dc.contributor.author | Ahmad, T | en_US |
dc.contributor.author | Beilstein, CM | en_US |
dc.contributor.author | Aldecoa, C | en_US |
dc.contributor.author | Moreno, RP | en_US |
dc.contributor.author | Molnár, Z | en_US |
dc.contributor.author | Novak-Jankovic, V | en_US |
dc.contributor.author | Hofer, CK | en_US |
dc.contributor.author | Sander, M | en_US |
dc.contributor.author | Rhodes, A | en_US |
dc.contributor.author | Pearse, RM | en_US |
dc.date.accessioned | 2016-01-04T11:56:42Z | |
dc.date.available | 2015-09-16 | en_US |
dc.date.issued | 2015 | en_US |
dc.identifier.issn | 2047-0525 | en_US |
dc.identifier.ismn | 10.1186/s13741-015-0018-8 | |
dc.identifier.uri | http://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-015-0018-8 | |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/10131 | |
dc.description | ClinicalTrials.gov Identifier: NCT01203605. Date of registration: 15.09.2010. | en_US |
dc.description.abstract | BACKGROUND: The use of cardiac output monitoring may improve patient outcomes after major surgery. However, little is known about the use of this technology across nations. METHODS: This is a secondary analysis of a previously published observational study. Patients aged 16 years and over undergoing major non-cardiac surgery in a 7-day period in April 2011 were included into this analysis. The objective is to describe prevalence and type of cardiac output monitoring used in major surgery in Europe. RESULTS: Included in the analysis were 12,170 patients from the surgical services of 426 hospitals in 28 European nations. One thousand four hundred and sixteen patients (11.6 %) were exposed to cardiac output monitoring, and 2343 patients (19.3 %) received a central venous catheter. Patients with higher American Society of Anesthesiologists (ASA) scores were more frequently exposed to cardiac output monitoring (ASA I and II, 643 patients [8.6 %]; ASA III-V, 768 patients [16.2 %]; p < 0.01) and central venous catheter (ASA I and II, 874 patients [11.8 %]; ASA III-V, 1463 patients [30.9 %]; p < 0.01). In elective surgery, 990 patients (10.8 %) were exposed to cardiac output monitoring, in urgent surgery 252 patients (11.7 %) and in emergency surgery 173 patients (19.8 %). A central venous catheter was used in 1514 patients (16.6 %) undergoing elective, in 480 patients (22.2 %) undergoing urgent and in 349 patients (39.9 %) undergoing emergency surgery. Nine hundred sixty patients (7.9 %) were monitored using arterial waveform analysis, 238 patients (2.0 %) using oesophageal Doppler ultrasound, 55 patients (0.5 %) using a pulmonary artery catheter and 44 patients (2.0 %) using other technologies. Across nations, cardiac output monitoring use varied from 0.0 % (0/249 patients) to 27.5 % (19/69 patients), whilst central venous catheter use varied from 5.6 % (7/125 patients) to 43.2 % (16/37 patients). CONCLUSIONS: One in ten patients undergoing major surgery is exposed to cardiac output monitoring whilst one in five receives a central venous catheter. The use of both technologies varies widely across Europe. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01203605. Date of registration: 15.09.2010. | en_US |
dc.description.sponsorship | European Society of Intensive Care Medicine and the European Society of Anaesthesiology | en_US |
dc.format.extent | 8 - ? | en_US |
dc.language | eng | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | Perioper Med (Lond) | en_US |
dc.subject | Cardiac output monitoring | en_US |
dc.subject | Haemodynamic monitoring | en_US |
dc.subject | Major surgery | en_US |
dc.subject | Perioperative medicine | en_US |
dc.title | Variation in haemodynamic monitoring for major surgery in European nations: secondary analysis of the EuSOS dataset. | en_US |
dc.type | Article | |
dc.rights.holder | © Ahmad et al. 2015 | |
dc.identifier.doi | 10.1186/s13741-015-0018-8 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/26405521 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
pubs.volume | 4 | en_US |
dcterms.dateAccepted | 2015-09-16 | en_US |