Search results for "Perioperative Care"
Postoperative antibiotic prophylaxis may not reduce risk of surgical-site infection
Findings from a systematic review and meta-analysis of 52 studies support World Health Organization recommendations against continuing surgical antibiotic prophylaxis postoperatively.
https://acphospitalist.acponline.org/weekly/archives/2020/06/03/4.htm
3 Jun 2020
Compression stockings may be unnecessary for VTE prophylaxis in most patients undergoing elective surgery
In a randomized controlled trial of patients at moderate or high risk of venous thromboembolism (VTE), prophylaxis with low-molecular-weight heparin alone was noninferior to a combination of low-molecular-weight heparin and graduated compression stockings.
https://acphospitalist.acponline.org/weekly/archives/2020/05/20/5.htm
20 May 2020
Nicotine replacement during surgical hospitalization not associated with adverse outcomes
An observational study found no difference in complications, mortality, and readmissions between patients who had received nicotine replacement therapy within two days of major surgery and those who hadn't.
https://acphospitalist.acponline.org/weekly/archives/2019/12/11/1.htm
11 Dec 2019
Program with family reduced postoperative delirium, functional decline in older patients
The success of a tailored, family-involved program that targeted delirium risk factors in Chinese patients after noncardiac surgery shows that U.S. hospitals could learn from cultures that more closely involve families in care, according to an editorial accompanying the study.
https://acphospitalist.acponline.org/weekly/archives/2019/10/30/2.htm
30 Oct 2019
Less intensive warfarin therapy less effective at preventing VTE after arthroplasty
Rates of major bleeding were similar whether patients were treated to an international normalized ratio target of 1.8 or 2.5 to prevent venous thromboembolism (VTE) after hip or knee arthroplasty, a randomized trial found.
https://acphospitalist.acponline.org/weekly/archives/2019/09/11/4.htm
11 Sep 2019
Interrupting DOACs for surgery associated with low rates of major bleeding, clots in afib patients
The standardized strategy stopped direct oral anticoagulants (DOAC) for one to two days prior to an elective surgery or procedure and resumed DOACs one to three days afterward, without heparin bridging, in patients with atrial fibrillation.
https://acphospitalist.acponline.org/weekly/archives/2019/08/14/3.htm
14 Aug 2019
Nearly all deaths related to noncardiac procedures occur after surgery, study finds
About 45% of deaths that occurred in the 30 days after noncardiac surgery were associated with three complications: major bleeding, myocardial injury, and sepsis.
https://acphospitalist.acponline.org/weekly/archives/2019/08/07/3.htm
7 Aug 2019
New index for preoperative cardiovascular evaluation may have strong predictive power
The index categorized patients' cardiovascular risk based on their age, history of heart disease, symptoms of angina or dyspnea, hemoglobin level, and whether they were having vascular or emergency surgery.
https://acphospitalist.acponline.org/weekly/archives/2019/06/19/3.htm
19 Jun 2019
Earlier hip fracture surgery admission associated with lower in-hospital mortality than later treatment
Study authors projected that there would be an additional 10.9 deaths for every 1,000 surgeries if all surgeries were performed after inpatient day 3 instead of on the admission day.
https://acphospitalist.acponline.org/weekly/archives/2018/08/15/4.htm
15 Aug 2018
Infective endocarditis risk increased after many types of medical procedures
The findings could warrant reconsideration of prophylactic antibiotics for some patients, according to the study authors, who also called for assessment of the costs and benefits of elective procedures for patients at high risk of endocarditis.
https://acphospitalist.acponline.org/weekly/archives/2018/06/13/2.htm
13 Jun 2018