Matches in SemOpenAlex for { <https://semopenalex.org/work/W4365136101> ?p ?o ?g. }
Showing items 1 to 88 of
88
with 100 items per page.
- W4365136101 endingPage "277" @default.
- W4365136101 startingPage "270" @default.
- W4365136101 abstract "Surgical patients with perioperative coronavirus disease 19 (COVID-19) infection experience higher rates of adverse events than those without COVID-19, which may lead to imprecision in hospital-level quality assessment. Our objectives were to quantify differences in COVID-19-associated adverse events in a large national sample and examine distortions in surgical quality benchmarking if COVID-19 status is not considered.Data included 793,280 patient records from the American College of Surgeons NSQIP from April 1, 2020, to March 31, 2021. Models predicting 30-day mortality, morbidity, pneumonia, and ventilator dependency greater than 48 hours, and unplanned intubation were constructed. Risk adjustment variables were selected for these models from standard NSQIP predictors and perioperative COVID-19 status.A total of 5,878 (0.66%) had preoperative COVID-19, and 5,215 (0.58%) had postoperative COVID-19. COVID-19 rates demonstrated some consistency across hospitals (median preoperative 0.84%, interquartile range 0.14% to 0.84%; median postoperative 0.50%, interquartile range 0.24% to 0.78%). Postoperative COVID-19 was always associated with increased adverse events. For postoperative COVID-19 among all cases, there was nearly a 6-fold increase in mortality (1.07% to 6.37%) and15-fold increase in pneumonia (0.92% to 13.57%), excluding the diagnosis of COVID-19 itself. The effects of preoperative COVID-19 were less consistent. Inclusion of COVID-19 in risk-adjustment models had minimal effects on surgical quality assessments.Perioperative COVID-19 was associated with a dramatic increase in adverse events. However, quality benchmarking was minimally affected. This may be the result of low overall COVID-19 rates or balance in rates established across hospitals during the 1-year observational period. There remains limited evidence for restructuring ACS NSQIP risk-adjustment for the time-limited effects of the COVID-19 pandemic." @default.
- W4365136101 created "2023-04-13" @default.
- W4365136101 creator A5030776447 @default.
- W4365136101 creator A5033753837 @default.
- W4365136101 creator A5037610787 @default.
- W4365136101 creator A5046555621 @default.
- W4365136101 creator A5051619063 @default.
- W4365136101 date "2023-04-12" @default.
- W4365136101 modified "2023-10-06" @default.
- W4365136101 title "Influence of Perioperative COVID-19 Infection on Surgical Outcomes and Risk Adjustment for Quality Assessment in the American College of Surgeons NSQIP" @default.
- W4365136101 cites W1969335466 @default.
- W4365136101 cites W2007941691 @default.
- W4365136101 cites W2030504999 @default.
- W4365136101 cites W3016016106 @default.
- W4365136101 cites W3027465300 @default.
- W4365136101 cites W3030259932 @default.
- W4365136101 cites W3034362533 @default.
- W4365136101 cites W3038369523 @default.
- W4365136101 cites W3083985591 @default.
- W4365136101 cites W3087155878 @default.
- W4365136101 cites W3092203237 @default.
- W4365136101 cites W3125493796 @default.
- W4365136101 cites W3151068974 @default.
- W4365136101 cites W3152399208 @default.
- W4365136101 cites W4200151281 @default.
- W4365136101 cites W4210551612 @default.
- W4365136101 cites W4229373088 @default.
- W4365136101 cites W4292676721 @default.
- W4365136101 cites W4296780368 @default.
- W4365136101 doi "https://doi.org/10.1097/xcs.0000000000000711" @default.
- W4365136101 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37042523" @default.
- W4365136101 hasPublicationYear "2023" @default.
- W4365136101 type Work @default.
- W4365136101 citedByCount "1" @default.
- W4365136101 countsByYear W43651361012023 @default.
- W4365136101 crossrefType "journal-article" @default.
- W4365136101 hasAuthorship W4365136101A5030776447 @default.
- W4365136101 hasAuthorship W4365136101A5033753837 @default.
- W4365136101 hasAuthorship W4365136101A5037610787 @default.
- W4365136101 hasAuthorship W4365136101A5046555621 @default.
- W4365136101 hasAuthorship W4365136101A5051619063 @default.
- W4365136101 hasConcept C119060515 @default.
- W4365136101 hasConcept C126322002 @default.
- W4365136101 hasConcept C141071460 @default.
- W4365136101 hasConcept C177713679 @default.
- W4365136101 hasConcept C194828623 @default.
- W4365136101 hasConcept C197934379 @default.
- W4365136101 hasConcept C2777914695 @default.
- W4365136101 hasConcept C2778716859 @default.
- W4365136101 hasConcept C2779134260 @default.
- W4365136101 hasConcept C3008058167 @default.
- W4365136101 hasConcept C31174226 @default.
- W4365136101 hasConcept C524204448 @default.
- W4365136101 hasConcept C71924100 @default.
- W4365136101 hasConceptScore W4365136101C119060515 @default.
- W4365136101 hasConceptScore W4365136101C126322002 @default.
- W4365136101 hasConceptScore W4365136101C141071460 @default.
- W4365136101 hasConceptScore W4365136101C177713679 @default.
- W4365136101 hasConceptScore W4365136101C194828623 @default.
- W4365136101 hasConceptScore W4365136101C197934379 @default.
- W4365136101 hasConceptScore W4365136101C2777914695 @default.
- W4365136101 hasConceptScore W4365136101C2778716859 @default.
- W4365136101 hasConceptScore W4365136101C2779134260 @default.
- W4365136101 hasConceptScore W4365136101C3008058167 @default.
- W4365136101 hasConceptScore W4365136101C31174226 @default.
- W4365136101 hasConceptScore W4365136101C524204448 @default.
- W4365136101 hasConceptScore W4365136101C71924100 @default.
- W4365136101 hasIssue "2" @default.
- W4365136101 hasLocation W43651361011 @default.
- W4365136101 hasLocation W43651361012 @default.
- W4365136101 hasOpenAccess W4365136101 @default.
- W4365136101 hasPrimaryLocation W43651361011 @default.
- W4365136101 hasRelatedWork W1525916466 @default.
- W4365136101 hasRelatedWork W2071950078 @default.
- W4365136101 hasRelatedWork W2089937664 @default.
- W4365136101 hasRelatedWork W2119510244 @default.
- W4365136101 hasRelatedWork W2135221496 @default.
- W4365136101 hasRelatedWork W2410854040 @default.
- W4365136101 hasRelatedWork W2414613480 @default.
- W4365136101 hasRelatedWork W4281686762 @default.
- W4365136101 hasRelatedWork W4322707759 @default.
- W4365136101 hasRelatedWork W4383483519 @default.
- W4365136101 hasVolume "237" @default.
- W4365136101 isParatext "false" @default.
- W4365136101 isRetracted "false" @default.
- W4365136101 workType "article" @default.