Discover and read the best of Twitter Threads about #PreOp

Most recents (2)

Does a #preop #medicine consult lead to better outcomes?
Probably not in most cases
New in @JAMAInternalMed from @OttawaHospital @OttAnesthesia @aims_periop @OttawaIM @ICESOntario

bit.ly/3LZ3Vf4
1/
Among those who had a consult, baseline risk was higher (not surprising)

But, even with clustered adjustment and PS matching…

No signs of benefit:
-OR 1.19 (1.11-1.29) mortality
-LoS, costs and adverse events also significantly⬆️ with consult
-Consistent in sens analyses
2/
Testing ⬆️
Interventions ⬆️
New B-blocker Rx ⬆️

Were consult pts just less healthy and our data couldn’t adequately adjust? Maybe…

But rates of cancer screening no different btw groups
Read 7 tweets
Here’s Evanna our Gastrointestinal Surgery Dietitian in MDT Pre-Op clinic. Dietetic advice is key to help prepare a patient for better surgical outcomes incl. reducing the chance of stoma formation and reducing hospital stay for patients with #CrohnsDisease #Gisurgerydietitian Image
Evanna is involved in surgical prehabilitation for gastrointestinal surgeries.
Here's more on the importance of the role of nutrition and exercise: anesthesiology.theclinics.com/article/S1932-…
Nutrition is a modifiable risk factor for post-operative outcomes. We must identify ‘at-risk’ patients early to help prevent malnutrition @StGDietitians
#WhatDietitiansDo #NutritionScreening #MUST #PreOp #Patientflow Image
Read 13 tweets

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