Perioperative medicine & outcomes
Evaluation of postoperative results after a presurgical optimisation programme
Main finding · Postoperative complicationsResult — go to the resultOdds ratio 3.4 95% CI 1.8–6.2Authors' conclusion
A presurgical optimisation programme led by a liaison nurse decreases the rate of immediate and late surgical complications and reduces hospital stays and readmissions in patients undergoing major surgery.
Study context
- Population
- Patients undergoing major surgery in a primary general hospital, January 2019–December 2022
- Participants
- 211 patients
- Exposure
- Nurse-led presurgical optimisation programme vs usual medical care
- Interventionn = 135
- Controln = 76reference
- Outcome
- Frequency (%) of surgery complications
- Follow-up
- Day 30
Methodological detailsobservational, descriptive, Mean programme duration 20 days (SD 5)
- Observational
- Descriptive
- Mean programme duration 20 days (SD 5)
Main finding
Postoperative complications
Odds ratio
3.4
95% CI 1.8–6.2
P < 0.001
Events by group
Control vs Intervention
OR 3.4 (95% CI 1.8–6.2); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Intervention | Control | OR (95% CI) | |
|---|---|---|---|---|
| Remote postoperative complications | 14.5% | 34.2% | 3.1 (1.6–6.2) | |
| 0.10.31310Odds ratio (log scale) |
Hospital LOS
Readmissions · 30 days
Original publication
Evaluation of postoperative results after a presurgical optimisation programme. Perioper Med (Lond). Published 15 July 2024. doi:10.
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