{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T13:14:37Z","timestamp":1781788477893,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute respiratory problems are a frequent cause of death in surgical patients, however little is known about the specific impact of aspiration pneumonia (AP). This descriptive analysis examines AP related surgical deaths, trends over time and associated co\u2010morbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted on the NSW Collaborating Hospitals' Audit of Surgical Mortality database, a state\u2010based audit, which examines all deaths of patients under the care of a surgeon. A 10\u2010year period from 2008 to 2017 was reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over 10\u2009years, the total number of AP related deaths was 1103, an average of 5.2% of all notified surgical deaths (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921\u2009038). AP was the main factor in death in 53.5%, and a contributory factor in 46.5% of those patient deaths (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The majority were male (61.4%), age\u2009\u2265\u200970 (84.6%), with an ASA of \u2265\u20093 (85%). Most AP related deaths were during an emergency admission (85%). Surgery was performed within 30\u2009days of death in 84%. Admissions were predominantly under general (42.2%) or orthopaedic surgeons (33.3%), followed by neurosurgery (9.1%) and vascular surgery (6.9%). Significant associations were seen in risk factors of age\u2009\u2265\u200970\u2009yo, respiratory and neurological co\u2010morbidities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This 10\u2009year review highlights the impact of AP on surgical mortality. Improved recognition may reduce the risk of this devastating outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70247","type":"journal-article","created":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T06:00:00Z","timestamp":1753509600000},"page":"657-663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Aspiration Pneumonia Related Surgical Deaths\u2014A Review of a 10\u2009Year Australian State\u2010Based Mortality Audit"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2731-5891","authenticated-orcid":false,"given":"Alisha","family":"Azmir","sequence":"first","affiliation":[{"name":"Department of General Surgery Canberra Hospital, ACT  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Ochiel","sequence":"additional","affiliation":[{"name":"Collaborating Hospitals' Audit of Surgical Mortality (CHASM) NSW Health Clinical Excellence Commission, NSW  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Byth","sequence":"additional","affiliation":[{"name":"Research &amp; Education Network (REN), Westmead Hospital, Western Sydney Local Health District, NSW  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0338-1203","authenticated-orcid":false,"given":"Sabrina","family":"Naz","sequence":"additional","affiliation":[{"name":"Research &amp; Education Network (REN), Westmead Hospital, Western Sydney Local Health District, NSW  Australia"},{"name":"School of Medicine, Western Sydney University, NSW  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Zelas","sequence":"additional","affiliation":[{"name":"Collaborating Hospitals' Audit of Surgical Mortality (CHASM) NSW Health Clinical Excellence Commission, NSW  Australia"},{"name":"Research &amp; Education Network (REN), Westmead Hospital, Western Sydney Local Health District, NSW  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.12.022"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2021.106485"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2014.07.011"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140060"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1714562"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103013440908"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201611-867OC"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2023.04.021"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000069738.73602.5F"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.01.043"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2280"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10412-w"},{"key":"e_1_2_10_14_1","unstructured":"National Report \u201cAustralian and New Zealand Audit of Surgical Mortality \u201d2019\u20132020."},{"key":"e_1_2_10_15_1","unstructured":"Mortality Statistics \u201cAustralian Bureau of Statistics \u201d2008\u20132017."},{"key":"e_1_2_10_16_1","unstructured":"\u201cTopical Report\u2014Aspiration Pneumonia \u201dQueensland Audit of Surgical Mortality."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1973.01350130051011"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2013.07.012"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.05.025"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13559"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-022-1821-9"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2012.08.006"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70247","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T04:42:15Z","timestamp":1774240935000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/ans.70247"],"URL":"https:\/\/doi.org\/10.1111\/ans.70247","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"assertion":[{"value":"2025-02-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}