Mortality in surgical units and postoperative care

• Authors: Mariusz Piechota , Anna Piechota , Jacek Rysz
• Languages of publication: EN

Abstracts

EN

In the year 2005, 10 public health care institutions in Lodz contained general surgery units. The lowest mortality rate, 0,35%, was recorded in the surgical unit of University Teaching Hospital No. 5 (UH No. 5). We performed a retrospective comparative analysis of mortality in this hospital and in the two remaining university teaching hospitals, University Teaching Hospital No. 1 (UH No. 1) and University Teaching Hospital No. 2 (UH No. 2). The study was comprised of data from 18911 patients treated in these units from 01.01.2003 to 31.12.2005. The statistical data were collected by the Provincial Centre of Public Health in Lodz. The structure of the analysed units and the structure of the selected groups of diagnoses were compared. A relative structure similarity index was used to compare the structure of hospitalised patients in the analysed units, in an attempt to discover the reasons for significantly lower mortality among patients hospitalised in surgical unit of UH No. 5. A detailed analysis of the selected diagnoses and of mortality indicated that early postoperative intensive care in severely ill patients and immediate admission to the ICU, when indicated, significantly decrease mortality.

Keywords

EN

Surgery; Mortality; Postoperative intensive care; ICD-10

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2008
• Volume: 3
• Issue: 3
• Pages: 346-357

Dates

published

1 - 9 - 2008

online

10 - 7 - 2008

Contributors

author

Mariusz Piechota

• Department of Anaesthesiology and Intensive Care Unit, Boleslaw Szarecki University Hospital No. 5 in Lodz, Medical University of Lodz, Lodz, Poland

author

Anna Piechota

• Department of Health Protection Policy, Medical University of Lodz, Lodz, Poland

author

Jacek Rysz

• 2nd Department of Family Medicine, Medical University of Lodz, Lodz, Poland

References

• [1] Angus D.C., Shorr A., White A., Dremsizov T., Schmitz R., Kelley M., Critical care delivery in the United States: Distribution of services and compliance with Leapfrog recommendations, Crit. Care Med., 2006, 34, 1016–1024 http://dx.doi.org/10.1097/01.CCM.0000206105.05626.15[Crossref]
• [2] Birkmeyer J.D., Siewers A.E., Finlayson E.V.A., Stukel T.A., Lucas F.L., Batista I., et al., Hospital volume and surgical mortality in the United States, N. Engl. J. Med., 2002, 346, 1128–1137 http://dx.doi.org/10.1056/NEJMsa012337[Crossref]
• [3] Piechota M., Banach M., Changes of the system of postoperative care decreases mortality in a surgical unit, Critic. Care, 2007, 11, (Suppl 2), P480 http://dx.doi.org/10.1186/cc5640[Crossref]
• [4] Pronovost P.J., Angus D.C., Dorman T., Robinson K.A., Dremsizov T.T., Young T.L., Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review, JAMA, 2002, 288, 2151–2162 http://dx.doi.org/10.1001/jama.288.17.2151[Crossref]
• [5] Piechota M., Banach M., Jacon A., Rysz J., How can we decrease mortality in surgery units? Arch. Med. Sci., 2007, 3, 367–375

Identifiers

DOI

10.2478/s11536-008-0035-9