Fernando Akira Koga|Regina El Dib|William Wakasugui|Cairo Thome Roça|José Eduardo Corrente|Mariana G. Braz|José Reinaldo Cerqueira Bráz|Leandro Gobbo Braz
Anesthesia-Related and Perioperative Cardiac Arrest in Low- and High-Income Countries
Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)|Universidade Estadual Paulista (Unesp)
anesthesiarelated cardiac arrest ca rate quality indicator improve patient safety perioperative period systematic review metaanalysis worldwide literature related anesthesiarelated ca rate yet performed study aimed analyze global data anesthesiarelated perioperative ca rates according countrys human development index hdi time addition compared anesthesiarelated perioperative ca rates low highincome countries 2 time periods systematic review performed using electronic databases identify studies patients underwent anesthesia anesthesiarelated andor perioperative ca rates metaregression proportional metaanalysis performed 95 confidence intervals cis evaluate global data anesthesiarelated perioperative ca rates according countrys hdi time compare anesthesiarelated perioperative ca rates countrys hdi status low hdi vs high hdi time period pre1990s vs 1990s2010s respectively fiftythree studies 21 countries assessing 119 million anesthetic administrations included metaregression showed anesthesiarelated slope 35729 95 ci 66306 05152 p 0024 perioperative slope 24071 95 ci 40482 07659 p 0005 ca rates decreased increasing hdi time metaanalysis showed per 10000 anesthetics anesthesiarelated perioperative ca rates declined high hdi 23 95 ci 1237 1990s 07 95 ci 0510 1990s2010s p 0001 81 95 ci 51119 1990s 62 95 ci 5174 1990s2010s p 0001 respectively lowhdi countries anesthesiarelated ca rates alter significantly 92 95 ci 20217 1990s 45 95 ci 2472 1990s2010s p 014 whereas perioperative ca rates increased significantly 164 95 ci 15471 1990s 199 95 ci 109317 1990s2010s p 003 anesthesiarelated perioperative ca rates decrease increasing hdi time clear consistent reduction anesthesiarelated perioperative ca rates highhdi countries increase perioperative ca rates without significant alteration anesthesiarelated ca rates lowhdi countries comparing 2 time periods