Abstract
A patient undergoing surgery may receive anesthesia care from several anesthesia providers. The safety of anesthesia care transitions has not been evaluated. Using unconditional and conditional multivariable logistic regression models, we tested whether the number of attending anesthesiologists involved in an operation was associated with postoperative complications. In a cohort of patients undergoing elective colorectal surgical in an academic tertiary care center with a stable anesthesia care team model participating in the American College of Surgeons National Surgical Quality Improvement Program, using unconditional and conditional multivariable logistic regression models, we tested adjusted associations between numbers of attending anesthesiologists and occurrence of death or a major complication (acute renal failure, bleeding that required a transfusion of 4 units or more of red blood cells within 72 hours after surgery, cardiac arrest requiring cardiopulmonary resuscitation, coma of 24 hours or longer, myocardial infarction, unplanned intubation, ventilator use for 48 hours or more, pneumonia, stroke, wound disruption, deep or organ-space surgical-site infection, superficial surgical-site infection, sepsis, septic shock,...Continue Reading
References
Aug 23, 2002·Annals of Surgery·Aaron S FinkShukri F Khuri
Jun 18, 2004·Anaesthesia·J HornE Moss
Sep 30, 2004·Journal of the American College of Surgeons·Justin B DimickDarrell A Campbell
Jan 19, 2005·Medical Care·Howard S GordonJane M Geraci
Apr 25, 2006·Journal of Clinical Epidemiology·Til StürmerSebastian Schneeweiss
Jan 27, 2007·Journal of the American College of Surgeons·Atul A GawandeMichael J Zinner
Mar 27, 2007·Journal of the American College of Surgeons·Caprice C GreenbergAtul A Gawande
Jun 28, 2008·Lancet·Thomas G WeiserAtul A Gawande
Jan 21, 2009·Archives of Surgery·Scott E RegenbogenAtul A Gawande
Feb 3, 2009·Journal of the American College of Surgeons·Darrell A CampbellShukri F Khuri
Mar 10, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Lee Ann RiesenbergBrian W Little
May 22, 2009·Journal of Clinical Epidemiology·Jaclyn L F BoscoTimothy L Lash
May 30, 2009·Journal of the American College of Surgeons·Mark E CohenBruce Lee Hall
Nov 27, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Lee Ann RiesenbergKelly P Karpovich
Dec 5, 2009·Journal of the American College of Surgeons·Mark E CohenBruce Lee Hall
Mar 17, 2010·Surgery·Scott E RegenbogenAtul A Gawande
Jun 24, 2010·JAMA : the Journal of the American Medical Association·Jonah J StulbergSiran M Koroukian
Jul 31, 2010·European Journal of Anaesthesiology·Vera MeeusenHans Knape
Aug 17, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Cinzia PezzolesiSoraya Dhillon
Oct 21, 2010·JAMA : the Journal of the American Medical Association·Dale W BratzlerWato Nsa
May 31, 2011·Journal of the American College of Surgeons·Alvin C KwokAtul A Gawande
Mar 24, 2012·Journal of the American College of Surgeons·Ryan P MerkowKarl Y Bilimoria
Apr 13, 2012·Anaesthesia·E A BittnerU Schmidt
Oct 19, 2012·BMJ : British Medical Journal·Martina Grosse-SundrupMatthias Eikermann
Jan 4, 2013·International Anesthesiology Clinics·Jens A Tan, Daniel Helsten
Mar 27, 2013·JAMA Internal Medicine·Sanjay V DesaiJoseph Cofrancesco
Apr 18, 2013·JAMA : the Journal of the American Medical Association·Sunil EappenAtul A Gawande
May 21, 2013·Paediatric Anaesthesia·Anne C Boat, James P Spaeth
Sep 17, 2013·Anesthesia and Analgesia·Joseph A HyderArun Subramanian
Mar 14, 2014·The New England Journal of Medicine·David R UrbachNancy N Baxter
Aug 8, 2014·Anesthesiology·Leif SaagerAndrea Kurz
Citations
Jul 30, 2016·The American Journal of Bioethics : AJOB·Danton Char
Sep 7, 2016·Surgical Infections·Brendan T WantaJoseph A Hyder
Sep 10, 2016·Anesthesia and Analgesia·Franklin DexterBradley J Hindman
Jan 25, 2017·Current Opinion in Anaesthesiology·Jean Marty, Emmanuel Samain
Mar 7, 2018·The Clinical Teacher·Susan C LeeAlice O'Brien
Nov 22, 2018·BMC Medical Education·Madhavi MuralidharanMeghan B Lane-Fall
Nov 20, 2016·Anesthesia and Analgesia·David B Wax, Patrick J McCormick
Apr 18, 2019·Anesthesia and Analgesia·Aalok V AgarwalaJeffrey B Cooper
Dec 19, 2015·Anesthesia and Analgesia·Meghan B Lane-Fall
Dec 5, 2019·International Anesthesiology Clinics·Elizabeth H LazzaraMeghan B Lane-Fall
Apr 15, 2020·Anesthesia and Analgesia·Sameer LakhaJonathan S Gal
Jul 29, 2016·Anesthesiology·Maxim A TerekhovJonathan P Wanderer
Jun 20, 2020·Journal of Reconstructive Microsurgery·Ruya ZhaoScott T Hollenbeck
Apr 19, 2017·International Wound Journal·Hyun Ho HanJong Won Rhie
Jun 7, 2018·JAMA : the Journal of the American Medical Association·Philip M JonesDuminda N Wijeysundera
Apr 25, 2017·European Journal of Anaesthesiology·Marion JulliaMatt M Kurrek
Oct 17, 2019·BMC Anesthesiology·Vikas N O'Reilly-ShahGrant C Lynde
Oct 14, 2020·Anesthesia and Analgesia·Edward L HannanDesmond Jordan
Dec 9, 2020·BMJ Quality & Safety·Thomas KannampallilJoanna Abraham
May 11, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Jiale HuSuzanne Wright
Dec 6, 2020·Journal of Clinical Anesthesia·Franklin DexterAnil A Marian
Mar 12, 2021·Der Anaesthesist·Christina MassothUNKNOWN HandiCAP Investigators
Mar 14, 2021·Journal of Clinical Anesthesia·Franklin DexterRichard H Epstein
Apr 8, 2021·Der Anaesthesist·Christina Massoth, Melanie Meersch
May 26, 2021·Anesthesia and Analgesia·Joanna AbrahamThomas Kannampallil
Jun 17, 2021·Implementation Science : IS·Meghan B Lane-FallEllen J Bass
Jul 10, 2021·British Journal of Anaesthesia·Rachel N DouglasKaren B Domino
Aug 23, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Thomas Kannampallil, Joanna Abraham
Jul 20, 2020·British Journal of Anaesthesia·Sylvain BoetNicole Etherington