Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors- observational study

Ahmad Elsharydah, Kimberly O. Warmack, Abu Minhajuddin, Susan D. Moffatt-Bruce

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Introduction Surgical retained items (RSIs) are associated with increase in perioperative morbidity and mortality. We used a large national database to investigate the incidence, trends and possible predictors for RSIs after major abdominal and pelvic procedures. Methods The nationwide inpatient sample data were queried to identify patients who underwent major abdominal and pelvic procedures and discharged with secondary ICD-9-CM diagnosis code of (998.44 and 998.7). McNemar's tests and conditional logistic regression analyses of a 1:1 matched sample were conducted to explore possible predictive factors for RSI. Results RSI incidence rate was 13 in 100,000 cases-years from 2007 to 2011 after major abdominal and pelvic procedures. RSI incidence remained steady over the five-year study period. Rural hospitals and elective procedures were associated with a higher RSI incidence rate [(OR 1.391, 95% CL 1.056–1.832), p = 0.019] and [(OR 1.775, 95%CL 1.501–2.098), p < 0.001] respectively. Conclusions Our study was able to add more to the epidemiological perspective and the risk profile of retained surgical items in abdominal and pelvic surgery. Surgical cases associated with these factors may need further testing to rule out RSI.

Original languageEnglish (US)
Pages (from-to)60-64
Number of pages5
JournalAnnals of Medicine and Surgery
Volume12
DOIs
StatePublished - Dec 1 2016

Keywords

  • Never event
  • Retained surgical item
  • Sentinel event
  • Unretrieved surgical device

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Fingerprint Dive into the research topics of 'Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors- observational study'. Together they form a unique fingerprint.

  • Cite this