Archives of surgery (Chicago, Ill. : 1960)
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Review Meta Analysis
Perioperative supplemental oxygen therapy and surgical site infection: a meta-analysis of randomized controlled trials.
To conduct a meta-analysis of randomized controlled trials in which high inspired oxygen concentrations were compared with standard concentrations to assess the effect on the development of surgical site infections (SSIs). ⋯ Perioperative supplemental oxygen therapy exerts a significant beneficial effect in the prevention of SSIs. We recommend its use along with maintenance of normothermia, meticulous glycemic control, and preservation of intravascular volume perioperatively in the prevention of SSIs.
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To compare outcomes of patients undergoing bariatric procedures in hospitals designated as centers of excellence compared with nondesignated hospitals. ⋯ Designation as a bariatric surgery center of excellence does not ensure better outcomes. Neither does high annual procedure volume. Extra expenses associated with center of excellence designation may not be warranted.
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To determine the extent to which the Injury Severity Score (ISS) and Trauma Mortality Probability Model (T-MPM), a new trauma injury score based on empirical injury severity estimates, agree on hospital quality. ⋯ The choice of expert-based or empirical Abbreviated Injury Score severity scores for individual injuries does not seem to have a significant effect on hospital quality measurement when physiologic information is included in the prediction model. This finding should help to convince all stakeholders that the quality of trauma care can be accurately measured and has face validity.