The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Mortality and utilisation of critical care resources amongst high‐risk surgical patients in a large NHS trust*
Abstract
Summary: Previous reports describe a population of non‐cardiac surgical patients at high risk of complications and death. Outcomes are sub‐optimal for such patients, perhaps in part related to inadequate provision or ineffective utilisation of critical care resources. In this study, data describing 26 051 in‐patient non‐cardiac surgical procedures performed in a large NHS Trust between April 2002 and March 2005 were extracted from local databases. Of these procedures, 2 414 (9.3%) were high risk with an overall mortality rate of 12.2% and a prolonged hospital stay (high‐risk population median (IQR) 16 (9–30) days vs standard risk 3 (2–6) days). Mortality rates for specific procedures were consistent with UK averages. However, only 852 (35.3%) high‐risk patients were admitted to a critical care unit at any stage after surgery. Of 294 high‐risk patients who died, only 144 (49.0%) were admitted to a critical care unit at any time and only 75 (25.6%) of these deaths occurred within a critical care area. Mortality rates were high amongst patients discharged and readmitted to critical care (37.7%) and amongst those admitted to critical care following initial postoperative care on a standard ward (29.9%). These data suggest that the outcome of high‐risk general surgical patients could be improved by adequate provision and more effective utilisation of critical care resources.
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Citations
Cites
Hospital Volume and Surgical Mortality in the United States
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POSSUM and Portsmouth POSSUM for predicting mortality
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Self-citationIdentification and characterisation of the high-risk surgical population in the United Kingdom
Pearse, R. M., Harrison, D. A., James, P., Watson, D., Hinds, C., Rhodes, A., Grounds, R. M., & Bennett, E. D. (2006) · Critical Care · doi:10.1186/cc4928 · Cited by 667
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Cited by
Cecconi, M., Corredor, C., Arulkumaran, N., Abuella, G., Ball, J., Grounds, R. M., Hamilton, M., & Rhodes, A. (2012) · Critical Care · doi:10.1186/cc11823 · Cited by 339
Knight, S. R., Ng, N., Tsanas, A., Mclean, K., Pagliari, C., & Harrison, E. M. (2021) · npj Digital Medicine · doi:10.1038/s41746-021-00525-1 · Cited by 104
Physiologic signatures within six hours of hospitalization identify acute illness phenotypes
Ren, Y., Loftus, T. J., Li, Y., Guan, Z., Ruppert, M. M., Datta, S., Upchurch, G. R., Tighe, P. J., Rashidi, P., Shickel, B., et al. (2022) · PLOS Digital Health · doi:10.1371/journal.pdig.0000110 · Cited by 6
Metadata
- Authors
- Jhanji, S., Thomas, B., Ely, A., Watson, D., Hinds, C. J., & Pearse, R. M.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2008-06-10
- Volume
- 63
- Issue
- 7
- Pages
- 695-700
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W1489629220
- Cited by
- 259
- References
- 17
- FWCI
- 9.90
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Mortality and utilisation of critical care resources amongst high‐risk surgical patients in a large NHS trust*. https://app.cochat.ai/papers/10.1111/j.1365-2044.2008.05560.x
- The paper
- Jhanji, S., Thomas, B., Ely, A., Watson, D., Hinds, C. J., & Pearse, R. M. (2008). Mortality and utilisation of critical care resources amongst high‐risk surgical patients in a large NHS trust*. Anaesthesia. https://doi.org/10.1111/j.1365-2044.2008.05560.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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