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The financial impact of intraoperative adverse events in abdominal surgery

Background Little evidence currently exists regarding the clinical or financial impact of intraoperative adverse events (iAEs). We sought to study the additional health care charges attributable to the occurrence of an iAE. Methods The administrative and ACS-NSQIP databases at our tertiary academic...

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Published in:Surgery 2015-11, Vol.158 (5), p.1382-1388
Main Authors: Ramly, Elie P., MD, Larentzakis, Andreas, MD, Bohnen, Jordan D., MD, MBA, Mavros, Michael, MD, Chang, Yuchiao, PhD, Lee, Jarone, MD, MPH, Yeh, D. Dante, MD, Demoya, Marc, MD, King, David R., MD, Fagenholz, Peter J., MD, Velmahos, George C., MD, PhD, Kaafarani, Haytham M.A., MD, MPH
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Language:English
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Summary:Background Little evidence currently exists regarding the clinical or financial impact of intraoperative adverse events (iAEs). We sought to study the additional health care charges attributable to the occurrence of an iAE. Methods The administrative and ACS-NSQIP databases at our tertiary academic medical center were linked for all patients undergoing abdominal surgery (January 2007–October 2012). The ICD-9-CM-based Patient Safety Indicator “accidental puncture/laceration” was used to screen the linked database for potential iAEs. All iAEs were confirmed subsequently through standardized review of all flagged medical records. Multivariate analyses controlling for demographics, comorbidities/laboratory values, procedure type, and approach and complexity of surgery were performed to assess the increase in health care charges independently predicted by the occurrence of iAEs. Results Of 9,111 patients, 183 were confirmed to have iAEs. Patients in the iAE group had higher median total charges ($27,169 [IQR, 17,302–44,952] vs $13,312 [IQR, 8,586–22,012]; P  
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2015.04.023