Background: Post-surgical procedure-related mortality is a critical area of healthcare, frequently linked to complications such as excessive bleeding, sepsis, organ failure or adverse reactions to anesthesia. Given the devastating nature of these complications and their effects on patient safety, the importance of robust surgical protocols and post-op monitoring is highlighted. This study analyzed trends and [...]

Background: Hip fracture surgery is associated with a significant incidence of postoperative myocardial infarction (postop-MI) up to 14% in the first 7 days after repair. Patients who sustain postop-MI have 1-year mortality rates up to 36%. However, the impact of risk factor modification and routine troponin monitoring on the incidence and prognosis of postop-MI remains [...]

Background: Chronic kidney disease (CKD) is associated with adverse perioperative outcomes, including mortality, with risk increasing with severity of CKD. (1) Long term dialysis is also associated with pneumonia, unplanned intubation, reoperation, and vascular complications. (2) Common preoperative practices for end stage renal disease (ESRD) patients include measuring day of surgery (DOS) potassium levels. Little [...]

Background: Current guidelines recommend continuing aspirin during elective non-cardiac surgery in 1) patients with prior percutaneous coronary intervention (PCI) if the bleeding risk allows and 2) patients without prior PCI if thrombotic risk outweighs bleeding risk. Comparing the risk of thrombosis and bleeding is frequently inexplicit, particularly in low and intermediate bleeding risk surgery. The [...]

Background: The Mount Sinai at Home (MSaH) program is a continuum of care that includes Hospitalization at Home (HaH), Palliative Care at Home and Subacute Rehab at Home (RaH). With these care delivery models, we can meet a wide and expanding spectrum of patient care needs. At MSaH, hospitalists, nurses, physical and occupational therapists, social [...]

Case Presentation: A 57-year-old female with diabetes mellitus and hypertension presented for a post-operative visit 3 weeks after spinal surgery with chief complaint of new-onset left leg weakness, leg buckling when upright, and increased dependence on her walker, despite initially recovering well. Physical exam exhibited 4-5/5 strength in all tested groups except for 1-2/5 strength [...]