Surgery/Specialties

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Diabetes linked to adverse outcomes after surgery

Editor's Note Patients with diabetes are more likely to have adverse outcomes after surgery, and greater risks are associated with increasing HbA1c levels, this study finds. Of 7,565 patients analyzed, 30% had diabetes and 37% had prediabetes. After adjustments, diabetes was linked to increased: 6-month mortality (9% in patients with…

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By: Judy Mathias
June 25, 2018
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Report predicts growth for spinal fusion market

Editor's Note An Acquire Market Research report predicts the global spinal fusion market will grow at a 4.54% compound annual growth rate through 2023, according to the June 21 Becker’s Spine Review. Reasons for the predicted growth are the: growing incidence of spinal deformity cases rising healthcare awareness increase in…

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By: Judy Mathias
June 25, 2018
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QI program results in reduced readmissions, LOS for malnourished surgical patients

Editor's Note Malnourished hospitalized surgical and medical patients who participated in a nutrition quality improvement (QI) program had improved readmission rates and length of stay (LOS), but surgical patients had a significantly greater reduction in readmissions than medical patients, in this study. Of 1,269 patients analyzed, 288 were surgical patients…

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By: Judy Mathias
June 22, 2018
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ALS by physicians linked to increased survival

Editor's Note In patients with traumatic out-of-hospital cardiac arrest (OHCA) after traffic collisions, advanced life support (ALS) performed by physicians was associated with increased chance of 1-month survival compared with ALS or basic life support (BLS) performed by emergency medical services (EMS) personnel, this Japanese study finds. Of 4,328 patients…

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By: Judy Mathias
June 20, 2018
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Perioperative RBC transfusions linked to postop VTE

Editor's Note In this study, perioperative red blood cell (RBC) transfusions were significantly associated with development of new or progressive postoperative venous thromboembolism (VTE) within 30 days of a surgical procedure. Of 750,937 patients included in the analysis, 47,410 (6.3%) received at lest one perioperative RBC transfusion. Of these, 6,309…

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By: Judy Mathias
June 18, 2018
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FDA issues Safety Alert for compounded drugs containing triamcinolone, moxifloxacin

Editor's Note The Food & Drug Administration (FDA) on June 14 issued a Safety Alert for compounded drugs containing triamcinolone and moxifloxacin by Guardian Pharmacy Services (Dallas, Texas). At least 43 patients have reported adverse events after receiving eye injections of the compounded triamcinolone and moxifloxacin drug during cataract surgery.…

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By: Judy Mathias
June 18, 2018
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Effects of quality improvement in bariatric surgery patients

Editor's Note This retrospective study of patients undergoing bariatric surgery found that hospitals with the largest reductions in serious postoperative complications had the greatest decrease in Medicare payments. Researchers ranked 562 hospitals (37,329 patients) into quintiles. The top 20% of hospitals had a decrease in average serious complication rate of…

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By: Judy Mathias
June 18, 2018
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American Heart Association, Joint Commission collaborating on cardiovascular certification programs

Editor's Note The American Heart Association (AHA) and Joint Commission are partnering to enhance cardiovascular patient care through a range of disease-specific hospital certification programs, the AHA announced on June 11. Both organizations are expanding their 15-year relationship in stroke certification to in-hospital cardiovascular patient care. The expansion will consolidate…

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By: Judy Mathias
June 14, 2018
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Effect of neuraxial anesthesia for total joints on outcomes

Editor's Note Increased use of neuraxial anesthesia for total hip and knee patients was linked to lower hospitalization costs in this study. National data on 808,237 total knee and 371,607 total hip replacements were used in the analysis. Multivariable associations were measured between hospital neuraxial anesthesia volume (quartiles) and outcomes…

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By: Judy Mathias
June 12, 2018
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Machine-learning algorithm predicts hypotension during surgery

Editor's Note In this study, researchers at UCLA Medical Center in Los Angeles applied machine learning to arterial pressure waveforms to develop an algorithm that predicted intraoperative hypotension 15 minutes before it occurred in 84% of cases. Two sets of data were used to build the algorithm. One set consisted…

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By: Judy Mathias
June 12, 2018
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