Recent mortality rates due to complications of medical and surgical care in the US.

IF 2.2 Q2 MEDICINE, GENERAL & INTERNAL

Diagnosis Pub Date : 2024-05-20 eCollection Date: 2024-11-01 DOI:10.1515/dx-2024-0071

Camilla Mattiuzzi, Mario Plebani, Giuseppe Lippi

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引用次数: 0

Abstract

Objectives: Medical errors and complications pose a major threat to the safety of healthcare systems worldwide. This article was hence aimed at determining the current burden of complications of medical and surgical care in the US.

Methods: We searched the latest version of the US Centers for Disease Control and Prevention (CDC) WONDER online database (years 2018-2022) using ICD-10 codes Y40-Y84 (complications of medical and surgical care).

Results: The age-adjusted death rate for complications of medical and surgical care increased from 1.17 × 100,000 in 2018 to 1.49 × 100,000 in 2021, but then declined to 0.85 × 100,000 in 2022. The gender-specific analysis showed a similar trend, with the age-adjusted death rate values always being higher in men than in women. A clear age-dependent relationship was also found in the crude mortality rate for complications of medical and surgical care, as higher death rates were observed in older patients.

Conclusions: This analysis reveals that the burden of complications of medical and surgical care has increased over time, especially during the COVID-19 pandemic, but has then considerably declined in 2022. However, root cause analysis and actions are still needed for preventing the still noticeable consequences of medical complications.

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美国医疗和外科护理并发症导致的最新死亡率。

目的：医疗事故和并发症对全球医疗系统的安全构成了重大威胁。因此，本文旨在确定当前美国医疗和外科护理并发症的负担：我们使用ICD-10代码Y40-Y84（内外科护理并发症）检索了美国疾病控制和预防中心（CDC）WONDER在线数据库的最新版本（2018-2022年）：经年龄调整后的内外科护理并发症死亡率从2018年的1.17×100,000上升至2021年的1.49×100,000，但随后下降至2022年的0.85×100,000。性别分析显示了类似的趋势，男性的年龄调整后死亡率值始终高于女性。在内科和外科护理并发症的粗死亡率方面，也发现了明显的年龄依赖关系，因为年龄较大的患者死亡率较高：这项分析表明，医疗和外科护理并发症的负担随着时间的推移而增加，尤其是在 COVID-19 大流行期间，但随后在 2022 年大幅下降。然而，仍需对根本原因进行分析并采取行动，以预防医疗并发症带来的明显后果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnosis MEDICINE, GENERAL & INTERNAL-

CiteScore

7.20

自引率

5.70%

发文量

期刊介绍： Diagnosis focuses on how diagnosis can be advanced, how it is taught, and how and why it can fail, leading to diagnostic errors. The journal welcomes both fundamental and applied works, improvement initiatives, opinions, and debates to encourage new thinking on improving this critical aspect of healthcare quality.　 Topics: -Factors that promote diagnostic quality and safety -Clinical reasoning -Diagnostic errors in medicine -The factors that contribute to diagnostic error: human factors, cognitive issues, and system-related breakdowns -Improving the value of diagnosis – eliminating waste and unnecessary testing -How culture and removing blame promote awareness of diagnostic errors -Training and education related to clinical reasoning and diagnostic skills -Advances in laboratory testing and imaging that improve diagnostic capability -Local, national and international initiatives to reduce diagnostic error