Tag: risk factors

Study: Weekend effect raises risk of surgical patient mortality, complications

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Editor's Note A March 4 study in JAMA Network Open underscores the persistence of the “weekend effect,” a surgical care phenomenon in which the risk of postoperative complications, readmissions and mortality rises immediately before the weekend. The research suggests variations in staffing, resource availability, and care coordination may contribute to…

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By: Matt Danford
March 6, 2025
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Fresh tools, talking points drive sharps safety culture shift

Takeaways • The prevalence of needlesticks and other sharp object injuries to OR team members is 42.8%, an increase of 16% over the past decade. • New research and perspectives are shaping the discourse around sharps safety, such as new and expanded evidence-based practices presented in AORN’s 2025 update to…

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By: Carina Stanton
March 5, 2025
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4 ways ASCs balance strict infection control, limited resources

Reduced costs, faster recovery, and other advantages can make outpatient surgical procedures more convenient for providers and patients alike. Ambulatory surgery centers (ASCs) are incredibly safe, but a lot of work goes into infection control. Cross-trained staff often wear many hats, and limited budgets may not leave room for dedicated…

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By: Christy Newland
March 5, 2025
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Preoperative SGLT2i use does not raise DKA risk in emergency surgery

Editor’s Note Preoperative use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) does not increase the risk of postoperative diabetic ketoacidosis (DKA) in patients undergoing emergency surgery, according to a study published February 19 in JAMA Surgery. These findings challenge the current FDA recommendation to withhold SGLT2i medications for at least three…

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By: Matt Danford
February 24, 2025
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Study explores use of antibiotics as alternative to pediatric appendectomy

Editor's Note The first large-scale, randomized pediatric trial of its kind reveals the potential of treating acute, non-perforated appendicitis in children with antibiotics instead of surgery, Medical Xpress reported January 20. Published in The Lancet, the APPY study involved collaboration among 11 children’s hospitals worldwide to compare the effectiveness of…

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By: Matt Danford
January 21, 2025
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Expansive study highlights GLP-1 risks, potential beyond weight loss, diabetes treatment

Editor's Note Known for managing Type 2 diabetes and promoting weight loss, GLP-1 drugs like Ozempic and Wegovy may also reduce the risks of numerous other conditions, including Alzheimer’s, substance use disorders, and certain cancers, according to an article published in Fortune January 20. Led by the Veterans Affairs St.…

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By: Matt Danford
January 21, 2025
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Study: Adjusting Caprini score may improve perioperative VTE risk prediction for Blacks, Latinos

Editor's Note A study presented at the ASH Annual Meeting 2024 found that the current Caprini score, a widely used model for assessing perioperative venous thromboembolism (VTE) risk, underestimates risk in Black patients while overestimating it in Latino patients. Hematology Advisor reported the news January 6. According to the article,…

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By: Matt Danford
January 14, 2025
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Why active implants demand proactive management

What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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By: Mary A. Marvin, APRN-BC and Jill Teubel, MSN, RN
January 1, 2025
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Study: Geriatric surgery program improves outcomes, independence

Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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By: Matt Danford
December 18, 2024
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Data support option to skip sentinel lymph node biopsy in early breast cancer

Editor's Note Skipping sentinel lymph node biopsy (SLNB) in patients with clinically node-negative early breast cancer provides noninferior outcomes compared to undergoing the procedure, MedPage Today reported December 13. Presented at the San Antonio Breast Cancer Symposium and published in the New England Journal of Medicine, the INSEMA trial found…

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By: Matt Danford
December 16, 2024
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