Safety, quality & education

New set of indicators with consensus definition for anaesthesia-related severe morbidity: A scoping review followed by a Delphi study

J Clin AnesthPublished Scoping review followed by a Delphi consensus study

Authors' conclusion

This study provides a new consensual set of indicators for anaesthesia-related severe morbidity with specific definitions, that could be easily applied in clinical practice as in research.

Study context

Population
Studies published 2010–2021 on outcomes of anaesthesia-related severe morbidity; international experts142 studies
Outcome
Set of indicators for anaesthesia-related severe morbidity with consensual definitions
Methodological detailsinternational experts' consensus, 2 Delphi rounds
  • International experts' consensus
  • 2 Delphi rounds

Recommendations

As reported in the abstract

Indicators for anaesthesia-related severe morbidity

Outcomes identified from included studies

68

Candidate indicators in 8 categories (cardiovascular, respiratory, sepsis, renal, neurological, medication error, digestive, others)

34

Indicators retained by experts after 2 Delphi rounds, with consensual definitions: acute HF, cardiogenic shock, ARDS, PE and thrombosis, bronchospasm or laryngospasm, pneumonia, inhalation pneumonitis, pneumothorax, difficult or impossible intubation, atelectasis, self- or accidental extubation, sepsis or septic shock, transient ischemic attack, postoperative confusion or delirium, post-puncture headache, medication error, liver failure, unplanned ICU admission, multiple-organ failure

26

Original publication

New set of indicators with consensus definition for anaesthesia-related severe morbidity: A scoping review followed by a Delphi study. J Clin Anesth. Published 17 September 2024. doi:10.1016/j.jclinane.2024.111626

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