Tag: Surgery

1. In patients with confirmed SARS-CoV-2 infection within 7 days before or 30 days after surgery, significant mortality was observed, and perioperative pulmonary complications occurred in more than half the patients. Evidence Rating: 2 (Good) Current guidelines regarding the management of surgical patients during the SARS-CoV-2 pandemic are based solely on expert...

1. In patients with confirmed SARS-CoV-2 infection within 7 days before or 30 days after surgery, significant mortality was observed, and perioperative pulmonary complications occurred in more than half the patients. Evidence Rating: 2 (Good) Current guidelines regarding the management of surgical patients during the SARS-CoV-2 pandemic are based solely on...

1. Patients undergoing emergency general surgery in a retrospective cohort study were at nearly twice the risk of venous thromboembolism when compared to patients undergoing elective surgery. Evidence Rating: 2 (Good) Despite comprising a relatively small proportion of the total surgeries performed, procedures classified as emergency general surgery (EGS) account for...

1. The use of fibrinogen concentrate for fibrinogen replacement, post cardiac surgery, is noninferior to cryoprecipitate. Evidence Rating Level: 1 (Excellent) Study Rundown: A common postoperative complication with cardiac surgery is excessive bleeding which consequently requires blood component transfusion.  The guidelines for the management of cardiac surgery-associated bleeding presenting with acquired hypofibrinogenemia recommend...

1. The use of fibrinogen concentrate for fibrinogen replacement, post cardiac surgery, is noninferior to cryoprecipitate. Evidence Rating Level: 1 (Excellent) Study Rundown: A common postoperative complication with cardiac surgery is excessive bleeding which consequently requires blood component transfusion.  The guidelines for the management of cardiac surgery-associated bleeding presenting with acquired...

1. Female surgeons earn less in a fee-for-service system than their male counterparts despite a lack of differences in hours worked or procedure duration, with the greatest discrepancies found in orthopedic surgery and cardiothoracic surgery. Evidence Rating Level: 2 (Good) Ample medical literature supports sex-based disparities in income across specialties, with...

Previous work has suggested that healthcare interventions on weekends may be associated with increased mortality, but findings have been inconsistent. In this matched cohort study, 318,202 adult patients admitted to acute care hospitals who underwent a non-cardiac, non-obstetric surgical procedures were studied to compare all-cause mortality within 30 days...

1. After noncardiac surgeries, patients treated with aspirin had significantly increased risk of major bleeding compared to those taking placebo. 2. There was no significant difference in death or nonfatal myocardial infarction between the aspirin and placebo groups. Original Publication Date: April 2014 Study Rundown: After a noncardiac surgery, myocardial infarction is...

1. Amongst Danish patients with uncomplicated hypertension, using beta-blockers as part of a two-drug anti-hypertensive regimen led to greater major adverse cardiac events (MACEs) and mortality in the perioperative setting of non-cardiac surgery compared to regimens with renin-angiotensin system (RAS) inhibitors, calcium channel blockers, or thiazide diuretics. 2. However, the...

1. When readmission was required after major surgery, patients had lower mortality rates if they returned to the same hospital. 2. Readmission was more likely to be to the same hospital if the postoperative complication was surgical in nature. Evidence Rating Level: 2 (Good)     Study Rundown: Readmission, though undesirable, is...