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Bóa cáo y học: " Identification and characterisation of the high-risk surgical population in the United Kingdom"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Identification and characterisation of the high-risk surgical population in the United Kingdom. | Available online http ccforum.eom content 10 3 R81 Research Identification and characterisation of the high-risk surgical population in the United Kingdom Rupert M Pearse1 David A Harrison2 Philip James3 David Watson1 Charles Hinds1 Andrew Rhodes4 R Michael Grounds4 and E David Bennett4 Open Access 1William Harvey Research Institute Queen Mary s School of Medicine and Dentistry London UK intensive Care National Audit Research Centre London UK 3CHKS Ltd Alcester Warwickshire UK 4Intensive Care Unit St George s Hospital London UK Corresponding author Rupert M Pearse rupert.pearse@bartsandthelondon.nhs.uk Received 23 Mar 2006 Accepted 25 Apr 2006 Published 2 June 2006 Critical Care 2006 10 R81 doi 10.1186 cc4928 This article is online at http ccforum.com content 10 3 R81 2006 Pearse et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Little is known about mortality rates following general surgical procedures in the United Kingdom. Deaths are most common in the high-risk surgical population consisting mainly of older patients with coexisting medical disease who undergo major surgery. Only limited data are presently available to describe this population. The aim of the present study was to estimate the size of the high-risk general surgical population and to describe the outcome and intensive care unit ICU resource use. Methods Data on inpatient general surgical procedures and ICU admissions in 94 National Health Service hospitals between January 1999 and October 2004 were extracted from the Intensive Care National Audit Research Centre database and the CHKS database. High-risk surgical procedures were defined prospectively as those for which the mortality rate was 5 or greater. Results There were 4 1 1