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Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018

BACKGROUND: Although the average age of patients undergoing surgical procedures or anesthesia is increasing, differences in anesthesia-related injuries among different age groups have been not reported. This study compared older and younger patients on the basis of disputes regarding anesthesia-rela...

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Autores principales: Cho, Sung-Ae, Lee, Seok-Jin, Sung, Tae-Yun, Kim, Duk-Kyung, Cho, Choon-Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Geriatrics Society 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370757/
https://www.ncbi.nlm.nih.gov/pubmed/32743313
http://dx.doi.org/10.4235/agmr.19.0026
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author Cho, Sung-Ae
Lee, Seok-Jin
Sung, Tae-Yun
Kim, Duk-Kyung
Cho, Choon-Kyu
author_facet Cho, Sung-Ae
Lee, Seok-Jin
Sung, Tae-Yun
Kim, Duk-Kyung
Cho, Choon-Kyu
author_sort Cho, Sung-Ae
collection PubMed
description BACKGROUND: Although the average age of patients undergoing surgical procedures or anesthesia is increasing, differences in anesthesia-related injuries among different age groups have been not reported. This study compared older and younger patients on the basis of disputes regarding anesthesia-related injuries referred to the Korean Society of Anesthesiologists (KSA). METHODS: We retrospectively analyzed disputes regarding anesthesia-related injuries referred to the KSA between 2009 and 2018. After excluding duplicates, incomplete data, local anesthesia cases, and patients aged ≤18 or 55–64 years, the subjects were divided into older (≥65 years) and younger (19–54 years) age groups. The parameters included in the KSA database were compared between these two groups. RESULTS: The 115 cases included in the study included 28 and 87 cases from the older and younger groups, respectively. The proportions of preventable cases of anesthesia-related adverse events differed significantly between the older (25%) and younger groups (48.3%). The most common medical disputes in the older group were related to general anesthesia, orthopedic surgery, local hospitals, and anesthesiologist, whereas those in the younger group were related to sedation, plastic surgery, local clinics, and non-anesthesiologists. CONCLUSION: In addition to understanding the differences in anesthesia characteristics according to age group, it is also necessary to develop means for reducing preventable anesthesia-related adverse events. Furthermore, we must continue to register anesthesia-related disputes, and a voluntary reporting system should be established to prevent anesthesia-related accidents.
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spelling pubmed-73707572020-07-30 Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018 Cho, Sung-Ae Lee, Seok-Jin Sung, Tae-Yun Kim, Duk-Kyung Cho, Choon-Kyu Ann Geriatr Med Res Original Article BACKGROUND: Although the average age of patients undergoing surgical procedures or anesthesia is increasing, differences in anesthesia-related injuries among different age groups have been not reported. This study compared older and younger patients on the basis of disputes regarding anesthesia-related injuries referred to the Korean Society of Anesthesiologists (KSA). METHODS: We retrospectively analyzed disputes regarding anesthesia-related injuries referred to the KSA between 2009 and 2018. After excluding duplicates, incomplete data, local anesthesia cases, and patients aged ≤18 or 55–64 years, the subjects were divided into older (≥65 years) and younger (19–54 years) age groups. The parameters included in the KSA database were compared between these two groups. RESULTS: The 115 cases included in the study included 28 and 87 cases from the older and younger groups, respectively. The proportions of preventable cases of anesthesia-related adverse events differed significantly between the older (25%) and younger groups (48.3%). The most common medical disputes in the older group were related to general anesthesia, orthopedic surgery, local hospitals, and anesthesiologist, whereas those in the younger group were related to sedation, plastic surgery, local clinics, and non-anesthesiologists. CONCLUSION: In addition to understanding the differences in anesthesia characteristics according to age group, it is also necessary to develop means for reducing preventable anesthesia-related adverse events. Furthermore, we must continue to register anesthesia-related disputes, and a voluntary reporting system should be established to prevent anesthesia-related accidents. Korean Geriatrics Society 2019-12 2019-12-23 /pmc/articles/PMC7370757/ /pubmed/32743313 http://dx.doi.org/10.4235/agmr.19.0026 Text en Copyright © 2019 Korean Geriatrics Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Sung-Ae
Lee, Seok-Jin
Sung, Tae-Yun
Kim, Duk-Kyung
Cho, Choon-Kyu
Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title_full Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title_fullStr Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title_full_unstemmed Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title_short Comparative Analysis of Anesthetic Legal Disputes between Older and Younger Patients Referred to the Korean Society of Anesthesiologists in 2009–2018
title_sort comparative analysis of anesthetic legal disputes between older and younger patients referred to the korean society of anesthesiologists in 2009–2018
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370757/
https://www.ncbi.nlm.nih.gov/pubmed/32743313
http://dx.doi.org/10.4235/agmr.19.0026
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