September 12, 2019

Association of overlapping, nonconcurrent surgery with patient outcomes

By: Judy Mathias
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Editor’s Note

Overlapping, nonconcurrent surgery was not associated with an increase in serious unanticipated events in this study.

Of 61,525 surgical procedures performed over 1 year at a large academic medical center, a total of 8,391 patients had any overlap (beginning or end) and were matched on 11 variables.

Compared to no overlap, any overlap was not associated with an increase in:

  • unanticipated returns to surgery (9.8% any overlap vs 10.1% no overlap)
  • reoperations at 30 (3.6% vs 3.7%) or 90 days (3.8% vs 3.9%)
  • readmissions at 30 (9.9% vs 10.2%) or 90 days (6.9% vs 7.0%)
  • emergency room visits at 30 (5.4% vs 5.6%) or 90 days (4.8% vs 4.7%)
  • mortality at 90 days (1.7% vs 2.1%).

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