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Long‐term mortality in the Intermediate Care After Emergency Abdominal Surgery (InCare) trial—A post‐hoc follow‐up study

Acta Anaesthesiologica Scandinavica Jun 04, 2020

Hansted AK, Møller MH, Møller AM, et al. - Researchers evaluated the long‐term impact of intermediate care vs standard surgical ward care on death among adult patients undergoing emergency major laparoscopy or laparotomy with an Acute Physiology and Chronic Health Evaluation II score of 10 or more, who participated in the Intermediate Care After Emergency Abdominal Surgery (InCare) trial from October 2010 to November 2012. The patients were randomly assigned to receive either postoperative intermediate care or standard surgical ward care in the InCare trial. Time to death within 6 years post-surgery was the primary outcome. Findings revealed that 6‐year mortality did not differ statistically significantly between participants randomized to post‐operative intermediate care or ward care following emergency abdominal surgery. However, in favour of ward care, an absolute death risk reduction of 5% was noted, which was likely attributable to random error.

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