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Study Finds Increased Rates of Preventable Deaths in the U.S. Following Common Urologic Procedures

 The finding, which comes from a recent study published in BJU International, indicates the importance of monitoring urologic surgery patients for potential complications.

Over the last two decades, measures to improve healthcare safety and quality have expanded significantly. In the context of surgical procedures, this has lead in a decrease in deaths despite an increase in the number of inpatient admissions after surgery. Jesse Sammon, DO, of the Henry Ford Health System’s Vattikuti Urology Institute in Detroit, and his colleagues found that this has not been true for patients undergoing urologic surgery, however. “Unfortunately, we saw an opposite trend in urology, wherein in-hospital surgery rates fell, mortality overall stayed stable, and failure to rescue rates—which refer to deaths following complications that were potentially recognizable or preventable—went up,” said Dr. Sammon.

For their study, the researchers analyzed the discharge records of patients undergoing urologic surgery in the United States between 1998 and 2010. The team found that an estimated 7,725,736 urologic surgeries requiring hospitalization were performed during that time. Admissions for urologic surgery decreased 0.63 percent per year. Odds of dying after urologic surgery decreased ever so slightly overall, yet the odds of dying following complications that were potentially recognizable or preventable increased 1.5 percent every year. Older, sicker, and minority patients, as well as those with public insurance, were more likely to die as a result of a potentially preventable death.

The researchers also discovered evidence of a major shift in the type of patients being admitted for urologic surgeries. Historically, a much larger proportion of relatively healthy urology patients were admitted for low-risk procedures. As surgeons began doing such procedures as outpatient surgeries, the in-patient population became generally sicker. “Consequently, urological surgeons and ancillary staff members need to recognize that the contemporary cohort of urology inpatients is generally at higher risk of complications and consequently failure to rescue mortality,” said Dr. Sammon. Therefore, a heightened awareness of early signs of complications may help reduce mortality rates after urologic surgery.

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Full citation: “Preventable Mortality Following Common Urologic Surgery: Failing to Rescue?” Jesse D. Sammon, Daniel Pucheril, Firas Abdollah, Briony Varda, Akshay Sood, Naeem Bhojani, Steven L. Chang, Simon P. Kim, Nedim Ruhotina, Marianne Schmid, Maxine Sun, Adam S. Kibel, Mani Menon, Marcus E. Semel, and Quoc-Dien Trinh. BJU International; Published Online: August 19, 2014 (DOI: 10.1111/bju.12833).
URL Upon Publication: http://doi.wiley.com/10.1111/bju.12833

Author contact: Dwight Angell, Director of the Media Relations Office at the Henry Ford Health System, at Dwight.Angell@hfhs.org or +1 (313) 876-8709.

About the Journal:
BJUI is a highly respected international medical journal that aims to provide the very highest standard of research and clinical information for the urological community, promoting awareness of new advances and supporting best practice in urology. Every issue gives invaluable practical information in the form of original articles, reviews, comments, translational science articles and correspondence on adult and paediatric urology.

About Wiley
Wiley is a global provider of content-enabled solutions that improve outcomes in research, education, and professional practice. Our core businesses produce scientific, technical, medical, and scholarly journals, reference works, books, database services, and advertising; professional books, subscription products, certification and training services and online applications; and education content and services including integrated online teaching and learning resources for undergraduate and graduate students and lifelong learners.

Founded in 1807, John Wiley & Sons, Inc. (NYSE: JWa, JWb), has been a valued source of information and understanding for more than 200 years, helping people around the world meet their needs and fulfill their aspirations. Wiley and its acquired companies have published the works of more than 450 Nobel laureates in all categories: Literature, Economics, Physiology or Medicine, Physics, Chemistry, and Peace. Wiley’s global headquarters are located in Hoboken, New Jersey, with operations in the U.S., Europe, Asia, Canada, and Australia. The Company’s website can be accessed at http://www.wiley.com.

Media Contacts:
Evelyn Martinez (US) +1 201 748 6358
Tom Griffin (UK) +44 (0) 1865 476213


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