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    Non-technical complications predict 30-day perioperative mortality in abdominal surgery. A propensity score matched analysis
    (Oficyna Wydawnicza AFM, 2020) Vasavada, Bhavin B.; Patel, Hardik
    Introduction: Surgical complications are a major cause of mortality and morbidity. Non-technical complications seem to be more dangerous than technique-related complications, however they are commonly neglected by surgeons. Aim: To study the relationship between non-technical complications and mortality after gastrointestinal and hepatobiliary surgery. Material and Methods: All gastrointestinal and hepatobiliary procedures performed over 3 years in one center were analysed. Non-technical postoperative complications were defi ned as perioperative complications related to patients’ physiological health or comorbidities, rather than surgical procedures or techniques. To avoid selection bias we conducted a 1:1 propensity score match analysis with non-technical complications as a dependent factor. The propensity scores were calculated using logistic regression. Preoperative confounding factors such as age, sex, American Society of Anesthesiologists (ASA) score and type of surgery were entered into our model as covariates. We used the nearest-neighbor protocol with a caliber of 0.2. The cases were not reusable after matching. The statistics were analyzed using SPSS version 23. Results: A total of 348 patients underwent gastrointestinal and HPB (Hepato Pancreatico Biliary) surgery in Hepatobiliary and Liver Transplant Department of Shalby Hospitals, India between April 2017 and March 2020. Twenty-four patients developed non-technical complications. ASA scores independently predicted non-technical complications (p=0.001, odds ratio 3.955, 95% C.I.: 1.774–8.813). After matching with 23 controls, non-technical complications were still signifi cantly correlated with mortality (p<0.0001). Intraoperative factors did not predict non-technical complications. Surgery-related complications were not associated with mortality after matching. Conclusion: Non-technical complications are associated with a signifi cant risk of mortality.
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    Państwo i Społeczeństwo 2020, nr 4 Medycyna i zdrowie publiczne
    (Oficyna Wydawnicza AFM, 2020) Komorowski, Andrzej L.; Lu, Pamela W.; Fields, Adam C.; Melnitchouk, Nelya; Macintyre, Iain; Vasavada, Bhavin B.; Patel, Hardik; Potapov, Oleksii; Kosiukhno, Sergii; Kalashnikov, Oleksandr; Todurov, Ivan; Iwańska, Ewa; Janeczek, Maja; Muzykiewicz, Konrad; Kosobucki, Radosław; Misiek, Marcin; Bodzek, Maciej; Blecharz, Paweł; Grolik-Kachnic, Marzena; Mazur, Jacek; Szlachetka, Bartłomiej; Brażnik, Aleksander; Kuczia, Marian; Dobrowolska, Beata; Kalemba-Drożdż, Małgorzata
    Z wprowadzenia: "Z wielką przyjemnością oddaję w Państwa ręce kolejny numer „Państwa i Społeczeństwa” poświęcony medycynie i zdrowiu publicznemu. Niektórzy autorzy i recenzenci bieżącego numeru pisali swoje teksty wykorzystując kwarantannę lub – jak niżej podpisany – izolację związaną z zakażeniem COVID-19. W ten sposób można przewrotnie powiedzieć, że środowisko akademickie nie tylko nie poddaje się epidemii, ale wręcz wykorzystuje ją do działań zmierzających do rozwijania nauki, nie tylko tej związanej bezpośrednio z zagadnieniami wirusologicznymi."(...)