Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis

British Journal of Anaesthesia
Sylvain BoetNicole Etherington

Abstract

Handover of anaesthesia patient care during surgery is common; however, its association with patient outcome is unclear. This systematic review aimed to assess the impact of anaesthesia handover during surgery on patient outcome. All prospective and retrospective clinical studies specifically investigating the association of intraoperative transfer of anaesthesia care between anaesthesia providers in the operating room with patient morbidity and mortality were included. Searches were conducted from inception to April 24, 2019 in Medline, Medline in Process, CINAHL, and Embase. Reference lists of included studies were searched. Studies were assessed for eligibility and data were extracted by independent reviewers in duplicate with disagreements resolved by consensus or a third reviewer. Risk of bias was assessed in duplicate using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data were summarised narratively given substantial heterogeneity. An exploratory meta-analysis was conducted using a random-effects model for a subset of comparable studies. Eight studies met the inclusion criteria. Six studies focused on patients as the unit of analysis (npatients=605 678) a...Continue Reading

References

Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Aug 5, 2009·Quality & Safety in Health Care·S A JeffcottJ E Ibrahim
Dec 3, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Christopher C C HudsonMunir Boodhwani
Mar 21, 2015·Anesthesia and Analgesia·Joseph A HyderVictor M Montori
Jul 29, 2016·Anesthesiology·Maxim A TerekhovJonathan P Wanderer
Aug 17, 2017·JAMA Surgery·Mitchell G GoldenbergTeodor P Grantcharov
Jan 11, 2018·JAMA : the Journal of the American Medical Association·James P Bagian, Douglas E Paull
Jan 11, 2018·JAMA : the Journal of the American Medical Association·Philip M JonesDuminda N Wijeysundera
Jun 20, 2018·Annals of Surgery·James J JungTeodor Grantcharov

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Citations

Jul 10, 2021·British Journal of Anaesthesia·Rachel N DouglasKaren B Domino

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