Recent mortality rates due to complications of medical and surgical care in the US

Author:

Mattiuzzi Camilla1,Plebani Mario2ORCID,Lippi Giuseppe3ORCID

Affiliation:

1. Medical Direction, Rovereto Hospital , Provincial Agency for Social and Sanitary Services (APSS) , Trento , Italy

2. Department of Medicine (DIMED) , University of Padova , Padova , Italy

3. Section of Clinical Biochemistry , 19051 University of Verona , Verona , Italy

Abstract

Abstract Objectives Medical errors and complications pose a major threat to the safety of healthcare systems worldwide. This article was hence aimed at determining the current burden of complications of medical and surgical care in the US. Methods We searched the latest version of the US Centers for Disease Control and Prevention (CDC) WONDER online database (years 2018–2022) using ICD-10 codes Y40-Y84 (complications of medical and surgical care). Results The age-adjusted death rate for complications of medical and surgical care increased from 1.17 × 100,000 in 2018 to 1.49 × 100,000 in 2021, but then declined to 0.85 × 100,000 in 2022. The gender-specific analysis showed a similar trend, with the age-adjusted death rate values always being higher in men than in women. A clear age-dependent relationship was also found in the crude mortality rate for complications of medical and surgical care, as higher death rates were observed in older patients. Conclusions This analysis reveals that the burden of complications of medical and surgical care has increased over time, especially during the COVID-19 pandemic, but has then considerably declined in 2022. However, root cause analysis and actions are still needed for preventing the still noticeable consequences of medical complications.

Publisher

Walter de Gruyter GmbH

Reference5 articles.

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2. Kohn, LT, Corrigan, JM, Donaldson, MS. To err is human: building a safer health system. Washington, DC, USA: National Academies Press (US); 1999.

3. Centers for Disease Control and Prevention, National Center for Health Statistics. National vital statistics system, mortality 2018–2022 on CDC WONDER online database; 2024 (released). Data are from the multiple cause of death files, 2018–2022, as compiled from data provided by the 57 vital statistics jurisdictions through the vital statistics cooperative program. Available from: http://wonder.cdc.gov/ucd-icd10-expanded.html [Accessed 28 Apr 2024].

4. Al Meslamani, AZ. Medication errors during a pandemic: what have we learnt? Expet Opin Drug Saf 2023;22:115–8. https://doi.org/10.1080/14740338.2023.2181954.

5. Gleeson, L, Dalton, K, O’Mahony, D, Byrne, S. Interventions to improve reporting of medication errors in hospitals: a systematic review and narrative synthesis. Res Soc Adm Pharm 2020;16:1017–25. https://doi.org/10.1016/j.sapharm.2019.12.005.

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