Perioperative medicine & outcomes

Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data

BJA OpenPublished Retrospective cohort study

Main finding · Healthcare contact days per year, before vs after surgeryResult — go to the resultAdjusted incidence rate ratio 1.67 CI 1.49–1.87

Authors' conclusion

However, their absolute and relative increases in healthcare use after surgery are greater than patients without complications.

Study context

Population
Patients undergoing elective surgery at four East London hospitals (2012–7) with at least 90 days follow-up
Participants
49,913 patients
Exposure
Patients with vs without sentinel postoperative complications
  • Complicationsn = 3,883
Outcome
Change in healthcare contact days in the 2 yr before and after surgery, and 2 yr mortality
Follow-up
2 yr
Methodological detailslinked primary and secondary care routine data, multicentre
  • Linked primary and secondary care routine data
  • Multicentre

Main finding

As reported in the abstract

Healthcare contact days per year, before vs after surgery

Adjusted incidence rate ratio

1.67

CI 1.49–1.87

By group

Complications vs Without complications
adjusted IRR 1.67 (CI 1.49–1.87)

Observational data: associations, not effects.

Further findings

2-yr mortality

Original publication

Long-term healthcare use after postoperative complications: an analysis of linked primary and secondary care routine data. BJA Open. Published 15 June 2023. doi:10.1016/j.bjao.2023.100142

Composed by AI from the published abstract and checked against it. How Briefs are made →

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