Search results for "Perioperative care"
Low-value preop screening frequently led to additional low-value care, study finds
Chest X-rays and EKGs of low-risk patients before low- or intermediate-risk surgery were followed by high rates of repeat tests, follow-up imaging, and follow-up visits, according to a retrospective analysis of Veterans Health Administration data.
https://acphospitalist.acponline.org/archives/2022/04/27/low-value-preop-screening-frequently-led-to-additional-low-value-care.htm
27 Apr 2022
Periop in a pandemic
Without data or guidelines on when and whether to perform surgery on the many patients who have had COVID-19 infections after vaccination, hospitals and hospitalists are developing their own plans and protocols.
https://acphospitalist.acponline.org/archives/2022/03/23/free/periop-in-a-pandemic.htm
23 Mar 2022
DOACs better than heparin for periop thromboprophylaxis, review finds
The systematic review and network meta-analysis found lower rates of symptomatic venous thromboembolism in surgical patients given direct oral anticoagulants (DOACs) versus the standard dose of low-molecular-weight heparin, without a significant increase in bleeding.
https://acphospitalist.acponline.org/archives/2022/03/16/doacs-better-than-heparin-for-periop-thromboprophylaxis.htm
16 Mar 2022
Study finds higher thresholds of troponin I associated with death after cardiac surgery
The troponin level one day after surgery associated with higher risk for death at 30 days was 218 times the upper reference limit (URL) after isolated coronary artery bypass grafting or aortic valve replacement or repair and 499 times the URL after other cardiac surgery.
https://acphospitalist.acponline.org/archives/2022/03/09/study-finds-higher-thresholds-of-troponin-I-associated-with-death-after-cardiac-surgery.htm
9 Mar 2022
VTE readmissions continue more than 30 days after complex cancer surgery
In a retrospective cohort study using U.S. data from 2016, 0.6%, 1.1%, and 1.7% of patients undergoing complex cancer surgery were readmitted with VTE as a primary diagnosis by 30, 90, and 180 days after discharge.
https://acphospitalist.acponline.org/archives/2022/02/02/vte-readmissions-continue-more-than-30-days-after-complex-cancer-surgery.htm
2 Feb 2022
Preop hyperglycemia but not HbA1c associated with noncardiac surgery outcomes
Patients with a high fasting or random glucose level before noncardiac surgery were more likely to have myocardial injury or die at 30 days, but no increased risk was seen among those with a high HbA1c level, a South Korean study found.
https://acphospitalist.acponline.org/weekly/archives/2021/03/24/3.htm
24 Mar 2021
Weighing perioperative cardiac risk scores
Experts explain and compare the available tools, detailing which scores they prefer.
https://acphospitalist.acponline.org/archives/2021/03/weighing-perioperative-cardiac-risk-scores.htm
15 Mar 2021
Antiplatelet therapy linked to increased risk of post-pleural procedure bleeding
Although patients on antiplatelet therapy were at increased risk of bleeding, including serious bleeding, during the 24 hours following a bedside pleural procedure compared with controls, rates of bleeding and severe bleeding were low, a French study found.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/2.htm
16 Dec 2020
Helping hip fracture patients
Is comanagement the answer?
https://acphospitalist.acponline.org/archives/2020/12/helping-hip-fracture-patients.htm
15 Dec 2020
A path for patients returning after joint replacement
The orthopedics service worked with hospital medicine and took more readmitted patients.
https://acphospitalist.acponline.org/archives/2020/10/success-story-a-path-for-patients-returning-after-joint-replacement.htm
15 Oct 2020