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Prospective study on long-term outcome after abdominal surgery.

E D Brynjarsdottir1,2, M I Sigurdsson3, E Sigmundsdottir4

  • 1Department of Internal Medicine, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.

Acta Anaesthesiologica Scandinavica
|November 3, 2017
PubMed
Summary
This summary is machine-generated.

Major abdominal surgery complications are common. This study found 1-year mortality was 5.6%, with age, acute kidney injury, and surgery type predicting outcomes.

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Area of Science:

  • Surgery
  • Public Health
  • Epidemiology

Background:

  • Major abdominal surgery is frequently associated with significant morbidity and mortality.
  • Understanding post-operative outcomes is crucial for patient care and resource allocation.

Purpose of the Study:

  • To determine the 1-year mortality rate after major abdominal surgery.
  • To identify independent predictors of adverse outcomes and mortality in this patient population.

Main Methods:

  • A prospective observational cohort study was conducted at Landspitali University Hospital.
  • Included adult patients undergoing abdominal surgery requiring >24-hour admission over 13 months.
  • Follow-up included 60-day complication assessment and 24-month mortality tracking.

Main Results:

  • Data from 1113 patients showed a 20% complication rate and 5.6% 1-year mortality.
  • Independent predictors for 1-year mortality included advanced age, pre-operative acute kidney injury, and intermediate-to-major surgery.
  • Long-term survival for 30-day survivors was worse than matched population controls.

Conclusions:

  • Post-operative complication and mortality rates in Iceland were comparable to international benchmarks.
  • These findings support the provision of comprehensive abdominal surgical services in geographically isolated regions.