Evidence map›Paper›PMID 32682560›Full record

SynthesisBritish journal of anaesthesia2020

Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.

Sylvain Boet, Hadi Djokhdem, Sarah Anne Leir, Isabel Théberge, Fadi Mansour, Cole Etherington

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Perioperative handovers-lost in transition.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
  7. Article
  8. Effect of standardized EHR-integrated handoff report on intraoperative communication outcomes.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  9. Article
  10. Article
  11. Errors in perioperative antimicrobial use for hospitalized surgical patients.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sylvain BoetDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada; Clinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. Electronic address: sboet@toh.ca.
Hadi DjokhdemFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Sarah Anne LeirDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Isabel ThébergeDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Fadi MansourFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Cole EtheringtonDepartment of Anaesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada; Clinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Ottawa Hospital · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHandover of anaesthesia patient care during surgery is common; however, its association with patient outcome is unclear. This systematic review aimed to assess the impact of anaesthesia handover during surgery on patient outcome.

methodsAll prospective and retrospective clinical studies specifically investigating the association of intraoperative transfer of anaesthesia care between anaesthesia providers in the operating room with patient morbidity and mortality were included. Searches were conducted from inception to April 24, 2019 in Medline, Medline in Process, CINAHL, and Embase. Reference lists of included studies were searched. Studies were assessed for eligibility and data were extracted by independent reviewers in duplicate with disagreements resolved by consensus or a third reviewer. Risk of bias was assessed in duplicate using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data were summarised narratively given substantial heterogeneity. An exploratory meta-analysis was conducted using a random-effects model for a subset of comparable studies.

resultsEight studies met the inclusion criteria. Six studies focused on patients as the unit of analysis (n

conclusionsIntraoperative anaesthesia handovers generally increase morbidity and mortality for surgical patients but could have the potential to improve safety in certain contexts. Future research should determine the specific handover characteristics that impact safety.

Indexed as

Patient SafetyAnesthesiaHumansMorbidityOperating RoomsPatient HandoffSurgical Procedures, Operativeanaesthesiamedical errorsoperating roomspatient care teampatient handoffpatient safetyquality

Identifiers

PMID32682560
PMCPMC9520752
OpenAlexW3043039997

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.