Perioperative medicine & outcomes
Outcomes following extended postoperative recovery unit admission in noncardiac surgery: A systematic review and meta-analysis
Authors' conclusion
Pooled mortality following extended postoperative recovery in noncardiac surgery was 3% (95% CI 2 to 6). Subgroup analysis indicated lower mortality among patients managed in enhanced perioperative care units.
Study context
- Population
- Patients admitted to extended postoperative recovery units (enhanced perioperative care units and ICUs) after noncardiac, nontransplant surgery22 unique studies
- Comparison
- Enhanced perioperative care units vs ICUs
- Outcome
- 30-day or in-hospital mortality following extended postoperative recovery
Methodological detailsrandom-effects, subgroup meta-analysis, Risk of bias (ROBINS I) moderate to serious; heterogeneity substantial
- Random-effects
- Subgroup meta-analysis
- Risk of bias (ROBINS I) moderate to serious; heterogeneity substantial
Pooled result
As reported in the abstract
Overall pooled mortality (15 studies)
Overall pooled random-effects mortality, 95% CI 2 to 6
3%
Further pooled results
| Outcome | Enhanced perioperative care units | χ2 | P value |
|---|---|---|---|
| Mortality by unit type (subgroup)Enhanced perioperative care units vs ICU · subgroup difference | 2% (95% CI 1–4) | 7.99 | P < 0.01 |
- Mortality by unit type (subgroup): ICU 8% (95% CI 4–14)
Pooled hospital LOS (6 studies)
- Pooled hospital LOS, days
- 8.6 (95% CI 5.9 to 11.3)
Original publication
Outcomes following extended postoperative recovery unit admission in noncardiac surgery: A systematic review and meta-analysis. Eur J Anaesthesiol. Published 6 March 2025. doi:10. 1097/ eja. 0000000000002145
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