Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Pérez Zapata, Ana Isabel ; Rodríguez Cuéllar, Elías ; de la Fuente Bartolomé, Marta ; Martín-Arriscado Arroba, Cristina ; García Morales, María Teresa ; Loinaz Segurola, Carmelo ; Giner Nogueras, Manuel ; Tejido Sánchez, Ángel ; Ruiz López, Pedro ; Ferrero Herrero, Eduardo ; Zarco Pleguezuelos, Antonio ; Romero Simó, Manuel ; Caballero Bouza, Albert ; Parés Martinez, David ; Julián Ibáñez, Juan Francés ; Balibrea del Castillo, José María ; Morales Sevillano, Xavier ; Díaz-Zorita Aguilar, Benjamín ; Martín Román, Lorena ; Gomez Ruiz, Marcos ; Fernández Miguel, Tamara ; Cagigas Fernandez, Carmen ; Moreno Bargueiras, Alejandro ; Cano Valderrama, Oscar ; Rivera Alonso, Daniel ; Gutiérrez Samaniego, María ; Ramírez Rodríguez, José Manuel (Universidad de Zaragoza) ; Elia Guedea, Manuela ; Córdoba Diaz, Elena ; Gracia Solanas, Jose Antonio ; Bañuls Matoses, Angela ; Macero, Ángel ; Sánchez López, Jose Daniel ; Vaquero Pérez, María Antonia ; Rojo López, Jose Alberto ; Lima Pinto, Francisca ; Bra Insa, Eneida ; Rodríguez Prieto, Ignacio ; Padilla Zegarra, Erlinda Daniela ; Franco Chacon, Mario ; Memba Ikuga, Robert ; Jorba Martin, Rosa ; Alcaide Matas, Fernando ; Troncoso Pereira, Paula ; Soria Aledo, Víctor ; Pérez Guarinos, Carmen Victoria ; Genzor Rios, Sixto ; Dobón Rascón, Miguel Ángel ; Núñez Fernández, Sandra ; Valerias Domínguez, Ernesta ; García García, Manuel ; Zambrana Campos, Vanesa ; Rebasa Cladera, Pere ; Artés Caselles, Mariano ; Cea Soriano, Matías ; Gambí Pisonero, Daniel ; Jiménez de los Galanes, Santos ; Frutos Bernal, Maria Dolores ; Delegido García, Ana ; Gómez Pérez, Beatriz ; Montero Zorrilla, Carlos ; Cortés Climent, Javier ; Vallejo Bernad, Cristina ; Bustamante Mosquera, Ruth ; Martínez Blázquez, María ; Muriel López, Jesús ; García Pérez, Juan Carlos ; Ocaña Jiménez, Juan ; Paseiro Crespo, Gloria ; Pardo Martínez, Cristina ; García Nebreda, María ; Fernández Cebrián, José María ; Casanova Durán, Virginia ; Ferrer Márquez, Manuel ; Aguiló Lucía, Javier ; Penalba Palmi, Rafael ; Del Pino Cedenila, Sheila

Resumen: Background
In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery.

Methods
An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis.

Results
The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”.

Conclusions
The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies.

Idioma: Inglés

DOI: 10.1186/s13037-021-00316-3

Año: 2022

Publicado en: Patient Safety in Surgery 16 (2022), 7 [10 pp.]
ISSN: 1754-9493

Factor impacto CITESCORE: 6.2 - Medicine (Q1)

Factor impacto SCIMAGO: 0.738 - Surgery (Q1) - Anesthesiology and Pain Medicine (Q2) - Orthopedics and Sports Medicine (Q2)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Cirugía (Dpto. Cirugía)