R. M. Burton, B. Obel, and D. D. Håkonsson, “Contingency theory, dynamic fit, and contracts,” in Advancing organisation theory in a complex world, Routledge, 2017, vol. 43, p. 1–15.
Abstract
Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2\\\%], standard ward: 99/39,566 patients [0.3\\\%]; adjusted OR 3.01 [2.10–5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery.
BibTeX
@incollection {orcid-0000000312835489-2017-34957483,
title = {Contingency Theory, Dynamic Fit, and Contracts},
year = {2017},
month = {7},
url = {https://pure.au.dk/portal/en/publications/3af828de-cbed-4d71-9d81-8c177e6b7b7e},
journal = {Advancing Organisation Theory in a Complex World},
booktitle = {Advancing Organisation Theory in a Complex World},
publisher = {Routledge},
volume = {43},
pages = {1--15},
isbn = {9781315677293},
language = {en},
abstract = {Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. Results: 44,814 patients from 474 hospitals in 27 countries were available for analysis. Death was more frequent amongst patients admitted directly to critical care after surgery (critical care: 103/4317 patients [2\\\%], standard ward: 99/39,566 patients [0.3\\\%]; adjusted OR 3.01 [2.10–5.21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Conclusions: We did not identify any survival benefit from critical care admission following surgery.},
updated = {2026-07-09T00:19:36+00:00},
asin = {1315677296},
biburl = {https://zeal.dk/publications/contingency-theory-dynamic-fit-and-contracts/},
biburl_fo = {https://zeal.fo/utgavur/contingency-theory-dynamic-fit-and-contracts/},
urltitle = {contingency-theory-dynamic-fit-and-contracts},
author = {Burton, Richard M and Obel, Børge and Håkonsson, Dorthe Døjbak}
}