Background: Studies have shown that early exposure to statins preoperatively have been associated with significant reductions in perioperative mortality and improved post-operative outcomes [1]. Despite guideline recommendations, use of statin therapy remains sub-optimal [2]. A retrospective study at our institution revealed over 40% of patients that presented to our preoperative optimization clinic were not on [...]

Background: Surgical risk stratification tools have existed since Goldman created the cardiac risk index in 1977. Since then, there has been a proliferation of risk calculators: the three most notable being the Revised Cardiac Risk Index (RCRI), the American College of Surgeons-Surgical Risk Calculator (ACS-SRC), and the Gupta Myocardial Infarction and Cardiac Arrest calculator (MICA). [...]

Background: The elderly population is growing rapidly and those aged 65 and older comprise nearly 40 percent of hospitalized adults. As the population continues to age, this number is expected to rise. Promoting age-friendly care has been at the forefront of many health systems’ goals. Purpose: Our Hospital Medicine Group’s Orthopedic Hospitalist co-management program set [...]

Background: Perioperative patient management in accordance with the clinical practice guidelines is effective only when followed. The ACC/AHA perioperative guidelines contain many recommendations which cannot be translated in electronic health record alerts or order sets. Purpose: We built an app to improve efficiency in preoperative evaluations based on the ACC/AHA guidelines. We present results of [...]