Safety, quality & education

Impact of rapid response system in mortality and complications post-orthopedic surgery: a retrospective cohort study

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

The RRS was not associated with in-hospital mortality following orthopedic surgery in South Korea. However, RRS deployment was related to a decreased risk of postoperative complications in patients undergoing orthopedic surgery.

Study context

Population
Adults undergoing orthopedic surgery, South Korea National Health Insurance Service data
Participants
931,774 adults
Exposure
Hospital with RRS vs hospital without RRS
  • RRSn = 93,293
  • non-RRSn = 838,481reference
Outcome
In-hospital mortality and postoperative complications
Methodological detailspopulation-based, multivariable logistic regression
  • Population-based
  • Multivariable logistic regression

Main finding

As reported in the abstract

RRS vs non-RRSOdds ratio (95% CI)P value
In-hospital mortality; multivariable
0.93(0.80–1.08)
P = 0.350
Postoperative complications; multivariable; 14% lower
0.86(0.84–0.86)
P < 0.001

Observational data: associations, not effects.

Original publication

Impact of rapid response system in mortality and complications post-orthopedic surgery: a retrospective cohort study. Perioper Med (Lond). Published 4 October 2024. doi:10.1186/s13741-024-00458-9

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