Perioperative medicine & outcomes

Social deprivation and morbidity and mortality after surgery: a UK national observational cohort study

Br J AnaesthPublished Prospective observational cohort study

Authors' conclusion

Socioeconomic deprivation is associated with short-term postoperative morbidity and mortality.

Study context

Population
UK adults undergoing elective and emergency inpatient noncardiac surgery (SNAP-2: EpiCCS)
Participants
18,901 adults
Exposure
Index of Multiple Deprivation quintiles
Outcome
Morbidity (Post-Operative Morbidity Survey)
Follow-up
Day 7
Methodological detailsnon-consenting, national, multivariable mixed effects logistic regression
  • Non-consenting
  • National
  • Multivariable mixed effects logistic regression

Main finding

As reported in the abstract

Adjusted for patient characteristics and surgical factors
Each group vs IMD5Odds ratio (95% CI)
IMD2
1.26(1.09–1.47)
IMD1
1.32(1.13–1.53)
Overall morbidity at day 7
13.7%

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
In-hospital mortality · 30 daysIMD1 vs IMD51.90 (1.22–2.95)
OutcomeOR (95% CI)
In-hospital mortality · 30 daysIMD2 vs IMD51.75 (1.12–1.73)
In-hospital mortality — Overall in-hospital 30-day mortality
1.3%

Original publication

Social deprivation and morbidity and mortality after surgery: a UK national observational cohort study. Br J Anaesth. Published 23 September 2025. doi:10.1016/j.bja.2025.07.058

Composed by AI from the published abstract and checked against it. How Briefs are made →

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