Safety, quality & education

Perioperative quality indicators specific to the practice of anesthesia in noncardiac surgery: an umbrella review

Can J AnaesthPublished Umbrella review

Authors' conclusion

This umbrella review highlights the scarcity of perioperative quality indicators that are supported by high quality evidence.

Study context

Population
Systematic reviews of perioperative indicators in patients ≥ 18 yr undergoing noncardiac surgery
Participants
23 systematic reviews
Outcome
Any quality indicator specific to anesthesia
Methodological detailssystematic review of systematic reviews, Joanna Briggs Institute methodology, AMSTAR 2 quality assessment, Oxford Centre for Evidence-Based Medicine level of evidence
  • Systematic review of systematic reviews
  • Joanna Briggs Institute methodology
  • AMSTAR 2 quality assessment
  • Oxford Centre for Evidence-Based Medicine level of evidence

Pooled result

As reported in the abstract

Perioperative quality indicators specific to anesthesia
Unique quality indicators
330
Process indicators
169
Outcome indicators
114
Structure indicators
47
Indicators supported by high-level evidence
45/330, 14%
Level 1 evidence: antibiotic prophylaxis
1a
Level 1 evidence: VTE prophylaxis
1a
Level 1 evidence: PONV prophylaxis
1b
Level 1 evidence: maintenance of normothermia
1a
Level 1 evidence: GDFT
1b

Original publication

Perioperative quality indicators specific to the practice of anesthesia in noncardiac surgery: an umbrella review. Can J Anaesth. Published 5 January 2024. doi:10.1007/s12630-023-02671-4

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