Perioperative

A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

Background: Current guidelines for the use pre-operative non-invasive cardiac testing, especially in older patients with multi-morbidity and poor functional capacity are unclear. Our study aimed to evaluate the use of nuclear stress test (NST) and [...]

By | 2018-03-19T15:44:01+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on A MULTI-CENTER STUDY OF PRE-OPERATIVE NON-INVASIVE CARDIAC TESTING IN OLDER PATIENTS WITH HIP FRACTURE

ACUTE KIDNEY INJURY IN ORTHOPEDIC SURGERY RELATED TO OBESITY AND ANGIOTENSIN AXIS BLOCKADE

Background: Controversy still exists regarding the use of angiotensin axis blockade (AAB) with angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) drugs preoperatively. Multiple studies suggest the AAB results in acute kidney injury [...]

By | 2018-03-19T13:23:34+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on ACUTE KIDNEY INJURY IN ORTHOPEDIC SURGERY RELATED TO OBESITY AND ANGIOTENSIN AXIS BLOCKADE

ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or [...]

By | 2018-03-19T15:43:54+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on ADVANCE CARE PLANNING IN THE PERIOPERATIVE CLINIC: A RETROSPECTIVE CHART REVIEW

COMPARISON OF RISK CALCULATORS IN PREDICTING POSTOPERATIVE CARDIAC COMPLICATIONS IN THE GERIATRIC POPULATION

Background: The 2014 ACC/AHA Perioperative Guidelines suggest using the Revised Cardiac Risk Index (RCRI), myocardial infarction or cardiac arrest (MICA), or American College of Surgeons (ACS)-NSQIP calculators for combined patient-surgical risk assessment. Alrezk and colleagues [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Perioperative, Research|Comments Off on COMPARISON OF RISK CALCULATORS IN PREDICTING POSTOPERATIVE CARDIAC COMPLICATIONS IN THE GERIATRIC POPULATION

DETERMINANTS OF COST VARIATION FOR TOTAL HIP AND KNEE ARTHROPLASTY

Background: Alternative payment models have been proposed for lower extremity joint replacement surgeries to deliver well-coordinated and high quality care. It is speculated that while these payment models may lead to more cost effective care, [...]

By | 2018-03-19T13:03:10+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on DETERMINANTS OF COST VARIATION FOR TOTAL HIP AND KNEE ARTHROPLASTY

INTRACRANIAL SURGERY AND HYPERGLYCEMIA: A MISSED OPPORTUNITY

Background: Perioperative hyperglycemia is associated with poor surgical outcomes, including infection and mortality, with higher rates of complications in patients without diagnosed diabetes (NDM) than in those with diabetes. Insulin therapy has been found to [...]

By | 2018-03-19T12:58:18+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on INTRACRANIAL SURGERY AND HYPERGLYCEMIA: A MISSED OPPORTUNITY

OUTCOMES FOR HIP FRACTURE PATIENTS ON HOSPITALIST VERSUS NON-HOSPITALIST SERVICES

Background: Hip fractures are a major health problem in the geriatric population in the United States, with estimated costs of $18B annually. Hip fractures are highly morbid in the elderly, as deconditioning and acute complications [...]

By | 2018-03-19T13:18:10+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on OUTCOMES FOR HIP FRACTURE PATIENTS ON HOSPITALIST VERSUS NON-HOSPITALIST SERVICES

Perioperative risk of hip fracture surgery among elderly patients with severe aortic stenosis

Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European [...]

By | 2018-03-19T12:59:42+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on Perioperative risk of hip fracture surgery among elderly patients with severe aortic stenosis

Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

Background: Recent data suggest that there are mortality benefits from preoperative statin therapy in patients at high risk for atherosclerotic cardiovascular disease (ASCVD). Current guidelines recommend moderate or high intensity statin for all patients with [...]

By | 2018-03-19T15:44:22+00:00 March 19th, 2018|Perioperative, Research, Uncategorized|Comments Off on Proportion of patients seen in perioperative clinic on optimal statin dose prior to surgery

SURGICAL CO-MANAGEMENT BY HOSPITALISTS IN COLORECTAL SURGERY

Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at [...]

By | 2018-03-19T13:03:30+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on SURGICAL CO-MANAGEMENT BY HOSPITALISTS IN COLORECTAL SURGERY