Safety, quality & education

Shifting Patterns in Anesthesia-Related Mortality: A Two-Decade National Study in the United States, 1999 to 2024

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

Anesthesia-related mortality in the US remained stable until 2014 but has since risen significantly, disproportionately affecting males, non-Hispanic Black individuals, and residents of the Northeast US.

Study context

Population
All recorded US deaths 1999–2024 with anesthesia-related complications listed as contributing or underlying cause (CDC WONDER Multiple Cause of Death database)
Participants
16,371 anesthesia-related deaths
Outcome
AAMR per 100,000 population
Follow-up
1999 to 2024
Methodological detailsnational database, joinpoint regression
  • National database
  • Joinpoint regression

Main finding

As reported in the abstract

AAMR in 1999

0.09

AAMR in 2024

0.45

Average annual percent change

5.89

95% CI 5.28–6.93; p < 0.001

Observational data: associations, not effects.

Further findings

OutcomeValues
AAMR by sexMales 0.28 · Females 0.13
AAMR by race/ethnicityNon-Hispanic Black 1.19

AAMR by sex

Mortality consistently higher among males

AAMR by race/ethnicity

Mortality consistently higher among non-Hispanic Black individuals

AAMR by region and urbanization

Northeast region and District of Columbia had the highest rates
Metropolitan areas had higher age-adjusted mortality rates (AAMRs) than nonmetropolitan areas

Place of death · 2024

More anesthesia-related deaths occurred at home than in hospitals

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Shifting Patterns in Anesthesia-Related Mortality: A Two-Decade National Study in the United States, 1999 to 2024. J Cardiothorac Vasc Anesth. Published 7 August 2026. doi:10.1053/j.jvca.2026.08.112

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