Traduction en anglais : The causes of perioperative mortality.
We performed a prospective multi-center study in order to determine the causes of 30-day perioperative mortality.
In accordance with the CEPOD-Study and with the kind permission of Dr.
N. Lunn, we forwarded two different questionnaires to 135 hospitals.
One questionnaire was to be answered by the anaesthetist and the other one by the surgeon involved in cases of perioperative death within the first 30 days after the operation. 12 out of 135 addressed hospitals agreed to participate in the study.
These included four small hospitals, six medical centres of medium capacity (about 500 beds) and two University hospitals.
In order to obtain an exact description of the events leading to perioperative death, the questionnaires consisted of approximately 60 questions for the collection of demographic data and the surgical as well as anaesthesiological perioperative management.
From 1989 to 1993 more than 300 cases of perioperative death were reported.
Only 200 cases could be analyzed due to incompletely answered or unreturned questionnaires.
The mean risk-classification (ASA) was 3.46, mean age 74.6 years.
Approximately 40 percent of deaths occurred in patients older than 80 years.
More than 80 percent of patients had at least one pre-existing cardiovascular disease with prevalence of 41% for pulmonary and gastrointestinal diseases.
In the majority of cases abdominal operations were performed, followed by hip-surgery and surgery of the aorta. (...)
Mots-clés Pascal : Mortalité, Peropératoire, Epidémiologie, Hôpital, Etude multicentrique, Homme, Cause, Soin intensif, Complication, Chirurgie, Anesthésie, Allemagne, Europe
Mots-clés Pascal anglais : Mortality, Intraoperative, Epidemiology, Hospital, Multicenter study, Human, Cause, Intensive care, Complication, Surgery, Anesthesia, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0317331
Code Inist : 002B30A01A2. Création : 12/09/1997.