Publication
Variation in Haemodynamic Monitoring for Major Surgery in European Nations: Secondary Analysis of the EuSOS Dataset
| dc.contributor.author | Ahmad, Tahania | |
| dc.contributor.author | Beilstein, Christian M | |
| dc.contributor.author | Aldecoa, Cesar | |
| dc.contributor.author | Moreno, R | |
| dc.contributor.author | Molnár, Zsolt | |
| dc.contributor.author | Novak-Jankovic, Vesna | |
| dc.contributor.author | Hofer, Christoph K | |
| dc.contributor.author | Sander, Michael | |
| dc.contributor.author | Rhodes, Andrew | |
| dc.contributor.author | Pearse, Rupert M | |
| dc.date.accessioned | 2015-10-08T16:31:23Z | |
| dc.date.available | 2015-10-08T16:31:23Z | |
| dc.date.issued | 2015 | |
| dc.description.abstract | BACKGROUND: The use of cardiac output monitoring may improve patient outcomes after major surgery. However, little is known about the use of this technology across nations. METHODS: This is a secondary analysis of a previously published observational study. Patients aged 16 years and over undergoing major non-cardiac surgery in a 7-day period in April 2011 were included into this analysis. The objective is to describe prevalence and type of cardiac output monitoring used in major surgery in Europe. RESULTS: Included in the analysis were 12,170 patients from the surgical services of 426 hospitals in 28 European nations. One thousand four hundred and sixteen patients (11.6 %) were exposed to cardiac output monitoring, and 2343 patients (19.3 %) received a central venous catheter. Patients with higher American Society of Anesthesiologists (ASA) scores were more frequently exposed to cardiac output monitoring (ASA I and II, 643 patients [8.6 %]; ASA III-V, 768 patients [16.2 %]; p < 0.01) and central venous catheter (ASA I and II, 874 patients [11.8 %]; ASA III-V, 1463 patients [30.9 %]; p < 0.01). In elective surgery, 990 patients (10.8 %) were exposed to cardiac output monitoring, in urgent surgery 252 patients (11.7 %) and in emergency surgery 173 patients (19.8 %). A central venous catheter was used in 1514 patients (16.6 %) undergoing elective, in 480 patients (22.2 %) undergoing urgent and in 349 patients (39.9 %) undergoing emergency surgery. Nine hundred sixty patients (7.9 %) were monitored using arterial waveform analysis, 238 patients (2.0 %) using oesophageal Doppler ultrasound, 55 patients (0.5 %) using a pulmonary artery catheter and 44 patients (2.0 %) using other technologies. Across nations, cardiac output monitoring use varied from 0.0 % (0/249 patients) to 27.5 % (19/69 patients), whilst central venous catheter use varied from 5.6 % (7/125 patients) to 43.2 % (16/37 patients). CONCLUSIONS: One in ten patients undergoing major surgery is exposed to cardiac output monitoring whilst one in five receives a central venous catheter. The use of both technologies varies widely across Europe. | pt_PT |
| dc.identifier | 10.1186/s13741-015-0018-8 | |
| dc.identifier.citation | Perioper Med (Lond). 2015 Sep 23;4:8 | pt_PT |
| dc.identifier.doi | 10.1186/s13741-015-0018-8 | |
| dc.identifier.uri | http://hdl.handle.net/10400.17/2298 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | BioMed Central | pt_PT |
| dc.subject | CHLC UCI | pt_PT |
| dc.subject | Cardiac Output Monitoring; | pt_PT |
| dc.subject | Haemodynamic Monitoring | pt_PT |
| dc.subject | Major Surgery | pt_PT |
| dc.subject | Perioperative Medicine | pt_PT |
| dc.title | Variation in Haemodynamic Monitoring for Major Surgery in European Nations: Secondary Analysis of the EuSOS Dataset | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | Perioperative Medicine | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |