Editor's Note Postoperative delirium significantly worsens outcomes for older adults undergoing major noncardiac surgery, according to research published July 8 in JAMA Network Open. Specifically, findings showed patients who developed postoperative delirium had 3.5 times the odds of death or major complications, 2.8 times the odds of 30-day mortality, and…

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Editor's Note Routine colonoscopy surveillance after polyp removal is safe for adults over 75 and should not be ruled out based on age alone, according to a new study from Kaiser Permanente published on May 27 in Clinical Gastroenterology and Hepatology. The research, conducted as part of the National Cancer…

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Takeaways • US surgeons have no mandated retirement age. According to the Aging Surgeon Program, “a patient death or serious negative event are currently the only things that prompt action to prevent a surgeon from practicing.” • Research on aging-related decline is clear, but nuanced, showing rates and scope vary…

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Editor's Note A low-cost blood test for troponin, a protein released during heart muscle damage, significantly improves long-term risk prediction for heart attacks and strokes—especially in patients with intermediate cardiovascular risk, according to an April 7 report from News-Medical.Net. The findings, based on a large-scale international study led by the…

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Editor's Note With several major gatherings planned for this spring—including those from AORN, AONL, ASCA, and ASPAN—a bustling events season offers perioperative leaders valuable opportunities for reflection on our careers and futures. Speaking of futures, the 2024 OR Manager Salary/Career Survey revealed an intriguing shift: only 9% of perioperative nurses…

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Editor's Note Efforts to reduce the risk of postoperative delirium in older patients should focus on preoperative evaluation, anesthesia choices, and medication management, according to the American Society of Anesthesiologists (ASA). Designed specifically for treating adults aged 65 and older undergoing inpatient surgery, these new, evidence-based recommendations are presented in…

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Editor's Note Older adults face a significantly higher risk of complications including stroke and recurrent heart attacks if they undergo elective noncardiac surgeries soon after myocardial infarction, according to a University of Rochester study published October 30 in JAMA Surgery.  According to a University announcement, current guidelines from the American…

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Editor's Note A study presented at the 2024 American Society of Anesthesiologists annual meeting suggests that non-salicylate NSAIDs may significantly reduce the risk of postoperative delirium, a serious complication affecting up to 15% of surgical patients, Anesthesiology News reported October 20. Delirium is especially prevalent in older adults and those…

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Editor's Note A study published May 7 in JAMA Open found no significant risk of periprosthetic joint infection (PJI) when colonoscopy is performed within one year of total joint arthroplasty (TJA), whether the colonoscopy was done before or after the surgery. However, certain comorbidities such as kidney and pulmonary disease,…

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Editor's Note Researchers from Stanford Medicine have found a way to detect which organs in someone’s body are aging at an accelerated rate using a simple blood test. The findings were published in the journal Nature on December 6.  This study looked at 5,678 people and found that about one…

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