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Home E-Weekly August 26, 2014

When is Ambulatory Surgery the Riskier Route?

Published: August 25, 2014

The shifting of urological surgeries from inpatient to outpatient procedures has increased the possibility that post-op complications will lead to preventable deaths, according to recent study.

Researchers at Henry Ford Hospital in Detroit, Mich., analyzed discharge data for patients who'd undergone common urological surgeries between 1998 and 2010. During that period of time, they noted a significant decline in hospital admissions for the procedures and a slight decrease in the odds of overall mortality. However, they also discovered that during that time the risk of failure-to-rescue (FTR) mortality increased 5% each year.

FTR mortality measures the inability of an institution to identify key problems and take necessary actions before a patient's death. Researchers speculated that the increased migration of urological surgeries to outpatient settings might be linked to the increase in FTR mortality.

Additionally, the study found that older, sicker, minority patients and those with public insurance were at a higher risk of death after suffering complications from their urological surgeries.

"Urologic surgeons and support staff need a heightened awareness of the early signs of complications to prevent such deaths, particularly as our patient population becomes older and has more chronic medical conditions," says Jesse D. Sammon, DO, the study's lead author.

Kendal Gapinski

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