Surgery/Specialties Editor's Note A condition known as “post hospital syndrome” (PHS) is a significant risk factor for readmissions in patients who undergo elective ambulatory surgery, this study finds. Post hospital syndrome (PHS) is defined as having been hospitalized within 90 days before surgery. During hospitalization, patients are often sleep deprived and…
Editor's Note Though recent studies using large databases have concluded that neuraxial compared with general anesthesia is associated with a decreased incidence of SSIs in total joint patients, this 11-year retrospective, controlled study found no difference. The use of peripheral nerve blocks also was not found to influence the incidence…
Editor's Note Since publication of the Appropriate Use Criteria for Coronary Revascularization in 2009, the number of nonacute percutaneous coronary interventions (PCIs) has declined significantly (89,704 vs 59,375). The proportion of nonacute PCIs classified as inappropriate has also declined (26.2% vs 13.3%), although hospital-level variation persists. These findings indicate that…
Editor's Note Blacks are at a significantly higher risk of having total knee revision surgery within 5 years than whites, finds a study presented at the American College of Rheumatology Annual Meeting in San Francisco. The risk of revision was 38% higher in blacks. When blacks undergo knee replacement they…
Editor's Note Referred to as the “July phenomenon,” the influx of new surgical residents and interns at the beginning of the academic year is assumed to be associated with poor outcomes. This study of nearly 1.5 million patients who had emergency general surgery either early (July-August) or late (September-June) in…
Editor's Note Quality improvement initiatives combined with pulsed xenon ultraviolet room disinfection reduced total knee surgical site infections (SSIs) from four to zero and total hip SSIs from three to zero for a combined prevention of seven SSIs and a savings of $290,990 in 1 year at Trinity Medical Center,…
Editor's Note Quest Medical, Inc (Allen, Texas), on October 28 initiated a nationwide recall of its Myocardial Protection System delivery sets, Models 5001102, 5001102-AS, and 7001102 of specified lots. The sets have shown possible seal failure along the blood source channel of the main pump cassette, resulting in blood loss…
Editor's Note Compared to married patients, those who were divorced, separated, or widowed had a 40% greater chance of dying or developing a functional disability in the first 2 years after cardiac surgery, in this study. Characterizing the association between marital status and postoperative function may be useful for counseling…
Editor's Note Resident involvement in surgery is associated with comparable patient morbidity and lower mortality outcomes than procedures without residents, this study finds. The analysis used data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). The findings provide a reassuring answer to patients, attending surgeons,…
Editor's Note The 2014 Institute of Medicine report calls for restructuring of Medicare funding for graduate medical education to incorporate pay-for-performance methods. However, to evaluate and financially reward residency programs based on performance, performance must be defined and measurable. This study assesses general surgery residency program performance using outcomes, including…
