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
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
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
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
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 
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-…
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
#WhatDietitiansDo #NutritionScreening #MUST #PreOp #Patientflow
