{"id":13574,"date":"2023-01-23T11:02:00","date_gmt":"2023-01-23T10:02:00","guid":{"rendered":"https:\/\/www.bio-sistemak.eus\/?page_id=13574"},"modified":"2025-05-23T08:31:31","modified_gmt":"2025-05-23T06:31:31","slug":"pi21-01742","status":"publish","type":"page","link":"https:\/\/www.bio-sistemak.eus\/en\/pi21-01742\/","title":{"rendered":"PI21\/01742"},"content":{"rendered":"
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ISCIII Project \u2013 PI21\/01742: PAtient-Centred Outcomes and Resource Utilisation after noncardiac Surgery-S (Spain) (PACORUS-S)<\/span><\/p>\n

\"\"<\/a>Record no.: PI21\/01742<\/span><\/p>\n

Project description: <\/span><\/strong><\/p>\n

Main objetive:<\/span> <\/strong><\/p>\n

1) to validate (construct [convergent] validity) DAOH at 30, 90, and 365 days after noncardiac surgery in terms of preoperative risk factors\/procedural risk and postoperative complications in different health care systems;<\/span><\/p>\n

2) to explore the impact of the area of residency (urban vs rural) and socioeconomic status on DAOH in different healthcare systems;<\/span><\/p>\n

3) To quantify in- and out-of-hospital resource utilization during the first year after noncardiac surgery in different health care systems;<\/span><\/p>\n

4) to evaluate the concurrent and predictive validity of DAOH as a measure of resource utilization after surgery at 30 and 365 days in various health care systems;<\/span><\/p>\n

5) to develop a user-friendly web application to report predictions of in- and out-hospital resource utilization during the first year after noncardiac surgery based on DAOH.<\/span><\/p>\n

Design: <\/strong><\/p>\n

A retrospective multicenter administrative cohort study involving three regions of Spain, Catalonia, Navarra, and Basque Country, in patients aged \u226550 years submitted to noncardiac, non-neurosurgical, inpatient surgery (thoracic, vascular, abdominal, urinary tract, or orthopaedic\/trauma and insured by the relevant organization at least in the four quarters prior to and 4 quarters after the quarter of the index procedure or until death.<\/span><\/p>\n

The study will provide a detailed methods description, and present the results both as costs and units of resource utilization.<\/span><\/p>\n

The expected impact of the results:\u00a0 \u00a0<\/strong><\/p>\n

The study is designed to generate evidence on the outcomes of surgery, as well as to address the question of how to assess outcomes after non-cardiac surgery.<\/span><\/p>\n

If the expected results are confirmed, the study will contribute to establishing an efficient, integrative, patient-centred and easy-to-collect endpoint for future clinical trials in perioperative medicine and also an indicator for the assessment and monitoring of the quality of perioperative care provided in hospitals.<\/span><\/p>\n

The results will allow further validation of the indicator in terms of perioperative risk and postoperative complications, within an extensive and varied sample of surgical patients.<\/span><\/p>\n<\/div>\n

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Funding body:\u00a0\u00a0<\/strong><\/span><\/p>\n

This project is co-financed by Carlos III Health Institute, European Regional Development Fund (ERDF)-\u201dA way to make Europe\u201d.<\/p>\n

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