof Scientific Reports. 2017 Aug 23;7(1):9221
• dc.rights Copyright © The Author(s) 2017. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.other Cirurgia
• dc.subject.other Mortalitat
• dc.title Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hoursca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion