Search results for "Perioperative Care"
Hospitals vary widely in adhering to aspirin guidelines
There was a 25-fold variation in the proportion of U.S. hospitals that adhered to guidelines about prescribing high-dose aspirin at discharge, with some hospitals discharging fewer than 10% of patients on high-dose aspirin and other hospitals discharging 100% of patients on the regimen, a study found.
https://acphospitalist.acponline.org/weekly/archives/2014/08/20/4.htm
20 Aug 2014
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
Beta-blockers before CABG not associated with better outcomes
Use of beta-blockers in patients who have not had a recent heart attack but are undergoing nonemergency coronary artery bypass grafting (CABG) surgery was not associated with better outcomes, a study found.
https://acphospitalist.acponline.org/weekly/archives/2014/06/25/4.htm
25 Jun 2014
September 6, 2023
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/09/06/
Frailty score may help predict postop mortality risk in the elderly
A multidimensional frailty score helped predict postoperative mortality risk in elderly patients, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2014/05/14/3.htm
14 May 2014
ESKD patients more likely to survive procedures when dialysis done closer to surgery
The 90-day mortality rate after a surgical procedure was 5.2% in Medicare patients with end-stage kidney disease (ESKD) who last underwent dialysis three days prior to surgery, compared to 4.7% with dialysis two days prior and 4.2% with it one day prior, a retrospective study found.
https://acphospitalist.acponline.org/archives/2022/11/09/eskd-patients-more-likely-to-survive-procedures-when-dialysis-done-closer-to-surgery.htm
9 Nov 2022
Cangrelor shows promise as bridging antiplatelet therapy in CABG patients
Among patients who discontinued thienopyridine therapy before cardiac surgery, those who used the investigational drug cangrelor had better maintenance of platelet inhibition than those who used placebo, a study found.
https://acphospitalist.acponline.org/weekly/archives/2012/01/25/5.htm
25 Jan 2012
Caring for cancer patients
Knowledge about the effects of cancer treatments on organ systems and the potential risks of surgery unique to cancer patients is becoming key.
https://acphospitalist.acponline.org/archives/2013/02/cancer.htm
15 Feb 2013
Gabapentin associated with delirium, pneumonia in older postop patients
A propensity-matched study found that patients ages 65 years and older who received gabapentin after surgery had a 3.4% risk of delirium and 1.3% risk of pneumonia, compared to 2.6% and 1.2%, respectively, in patients not taking the drug. Risk of in-hospital death was similar between groups.
https://acphospitalist.acponline.org/archives/2022/09/28/gabapentin-associated-with-delirium-pneumonia-in-older-postop-patients.htm
28 Sep 2022
Lung-protective ventilation strategy appears to improve outcomes after abdominal surgery
Use of a lung-protective ventilation strategy during major abdominal surgery appears to improve outcomes, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2013/08/07/4.htm
7 Aug 2013