Most deaths in adults undergoing noncardiac surgery occur after surgery, and even after discharge from the hospital, reports a new study.
It's not the operating room that is risky for patients undergoing noncardiac surgery; it's the recovery period. According to a large international study, only 0.7% of deaths in these patients occurred in the operating room, whereas 29% of deaths occurred after discharge from the hospital. The study, which included patients at 28 centres in 14 countries, was published in CMAJ (Canadian Medical Association Journal).
Patients With Acute Kidney Injury may be at Death Risk After Discharge from ER
Acute kidney injury (AKI) is a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.
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‘Operating room is not always risky for patients undergoing noncardiac surgery, but it is the recovery period that causes death in most patients, especially after surgery and discharge from the hospital.’
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"Given that most deaths in adults undergoing noncardiac surgery occur not in the operating room, but afterwards, efforts to improve postsurgical care in hospital and at home has substantial potential to reduce mortality," says author Dr. P.J. Devereaux, McMaster University, Hamilton, Ontario.
The study, which included 40 004 adults aged 45 years or older in North and South America, Asia, Europe, Africa and Australia who underwent surgery between 2007 and 2013, found that 1.8% died within 30 days of noncardiac surgery. Major bleeding, injury to the heart muscle and severe infection (sepsis) accounted for a large portion of deaths (45%).
![Early Follow-up Decreases Death Risk, Hospital Admission in Heart Failure Patients]( "Early Follow-up Decreases Death Risk, Hospital Admission in Heart Failure Patients")
Heart failure patients have a decreased risk of death, hospital admission if seen by a doctor in the first seven days after emergency department discharge, finds a new study.
"Approximately 100 million adults aged 45 or older undergo noncardiac surgery worldwide every year, therefore, an estimated 1.8 million people die of complications within 30 days," says Dr. Devereaux. "This means that death after surgery is a major global health burden."
The authors suggest that solutions focused on prevention, early identification and close management of bleeding, cardiac issues, and infection may help to reduce these preventable deaths.
Data published are from the Vascular Events in Non-cardiac Surgery Patients Cohort Evaluation (VISION) study funded by more than 70 sources.
In a linked commentary, Dr. Barnaby Reeves, Bristol Medical School, University of Bristol, Bristol, United Kingdom, salutes the achievement of the study investigators but cautions policy-makers to be mindful of inherent biases in such studies when considering the observed relationships between complications and mortality.
"Association between complications and death within 30 days after noncardiac surgery" is published.
Source: Eurekalert
Early Follow-up Decreases Death Risk, Hospital Admission in Heart Failure Patients
Heart failure patients have a decreased risk of death, hospital admission if seen by a doctor in the first seven days after emergency department discharge, finds a new study.
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"Approximately 100 million adults aged 45 or older undergo noncardiac surgery worldwide every year, therefore, an estimated 1.8 million people die of complications within 30 days," says Dr. Devereaux. "This means that death after surgery is a major global health burden."
The authors suggest that solutions focused on prevention, early identification and close management of bleeding, cardiac issues, and infection may help to reduce these preventable deaths.
Data published are from the Vascular Events in Non-cardiac Surgery Patients Cohort Evaluation (VISION) study funded by more than 70 sources.
In a linked commentary, Dr. Barnaby Reeves, Bristol Medical School, University of Bristol, Bristol, United Kingdom, salutes the achievement of the study investigators but cautions policy-makers to be mindful of inherent biases in such studies when considering the observed relationships between complications and mortality.
"Association between complications and death within 30 days after noncardiac surgery" is published.
Source: Eurekalert
Program to Reduce Hospital Readmission Increases Risk of Death
A program called Hospital Readmissions Reduction Program (HRRP) was designed to reduce hospital readmission increases the rate of death among heart failure patients.
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20% Hospitalized People are Discharged Before Vital Signs are Stable20% of people hospitalized are released before all vital signs are stable, a pattern that is associated with an increased risk of death and hospital readmission. | Advertisement
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