Perioperative medicine & outcomes

Routine anaesthesia ward-based patient visits in surgery: 1-year outcomes of the TRACE randomized clinical trial

Br J SurgPublished Secondary analysis of the TRACE randomised trial

Authors' conclusion

Routine postoperative anaesthesia ward visits of patients did not improve clinical, functional, and QoL outcomes. A substantial proportion of patients still experienced health-related limitations in daily life 1 year after surgery.

Study context

Population
Adults undergoing elective non-cardiac surgery at risk for adverse postoperative outcome, nine hospitals in the Netherlandsfollowed up
Participants
5,473 adults
Comparison
Routine postoperative anaesthesia ward visits vs control
Primary endpoint
Longer-term clinical outcomes (mortality, hospital readmission, reoperation), functional recovery (global surgical recovery (GSR) index, ADL, functional recovery index (FRI)) and QoL (EQ-5D-5L)
Follow-up
1 year
Methodological detailsmulticentre, 1-year follow-up
  • Multicentre
  • 1-year follow-up

Primary result

As reported in the abstract

1-year mortality

Further findings

Hospital readmission · 1 year

Reoperation · 1 year

Functional recovery and quality of life (QoL), all patients · 1 year

Patients not able to fully perform activities of daily living (ADL)
30%
Patients reporting a problem in EQ-5D-5L mobility, usual activities, pain/discomfort
40%-51%
Functional recovery (FR) and QoL recovered to preoperative levels

Original publication

Routine anaesthesia ward-based patient visits in surgery: 1-year outcomes of the TRACE randomized clinical trial. Br J Surg. Published 12 March 2025. doi:10.1093/bjs/znaf019

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