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20

Demographics and characteristics of audited deaths

6.5.

Table 3: Characteristics of audited deaths over the audit period.

Number of audited deaths

2007-2015

n=6,179 %

Mean age (range)

74 years (<1 day to 104 years)

Age SD

19 years

Median age

79 years

Gender (male: female)

55%: 45%

Admission status (emergency: elective)

85%: 15%

ASA grade

ASA 1-2: 7%

ASA 3: 27%

ASA 4: 45%

ASA 5-6: 15%

Risk of death prior to surgery

Expected: 13%

Considerable: 50%

Moderate: 25%

Small: 9%

Minimal: 3%

Most common comorbid factors

Cardiovascular: 23%

Age: 19%

Respiratory: 13%

Renal: 10%

Neurological/psychiatric: 7%

Diabetes: 6%

Advanced malignancy: 5%

Obesity: 3%

Hepatic: 3%

Most common surgical diagnoses

Fracture of neck of femur: 19%

Carcinoma: 13%

Intracranial haemorrhage: 11%

Coronary artery disease: 7%

Intestinal obstruction: 6%

Abdominal aortic aneurysm: 5%

Number of operative procedures performed

≥3: 9%

2: 16%

1: 75%

Note: total n=6,179 and demographic data remained stable during the audit period 1 July 2007 to 30 June 2015.

Data not available: admission status n=18 (0.3%); ASA grade n=355 (6%); risk of death n=40 (1%), comorbid factors n=576 (3%).

Comorbidities describe coexisting medical conditions or disease processes that are additional to the primary diagnosis.

ASA: American Society of Anesthesiologists. The ASA physical status is an international measure of patient risk used by anaesthetists.

(8)

SD; Standard deviation

American Society of Anesthesiologists (ASA) grade characteristics:

1. A normal healthy patient

2. A patient with mild systemic disease

3. A patient with severe systemic disease

4. A patient with severe systemic disease that is a constant threat to life

5. A moribund patient who is not expected to survive without the operation

6. A declared brain-dead patient whose organs are being removed for donor purposes.

63%

Considerable & expected

risk of death

2007-2014

63%

Considerable & expected

risk of death

2014-2015