Surgery/Specialties Editor's Note Patient level factors dominated the increased readmission risks after colorectal surgery at minority-serving hospitals, while hospital factors were less contributory, this study finds. Patient factors accounted for 65% of the increase in odds for readmission, and hospital-level factors accounted for 40%. Inpatient mortality was significantly greater at minority-serving…
Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 28 recognized 60 of 603 participating hospitals for achieving meritorious outcomes in surgical patient care in 2015. The recognition program commends a select group of hospitals for achieving a meritorious composite score that is…
Editor's Note On-pump and off-pump coronary artery bypass grafting (CABG) are equally safe and effective, this study finds. At 5 years there was no significant difference between on-pump and off-pump CABG in combined rates of death, stroke, myocardial infarction, renal failure, or subsequent revascularization procedures (23.6% vs 23.1%). There also…
Editor's Note Harvard researchers have created the first 3-D printed heart-on-a-chip capable of collecting data on how reliably a heart is beating, and how a heart responds to drugs and toxins, the October 25 Gizmodo reports. The 3-D printed organ is made of synthetic material designed to mimic the structure…
Editor's Note Total knee patients in enhanced recovery after surgery (ERAS) programs have less pain and recuperate faster, finds this study presented October 23 at the Anesthesiology 2016 annual meeting. The study, from Rush University Medical Center (Chicago), included 243 total knee patients, who were provided a combination of postoperative…
Editor's Note In a study on mice, Johns Hopkins researchers have shown that a coating made with antibiotic-releasing nanofibers can prevent bacterial infections after total joint surgery. After 14 days, mice that received implants without the antibiotic coating all had bacteria in infected tissue around the joint, and 80% had…
Editor's Note Implementing the Perioperative Surgical Home (PSH) model resulted in improved patient outcomes, patient satisfaction, and shorter hospital stays in this study presented October 22 at the Anesthesiology 2016 annual meeting. The study included 1,356 patients who had total knee, hip, or shoulder replacements. Half received care under the…
Editor's Note The Food and Drug Administration on October 24 categorized HeartWare Inc’s recall of its HeartWare Ventricular Assist Device Pumps as Class I, the most serious. The recall is because of a design problem with the driveline connector that connects the pump to the external controller and power source.…
Editor's Note Researchers from the University of Utah School of Medicine, Salt Lake City, have developed a risk prediction tool, called a “nomogram,” that uses a scoring system to determine a patient’s risk for returning to the surgical ICU within 72 hours after discharge. The study was presented October 20…
Editor's Note Only half of departments of surgery in the US have established mentorship programs, and most are informal, unstructured, and do not involve all of the key stakeholders, this study finds. Of 155 chairs of departments of surgery surveyed 76 responded, for a 49% response rate. A total of…
