Perioperative medicine & outcomes

Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Despite lower rates of postoperative complications, in-hospital mortality after appendectomy was higher in Colombia than in the United States.

Study context

Population
Adults who underwent appendectomy
Participants
62,338 vs 57,987
Exposure
Appendectomy outcomes in Colombia vs the US
  • Colombian = 62,338
  • United Statesn = 57,987reference
Outcome
Major postoperative complications, in-hospital mortality and failure to rescue
Methodological detailsadministrative databases, multivariable logistic regression
  • Administrative databases
  • Multivariable logistic regression

Further findings

OutcomeColombiaUnited StatesOR (95% CI)P value
Major postoperative complicationsAdjusted2.8%6.6%0.41 (0.39–0.44)P < 0.0001
In-hospital mortalityAdjusted0.44%0.08%8.92 (5.69–13.98)P < 0.0001
Failure to rescueAdjusted13.6%1.0%17.01 (10.66–27.16)P < 0.0001

Use of laparoscopy

P < 0.0001

Original publication

Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States. Anesth Analg. Published 19 May 2023. doi:10.1213/ane.0000000000006336

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