Surgery

Latest Issue of OR Manager
February 2025

Lung transplant for COVID-19-related respiratory failure

Editor's Note This study, led by researchers at the Smidt Heart Institute at Cedars-Sinai Medical Center, Los Angeles, finds that from August 2020 through September 2021, 7% of lung transplantations in the US were performed in patients with COVID-19-related respiratory failure. In this analysis of 3,039 lung transplants, 214 were…

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By: Judy Mathias
January 27, 2022
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Cardiovascular considerations before elective noncardiac surgery in COVID-19 patients

Editor's Note In this viewpoint, researchers from Stanford University School of Medicine, note that it is unclear whether cardiovascular complications associated with COVID-19 persist beyond the acute phase of illness and whether a history of COVID-19 warrants any additional preoperative cardiac assessments before having elective surgery. They review the literature…

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By: Judy Mathias
January 27, 2022
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Risk of postop complications in COVID-19 patients after major elective surgery

Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, finds that major elective surgery performed 0 to 4 weeks after COVID-19 infection is linked to an increased risk of postoperative complications. Of 5,479 patients analyzed, those who had surgery 0 to 4…

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By: Judy Mathias
January 11, 2022
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Hip fracture surgery volumes in older individuals during COVID-19

Editor's Note Hip fracture surgery volumes in individuals 65 years and older were lower during the pandemic than 2 years before, which contrasts with that seen in the general population, this study from Kaiser Permanente researchers finds. The analysis includes 18,288 patients aged 65 years or older who had hip…

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By: Judy Mathias
January 3, 2022
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Four problems and solutions with physician preference cards

As representatives of a global healthcare solutions company, we talk and listen to clinicians at hospitals around the country. One of the issues that continually surfaces is that physician preference cards (PPCs) are a challenge at their hospitals. We hear many frustrations related to supply chain documentation. In the end, it all comes…

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By: Vicky Lyle
December 16, 2021
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Emergency departments affect postop readmission rates

Editor's Note This study by researchers at Indiana University and the University of Michigan finds that emergency departments (EDs) are a significant factor in preventing readmissions after major surgery. Researchers analyzed the electronic health records of nearly 2 million Medicare beneficiaries who had one of five surgical procedures (ie, percutaneous…

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By: Judy Mathias
December 13, 2021
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San Diego hospitals plan for surgery cancellations amid blood shortages

Editor's Note An ongoing blood shortage has San Diego County hospital officials looking at delaying and cancelling surgical procedures, the December 13 San Diego Union–Tribune reports. The blood supply for Scripps Memorial Hospital Encinitas is 25% to 50% below normal, and UC San Diego Health has been falling below their…

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By: Judy Mathias
December 13, 2021
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County-level social vulnerability linked to worse postop outcomes, especially in minority patients

Editor's Note This study from the Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, finds that patients residing in vulnerable communities characterized by a high social vulnerability index (SVI) had worse postoperative outcomes, and the impact was most pronounced in Black/minority patients. In this analysis…

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By: Judy Mathias
December 9, 2021
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Change in volume of surgical procedures during COVID-19 pandemic

Editor's Note In this study, researchers from Stanford University School of Medicine find that the initial COVID-19 shutdown from March through April 2020 resulted in a decrease in surgical volume to nearly half of baseline rates. After the reopening, surgical volume rebounded to 2019 levels, and the trend was maintained.…

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By: Judy Mathias
December 8, 2021
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CMS releases final Medicare payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare and Medicaid Services (CMS), on November 2, released its 2022 final payment rule for ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). The final rule increases Medicare prospective payment system rates by a net 2.0%—a combination of a 2.7% inflation update based on…

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By: Judy Mathias
November 3, 2021
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