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Failure to rescue in colon surgery

  • 0Hospital General Universitario de Alicante, Servicio de Cirugía General y Aparato Digestivo, Spain; Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Spain.
Journal of Healthcare Quality Research +

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April 6, 2025

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April 6, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Failure to rescue (FTR) after colorectal surgery, defined as death following major complications, occurred in 15.7% of patients. Advanced age, anastomotic leaks, and sepsis were key factors contributing to FTR.

Area Of Science

  • Colorectal Surgery
  • Surgical Outcomes Research
  • Patient Safety Indicators

Background

  • Major complications (MC) following colorectal surgery pose significant risks to patient survival.
  • Failure to rescue (FTR) quantifies a center's ability to manage MC, measured by mortality among patients experiencing complications.

Purpose Of The Study

  • To analyze the rate of Failure to Rescue (FTR) after colectomy for colon cancer.
  • To identify independent factors associated with FTR in patients undergoing colorectal surgery.

Main Methods

  • Retrospective analysis of 564 patients undergoing scheduled colon cancer surgery (September 2012 - August 2016).
  • Major complications (MC) defined as Clavien-Dindo scores > II.
  • FTR defined as death within 90 days post-surgery for patients with MC.

Main Results

  • 140 patients (24.8%) experienced MC, with 22 deaths, resulting in an FTR rate of 15.7%.
  • Non-survivors were older and had higher rates of ASA III/IV and anastomotic leaks.
  • Independent predictors of FTR included advanced age, anastomotic leak, and non-abdominal sepsis.

Conclusions

  • The FTR rate in this series is comparable to existing literature.
  • Age, anastomotic leakage, and sepsis are significant independent factors associated with FTR.
  • FTR serves as a valuable metric for assessing and improving the management of major complications in colorectal surgery centers.

Keywords:

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