Strong social support significantly influences recovery outcomes for trauma patients, particularly those from lower socioeconomic backgrounds. Analysis of 1,243 participants revealed that adverse outcomes were more prevalent among individuals with low socioeconomic status and weaker support networks. Notably, higher rates of PTSD, chronic pain, and functional dependence were observed, but those with high social support […]
Category: Appendix, Gallbladder and Surgical Emergencies
Enhanced recovery protocols show variable adherence in emergency surgeries
A multicenter study involving 760 patients examined adherence to enhanced recovery protocols (ERPs) in emergency general surgery (EGS). While adherence rates were high for active warming (97%) and postoperative nausea/vomiting prevention (92%), significant gaps were identified in invasive monitoring (35%) and minimally invasive surgery (26%). Postoperative outcomes revealed a 3% mortality rate and a 7-day […]
Enhanced recovery programs benefit emergency abdominal surgery patients.
Enhanced Recovery After Surgery (ERAS) programs significantly cut recovery time for emergency abdominal surgery patients, reducing median recovery from 163 hours to 141 hours. The program also accelerated gastrointestinal recovery, with first flatus occurring earlier at 1.10 days compared to 1.30 days. Patient satisfaction improved, with scores rising from 91 to 95. Importantly, ERAS did […]
Trauma patients face significant delays despite access to care
A recent analysis of over 102,000 incident reports from Riyadh reveals a troubling prevalence of delays and undertriage among trauma patients. Although 66.8% of critically injured patients were transported to adequate trauma centers, 21.1% faced delays exceeding one hour, with some areas reaching up to 57.7%. Additionally, 28.7% were undertriaged to non-trauma centers. Implementing a […]
Machine learning predicts prolonged surgery in laparoscopic cholecystectomy
A recent study revealed that machine learning can effectively predict prolonged operative times in fluorescent laparoscopic cholecystectomy, identifying 29% of patients at risk. Key predictive factors included type of cholecystitis, puncture ports, gallbladder adhesion, pre-surgery antibiotics, and gallbladder thickness. Using the light gradient boosting machine (LightGBM) model, researchers achieved an impressive AUC of 0.876, indicating […]
Scheduled imaging proves beneficial for identifying complications.
A multicenter trial found that scheduled repeat imaging within 48-72 hours significantly aids in identifying complications in patients with moderate to high-grade blunt liver and spleen injuries. Of the 2,341 liver injury and 2,143 spleen injury patients observed, 35.1% and 27.9% underwent repeat imaging, respectively. Complications were detected in 7.1% of liver and 7.5% of […]
AI model accurately assesses surgical skills in laparoscopic cholecystectomy
An AI-based surgical phase recognition model achieved 82.3% accuracy in assessing the skill levels of surgeons performing laparoscopic cholecystectomy. Novice surgeons demonstrated significantly longer dissection times compared to experts, with similar patterns observed in clipping and cutting tasks. The model proved effective in categorizing surgical proficiency, identifying key metrics such as phase duration and confidence […]
Operative treatment improves outcomes for acute cholecystitis in pregnancy
A systematic review and meta-analysis of nine studies involving 45,883 pregnant women found that operative treatment of acute cholecystitis significantly reduces adverse pregnancy outcomes and hospital stay length compared to nonoperative approaches. Specifically, the odds of negative outcomes were reduced by 40%, and the average hospital stay decreased by over seven days. Importantly, while maternal […]
Smoking increases surgical site infection risk in trauma patients
A significant association between smoking and surgical site infections (SSI) was identified in trauma patients, with 24.3% of those studied being smokers. Compared to nonsmokers, smokers had higher SSI rates (0.9% vs. 0.7%) and an increased risk persisted even after controlling for confounding factors. The strongest correlation was observed in patients with severe trauma. These […]
Dementia linked to worse surgical outcomes in older patients
In emergent hernia repair, patients with dementia, constituting 8.2% of 137,755 analyzed, face significantly higher risks. Older individuals with dementia experience increased in-hospital mortality (odds ratio 1.29), greater perioperative complications (1.41), and are more likely to be discharged non-home (2.98) compared to those without dementia. Additionally, readmission rates rise (1.11) for this vulnerable population. The […]