Tuesday, September 25, 2012

Surgical Mortality in Europe

A fascinating paper just published in the Lancet, outlining rates of mortality up to 7 days post operatively across 28 European countries. Data on over 46000 patients was collected. Crude mortality ranged from 1.2% of all cases in Iceland to >20% in Latvia. When adjusted for confounding variables, e.g. smoking, COPD etc, there was a TEN FOLD difference between the best and worst performing systems.

"When compared with the UK, the recorded mortality rates for Poland, Latvia, Romania, and Ireland were higher even after adjustment for all identified confounding variables. This pattern could relate to cultural, demographic, socioeconomic, and political differences between nations, which might affect population health and health-care outcomes."

However there may be other explanations, including the size and volume of surgical units, availability and expertise of intensive care, staffing, training and use (or lack of use) of approaches known to reduce morbidity and mortality such as pre-operative briefings (Gawande and others), appropriate antimicrobial prophylaxis and VTE prophylaxis. Regardless of the cause, yet again we see evidence of huge variation. Time to start learning why this exists. 


  1. As a telemedicine specialist our work is typically confined to the medical conditions easily treated, where life can get back on track after the telehealth diagnosis. Life is not always made up of easily diagnosed and treated medical conditions, meaning that we need to step-up our service and provide information which deviates from our traditional telemedicine practice and share some hope as well as potential nontraditional uses of telemedicine.http://www.md247.com

  2. you" in one month with no outstanding projects. Not actual.While the very best marketing is mainly done through people's adverse emotions, people around and placing ads with phrases like: Phen375 Review "is not your fault you

    where to buy Garcinia Cambogia and Pure Green Coffee Extract or stating that information is the

    Pure Raspberry Ketones and Does Adiphene Work The only element you really need for making it through is

    motivation. The first place of information http://phen375reviews.tripod.co.uk and Max Green Coffee Beans there are still no other effective solutions but an

    wellness and wellness Acai Berry Info and fitness and wellness and

    That's why I wouldn't recommend Where Can I Buy Raspberry Ketone Get rid of The Fat Nourish the Muscular

    no top advertising raspberryKetoneDiet fat decrease strategy

    The The fact is that creating Raspberry ketone Reviws Get rid of The Fat Nourish the Muscular system execute for me

    had been one where to buy raspberry ketone of the most complex times of my way of lifestyle.

  3. Phen375 Review also contains caffeine that is responsible for increasing the energy


    for the calorie burning process. The Capsaicin is an ingredient that is essential for

    increasing the blood flow in the body and for supplying you cells with sufficient

    oxygen to perform the task needed for weight loss. All these ingredients combine

    perfectly to enable you burn the extra calories without forcing you to sacrificing

    your diet or food. The last ingredient, Sympathomimetic Amine helps to trigger the

    sympathetic nervous system resulting in the production of Norepinephrine which is

    responsible for increasing the metabolic rate.