Perioperative medicine & outcomes
Events preceding death after high‐risk surgery analyzed by Global Trigger Tool and reflective‐thematic approach
Authors' conclusion
A high predicted risk of death and a peak of adverse events on the day of index surgery were detected. Identified themes reflect lack of documented multi-professional consensus on how to handle prevalent perioperative risk, vigilance, and postoperative level of care.
Study context
- Population
- Patients who died within 30 days after high-risk surgery in 4 high volume hospitals4 hospitals
- Outcome
- Incidence, timing and types of AEs leading to harm; recurring themes in conduct of care preceding death
Methodological detailsmulticentre, Global Trigger Tool, reflective narrative thematic approach
- Multicentre
- Global Trigger Tool
- Reflective narrative thematic approach
Main finding
As reported in the abstract
- Total adverse events (AEs)
- 303
- Patients with no AEs
- three patients (5%)
- AEs of severity category "I" (contributed to patient's death)
- n = 110, 36% of all AEs
- Category I AEs preventable or probably preventable
- 60%
- AE type: failure of vital functions
- n = 79, 26%
- AE type: infections
- n = 45, 15%
- Recurring themes identified
- Nine
Observational data: associations, not effects.
Further findings
Preoperative predicted median risk of death (SORT/P-POSSUM)
- Predicted median risk of death, SORT/P-POSSUM
- 9%/13%
Original publication
Events preceding death after high‐risk surgery analyzed by Global Trigger Tool and reflective‐thematic approach. Acta Anaesthesiol Scand. Published 1 October 2024. doi:10.
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