Impact of Anesthesiology Interventions on Postoperative Outcomes in Adult Patients Undergoing Ambulatory Shoulder Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Postoperative Complications
- Sponsor
- Ottawa Hospital Research Institute
- Enrollment
- 59644
- Primary Endpoint
- Postoperative Death, Admission, Readmission or Emergency Department Visits
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This retrospective, population-based cohort study will evaluate the comparative effectiveness of peripheral nerve blocks on patient outcomes after ambulatory shoulder surgery in adults patients undergoing surgery in Ontario.
Detailed Description
First, investigators will validate health administrative data codes to demonstrate the accuracy of Ontario-wide anesthesia type and regional anesthesia interventions using a reference standard (Ottawa Hospital Data Warehouse data). Then, these validated exposures, in combination with validated outcome measures, will be used to examine the impact of anesthesia interventions on patient and health system outcomes for ambulatory shoulder surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Ontario residents
- •Aged 18 years and older
- •Elective ambulatory shoulder surgery performed in Ontario between April 2009 and December 2016.
Exclusion Criteria
- •Emergency Surgery
- •If a patient undergoes multiple elective shoulder surgeries within the time period, only the first surgery will be included for any participant in the study period.
Outcomes
Primary Outcomes
Postoperative Death, Admission, Readmission or Emergency Department Visits
Time Frame: Date of surgery to 7 days (ED visits) and 30 days (readmissions) after surgery or death date, whichever came first
Composite outcome of: 1) unplanned admissions on the day of surgery , 2) post-discharge emergency department visits within 7 days of surgery, 3) readmission within 30 days of surgery, and 4) death from any cause
Secondary Outcomes
- Health System Costs(Date of surgery to 7 days and 30 days after surgery or death date, whichever came first)
- Neurology Consultations or Diagnostics(Date of surgery to 90 days after surgery or death date, whichever came first)