Association of rapid response system with clinical outcomes after surgery under general anesthesia

IF 5 2区医学 Q1 ANESTHESIOLOGY

Journal of Clinical Anesthesia Pub Date : 2025-01-15 DOI:10.1016/j.jclinane.2025.111749

In-Ae Song , Tak Kyu Oh

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引用次数: 0

Abstract

Background

In this population-based cohort study involving a nationwide database from South Korea, we aimed to determine whether rapid response system (RRS) implementation is associated with mortality and morbidity after surgery under general anesthesia.

Methods

Patients who underwent surgery under general anesthesia at the hospital between January 1, 2021, and December 31, 2021. Patients admitted to hospitals with an RRS were categorized into the RRS group, whereas those without an RRS were categorized into the non-RRS group. The endpoints were 30-day mortality, 90-day mortality, and CPR performance in the event of cardiac arrest.

Results

A total of 1,416,844 patients who underwent surgery under general anesthesia were included. The RRS and non-RRS groups included 512,911 and 903,933 patients, respectively. After propensity score (PS) matching, 447,998 patients were included in both groups (223,999 patients per group). In the PS-matched cohort, compared with the non-RRS group, the RRS group had 7 % (odds ratio [OR]: 0.93, 95 % confidence interval [CI]: 0.89, 0.97; P = 0.001), 6 % (OR: 0.94, 95 % CI: 0.91, 0.97; P < 0.001), and 9 % (OR: 0.91, 95 % CI: 0.83, 0.98; P = 0.020) lower incidences of 30-day mortality, 90-day mortality, and CPR, respectively.

Conclusions

The RRS group had lower 30-day and 90-day mortality rates than the non-RRS group after surgery under general anesthesia. Moreover, RRS was associated with a lower rate of CPR episodes resulting from cardiac arrest in patients undergoing general anesthesia after surgery.

查看原文本刊更多论文

全身麻醉下手术后快速反应系统与临床结果的关系。

背景：在这项涉及韩国全国数据库的基于人群的队列研究中，我们旨在确定快速反应系统（RRS）的实施是否与全身麻醉手术后的死亡率和发病率相关。方法：于2021年1月1日至2021年12月31日在医院接受全身麻醉手术的患者。入院的有RRS的患者被归类为RRS组，而没有RRS的患者被归类为非RRS组。终点是30天死亡率、90天死亡率和心脏骤停时的心肺复苏表现。结果：共纳入1416844例全麻手术患者。RRS组和非RRS组分别包括512,911例和903,933例患者。倾向评分（PS）匹配后，两组共纳入447,998例患者（每组223,999例患者）。在ps匹配的队列中，与非RRS组相比，RRS组有7%(优势比[OR]: 0.93, 95%可信区间[CI]: 0.89, 0.97；P = 0.001), 6% (or: 0.94, 95% ci: 0.91, 0.97；结论：全身麻醉下，RRS组术后30天和90天死亡率均低于非RRS组。此外，RRS与手术后接受全身麻醉的患者心脏骤停引起的CPR发作率较低有关。

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

Journal of Clinical Anesthesia 医学-麻醉学

CiteScore

7.40

自引率

4.50%

发文量

346

审稿时长

23 days

期刊介绍： The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.