Perioperative medicine & outcomes
Association of anaesthesia provider sex with perioperative complications: a two-centre retrospective cohort study
Main finding · Intraoperative complicationsResult — go to the resultAdjusted odds ratio 0.95 95% CI 0.94–0.97Authors' conclusion
Care by a female anaesthesia provider was associated with a lower risk of intraoperative complications, which was magnified among non-trainees.
Study context
- Population
- Adults undergoing anaesthesia care (first case) at two academic healthcare networks in the US, 2008–2022
- Participants
- 364,429 adults
- Exposure
- Female vs male primary anaesthesia provider
- Outcome
- Intraoperative complications (hypotension: MAP <55 mm Hg for ≥5 cumulative minutes, or hypoxaemia: SpO2 <90% for >2 consecutive minutes); co-primary: 30-day adverse postoperative events (complications, readmission, mortality)
Methodological detailstwo-centre
- Two-centre
Main finding
Intraoperative complications
Adjusted odds ratio
0.95
95% CI 0.94–0.97
P < 0.001
Female vs Male
aOR 0.95 (95% CI 0.94–0.97); P < 0.001
As reported in the abstract
- Intraoperative complications, all patients
- 57,550 (15.8%)
Observational data: associations, not effects.
Further findings
30-day adverse postoperative events (composite of complications, readmission, mortality; co-primary)
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Anaesthesia provider sexNot associated · co-primary outcome · adjusted for a priori defined confounders | 1.00 (0.98–1.02) | P = 0.88 | |
| 0.512Adjusted odds ratio (log scale) |
| Outcome | aOR (95% CI) | |
|---|---|---|
| Intraoperative complications, non-trainees (subgroup)P-for-interaction<0.001 | 0.84 (0.82–0.87) | |
| 0.512Adjusted odds ratio (log scale) |
- Intraoperative complications, non-trainees (subgroup): interaction P<0.001
Original publication
Association of anaesthesia provider sex with perioperative complications: a two-centre retrospective cohort study. Br J Anaesth. Published 25 June 2024. doi:10. 1016/ j. bja. 2024. 05. 016
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