Editor's Note In this study, patient factors, hospital case volume, and practice patterns were found to be associated with in-hospital mortality after elective abdominal aortic aneurysm (AAA) repair. Of 166, 443 AAA repairs performed at 1,207 hospitals, in-hospital mortality was 0.7% for endovascular AAA repair and 3.8% for open AAA…

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Editor's Note Fast-track total hip and knee arthroplasties with a median length of stay of 3 days and discharge to home are feasible in most patients 85 years of age or older, this study finds. Of 13,775 procedures included in the analysis: median age was 87 years and median length…

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Editor's Note In this study, researchers concluded that risk-adjusted postoperative 30-day mortality is useful as a surrogate for long-term outcomes in patients at Veterans Health Administration (VHA) hospitals. Though the VHA has used 30-day mortality as a measure of surgical quality for more than 20 years, the measure has been…

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Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately estimates the risk of postoperative complications, and the calculator’s performance would improve with recalibration, this study finds. The statistical analysis for this study was based on 2.7 million surgical records collected between…

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Editor's Note In this study, Medicare patients having common surgical procedures at critical access hospitals had no significant difference in 30-day mortality than those at noncritical access hospitals (5.4% vs 5.6%), and they had lower rates of serious complications (6% vs 14%) and lower expenditures ($14,450 vs $15, 845). The…

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Editor's Note By 2035, cardiothoracic surgeons will be responsible for more than 850,000 surgical patients, a 61% increase from 2010, according to this study presented May 17 at the annual meeting of the American Association for Thoracic Surgery in Baltimore. Cases per surgeon per year in 2010 averaged 135 for…

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Editor's Note This study from the University of Colorado Hospital, Aurora, identifies the most frequently touched surfaces in the OR and their level of contamination. The top high touch surface was the anesthesia computer mouse, followed by the OR table, nurse computer mouse, OR door, and anesthesia cart. Using the…

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Editor's Note In this study, a nonpunitive and collaborative peer methodology for assessing endoscope reprocessing at five Johns Hopkins GI endoscopy sites (three hospital based and two ASCs) was successful in capturing and sharing best practices for cleaning, disinfection, and sterilization of endoscopes. The assessments showed that 20 (42%) of…

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Editor's Note A new long-acting cardioplegia solution resulted in better outcomes for pediatric cardiac surgery patients in this study, presented May 16 at the annual meeting of the American Association for Thoracic Surgery in Baltimore. Researchers randomized 100 pediatric patients to the new Del Nido solution or the conventional St…

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The perioperative surgical home (PSH) has been gaining momentum, with early results linking it to lower costs, better quality, fewer emergency department (ED) visits and readmissions, and shorter stays in skilled nursing facilities or none at all. In February, the PSH Learning Collaborative, a partnership between the American Society of…

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