Return on investment for implementation of perioperative goal-directed therapy in major surgery: a nationwide database study

Abstract

Preventable postsurgical complications are increasingly recognized as a major healthcare burden. A recent meta-analysis showed a 17 to 29% decrease in complications after major surgery with perioperative goal-directed therapy (PGDT) [1]. We assessed the financial consequences of postsurgical complications in a large population from 541 US hospitals in order to predict potential savings with PGDT.