Perioperative medicine & outcomes

Outcomes following extended postoperative recovery unit admission in noncardiac surgery: A systematic review and meta-analysis

Eur J AnaesthesiolPublished 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

OutcomeEnhanced perioperative care unitsχ2P value
Mortality by unit type (subgroup)Enhanced perioperative care units vs ICU · subgroup difference2% (95% CI 1–4)7.99P < 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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