Session Type
Meeting
Search Results for Preoperative
Abstract Number: 134
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Surgical site infections (SSI) can complicate any operative procedure although this risk is mitigated through the use of preoperative antibiotic prophylaxis. While antibiotic prophylaxis can provide great benefit, inappropriate use can lead to the development of multi-drug resistant organisms causing increased morbidity, mortality, and cost. Although national clinical guidelines for preoperative antibiotics prophylaxis were […]
Abstract Number: 180
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Preoperative assessment is a common medical practice, with latest guidelines emphasizing use of additional diagnostic testing only in patients to whom it would bring substantial change in management. The objective of our study is to determine the appropriateness of diagnostic tests used in preoperative assessment Methods: This observational study was conducted at a 200 […]
Abstract Number: 184
Hospital Medicine 2016, March 6-9, San Diego, Calif.
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. However, there is no published data comparing their performance. Methods: We retrospectively reviewed records of 663 patients seen in our preop clinic who […]
Abstract Number: 200
Hospital Medicine 2020, Virtual Competition
Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]
Abstract Number: 253
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Clinical practice guidelines (CPG) are a constructive response to the clinical situations providing systematically developed statements that include recommendations intended to optimize patient care. Despite their value, inadequate dissemination and implementation of the CPGs derail quality improvements in patient care. Traditionally, static documents (PDF, HTML pages) have been used to deliver CPGs incorporated into […]
Abstract Number: 255
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In 2014, the ACC/AHA released guidelines regarding indications for preoperative transthoracic echocardiogram (pre-op TTE) in patients undergoing noncardiac surgery. Studies indicate that the ordering of pre-op TTE in noncardiac surgery is not consistent with the ACC/AHA guidelines. Some studies suggest the pre-op TTE have a significant impact on management, while others have demonstrated low cardiac […]
Abstract Number: 275
SHM Converge 2021
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 […]
Abstract Number: 285
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), the presence of bacteria in urine without signs or symptoms of a urinary tract infection, is a common finding. The current recommendation by the Infectious Diseases Society of America is against screening for and treating ASB in patients undergoing non-urologic surgeries, due to the lack of demonstrable benefit in reducing the […]
Abstract Number: 288
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The healthcare system in the United States is often times costly and inefficient. Some estimates suggest that 20-34% of healthcare dollars are spent ineffectively. Despite efforts such as the Choosing Wisely Campaign to limit preoperative testing prior to low risk surgery, preoperative cardiac testing before low risk procedures remains common. This study assesses the […]
Abstract Number: 353
SHM Converge 2023
Background: Novant Health is a leading healthcare provider in North Carolina, with 15 hospitals and 14 ambulatory surgery centers across the state. In the preoperative assessment arena, there are currently ten pre-admission testing clinics that are staffed by either hospitalists, anesthesia providers, or both. Variable preoperative assessment criteria exist for each surgical location, with no […]