Perioperative medicine & outcomes
Association of rapid response system with clinical outcomes after surgery under general anesthesia
Authors' conclusion
The RRS group had lower 30-day and 90-day mortality rates than the non-RRS group after surgery under general anesthesia. Moreover, RRS was associated with a lower rate of CPR episodes resulting from cardiac arrest in patients undergoing general anesthesia after surgery.
Study context
- Population
- Patients who underwent surgery under GA in South Korea, January 1, 2021 to December 31, 2021447,998 propensity score (PS)-matched
- Participants
- 1,416,844 patients
- Exposure
- Hospitals with rapid response system (RRS) vs without RRS
- RRSn = 512,911
- non-RRSn = 903,933reference
- Outcome
- 30-day mortality, 90-day mortality, and CPR performance in the event of cardiac arrest
Methodological detailsnationwide database, propensity score matched
- Nationwide database
- Propensity score matched
Main finding
As reported in the abstract
30-day mortality, 90-day mortality and CPR (PS-matched cohort)
RRS vs non-RRSOdds ratio (95 % CI)P value
30-day mortality, 7 % lower
0.93(0.89–0.97)
P = 0.00190-day mortality, 6 % lower
0.94(0.91–0.97)
P < 0.001CPR, 9 % lower
0.91(0.83–0.98)
P = 0.020Observational data: associations, not effects.
Original publication
Association of rapid response system with clinical outcomes after surgery under general anesthesia. J Clin Anesth. Published 15 January 2025. doi:10. 1016/ j. jclinane. 2025. 111749
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