Perioperative medicine & outcomes
Motor Vehicle Crash Risk among Adults Undergoing General Surgery: A Retrospective Case-crossover Study
Authors' conclusion
Using population-based crash and hospital discharge data, the incidence of motor vehicle crashes over a 28-day period did not change on average before compared to after surgery.
Study context
- Population
- Licensed adult drivers ≥18 yr undergoing general surgery in New Jersey acute care hospitals, January 1, 2016–November 30, 2017, discharged home
- Participants
- 70,722 own controls
- Exposure
- Postsurgery interval vs presurgery interval
- Outcome
- Police-reported motor vehicle crash
- Follow-up
- 28 days
Methodological detailsnested case-crossover, population-based
- Nested case-crossover
- Population-based
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Adjusted RR (95% CI) | P value | |
|---|---|---|---|
| Crash risk after surgery, younger vs older adults (subgroup) | 1.87 (1.10–3.18) | P = 0.021 | |
| Crash risk after surgery, by race and ethnicity (subgroup)Non-Hispanic Black vs Non-Hispanic White | 1.96 (1.33–2.88) | P = 0.001 | |
| Crash risk after surgery, by race and ethnicity (subgroup)Hispanic vs Non-Hispanic White | 1.38 (1.00–1.91) | P = 0.047 | |
| 0.20.5125Adjusted relative risk (log scale) |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Motor Vehicle Crash Risk among Adults Undergoing General Surgery: A Retrospective Case-crossover Study. Anesthesiology. Published 13 March 2023. doi:10. 1097/ aln. 0000000000004558
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