Perioperative medicine & outcomes
Outcomes of Postoperative Overnight High-Acuity Care in Medium-Risk Patients Undergoing Elective and Unplanned Noncardiac Surgery
Authors' conclusion
For medium-risk patients, brief high-acuity care with ARRC allowed enhanced detection and management of early MER-level complications, which was followed by a decreased incidence of subsequent MER-level complications after discharge to the ward and by increased days at home at 30 days.
Study context
- Population
- Adults undergoing noncardiac surgery, anticipated stay ≥2 nights, scheduled for postoperative ward care, medium risk (predicted 30-day mortality 0.7% to 5%), single tertiary hospital, 2021854 included
- Participants
- 452 vs 419
- Exposure
- Advanced recovery room care vs usual ward care
- Advanced recovery room care (ARRC)n = 452
- UCn = 419reference
- Outcome
- Days at home
- Follow-up
- 30 days
Methodological detailspropensity-score matched, single-centre, Allocation to ARRC based on bed availability, 8 lost to 30-day follow-up
- Propensity-score matched
- Single-centre
- Allocation to ARRC based on bed availability
- 8 lost to 30-day follow-up
Main finding
As reported in the abstract
P = 0.04
Observational data: associations, not effects.
Secondary outcomes
MER-level complications, first 24 hours
P < 0.001
MER-level complications after return to ward · days 2 to 9
P = 0.03
Hospital LOS, readmissions, ED visits, mortality
- Similar between groups
Original publication
Outcomes of Postoperative Overnight High-Acuity Care in Medium-Risk Patients Undergoing Elective and Unplanned Noncardiac Surgery. JAMA Surg. Published 1 July 2023. doi:10.
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