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Title: Effect of an anaesthesia department led critical care outreach and acute pain service on postoperative serious adverse events.
Austin 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, Australia
Issue Date: 1-Jan-2006
Publication information: 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.
Gov't Doc #: 16409338
DOI: 10.1111/j.1365-2044.2005.04435.x
Journal: Anaesthesia
Type: Journal Article
Subjects: Aged
Anesthesia Department, Hospital.organization & administration
Critical Care.organization & administration
Health Services Research.methods
Middle Aged
Pain Clinics.organization & administration
Pain, Postoperative.prevention & control
Patient Care Team.organization & administration
Postoperative Care.methods
Postoperative Complications.prevention & control
Prospective Studies
Appears in Collections:Journal articles

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