TY - JOUR
T1 - Retained surgical items after abdominal and pelvic surgery
T2 - Incidence, trend and predictors- observational study
AU - Elsharydah, Ahmad
AU - Warmack, Kimberly O.
AU - Minhajuddin, Abu
AU - Moffatt-Bruce, Susan D.
N1 - Funding Information:
Susan D. Moffatt-Bruce is supported by the Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) at The Ohio State University which is sponsored by the Agency for Healthcare Research & Quality ( P30HS024379 ).
Publisher Copyright:
© 2016 The Authors
PY - 2016/12/1
Y1 - 2016/12/1
N2 - 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.
AB - 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.
KW - Never event
KW - Retained surgical item
KW - Sentinel event
KW - Unretrieved surgical device
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U2 - 10.1016/j.amsu.2016.11.006
DO - 10.1016/j.amsu.2016.11.006
M3 - Article
C2 - 27895909
AN - SCOPUS:84996995741
SN - 2049-0801
VL - 12
SP - 60
EP - 64
JO - Annals of Medicine and Surgery
JF - Annals of Medicine and Surgery
ER -