Perioperative medicine & outcomes
Postoperative outcomes among Northern versus Southern Ontario patients undergoing common intermediate- to high-risk elective surgeries: a population-based cohort study
Main findingResult — go to the resultAdjusted odds ratio 1.04 95% CI 0.85–1.27Authors' conclusion
Northern Ontario residency was not associated with increased odds of mortality after intermediate- to high-risk elective noncardiac surgery. Overall, we found no clinically meaningful differences in postoperative outcomes between patients from Northern and Southern Ontario.
Study context
- Population
- Adults undergoing selected elective intermediate- to high-risk noncardiac surgeries in Ontario, Canada, 2009–2022
- Participants
- 562,115 adults
- Exposure
- Northern vs Southern Ontario residence
- Northern Ontarion = 41,191
- Outcome
- Mortality following surgery
- Follow-up
- 30 days
Methodological detailslinked administrative health care data
- Linked administrative health care data
Main finding
As reported in the abstract
Adjusted odds ratio
1.04
95% CI 0.85–1.27
Northern Ontario vs Southern Ontario
aOR 1.04 (95% CI 0.85–1.27)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Adjusted ratio of mean (95% CI) |
|---|---|
| Health system costs · 30 days | 0.92 (0.89–0.96) |
| Health system costs · 365 days | 0.93 (0.90–0.96) |
| Hospital LOS | 1.06 (1.01–1.11) |
Days alive at home and readmission
- Not statistically different between the two groups
Original publication
Postoperative outcomes among Northern versus Southern Ontario patients undergoing common intermediate- to high-risk elective surgeries: a population-based cohort study. Can J Anaesth. Published 4 November 2024. doi:10. 1007/ s12630-024-02860-9
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