Perioperative medicine & outcomes
Routine Postsurgical Anesthesia Visit to Improve 30-day Morbidity and Mortality: A Multicenter, Stepped-wedge Cluster Randomized Interventional Study (The TRACE Study)
Primary result · 30-day mortalityResult — go to the resultOdds ratio 0.74 95% CI 0.34–1.62Authors' conclusion
The combination of MEWS and a postoperative anesthesia visit did not reduce 30-day mortality.
Study context
- Population
- Medium to high-risk patients undergoing elective noncardiac surgery in 9 academic and nonacademic hospitals in the Netherlands5,190 analysed
- Participants
- 5,473 participants
- Comparison
- Intervention vs Control
- Interventionn = 2,700
- Controln = 2,490reference
- Primary endpoint
- Mortality
- Follow-up
- 30 days
Methodological detailsprospective, multicentre, Enrolled October 2016 to August 2018
- Prospective
- Multicentre
- Enrolled October 2016 to August 2018
Primary result
30-day mortality
Odds ratio
0.74
95% CI 0.34–1.62
Events by treatment group
Intervention vs Control
OR 0.74 (95% CI 0.34–1.62)
As reported in the abstract
Secondary outcomes
Renal complications · higher in the control group
P = 0.014
Postoperative complications
- Incidence did not differ between groups, except renal complications
Median hospital LOS
- Did not differ significantly between groups
Recommendations given during postanaesthesia visits (Intervention)
- Recommendations given, day 1
- 16% (n = 437)
- Recommendations given, day 3
- 11% (n = 293)
- Recommendations followed up, day 1
- 67% (n = 293)
- Recommendations followed up, day 3
- 69% (n = 202)
Original publication
Routine Postsurgical Anesthesia Visit to Improve 30-day Morbidity and Mortality: A Multicenter, Stepped-wedge Cluster Randomized Interventional Study (The TRACE Study). Ann Surg. Published 24 May 2021. doi:10. 1097/ sla. 0000000000004954
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