[Perioperative risk and mortality after major surgery].

[Perioperative risk and mortality after major surgery]. Anaesthesist. 2015 Nov 3; Authors: Boehm O, Pfeiffer MK, Baumgarten G, Hoeft A Abstract Although anesthesia-associated mortality has been significantly reduced down to 0.00068-0.00082 % over the last decades, recent studies have revealed a high perioperative mortality of 0.8- 4 %. Apart from anesthesia and surgery-induced major complications, perioperative mortality is primarily negatively influenced by individual patient comorbidities. These risk factors predispose for acute critical incidents (e.g. myocardial infarction); however, the majority of fatal complications are a result of slowly progressing conditions, particularly infections or the sequelae of systemic inflammation. This implicates a broad window of opportunity for the detection and treatment of slow-onset complications to improve the perioperative outcome. The term "failure to rescue" (FTR), i.e. the proportion of patients who die from major complications compared to the number of all patients with complications, has been introduced as a valid indicator for the quality of perioperative care. Growing evidence has already shown that FTR is an underestimated factor in perioperative medicine accounting for or at least being involved in the development of postoperative mortality. While the incidence of severe postoperative complications amazingly does not show much variation between hospitals, FTR shows significan...
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research