FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2007262189> ?p ?o ?g. }

• W2007262189 endingPage "1015" @default.
• W2007262189 startingPage "1007" @default.
• W2007262189 abstract "Purpose: Surgical outcome data are generally reported as raw morbidity and mortality rates, which do not necessarily reflect quality of surgical care. The Society for Vascular Surgery has led this area with recommendations by the Ad Hoc Committee on Reporting Standards to establish standardized methods of outcome assessment in vascular surgery. The purpose of this study was to evaluate a new method for evaluating the overall quality of surgical care, which includes surgeon, nursing, and hospital system performance. The goal of the method is to identify problem areas in surgical practice that can be targeted for focused improvement to improve outcome.Methods: A database of more than 9000 general and vascular surgical cases was compiled over a 3-year period. Every postoperative complication was tabulated prospectively by a surgical nurse on a daily basis. Fifty clinically significant complication types specific for vascular surgery patients were identified from a list of 151 postoperative events by a panel of vascular surgeons and were grouped into nine broad categories (vascular, cardiac, pulmonary, etc.). These complications reflect the entire continuum of postoperative care, including surgeon, nursing, and hospital system performance. Each complication type was further stratified into four grades (mild, moderate, severe, death) and assigned a SCOUT severity score from 0 to 100 (0, no complication; 100, death) by the panel of surgeons. For ease of data collection and monitoring of outcome, a software program was developed to run on a laptop computer and includes medical history, risk factors, pertinent laboratory data, and the preassigned SCOUT severity scores for measuring outcome. In this study, 170 major vascular procedures performed over the previous 12-month period were prospectively evaluated using the SCOUT method in an attempt to more easily identify problem areas of practice. In-hospital morbidity and 30-day mortality results were examined.Results: One hundred sixteen postoperative complications were identified in the 170 patients, with an overall morbidity rate of 51% and a 30-day mortality rate of 1.8%. Fifty-three percent of the complications were “mild” and required minimal intervention or observation only. Abdominal aortic aneurysm repair was associated with the highest morbidity rate (mean SCOUT score, 384.35), whereas distal extremity bypass grafting had the lowest morbidity rate (mean SCOUT score, 114.4). However, subgroup analysis demonstrated that cardiac events accounted for 52% of the morbidity associated with distal extremity bypass but only 34.7% of the morbidity associated with abdominal aortic aneurysm repair (p < 0.05).Conclusions: The SCOUT score is a new technical quality of care measure that can objectively quantify surgeon and other hospital system–related performance. The SCOUT score allows the surgeon to identify problem areas that can then be targeted for improvement to positively affect outcome. (J Vasc Surg 1997;25:1007-15.)" @default.
• W2007262189 created "2016-06-24" @default.
• W2007262189 creator A5021878273 @default.
• W2007262189 creator A5027538672 @default.
• W2007262189 creator A5055280016 @default.
• W2007262189 creator A5064973462 @default.
• W2007262189 creator A5073059312 @default.
• W2007262189 creator A5082358656 @default.
• W2007262189 date "1997-06-01" @default.
• W2007262189 modified "2023-09-30" @default.
• W2007262189 title "Surgical complication outcome (SCOUT) score: A new method to evaluate quality of care in vascular surgery" @default.
• W2007262189 cites W1963952600 @default.
• W2007262189 cites W1986897777 @default.
• W2007262189 cites W1988172628 @default.
• W2007262189 cites W1988464782 @default.
• W2007262189 cites W1996049509 @default.
• W2007262189 cites W2007415833 @default.
• W2007262189 cites W2015440205 @default.
• W2007262189 cites W2017409538 @default.
• W2007262189 cites W2027496414 @default.
• W2007262189 cites W2066113411 @default.
• W2007262189 cites W2072927419 @default.
• W2007262189 cites W2073141423 @default.
• W2007262189 cites W2081576823 @default.
• W2007262189 cites W2091473852 @default.
• W2007262189 cites W2141955497 @default.
• W2007262189 cites W2413293856 @default.
• W2007262189 cites W4238227717 @default.
• W2007262189 cites W4293242440 @default.
• W2007262189 doi "https://doi.org/10.1016/s0741-5214(97)70124-1" @default.
• W2007262189 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/9201161" @default.
• W2007262189 hasPublicationYear "1997" @default.
• W2007262189 type Work @default.
• W2007262189 sameAs 2007262189 @default.
• W2007262189 citedByCount "46" @default.
• W2007262189 countsByYear W20072621892013 @default.
• W2007262189 countsByYear W20072621892014 @default.
• W2007262189 countsByYear W20072621892015 @default.
• W2007262189 countsByYear W20072621892016 @default.
• W2007262189 countsByYear W20072621892017 @default.
• W2007262189 countsByYear W20072621892018 @default.
• W2007262189 countsByYear W20072621892019 @default.
• W2007262189 countsByYear W20072621892020 @default.
• W2007262189 countsByYear W20072621892021 @default.
• W2007262189 countsByYear W20072621892022 @default.
• W2007262189 crossrefType "journal-article" @default.
• W2007262189 hasAuthorship W2007262189A5021878273 @default.
• W2007262189 hasAuthorship W2007262189A5027538672 @default.
• W2007262189 hasAuthorship W2007262189A5055280016 @default.
• W2007262189 hasAuthorship W2007262189A5064973462 @default.
• W2007262189 hasAuthorship W2007262189A5073059312 @default.
• W2007262189 hasAuthorship W2007262189A5082358656 @default.
• W2007262189 hasBestOaLocation W20072621891 @default.
• W2007262189 hasConcept C141071460 @default.
• W2007262189 hasConcept C194828623 @default.
• W2007262189 hasConcept C2777010666 @default.
• W2007262189 hasConcept C2778789114 @default.
• W2007262189 hasConcept C61434518 @default.
• W2007262189 hasConcept C71924100 @default.
• W2007262189 hasConcept C81182388 @default.
• W2007262189 hasConceptScore W2007262189C141071460 @default.
• W2007262189 hasConceptScore W2007262189C194828623 @default.
• W2007262189 hasConceptScore W2007262189C2777010666 @default.
• W2007262189 hasConceptScore W2007262189C2778789114 @default.
• W2007262189 hasConceptScore W2007262189C61434518 @default.
• W2007262189 hasConceptScore W2007262189C71924100 @default.
• W2007262189 hasConceptScore W2007262189C81182388 @default.
• W2007262189 hasIssue "6" @default.
• W2007262189 hasLocation W20072621891 @default.
• W2007262189 hasLocation W20072621892 @default.
• W2007262189 hasOpenAccess W2007262189 @default.
• W2007262189 hasPrimaryLocation W20072621891 @default.
• W2007262189 hasRelatedWork W188225540 @default.
• W2007262189 hasRelatedWork W2017717669 @default.
• W2007262189 hasRelatedWork W3162192285 @default.
• W2007262189 hasRelatedWork W3163977865 @default.
• W2007262189 hasRelatedWork W4220715396 @default.
• W2007262189 hasRelatedWork W4244427651 @default.
• W2007262189 hasRelatedWork W4252179252 @default.
• W2007262189 hasRelatedWork W4280651694 @default.
• W2007262189 hasRelatedWork W4300846167 @default.
• W2007262189 hasRelatedWork W4318914411 @default.
• W2007262189 hasVolume "25" @default.
• W2007262189 isParatext "false" @default.
• W2007262189 isRetracted "false" @default.
• W2007262189 magId "2007262189" @default.
• W2007262189 workType "article" @default.