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The surgical burden of disease and perioperative mortality in patients admitted to hospitals in Victoria, Australia: a population-level observational study

Fehlberg, Trafford ; Rose, John ; Guest, Glenn Douglas ; Watters, David

BMJ open, 2019-05, Vol.9 (5), p.e028671 [Periódico revisado por pares]

England: BMJ Publishing Group LTD

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Título:
The surgical burden of disease and perioperative mortality in patients admitted to hospitals in Victoria, Australia: a population-level observational study
Autor: Fehlberg, Trafford ; Rose, John ; Guest, Glenn Douglas ; Watters, David
Assuntos: Abortion, Induced - statistics & numerical data ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cesarean Section - statistics & numerical data ; Child ; Child, Preschool ; Datasets ; Emergency medical care ; Epidemiology ; Female ; Female Urogenital Diseases - epidemiology ; Female Urogenital Diseases - surgery ; Funding ; Global Burden of Disease ; Health care policy ; Health services ; Herniorrhaphy - statistics & numerical data ; Hospitalization ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Low income groups ; Male ; Male Urogenital Diseases - epidemiology ; Male Urogenital Diseases - surgery ; Middle Aged ; Mortality ; Musculoskeletal Diseases - epidemiology ; Musculoskeletal Diseases - surgery ; Observational studies ; Obstetric Surgical Procedures - statistics & numerical data ; Ophthalmologic Surgical Procedures - statistics & numerical data ; Orthopedic Procedures - statistics & numerical data ; Palliative care ; Patients ; Perioperative Period ; Population ; Public health ; Quality control ; Rehabilitation ; Sensation Disorders - epidemiology ; Sensation Disorders - surgery ; Surgery ; Surgical outcomes ; Systematic review ; Victoria - epidemiology ; Young Adult
É parte de: BMJ open, 2019-05, Vol.9 (5), p.e028671
Notas: ObjectType-Article-1
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Descrição: ObjectivesComprehensive reporting of surgical disease burden and outcomes are vital components of resilient health systems but remain under-reported. The primary objective was to identify the Victorian surgical burden of disease necessitating treatment in a hospital or day centre, including a thorough epidemiology of surgical procedures and their respective perioperative mortality rates (POMR).DesignRetrospective population-level observational study.SettingThe study was conducted in Victoria, Australia. Access to data from the Victorian Admitted Episodes Dataset was obtained using the Dr Foster Quality Investigator tool. The study included public and private facilities, including day-case facilities.ParticipantsFrom January 2014 to December 2016, all admissions with an International Statistical Classification of Diseases-10 code matched to the Global Health Estimates (GHE) disease categories were included.Primary and secondary outcome measuresAdmissions were assigned a primary disease category according to the 23 GHE disease categories. Surgical procedures during hospitalisations were identified using the Australian Refined Diagnosis Related Groups (AR-DRG). POMR were calculated for GHE disease categories and AR-DRG procedures.ResultsA total of 4 865 226 admitted episodes were identified over the 3-year period. 1 715 862 (35.3%) of these required a surgical procedure. The mortality rate for those undergoing a procedure was 0.42%, and 1.47% for those without. The top five procedures performed per GHE category were lens procedures (162 835 cases, POMR 0.001%), caesarean delivery (76 032 cases, POMR 0.01%), abortion with operating room procedure (65 451 cases, POMR 0%), hernia procedures (52 499 cases, POMR 0.05%) and other knee procedures (47 181 cases, POMR 0.004%).ConclusionsConditions requiring surgery were responsible for 35.3% of the hospital admitted disease burden in Victoria, a rate higher than previously published from Sweden, New Zealand and the USA. POMR is comparable to other studies reporting individual procedures and conditions, but has been reported comprehensively across all GHE disease categories for the first time.
Editor: England: BMJ Publishing Group LTD
Idioma: Inglês

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The surgical burden of disease and perioperative mortality in patients admitted to hospitals in Victoria, Australia: a population-level observational study

Fehlberg, Trafford ; Rose, John ; Guest, Glenn Douglas ; Watters, David

England: BMJ Publishing Group LTD

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