{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:16:27Z","timestamp":1788182187353,"version":"build-2803163510"},"reference-count":34,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100006691","name":"Harvard Medical School","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Critical Care & Pain Medicine"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.accpm.2026.101809","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T05:41:51Z","timestamp":1772862111000},"page":"101809","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Advanced healthcare utilisation after monitored anaesthesia care versus general anaesthesia: A real-world data analysis"],"prefix":"10.1016","volume":"45","author":[{"given":"Kara","family":"Liebich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Riesemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Tenge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Ahrens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9la-Simon","family":"Paschold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"Marcus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian D.","family":"Sahli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanqing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben L.P.","family":"Braeuer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"O\u2019Gara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liana V.","family":"Zucco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eswar","family":"Sundar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"Pensier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca J.","family":"Wachtendorf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian S.","family":"Schaefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"Suppl 2","key":"10.1016\/j.accpm.2026.101809_bib0005","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1016\/S0140-6736(15)60806-6","article-title":"Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes","volume":"385","author":"Weiser","year":"2015","journal-title":"Lancet Lond Engl"},{"key":"10.1016\/j.accpm.2026.101809_bib0010","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1377\/hlthaff.2024.00469","article-title":"National Health Expenditure Projections, 2023-32: payer trends diverge as pandemic-related policies fade","volume":"43","author":"Fiore","year":"2024","journal-title":"Health Aff Proj Hope"},{"key":"10.1016\/j.accpm.2026.101809_bib0015","unstructured":"Office for National Statistics (ONS). UK Health Accounts: Healthcare expenditure, UK Health Accounts\u20142022 and 2023. https:\/\/WwwOnsGovUk\/Peoplepopulationandcommunity\/Healthandsocialcare\/Healthcaresystem\/Bulletins\/Ukhealthaccounts\/2022and2023."},{"key":"10.1016\/j.accpm.2026.101809_bib0020","article-title":"Machine learning analysis of functional outcome and hemodynamic parameters during stroke thrombectomy under general anesthesia","author":"Rapido","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0025","first-page":"859","article-title":"Anaesthesia and haemodynamic management of acute ischaemic stroke patients before, during and after endovascular therapy","volume":"39","author":"Valent","year":"2020","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0030","doi-asserted-by":"crossref","first-page":"319","DOI":"10.4097\/kjae.2016.69.4.319","article-title":"Monitored anesthesia care in and outside the operating room","volume":"69","author":"Sohn","year":"2016","journal-title":"Korean J Anesthesiol"},{"key":"10.1016\/j.accpm.2026.101809_bib0035","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.bja.2020.08.057","article-title":"Outcomes after endoscopic retrograde cholangiopancreatography with general anaesthesia versus sedation","volume":"126","author":"Althoff","year":"2021","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0040","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.bja.2022.10.015","article-title":"Comparison of the effects of sugammadex versus neostigmine for reversal of neuromuscular block on hospital costs of care","volume":"130","author":"Wachtendorf","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0045","article-title":"The definition and aims of Anesthesia: a Delphi-based consensus statement","volume":"45","author":"Berger-Estilita","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0050","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1093\/bja\/aeg126","article-title":"The upper airway during anaesthesia","volume":"91","author":"Hillman","year":"2003","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0055","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1213\/ANE.0000000000007654","article-title":"Association of risk of suspected ocular injury with forced-air upper body heating during general anesthesia","volume":"142","author":"Khany","year":"2026","journal-title":"Anesth Analg"},{"key":"10.1016\/j.accpm.2026.101809_bib0060","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2023.101831","article-title":"Prevalence and association of non-medical cannabis use with post-procedural healthcare utilisation in patients undergoing surgery or interventional procedures: a retrospective cohort study","volume":"57","author":"Ahrens","year":"2023","journal-title":"EClinicalMedicine"},{"key":"10.1016\/j.accpm.2026.101809_bib0065","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s12630-022-02378-y","article-title":"The association of intraoperative low driving pressure ventilation and nonhome discharge: a historical cohort study","volume":"70","author":"Tartler","year":"2023","journal-title":"Can J Anaesth J Can Anesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0070","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinepi.2025.111869","article-title":"Comparison of established comorbidity scores using administrative data of patients undergoing surgery or interventional procedures in Massachusetts","volume":"185","author":"Ahrens","year":"2025","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.accpm.2026.101809_bib0075","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1111\/anae.14742","article-title":"The development and validation of the Score for the Prediction of Postoperative Respiratory Complications (SPORC-2) to predict the requirement for early Postoperative tracheal re-intubation: a hospital registry study","volume":"74","author":"Lukannek","year":"2019","journal-title":"Anaesthesia"},{"key":"10.1016\/j.accpm.2026.101809_bib0080","article-title":"Patient characteristics associated with occurrence of preoperative goals-of-care conversations","volume":"6","author":"Kim","year":"2023","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.accpm.2026.101809_bib0085","article-title":"Opioid-free anaesthesia and postoperative quality of recovery: a systematic review and meta-analysis with trial sequential analysis","volume":"44","author":"Liu","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0090","article-title":"Perioperative hemodynamic optimization - adults including obstetrics","volume":"45","author":"Fellahi","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0095","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1097\/EJA.0000000000000941","article-title":"The haemodynamic instability score: development and internal validation of a new rating method of intra-operative haemodynamic instability","volume":"36","author":"Buitenwerf","year":"2019","journal-title":"Eur J Anaesthesiol"},{"key":"10.1016\/j.accpm.2026.101809_bib0100","doi-asserted-by":"crossref","first-page":"e298","DOI":"10.1016\/j.bja.2022.08.032","article-title":"Dose-dependent relationship between intra-procedural hypoxaemia or hypocapnia and postoperative delirium in older patients","volume":"130","author":"Ahrens","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0105","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.bja.2022.03.027","article-title":"Intraoperative hypotension is associated with persistent acute kidney disease after noncardiac surgery: a multicentre cohort study","volume":"129","author":"Shaw","year":"2022","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0110","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1093\/bja\/aex004","article-title":"Pulmonary aspiration during procedural sedation: a comprehensive systematic review","volume":"118","author":"Green","year":"2017","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0115","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1001\/jama.2017.14001","article-title":"The \u201cutility\u201d in composite outcome measures: measuring what is important to patients","volume":"318","author":"Irony","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.accpm.2026.101809_bib0120","doi-asserted-by":"crossref","first-page":"3283","DOI":"10.1053\/j.jvca.2021.01.057","article-title":"Monitored anesthesia care versus general anesthesia as the primary anesthetic for ankle amputations","volume":"35","author":"Pool","year":"2021","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0125","article-title":"Conscious sedation for intracranial venous manometry and sinus stenting: 3 in 1 procedure","volume":"44","author":"El Ojaimi","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0130","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/ALN.0000000000005080","article-title":"Intraoperative ventilation\/perfusion mismatch and postoperative pulmonary complications after major noncardiac surgery: a prospective cohort study","volume":"141","author":"Scaramuzzo","year":"2024","journal-title":"Anesthesiology"},{"key":"10.1016\/j.accpm.2026.101809_bib0135","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1001\/jamasurg.2016.4065","article-title":"Postoperative pulmonary complications, early mortality, and hospital stay following noncardiothoracic surgery: a multicenter study by the Perioperative Research Network Investigators","volume":"152","author":"Fernandez-Bustamante","year":"2017","journal-title":"JAMA Surg"},{"key":"10.1016\/j.accpm.2026.101809_bib0140","doi-asserted-by":"crossref","first-page":"2440","DOI":"10.1053\/j.jvca.2020.02.025","article-title":"Monitored anesthesia care is associated with a decrease in morbidity after endovascular angioplasty in aortoiliac disease","volume":"34","author":"Boulos","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0145","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1053\/j.jvca.2019.07.142","article-title":"Association of primary anesthesia type with postoperative adverse events after transcarotid artery revascularization","volume":"34","author":"Burton","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1016\/j.accpm.2026.101809_bib0150","article-title":"Perioperative ventilation support, what clinicians and searchers must know","volume":"44","author":"Pensier","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0155","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2020.102809","article-title":"Comparison of general anesthesia and monitored anesthesia care for sialendoscopy procedures","volume":"42","author":"Mastrolonardo","year":"2021","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.accpm.2026.101809_bib0160","article-title":"Perioperative analgesia in high-risk patients, what clinicians and searchers must know? A narrative review","author":"Beloeil","year":"2025","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0165","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/1741-7015-12-41","article-title":"Local versus general anesthesia for transcatheter aortic valve implantation (TAVR)-systematic review and meta-analysis","volume":"12","author":"Fr\u00f6hlich","year":"2014","journal-title":"BMC Med"},{"key":"10.1016\/j.accpm.2026.101809_bib0170","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1001\/jama.2024.7741","article-title":"Causal inference about the effects of interventions from observational studies in medical journals","volume":"331","author":"Dahabreh","year":"2024","journal-title":"JAMA"}],"container-title":["Anaesthesia Critical Care & Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352556826000676?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352556826000676?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:19:20Z","timestamp":1788178760000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352556826000676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S2352556826000676"],"URL":"https:\/\/doi.org\/10.1016\/j.accpm.2026.101809","relation":{},"ISSN":["2352-5568"],"issn-type":[{"value":"2352-5568","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Advanced healthcare utilisation after monitored anaesthesia care versus general anaesthesia: A real-world data analysis","name":"articletitle","label":"Article Title"},{"value":"Anaesthesia Critical Care & Pain Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.accpm.2026.101809","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Soci\u00e9t\u00e9 Fran\u00e7aise d'Anesth\u00e9sie et de R\u00e9animation (SFAR). Published by Elsevier Masson SAS. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"101809"}}