Annals of surgery
-
To assess whether hospital rates of secondary complications could serve as a performance benchmark and examine associations with mortality. ⋯ Hospital-level rates of secondary complications (failure to arrest complications) vary widely, are associated with mortality, and may be useful for quality improvement and benchmarking.
-
Observational Study
Perioperative Fluid Utilization Variability and Association With Outcomes: Considerations for Enhanced Recovery Efforts in Sample US Surgical Populations.
To study current perioperative fluid administration and associated outcomes in common surgical cohorts in the United States. ⋯ According to results from this review of current practice in US hospitals, fluid optimization would likely lead to decreased variability and improved outcomes.
-
To evaluate outcomes after surgical ligation (SL) of patent ductus arteriosus (PDA) in premature, extremely low birth weight (ELBW) infants. ⋯ Propensity score-matched analysis demonstrates reduced mortality in premature/ELBW infants with SL for PDA. NEC and sepsis are predictors of mortality and resource utilization.
-
The purpose of this study is to determine if patient selection varies based on years of surgical practice. ⋯ Surgical experience significantly impacts patient selection. Surgeons with over 25 years of experience had lower complication rates. Experience had no impact on mortality.
-
To investigate whether warming to normal body temperature or to febrile range temperature (39°C) is able to reverse the detrimental effects of hypothermia. ⋯ Warming to normal body temperature (37°C) does not restore normal monocyte function in vitro. These data suggest that hypothermic patients should be warmed to febrile range temperatures. Furthermore, febrile range temperatures should be investigated as a means to modulate the inflammatory response in patients with systemic infections.