Perioperative medicine & outcomes
One-year Outcomes after Discharge from Noncardiac Surgery and Association between Predischarge Complications and Death after Discharge: Analysis of the VISION Prospective Cohort Study
Authors' conclusion
One in 18 patients 45 yr old or older discharged after inpatient noncardiac surgery died within 1 yr, and one quarter were readmitted to the hospital. The risk of death associated with predischarge perioperative complications persists for weeks to months after discharge.
Study context
- Population
- Patients aged ≥45 yr discharged after inpatient noncardiac surgery, 28 centres, 2007–2013discharged after surgery
- Participants
- 38,898 patients
- Primary endpoint
- Cumulative postdischarge incidence of death and other outcomes; adjusted time-varying associations between postdischarge death and predischarge complications
- Follow-up
- Up to 1 yr after surgery
Methodological detailsinternational, multicentre, 28 centres
- International
- Multicentre
- 28 centres
Primary result
As reported in the abstract
up to 1 yr
Cumulative incidence of all-cause death
5.8%
95% CI 5.5 to 6.0%
Cumulative incidence of all-cause hospital readmission
24.7%
95% CI 24.2 to 25.1%
Further findings
Deaths associated with predischarge complications
- Any predischarge complication, deaths ≤30 days after discharge
- 33.7% (95% CI, 27.2 to 40.2%)
- Any predischarge complication, deaths ≤1 yr
- 15.0% (95% CI, 12.0 to 17.9%)
- MINS, deaths within 30 days
- 15.6% (95% CI, 9.3 to 21.9%)
- MINS, deaths within 1 yr
- 6.4% (95% CI, 4.1 to 8.7%)
- Major bleeding, deaths within 30 days
- 15.0% (95% CI, 8.3 to 21.7%)
- Major bleeding, deaths within 1 yr
- 4.7% (95% CI, 2.2 to 7.2%)
- Sepsis, deaths within 30 days
- 5.4% (95% CI, 2.2 to 8.6%)
- Sepsis, deaths within 1 yr
- 2.1% (95% CI, 1.0 to 3.1%)
- Adjusted time-varying associations
Original publication
One-year Outcomes after Discharge from Noncardiac Surgery and Association between Predischarge Complications and Death after Discharge: Analysis of the VISION Prospective Cohort Study. Anesthesiology. Published 15 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →