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)

Ann SurgPublished Stepped-wedge cluster randomised interventional study

Primary result · 30-day mortalityResult — go to the resultOdds ratio 0.74 95% CI 0.34–1.62

Authors' 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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