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Point Prevalence of Surgical Checklist Use in Europe: Relationship with Hospital Mortality

2015-05Journal article Open access
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dc.contributor.authorJammer, I
dc.contributor.authorAhmad, T
dc.contributor.authorAldecoa, C
dc.contributor.authorKoulenti, D
dc.contributor.authorGoranović, T
dc.contributor.authorGrigoras, I
dc.contributor.authorMazul-Sunko, B
dc.contributor.authorMatos, R
dc.contributor.authorMoreno, R
dc.contributor.authorSigurdsson, GH
dc.contributor.authorToft, P
dc.contributor.authorWalder, B
dc.contributor.authorRhodes, A
dc.contributor.authorPearse, RM
dc.date.accessioned2017-07-20T15:00:43Z
dc.date.available2017-07-20T15:00:43Z
dc.date.issued2015-05
dc.description.abstractBACKGROUND: The prevalence of use of the World Health Organization surgical checklist is unknown. The clinical effectiveness of this intervention in improving postoperative outcomes is debated. METHODS: We undertook a retrospective analysis of data describing surgical checklist use from a 7 day cohort study of surgical outcomes in 28 European nations (European Surgical Outcomes Study, EuSOS). The analysis included hospitals recruiting >10 patients and excluding outlier hospitals above the 95th centile for mortality. Multivariate logistic regression and three-level hierarchical generalized mixed models were constructed to explore the relationship between surgical checklist use and hospital mortality. Findings are presented as crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs). RESULTS: A total of 45 591 patients from 426 hospitals were included in the analysis. A surgical checklist was used in 67.5% patients, with marked variation across countries (0-99.6% of patients). Surgical checklist exposure was associated with lower crude hospital mortality (OR 0.84, CI 0.75-0.94; P=0.002). This effect remained after adjustment for baseline risk factors in a multivariate model (adjusted OR 0.81, CI 0.70-0.94; P<0.005) and strengthened after adjusting for variations within countries and hospitals in a three-level generalized mixed model (adjusted OR 0.71, CI 0.58-0.85; P<0.001). CONCLUSIONS: The use of surgical checklists varies across European nations. Reported use of a checklist was associated with lower mortality. This observation may represent a protective effect of the surgical checklist itself, or alternatively, may be an indirect indicator of the quality of perioperative care.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBr J Anaesth. 2015 May;114(5):801-7pt_PT
dc.identifier.doi10.1093/bja/aeu460pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2729
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.subjectChecklistpt_PT
dc.subjectCohort Studiespt_PT
dc.subjectEuropept_PT
dc.subjectFemalept_PT
dc.subjectHospitalspt_PT
dc.subjectHumanspt_PT
dc.subjectLength of Staypt_PT
dc.subjectMalept_PT
dc.subjectOdds Ratiopt_PT
dc.subjectOutcome Assessment (Health Care)pt_PT
dc.subjectPrevalencept_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectSurgical Procedures, Operativept_PT
dc.subjectWorld Health Organizationpt_PT
dc.subjectHospital Mortalitypt_PT
dc.subjectHSJ UCIpt_PT
dc.titlePoint Prevalence of Surgical Checklist Use in Europe: Relationship with Hospital Mortalitypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage807pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage801pt_PT
oaire.citation.titleBritish Journal of Anaesthesiapt_PT
oaire.citation.volume114pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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