Perioperative medicine & outcomes

Association between Complications and Death Within 30 days after General Surgery: A Vascular Event in Noncardiac Surgery Patients Cohort Evaluation (VISION) Substudy

Ann SurgPublished Prospective cohort study

Authors' conclusion

The complications most associated with 30-day mortality following general surgery are major bleeding, sepsis, and MINS.

Study context

Population
Adult general surgery patients from the VISION cohort of non-cardiac surgery, followed for 30 daysgeneral surgery subset
Participants
7,950 patients
Exposure
Patients with vs without each postoperative complication
  • Major bleedingn = 1,454
  • Sepsisn = 783
  • MINSn = 980
Outcome
Mortality
Follow-up
30 days
Methodological detailsmulticentre, 28 centers in 14 countries, adjusted Cox proportional hazards model
  • Multicentre
  • 28 centers in 14 countries
  • Adjusted Cox proportional hazards model

Main finding

As reported in the abstract

30-day mortality
Adjusted hazard ratio (95% CI)P value
Major bleeding
2.49(1.87–3.33)
P < 0.001
Sepsis
6.52(4.72–9.01)
P < 0.001
MINS
2.00(1.50–2.67)
P < 0.001
Deaths within 30 days
240 (3.0%)

Observational data: associations, not effects.

Original publication

Association between Complications and Death Within 30 days after General Surgery: A Vascular Event in Noncardiac Surgery Patients Cohort Evaluation (VISION) Substudy. Ann Surg. Published 11 June 2024. doi:10.1097/sla.0000000000006372

Composed by AI from the published abstract and checked against it. How Briefs are made →

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