Hospitalists should think beyond the Revised Cardiac Risk Index when providing preoperative assessments, attendees at Internal Medicine Meeting 2022 learned.
Research has shown that patients have a few common priorities at discharge, and hospitalists can tweak their practices to make it more likely these desires are fulfilled.
In an analysis of Medicare patients admitted for emergency general surgery in 1992 through 2013, the presence of chronic conditions or geriatric syndromes at baseline did not predict mortality, but patients who also had functional limitations had higher risk of death after surgery.
A follow-up analysis of patients hospitalized for acute coronary syndrome (ACS) found a greater than 40% risk of nonfatal myocardial infarction, nonfatal ischemic stroke, or cardiovascular death shortly after discharge, compared to a risk of only about 6% per year after one year.
Closing the curtains between hospital beds was actually more effective in reducing aerosol transfer than using a portable air cleaner, according to a recent simulation study of a double-occupancy room.
The pre/post design of the study meant that causation could not be established, but a significant increase in ICU transfers, a decrease in time to ICU transfer, and an increase in vital sign reassessments suggested that the alerts helped, the study authors said.