Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10072
Title: Effect of an anaesthesia department led critical care outreach and acute pain service on postoperative serious adverse events.
Authors: Story, David A;Shelton, A C;Poustie, Stephanie J;Colin-Thome, N J;McIntyre, R E;McNicol, P L
Affiliation: Department of Anaesthesia, The University of Melbourne, Austin Health, Heidelberg, Victoria, Australiatoria, Australia
David.Story@austin.org.au
Issue Date: 1-Jan-2006
Citation: Anaesthesia; 61(1): 24-8
Abstract: We examined whether a combined critical care outreach and acute pain service comprising both medical and nursing staff from the Department of Anaesthesia would decrease the incidence of postoperative serious adverse events in a hospital with an established Medical Emergency Team. We called this combined serviceInpatient Management of acute Pain and Advice on Clinical Treatment. We conducted a prospective, before-and-after trial with a baseline phase (319 patients) of standard acute pain management followed by the IMPACT phase (271 patients), during which the IMPACT team systematically reviewed high-risk postoperative patients for the first three days after their return to the general wards. The incidence of serious adverse events decreased from 23 events per 100 patients to 16 events per 100 patients. The 30-day mortality decreased from 9% to 3%, p = 0.004. An acute pain service providing critical care outreach may improve postoperative outcome but the workload is considerable.
Internal ID Number: 16409338
URI: http://ahro.austin.org.au/austinjspui/handle/1/10072
DOI: 10.1111/j.1365-2044.2005.04435.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/16409338
Type: Journal Article
Subjects: Aged
Anesthesia Department, Hospital.organization & administration
Critical Care.organization & administration
Female
Health Services Research.methods
Humans
Male
Middle Aged
Pain Clinics.organization & administration
Pain, Postoperative.prevention & control
Patient Care Team.organization & administration
Postoperative Care.methods
Postoperative Complications.prevention & control
Prospective Studies
Victoria
Appears in Collections:Journal articles

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