Value of failure to rescue as a marker of the standard of care following reoperation for complications after colorectal resection (Br J Surg 2011; 98: 1775-1783).

摘要

Failure to rescue (FTR) surgical patients from any complication increases the likelihood of in-hospital death and this is a valuable metric of care. Whether measuring rates of failure to rescue patients specifically from complications treated with further surgery (FTR-S) provides supplementary data, however, is unknown. Almoudaris and colleagues have investigated this by linking rates of death following unplanned operations within the same admission as primary colorectal cancer surgery with overall hospital risk-adjusted mortality. Units with the lowest and highest overall mortality groups had similar rates of reoperation, but overall high mortality rates were significantly associated with FTR-S (rates of death following reoperation, P = 0-002), supporting the view that FTR-S is a valid metric, because it shows that poor outcomes of serious surgical and non-surgical complications are linked.