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Lancet. 2012 Sep 22;380(9847):1059-65. doi: 10.1016/S0140-6736(12)61148-9.

Mortality after surgery in Europe: a 7 day cohort study.

Collaborators (1947)

Bauer P, Hoeft A, Metnitz P, Moreno R, Pearse R, Pelosi P, Rhodes A, Spies C, Vallet B, Vincent JL, Damster S, Golder K, Hewson R, Januszewska M, Leva B, Moreno R, Pearse R, Ramos V, Rhodes A, Hoste E, Huyghens L, Jacobs R, Van Mossevelde V, Opdenacker G, Poelaert J, Spapen H, Leleu K, Rijckaert D, De Decker K, Foubert L, De Neve N, Biston P, Piagnerelli M, Collin V, Blauwen Nd, Clauwaert C, De Crop L, Verbeke A, Roeselare HH, Derumeaux P, Gardin C, Kindt S, Louage S, Verhamme B, Druwé P, Lahaye I, Rosseel F, Rutsaert R, Vanlinthout L, De Kock M, Forget P, Georges P, Grosu I, Kahn D, Lois F, Momeni M, Pospiech A, Yemnga B, Jadoul JL, Malbrain M, Bosinceanu D, Collard E, Jorens P, Reyntiens D, Smitz C, Vercauteren M, Fagnoul D, van Obbergh L, Vincent JL, Goranović T, Mazul-Sunko B, Toplice K, Oremuš K, Bešlić G, Duzel V, Hauptman A, Peremin S, Šribar A, Župčić M, Brod S, Mirković I, Bauer ZŠ, Belavić M, Blažanin B, Katušin ML, Krijan AB, Mišković P, Šimić-Korać N, Topić J, Žilić A, Žuni J, Acan I, Adanić M, Ivanov N, Šarić JP, Tomulić K, Visković N, Bošnjak S, Drenjančevic IH, Kristek G, Kvolik S, Markić S, Rakipovic AS, Tot OK, Venzera- Azenic D, Fabris LK, Bačak-Kocman I, Balenović I, Bandić D, Deutsch PA, Divjak L, Filipović IG, Gužvinec Z, Krznarić Z, Lončarić Y, Magaš JV, Mitrović M, Okić M, Pavlek M, Ramov E, Rezek K, Sekulić A, Tomasevic B, Mirić M, Tomašević A, Mahečić TT, Vrbanović V, Bobinac M, Božić A, Debelic D, Frkovic V, Batinica IM, Baranović S, Gavranović Ž, Kikec M, Maldini B, Marić S, Agnić I, Delić N, Dropulić N, Gašpić TK, Ilić D, Ivančev B, Karanović N, Kuščević D, Marović Z, Milić M, Nevešćanin A, Petković T, Smoje M, Brozović G, Goranović T, Jelisavac M, Matolić M, Mazul-Sunko B, Oberhofer D, Pavičić AM, Šakić K, Bozovic MD, Krecek ZK, Krobot R, Andabaka T, Bratanić M, Dzepina O, Kraljev M, Šeric J, Šimurina T, Grujić R, Nacevski-Bulaja B, Barižon M, Danira V, Dražen B, Dušanka K, Halužan MB, Joško Ž, Katica R, Labor M, Marinković TG, Mihovilčević D, Marija B, Srečko M, Vranković S, Kyprianou T, Neophytou K, Cerny V, Cvachovec K, Belikova B, Drab M, Hudacek K, Krikava I, Stourac P, Zadrazilova K, Bicek V, Brabcová M, Klozová R, Vajter J, Vymazal T, Toft P, Blichfeldt L, Hansen BD, Moller K, Nielsen JS, Frederiksen J, Andersen JD, Kühne JP, Leivdal S, Stendell L, Simonsen M, Zoltowski MK, Ali ZS, Freundlich M, Pilypaite J, Clausen NG, Toft P, Thorup L, Hansen F, Bestle M, Hansen CS, Afshari A, Bille AB, Lefort M, Secher EL, Liboriussen L, Herodes V, Härma E, Marvet K, Pool K, Kallas P, Mägi TK, Sütt J, Vijar K, Visk E, Vinnal M, Ellermaa J, Liibusk L, Tikkerberi A, Falk I, Mällo E, Talving J, Pettilä V, Hovilehto S, Kirsi A, Mustola S, Tiainen P, Toivonen J, Dabnell S, Kaminski T, Sysimetsa A, Kaukonen M, Silvasti P, Vainio K, Lund V, Sjövall S, Saarinen K, Viitanen M, Ahonen T, Alaspää A, Zittling R, Saarinen A, Moisander A, Wagner B, Laru-Sompa R, Elomaa E, Lavonen L, Nevantaus J, Geier K, Kavasmaa T, Koorits U, Kubjas M, Lauritsalo S, Ottelin L, Palve M, Pynnönen J, Rääbis I, Saarelainen M, Heikkilä T, Kontula T, Lehtimäki M, Liimatainen J, Moilanen-Oikarinen M, Pakarinen M, Palanne R, Seppänen H, Pulkkinen A, Vääräniemi H, Paananen S, Koskenkari J, Sälkiö S, Vakkala M, Koskue T, Loisa P, Laitio R, Hautamäki R, Koivisto SP, Futier E, Lefrant JY, Leon A, Bonnet F, Marret E, Spielvogel C, Papageorgiou C, Szymkiewicz O, Tounou-Akue F, Aubrun F, Bonnet A, Gazon M, Guiraud M, Laurent V, Béclère A, Tachon G, Demars N, Dumenil AS, Mercier F, Landais A, Mentec H, Bazin M, Futier E, Gonnu S, Petit A, Albaladejo P, Almeras L, Bataillard A, Rossi-Blancher M, Lefrant JY, Barthel F, Hallel D, Sbai H, Khalifeh P, Lidzborski L, Jully M, Platon E, Pottecher J, Baumgarten R, Schultz C, ElMiloudi F, Lefebvre J, Waton K, Sprunck A, Steib A, Thibaud A, Thuet V, Kieffer V, Dubois-Vallaud D, Jacob L, Becanne X, Cherfaoui S, Gauzit R, Godier A, Lakhdari M, Samma C, Bigeon JY, Burtin P, Halchini C, Lacroix M, Pinna F, Barbes A, Just B, Mateu P, Benayoun L, Berger P, Granier N, Perrigault PF, Libert N, De Rudnicki S, Merat S, Bourdet B, Ferré F, Minville V, Piriou V, Rague P, Wallet F, Lebuffe G, Desbordes J, Robin E, Ichai C, Orban JC, Marx G, Sander M, Gottschalk A, Piontek A, Unterberg M, Hilpert J, Kees M, Triltsch A, Wiegand-Löhnert C, Glöckner C, Hohn A, Rose E, Schröder S, Wiese O, Awlakpui E, Hoeft A, Scheidemann M, Wittmann M, Ramminger A, Dresden C, de Abreu MG, Heller A, Marx C, Neidel J, Goldmann A, von Heymann C, Laetsch B, Maahs E, Scholz L, Frenzel D, Massarat K, Lenhart FP, Reichle F, Rudlof K, Borchers F, Buettner C, Schmutzler M, Burgard G, Lucht A, Wagner J, Pilge S, Schneider G, Untergehrer G, Bis B, Krassler J, Dittmann J, Haberkorn J, Eberitsch J, Eberitsch K, Nippraschk T, Wepler U, Engelen WC, Nau C, Scholler A, Schüttler J, Wintzheimer S, Bloos F, Braune A, Fergen D, Ludewig K, Paxian M, Reinhart K, Graf N, Schwarzkopf K, Berger K, Habicher M, Kasperiunaite R, Savelsberg S, Krep H, Reindl M, Weber M, Bauer W, Bingold F, Christ S, Friederich P, Kaviani R, Auer P, Bonnländer G, Drescher J, Braun R, Eichenauer T, Kerner J, Bierbaum K, Brünner H, Grond S, Perez-Platz U, Andresen B, Linstedt U, Stegmann N, Erkens U, Kopcke J, Meyer A, Brestrich H, Ernst S, Merkel S, Krieger L, Luers F, Weyland A, Noeldge-Schomburg G, Menckie T, Wasmund C, Bredtmann RD, Erler I, Raufhake C, Haumann C, Möllemann A, Oehmichen U, Sergejewa O, Lehning B, Czeslick E, Geyer M, Malcharek M, Sablotzki A, Stier M, Feld F, Marx G, Rossaint R, Simon V, Armaganidis A, Koulenti D, Kotanidou A, Nanas S, Papastylianou A, Psevdi A, Stathopoulos A, Voulas A, Kanna E, Koutsikou A, Moustaka A, Chovas A, Komnos A, Zafiridis T, Franses J, Lavrentieva A, Koraki E, Katsenos C, Kasianidou MF, Nasopoulou P, Spyropoulou E, Gousia C, Katsanoulas C, Lathyris D, Kyriazopoulos G, Sfyras D, Tsirogianni A, Armaganidis A, Kostopanagiotou G, Koulenti D, Lignos M, Matsota P, Christopoulos C, Mouratidou A, Vrettou E, Boufidis S, Moka E, Arnaoutoglou E, Koulouras V, Nakos G, Papathanakos G, Anthopoulos G, Choutas G, Karapanos D, Tzani V, Gkiokas G, Nastos K, Nikolakopoulos F, Dragoumanis C, Nikitidis N, Pneumatikos I, Theodorou V, Zacharouli D, Kandi S, Tasopoulos K, Arvaniti K, Matamis D, Mplougoura E, Petropoulou P, Soumpasis I, Amaniti E, Giannakou-Peftoulidou M, Gkeka E, Soultati I, Kokinou M, Papatheodorou L, Stafylaraki M, Giasnetsova T, Gritsi-Gerogianni N, Kydona C, Kiskira O, Koulentis I, Apsokardos A, Dimitropoulos K, Soldatou O, Nathanail C, Papazotos A, Tsakas P, Clouva-Molyvdas PM, Kolotoura A, Sartzi M, Papanikolaou S, Polakis P, Karatzas S, Kyparissi A, Papavasilopoulou T, Koukoubani T, Mastora E, Spyropoulou-Pagdatoglou K, Nyktari V, Malliotakis P, Papaioannou A, Bekos V, Maragkou E, Spring A, Evagelatos S, Ioakeimidou A, Noulas N, Molnár Z, Csüllög E, Elekes E, Molnár T, Katona Z, Kremer I, Miko A, Csomos A, Galambos Z, Szucs A, Nyikos G, Szekeres G, Szabo E, Kranitz K, Simon M, Szigeti J, Gaál E, Havas A, Ille A, Bráz K, Nagy G, Sigurdsson G, Sigurbjörnsson FT, Sigurdsson GH, Kárason S, Sigurdardottir EE, Blöndal Á, Gunnarsson B, Westbrook A, Broderick A, Hafeez P, Hanumanthaiah D, Brohan J, O'Chroinin D, Bailey K, Ramamoorthy K, Doyle Y, Freir N, O'Rourke J, Jonson P, Saeed S, Hayes I, Loughrey J, Frohlich S, McCauley N, Ryan D, Fitzpatrick G, Kevin L, Thomas J, Warde B, Woolhead A, Duggan M, Egan C, Crowley S, Lebese S, Bergin A, Westbrook A, Page R, Collins D, McKenny M, Della Rocca G, Grasso S, Bresciani A, Carmino L, Ghelfi S, Lorenzelli L, Novelli MT, Pescarmona C, Roasio A, Gatta A, Nastasi M, Sanseverino M, Tinti C, Bianchin A, Tormena M, Franco A, Marini F, Di Mauro P, Rapido F, Tommasino C, Bellotti F, Boninsegna D, Castellani G, Sances D, Spano G, Tredici S, Vezzoli D, Fucecchio I, Bacci A, Coppini R, Dell'unto S, Mori E, Stanzani MR, Tosi M, Collareta M, Forfori F, Franchi M, Mancino G, Battistella M, Baricocchi E, Bona F, Debernardi F, Giacoletto G, Iacobellis A, Massucco P, Moselli N, Muratore A, Palomba G, Sardo E, De Simone M, Suita L, Zocca E, Bucci B, Della Corte F, Piciucco T, Viarengo V, Bettelli G, Cantarini E, Giampieri M, Tanfani A, Recchia E, Milano S, Bignami E, Bruno G, Costagliola R, Gandolfi A, Greco M, Lembo R, Monti G, Nicelli E, Pasculli N, Turi S, Della Rocca G, Baroselli A, Brazzoni M, Buttazzoni M, Buttera S, Centonze C, Serena G, Spagnesi L, Toretti I, Vilardi A, Zearo E, Arpino I, Baraldi S, Guarnerio C, Molene V, Monea MC, Vaccarisi E, Vicari L, Albante A, Aversano M, Loiacono C, Marandola M, Fusari M, Petrucci N, Galla A, Mascia A, Primieri P, Di Noto A, Gratarola A, Molin A, Pelosi P, Spagnolo L, Spena C, Calligaro P, Marchiotto S, Merlini A, Pedrazzoli E, Perina G, Visentin R, Fumagalli R, Garbagnati A, Manetti B, Snaier C, Somaini M, Farnia A, Nani R, Pierantonio N, De Michele M, Grasso S, Gazzanelli S, Marandola M, Pugliese F, Ruberto F, Anna US, Bergamini E, Tassinati T, Capuzzo M, Cirillo V, Tufano R, Oggioni R, Parrini V, Brunori E, Capone M, Carbone L, Corradetti F, Elisei D, Fiorentino S, Francesconi M, Gattari D, Gorgoglione M, Lacobone E, Minnucci F, Montironi C, Riccioni G, Tappata G, Zompanti V, Verdenelli P, Cerutti E, Ranieri VM, Golubovska I, Grigorjevs S, Rikmane M, Rozkalne D, Stepanovs J, Suba O, Golubovska I, Kazune S, Miscuk A, Nemme J, Oss P, Sipylaite J, Macas A, Ragaisis V, Kontrimaviciute E, Tomkute G, Boerma C, Kramer IF, Poeze M, Ziekenhuis A, Maria J, Pelzer G, Winsser L, Nijsten M, Schoorl M, Spanjersberg R, Buhre W, Dieleman S, van Klei W, Bouw M, Pickkers P, van der A M, Schreiner F, Zandvliet R, van den Berg R, De Wit E, Keijzer C, Hollmann M, Preckel B, van Acker G, Dennesen P, Veld B, Kuijpers-Visser A, Inan T, Koopman-van Gemert A, Ponssen H, Boerma C, Brouwer T, Koopmans M, van Bommel J, van Duijn D, van der Hoven B, Ormskerk P, Beck O, Schiere S, Reidinga A, Venema A, Hoogendoorn M, Olthof K, Flaatten H, Jammer I, Dokka V, Monsen SA, Ytrebo LM, Noursadeghi M, Shahzad A, Boksasp OD, Roiss C, Strietzel HF, Gina A, Berntsen S, Haugland H, Vingsnes SO, Axelsson P, Olsen T, Katre S, Aakeroey K, Mikstacki A, Tamowicz B, Bożiłow D, Goch R, Grabowski P, Kupisiak J, Małłek M, Szyca R, Kostyrka W, Choma R, Jankowski G, Kościelniak W, Pietraszek P, Szarowar B, Matos R, França C, Lacerda AP, Ormonde L, Rosa R, Pereira I, Vitor P, Bento HC, Lopes MR, Carvalho M, Faria M, de Sousa AC, de Freitas P, Almeida E, Mealha R, Vicente R, Monte R, Rua F, Barros N, Esteves F, Gouveia Pinheiro CM, Real V, Oliveira VM, Oliveira MF, Martins I, Saraiva JP, Assunção JP, Bártolo A, Carvalho A, Correia C, Martins S, Milheiro R, Diaz A, Gonçalves MI, Ribeiro R, Estilita J, Glória C, de Almeida J, Barros F, Ramos A, Camara M, Maul ER, Nobrega J, Langner A, Maia D, Afonso O, Faria F, Serra S, Botelho MM, Ferreira P, Mourão L, Oliveira AV, Resende M, Aleman M, Fonseca J, Isidoro M, de Meneses H, Pêgas A, Pereira J, Pereira L, Ramos B, Matos F, Matos R, Castro Mde L, Martins A, Ramos C, de Sousa M, Bento L, Botas C, Lopes V, Mendes R, Grigoras I, Blaj M, Damian M, Lupusoru A, Ristescu I, Codreanu M, Diaconescu C, Nistor A, Stelian DS, Streanga L, Berneanu M, Bordeianu C, Florenta C, Iacob A, Lupu MN, Mocanu I, Moraru C, Meran C, Nicolae B, Sandu M, Turcanu R, Epure F, Grigore M, Hotaranu C, Popescu N, Baban O, Baciu M, Ciobanu A, Denciu CI, Gurau V, Maftei I, Moldovan I, Ungureanu L, Bogdan P, Corneci D, Dinu M, Madalina D, Rely M, Silvius N, Tomescu D, Gabriela D, Dinescu SA, Calin M, Ionescu D, Margarit S, Vasian H, Albu C, Balasa C, Cadrigati A, Dragulescu D, Gavra L, Hentia C, Macarie C, Manescu M, Nediglea I, Ocica D, Ovidiu B, Papurica M, Plavat C, Popa C, Ramneantu M, Sandesc D, Sandici Z, Sarandan M, Belciu I, Tincu E, Ursu I, Aignatoaie M, Huzuneanu M, Cocu S, Hagau N, Ciubotaru R, Copotoiu SM, Copotoiu R, Ioana G, Kovacs J, Leonard A, Szederjesi I, Genoveva V, Mosnegutu S, Surbatovic M, Djordjevic D, Djordjevic B, Grujic K, Jovanovic D, Krstic-Lecic I, Obradovic J, Zeba S, Jevdjic J, Miletic M, Zunic F, Bulasevic A, Brko R, Gazibegovic N, Kendrisic M, Vojinovic R, Firment J, Zahorec R, Capková J, Firment J, Grochova M, Trenkler S, Griger M, Zahorec R, Bakosova E, Kvasnica M, Saniova B, Sulaj M, Zacharovska A, Simkova A, Číková A, Gebhardtova A, Hanuljaková S, Koutun J, Martonová A, Žilinčárová V, Galkova K, Krbila S, Sobona V, Ocenasova M, Novak-Jankovic V, Novak-Jankovic V, Stecher A, Stivan F, Grynyuk A, Damjanovska M, Kostadinov I, Knezevic M, Malivojevic M, Borovsak Z, Kamenik M, Mekiš D, Osojnik I, Kosec L, Kapš SO, Aleksic D, Gerjevič B, Kalan K, Ursic T, Aldecoa C, González JM, Artigas A, Garcia A, Lisi A, Perez I, Perez G, Poch N, Vaquer S, Balciscueta G, Barrasa H, Cabanes S, Maynar J, Poveda Y, Rodero AQ, Vallejo A, Duque P, Garcia-Bunger B, Elvira MA, Lajara AM, Palencia M, Ramos R, Fernandez AS, León JT, López JI, Murillo FY, Ramirez ET, Rico PU, Patricia M, Vizcaíno M, Bernat Álvarez MJ, Real KP, Serra AM, Aracil N, Bodega BM, García RF, García MÁ, Gordon Bde L, Jodrá AG, López Ade S, Ros JJ, Soto RA, Sepúlveda I, Díez EP, Fernández LF, Gulina CS, Arviza LP, Fernandez LM, Gómez AR, Martínez CA, Rodríguez AB, Soto CL, Aldecoa C, Garcia C, Lorenzo M, Pinilla E, Rico J, Ruperez I, Alonso E, Leira F, Maseda DP, Royo C, Villagran J, Candi GM, Esteva GE, Folgado RM, Fornaguera NJ, Montse PC, Prat AS, Sintes D, Arteta DA, Delgado HG, López-Cuervo JF, López MC, Ramírez A, Saldaña FJ, Aliste P, Anchuelo AH, Campos AG, Catalán M, Gómez MG, Gonzalaez OG, López EL, Navacerrada IR, de Quevedo SA, Serrano MG, Silvestre FP, Torrente FM, Arocas B, Martinez EP, Soro M, Maroto F, Algarra RR, Aleixandre IS, Argente GR, Lleó AB, Rubio AV, Sánchez JL, Valcárcel IE, Balust C, Balust J, Borrat X, Carretero MJ, Gracia I, Matute P, Mercadal J, Pujol R, Tena B, Ubre M, Albalad DD, Alcaide CM, Caballero J, Cervantes AC, Clanchet M, Estruch NM, Ferrer MB, Fornells AL, Galera ET, Martinez IG, Muñoz SM, Pelavski A, Perez PT, Posada MA, de Prat IC, Rello J, Serrano LG, Sieiro JM, Silva L, Sole MJ, Suñé AB, Villach IR, Herreras JI, Poves R, Rafael BM, Almeida IM, Collates AF, Bartolomé MJ, Cimadevilla B, González AM, Llevot JM, Mira JC, Molina BG, Pardo S, Sánchez CL, Williams M, Zaldibar E, Corsini LM, Fraile JR, de la Lastra M, Sacramento MK, Saña FJ, Ålvarez JT, Bulnes ML, Carrasco VG, Crespo Mdel R, Cubillos DN, Laza EL, Pérez M, Seisdedos ÁA, Torres BF, Ampuero MS, Llano MC, Mata E, Munoz M, Orts M, Planas A, Ramasco F, Roman C, Durán MV, Fernandez Sdel R, Otero YS, Pineiro SL, Pardal CB, Alcantud JF, Antolinos MA, Barrios F, Casanova AC, Castro MR, Crespo BI, Felipe UL, Fuster ML, García MS, Garrote BH, Gonzalez RM, Granero MJ, de la Guía CL, López RC, López Sde F, Martinez JJ, Mostaza AG, Moreno AJ, Osado IR, Pastor AB, Peña R, Pérez MR, Piña MA, Romero CA, Rodríguez ER, Sáez VP, Safatle F, Salvan JH, Sampedro MG, de la Torre PA, Toro JP, Unzúe CL, Vargas MJ, Bernal DG, Echevarria M, Iglesias AU, Loza A, Morillo AR, Serrano PD, Sevilla FC, Cacho E, Calderón R, Dufur M, Marginet C, Monedero P, Yepes MJ, Alvarez LR, Carballal FF, Castiñeiras AP, García PD, López LR, Maceiras PR, Puente MS, Rilo MT, Alonso AE, Fernández SR, García RO, García AP, Puentes RB, Aguado DN, Carballo CL, Fernandez RF, Presedo AT, de Rabago RB, Velasco AR, Capel YJ, Cortés AF, García EM, Gimeno LM, Klamburg J, Omedas RC, Núñez MG, Maristany CL, Ruiz EM, Artigas X, Castrillón S, Espinosa N, Gomez-Caro AM, Illa S, India I, Martín-Huerta B, Moral V, Moreno M, Fernández CI, García VF, Hernández PP, Checa AA, Diaz DS, Noguera ML, Varela IP, Gallego MG, García OM, Irujo JJ, Perrino CG, Picazo JR, Timoneda FL, Arroyo MM, Blanco IA, Borja MM, Burcio SM, Castro NM, Cerdeiriña AP, Concostrina Mde L, Cristina MV, Díaz TD, Esteruelas JA, Ingelmo II, Insuga PD, Llamas EC, Lopez JJ, Martín MB, Martín EE, Mesa EU, Monterde ML, Montoiro PA, Móstoles ML, Olarte EV, Pérez AM, Perez 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Author information

  • 1Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK. r.pearse@qmul.ac.uk

Abstract

BACKGROUND:

Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.

METHODS:

We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ(2) and Fisher's exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.

FINDINGS:

We included 46,539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9-3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0-3·0] for Iceland to 21·5% [16·9-26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19-1·05; p=0·06] for Finland to 6·92 [2·37-20·27; p=0·0004] for Poland).

INTERPRETATION:

The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.

FUNDING:

European Society of Intensive Care Medicine, European Society of Anaesthesiology.

Copyright © 2012 Elsevier Ltd. All rights reserved.

Comment in

PMID:
22998715
[PubMed - indexed for MEDLINE]
PMCID:
PMC3493988
Free PMC Article
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