Patient characteristics, anaesthetic workload and techniques in the UK: an analysis from the 7th National Audit Project (NAP7) activity survey.

ASA BMI COVID-19 NAP7 TIVA activity survey anaesthesia comorbidity obesity processed EEG regional anaesthesia surgical activity

Journal

Anaesthesia
ISSN: 1365-2044
Titre abrégé: Anaesthesia
Pays: England
ID NLM: 0370524

Informations de publication

Date de publication:
06 2023
Historique:
accepted: 06 02 2023
medline: 5 5 2023
pubmed: 2 3 2023
entrez: 1 3 2023
Statut: ppublish

Résumé

Detailed contemporary knowledge of the characteristics of the surgical population, national anaesthetic workload, anaesthetic techniques and behaviours are essential to monitor productivity, inform policy and direct research themes. Every 3-4 years, the Royal College of Anaesthetists, as part of its National Audit Projects (NAP), performs a snapshot activity survey in all UK hospitals delivering anaesthesia, collecting patient-level encounter data from all cases under the care of an anaesthetist. During November 2021, as part of NAP7, anaesthetists recorded details of all cases undertaken over 4 days at their site through an online survey capturing anonymous patient characteristics and anaesthetic details. Of 416 hospital sites invited to participate, 352 (85%) completed the activity survey. From these, 24,177 reports were returned, of which 24,172 (99%) were included in the final dataset. The work patterns by day of the week, time of day and surgical specialty were similar to previous NAP activity surveys. However, in non-obstetric patients, between NAP5 (2013) and NAP7 (2021) activity surveys, the estimated median age of patients increased by 2.3 years from median (IQR) of 50.5 (28.4-69.1) to 52.8 (32.1-69.2) years. The median (IQR) BMI increased from 24.9 (21.5-29.5) to 26.7 (22.3-31.7) kg.m

Identifiants

pubmed: 36857758
doi: 10.1111/anae.15989
doi:

Substances chimiques

Anesthetics 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

701-711

Subventions

Organisme : Royal College of Anaesthetists

Informations de copyright

© 2023 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.

Références

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Auteurs

A D Kane (AD)

Royal College of Anaesthetists, Red Lion Square, UK.
Department of Anaesthesia, James Cook University Hospital, South Tees NHS Foundation Trust, Middlesbrough, UK.

J Soar (J)

Department of Anaesthesia and Intensive Care Medicine, Southmead Hospital, Bristol, UK.

R A Armstrong (RA)

Royal College of Anaesthetists, Red Lion Square, UK.
Department of Anaesthesia, Severn Deanery, Bristol, UK.

E Kursumovic (E)

Royal College of Anaesthetists, Red Lion Square, UK.
Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

M T Davies (MT)

Department of Critical Care and Anaesthesia, North West Anglia NHS Trust, UK.

F C Oglesby (FC)

University Hospitals Bristol and Weston NHS Foundation Trust, UK.

L Cortes (L)

Royal College of Anaesthetists, Red Lion Square, UK.

C Taylor (C)

Royal College of Anaesthetists, Red Lion Square, UK.

I K Moppett (IK)

Royal College of Anaesthetists, Red Lion Square, UK.
University of Nottingham, UK.

S Agarwal (S)

Department of Anaesthesia, Manchester University Hospitals Foundation Trust, Manchester, UK.

J Cordingley (J)

Department of Critical Care and Anaesthesia, Barts Health NHS Trust, UK.

J Dorey (J)

Royal College of Anaesthetists, Red Lion Square, UK.

S J Finney (SJ)

Department of Critical Care and Anaesthesia, Barts Health NHS Trust, UK.

G Kunst (G)

Department of Cardiovascular Anaesthesia, Kings College London, UK.

D N Lucas (DN)

Department of Anaesthesia, London North West University Healthcare NHS Trust, UK.

G Nickols (G)

Department of Anaesthesia, North Bristol NHS Trust, Bristol, UK.

R Mouton (R)

Department of Anaesthesia, North Bristol NHS Trust, Bristol, UK.

J P Nolan (JP)

Resuscitation Medicine, Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.

B Patel (B)

Royal College of Anaesthetists, Red Lion Square, UK.

V J Pappachan (VJ)

Southampton Children's Hospital, NIHR Biomedical Research Centre, Department of Paediatric Anaesthesia and Intensive Care Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

F Plaat (F)

Department of Anaesthesia, Imperial College Healthcare NHS Trust, London, UK.

B R Scholefield (BR)

Institute of Inflammation and Ageing, University of Birmingham, UK.

J H Smith (JH)

Department of Anaesthesia, Great Ormond Street Hospital, London, UK.

L Varney (L)

Department of Anaesthesia, University College London Hospitals, London, UK.

T M Cook (TM)

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
University of Bristol, UK.

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