ArticleLangenbeck's archives of surgery2026
Surgeons' stress assessment after surgical mortality: first international validated survey (STRESSURG study).
Article in Langenbeck's archives of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundUnexpected perioperative death is one of the most distressing events in surgical practice and may lead to burnout or post-traumatic stress symptoms, with potential implications for surgeon well-being and patient safety. However, its psychological impact remains insufficiently quantified.
aimThe STRESSURG study assessed the prevalence and severity of post-traumatic stress symptoms among surgeons after unexpected surgical deaths and explored associated professional, demographic, and institutional factors.
methodsAn international, cross-sectional online survey endorsed by the IHPBA and ESCP was distributed to surgeons who experienced intraoperative or early postoperative (< = 48 h) patient death. The 42 - item questionnaire included demographics, professional data, and the validated Impact of Event Scale-Revised (IES-R).
resultsA total of 354 surgeons participated. Median IES-R score was 22.5 (IQR, 14-35). Clinically relevant distress (≥ 24) was observed in 48.6%, probable PTSD (≥ 33) in 29.1%, and severe distress (≥ 37) in 24.6%. Distress was higher among intermediate-career surgeons and when acting as primary surgeon. Only 8% received institutional psychological support, although over half believed it should be mandatory.
conclusionsUnexpected surgical deaths impose a substantial psychological burden on surgeons, driven largely by operative responsibility. Structured institutional support is urgently needed.
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