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Determinants of Long-Term Survival After Major Surgery and the Adverse Effect of Postoperative Complications

Annals of Surgery · 2005 · Vol. 242(3) · pp. 326–343

Shukri F. Khuri✉(VA Boston Healthcare System)William G. Henderson(University of Colorado Health)Ralph G. DePalma(United States Department of Veterans Affairs)Cecilia Mosca(University of Colorado Denver)Nancy A. Healey✉Dharam J. Kumbhani✉

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Abstract

The occurrence of a 30-day postoperative complication is more important than preoperative patient risk and intraoperative factors in determining the survival after major surgery in the VA. Quality and process improvement in surgery should be directed toward the prevention of postoperative complications.

Cardiac, Anesthesia and Surgical Outcomes Hip and Femur Fractures Pelvic and Acetabular InjuriesMedicineComplicationAdverse effectSurgeryLogistic regressionProportional hazards modelSurvival analysisInternal medicine

MeSH terms

HumansPostoperative ComplicationsPrognosisProspective StudiesSurgical Procedures, OperativeUnited StatesSurvival AnalysisQuality Indicators, Health CareDatabases as Topic

Citations

1,448

FWCI

11.31

field-weighted impact

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99%

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Postoperative pulmonary complications