Perioperative medicine & outcomes

Motor Vehicle Crash Risk among Adults Undergoing General Surgery: A Retrospective Case-crossover Study

AnesthesiologyPublished 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

OutcomeAdjusted 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 White1.96 (1.33–2.88)P = 0.001
Crash risk after surgery, by race and ethnicity (subgroup)Hispanic vs Non-Hispanic White1.38 (1.00–1.91)P = 0.047

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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