Cargando…
Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters
Background: The incidence of sedation-related adverse events, inclusive of both adults and children, administered by multiple specialty providers from different countries and venues, using standardized definitions, has never been reported on an international level. We are reporting the outcome data...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947169/ https://www.ncbi.nlm.nih.gov/pubmed/31805686 http://dx.doi.org/10.3390/jcm8122087 |
_version_ | 1783485487257747456 |
---|---|
author | Mason, Keira P. Roback, Mark G. Chrisp, David Sturzenbaum, Nicole Freeman, Lee Gozal, David Vellani, Firoz Cavanaugh, David Green, Steven M. |
author_facet | Mason, Keira P. Roback, Mark G. Chrisp, David Sturzenbaum, Nicole Freeman, Lee Gozal, David Vellani, Firoz Cavanaugh, David Green, Steven M. |
author_sort | Mason, Keira P. |
collection | PubMed |
description | Background: The incidence of sedation-related adverse events, inclusive of both adults and children, administered by multiple specialty providers from different countries and venues, using standardized definitions, has never been reported on an international level. We are reporting the outcome data of the adverse event sedation reporting tool as an important step toward a more complete risk assessment of sedation-related morbidity, mortality, and etiology. The analysis of the AE sedation reporting data include descriptive measures to evaluate the characteristics of the provider, the patient, sedations performed, adverse events, interventions, and outcomes. The primary outcome was the rate and nature of adverse events. Between 12/14/2010 and 12/11/2018 there were 7952 sedations, from an estimated total of 164,114 sedations administered, of which 622 were reported as adverse events. The mean age of the entire patient population is 33.0 years (0.02–98.7). The providers represented 39 countries across six continents. Oxygen desaturation (75%–90%) for <60 s is the most prevalent adverse event with a rate of 7.8 per 10,000, followed by airway obstruction at a rate of 5.42 per 10,000. Apnea occurred at a rate of 4.75 per 10,000. Significant predictors of adverse events are ≥ ASA score III (p = 0.0003), procedure time (6:00 pm–12:00 am: p < 0.0001, 12:00–6:00 am: p = 0.0003), and non-hospital location (p < 0.0001). The AE sedation reporting tool has demonstrated that the majority of adverse events in children and adults who receive procedural sedation from multi-specialists internationally required minor interventions and had outcomes of minor risk. |
format | Online Article Text |
id | pubmed-6947169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69471692020-01-13 Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters Mason, Keira P. Roback, Mark G. Chrisp, David Sturzenbaum, Nicole Freeman, Lee Gozal, David Vellani, Firoz Cavanaugh, David Green, Steven M. J Clin Med Article Background: The incidence of sedation-related adverse events, inclusive of both adults and children, administered by multiple specialty providers from different countries and venues, using standardized definitions, has never been reported on an international level. We are reporting the outcome data of the adverse event sedation reporting tool as an important step toward a more complete risk assessment of sedation-related morbidity, mortality, and etiology. The analysis of the AE sedation reporting data include descriptive measures to evaluate the characteristics of the provider, the patient, sedations performed, adverse events, interventions, and outcomes. The primary outcome was the rate and nature of adverse events. Between 12/14/2010 and 12/11/2018 there were 7952 sedations, from an estimated total of 164,114 sedations administered, of which 622 were reported as adverse events. The mean age of the entire patient population is 33.0 years (0.02–98.7). The providers represented 39 countries across six continents. Oxygen desaturation (75%–90%) for <60 s is the most prevalent adverse event with a rate of 7.8 per 10,000, followed by airway obstruction at a rate of 5.42 per 10,000. Apnea occurred at a rate of 4.75 per 10,000. Significant predictors of adverse events are ≥ ASA score III (p = 0.0003), procedure time (6:00 pm–12:00 am: p < 0.0001, 12:00–6:00 am: p = 0.0003), and non-hospital location (p < 0.0001). The AE sedation reporting tool has demonstrated that the majority of adverse events in children and adults who receive procedural sedation from multi-specialists internationally required minor interventions and had outcomes of minor risk. MDPI 2019-12-01 /pmc/articles/PMC6947169/ /pubmed/31805686 http://dx.doi.org/10.3390/jcm8122087 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Mason, Keira P. Roback, Mark G. Chrisp, David Sturzenbaum, Nicole Freeman, Lee Gozal, David Vellani, Firoz Cavanaugh, David Green, Steven M. Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title | Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title_full | Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title_fullStr | Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title_full_unstemmed | Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title_short | Results from the Adverse Event Sedation Reporting Tool: A Global Anthology of 7952 Records Derived from >160,000 Procedural Sedation Encounters |
title_sort | results from the adverse event sedation reporting tool: a global anthology of 7952 records derived from >160,000 procedural sedation encounters |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947169/ https://www.ncbi.nlm.nih.gov/pubmed/31805686 http://dx.doi.org/10.3390/jcm8122087 |
work_keys_str_mv | AT masonkeirap resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT robackmarkg resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT chrispdavid resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT sturzenbaumnicole resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT freemanlee resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT gozaldavid resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT vellanifiroz resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT cavanaughdavid resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters AT greenstevenm resultsfromtheadverseeventsedationreportingtoolaglobalanthologyof7952recordsderivedfrom160000proceduralsedationencounters |