Patients on chronic kidney replacement therapy (KRT), particularly those on peritoneal dialysis, exhibit high rates of gastrointestinal surgery and increased morbidity. Peritoneal dialysis patients have the highest postoperative mortality risk, especially after emergency procedures. Infective complications surpass cardiac issues. Additionally, a U-shaped association between body mass index and mortality is observed. Journal Article by Palamuthusingam […]

Older adults undergoing major surgery experience distinct trajectories of postoperative depressive symptoms, with three identified groups: sustained low, sustained moderate, and sustained high symptoms. The study, spanning 18 months, reveals that depressive symptoms remained stable for most patients, emphasizing the need for early intervention and screening to improve postoperative outcomes and health trajectories. Preoperative depression, […]

This study reviewed the evidence on the risks of surgical complications in patients with metabolic syndrome (mets) compared to those without mets. The meta-analysis included 63 studies with 1,919,347 patients with mets and 11,248,114 patients without mets. The results revealed that individuals with mets had a higher risk of mortality, surgical site infection, cardiovascular complications, […]

A retrospective analysis of 8,512 surgical patients revealed that 25.2% reported at least one social determinant of health (SDOH) need. Factors such as food insecurity, housing instability, lack of transportation, and unmet medication needs were identified as independent predictors of poor physical and mental health. The study emphasizes the importance of assessing and addressing SDOH […]

In this randomized clinical trial, researchers investigated whether goal-directed albumin substitution could reduce postoperative complications in high-risk surgery patients. They found that maintaining a serum albumin concentration >30 g/l perioperatively did not significantly reduce the incidence of postoperative complications compared to standard care. Journal Article by Schaller SJ, Fuest K (…) Jungwirth B et 9 […]

One-third of adults experience moderate to severe psychological distress before major elective noncardiac surgery, with 32.6% reporting distress before surgery. This distress tends to persist or worsen over time, with 27.3% experiencing distress at 30 days after surgery and 26.2% at 1 year after surgery. Females and patients undergoing orthopedic procedures show slight improvement, while […]

A study aimed to establish a concrete and realistic framework with evaluation metrics to assess sustainability in global surgical partnerships (GSPs) through a modified Delphi technique. Consensus was achieved among 50 global surgery experts from 34 countries, resulting in the development of a 47-item checklist for the evaluation of the six pillars of sustainability in […]

Researchers developed and validated a Markov-embedded multilabel model to predict the risks of various postoperative complications among surgical inpatients. The model outperformed other existing models, achieving the highest average area under the receiver operating characteristic curve (AUC) for eight outcomes, including cardiac complications, neurological complications, and mortality. The model identified important preoperative variables, but the […]

Mortality rates among patients undergoing acute high-risk abdominal surgery were significantly higher among those with myocardial injury after surgery (MINS), defined as elevated troponin I (TNI) levels. The incidence of MINS was 23.8%, and these patients had a 30-day mortality rate of 19.8%, compared to 2.7% in patients without MINS. TNI monitoring could potentially identify […]

Approximately 36.5% of critically ill surgical patients experience functional decline after admission to the intensive care unit (ICU). The study, which analyzed data from over 52,000 surgical patients across 236 hospitals, revealed that patients undergoing pulmonary, musculoskeletal, neurological, gastrointestinal, and skin and soft tissue surgeries had increased odds of functional decline. Age, gender, comorbidities, and […]