A clinical pathway in a post-anaesthesia care unit to reduce length of stay, mortality and unplanned intensive care unit admission

European Journal of Anaesthesiology

Volumn 28, Issue 12, 2011, Pages 859-866

  Eichenberger, A S ^a   Haller, Guy ^b   Cheseaux, Nicole ^a   Lechappe, Vincent ^a   Garnerin, Philippe ^a,b   Walder, Bernhard ^a  

^a GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^b UNIVERSITY OF GENEVA   (Switzerland)

Author keywords

Complications; Mortality; Post operative; Quality improvement

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL PATHWAY; ELECTIVE SURGERY; FEMALE; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; POSTANESTHESIA CARE; POSTOPERATIVE PERIOD; SURGICAL MORTALITY; WARD;

AGED; ANESTHESIA RECOVERY PERIOD; COHORT STUDIES; CRITICAL PATHWAYS; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT ADMISSION; RETROSPECTIVE STUDIES;

EID: 84856435665     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e328347dff5     Document Type: Article

References (30)

1. Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008;372:139-144.
2. Clergue F, Auroy Y, Pequignot F, et al. French survey of anesthesia in 1996. Anesthesiology 1999;91:1509-1520. (Pubitemid 29506116)
3. Khuri SF, Henderson WG, De Palma RG, et al. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg 2005;242:326-341.
4. Manku K, Leung JM. Prognostic significance of postoperative in-hospital complications in elderly patients. II. Long-term quality of life. Anesth Analg 2003;96:590-594. (Pubitemid 36125787)
5. Brown I, Jellish WS, Kleinman B, et al. Use of postanesthesia discharge criteria to reduce discharge delays for inpatients in the postanesthesia care unit. J Clin Anesth 2008;20:175-179. (Pubitemid 351698106)
6. Thompson JS, Baxter BT, Allison JG, et al. Temporal patterns of postoperative complications. Arch Surg 2003;138:596-602.
7. Pronovost PJ, Jenckes MW, Dorman T, et al. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA 1999;281:1310-1317. (Pubitemid 29174483)
8. Vlaeyen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pract 2011. doi: 10.1111/j.1365-2753.2010.01612.x. [Epub ahead of print].
9. Weissman C, Klein N. The importance of differentiating between elective and emergency postoperative critical care patients. J Crit Care 2008;23:308-316.
10. Simchen E, Sprung CL, Galai N, et al. Survival of critically ill patients hospitalized in and out of intensive care. Crit Care Med 2007;35:449-457. (Pubitemid 46148535)
11. Campbell H, Hotchkiss R, Bradshaw N, Porteous M. Integrated care pathways. BMJ 1998;316:133-137. (Pubitemid 28121114)
12. Calligaro KD, Veith FJ, Schwartz ML, et al. Differences in early versus late extracavitary arterial graft infections. J Vasc Surg 1995;22:680-685.
13. Zehr KJ, Dawson PB, Yang SC, Heitmiller RF. Standardized clinical care pathways for major thoracic cases reduce hospital costs. Ann Thorac Surg 1998;66:914-919. (Pubitemid 28462127)
14. Price MB, Jones A, Hawkins JA, et al. Critical pathways for postoperative care after simple congenital heart surgery. Am J Manag Care 1999;5:185-192. (Pubitemid 29102589)
15. Berenholtz S, Pronovost P, Lipsett P, et al. Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unit. Intensive Care Med 2001;27:1029-1036. (Pubitemid 32662485)
16. Murphy GS, Szokol JW, Franklin M, et al. Postanesthesia care unit recovery times and neuromuscular blocking drugs: a prospective study of orthopedic surgical patients randomized to receive pancuronium or rocuronium. Anesth Analg 2004;98:193-200. (Pubitemid 38029875)
17. Kremer E, Atkinson JH Jr. Pain measurement: construct validity of the affective dimension of the McGill Pain Questionnaire with chronic benign pain patients. Pain 1981;11:93-100. (Pubitemid 11047025)
18. Wolters U, Wolf T, Stutzer H, Schroder T. ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 1996;77:217-222. (Pubitemid 26254509)
19. Pearse RM, Harrison D, James P, Bennett D. Identification and characterisation of the high-risk surgical population in the United Kingdom. Critical Care 2006;10:1-6.
20. Ausset S, Auroy Y, Verret C, et al. Quality of postoperative care after major orthopedic surgery is correlated with both long-term cardiovascular outcome and troponin Ic elevation. Anesthesiology 2010;113:529-540.
21. Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med 2009;361:1368-1375.
22. Grocott MP. Improving outcomes after surgery. BMJ 2009;339:b51.
23. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;5:491-499.
24. Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Med Care 2009;47:310-318.
25. Smith AF, Mishra K. Interaction between anaesthetists, their patients, and the anaesthesia team. Br J Anaesth 2010;105:60-68.
26. Kalkman CJ. Handover in the perioperative care process. Curr Opin Anaesthesiol 2010;23:749-753.
27. Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg 2010;252:171-176.
28. McNicol L, Story DA, Leslie K, et al. Postoperative complications and mortality in older patients having noncardiac surgery at three Melbourne teaching hospitals. Med J Aust 2007;186:447-452. (Pubitemid 46806820)
29. Hsia RY, Tabas JA. Emergency care: the increasing weight of increasing waits. Arch Intern Med 2009;169:1836-1838.
30. De La Torre SH, Mandel L, Goff BA. Evaluation of postoperative fever: usefulness and cost-effectiveness of routine workup. Am J Obstet Gynecol 2003;188:1642-1647. (Pubitemid 36741301)