Academic literature on the topic 'Preoperative health status'
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Journal articles on the topic "Preoperative health status"
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Chipchase, L. S., D. A. O'Connor, J. J. Costi, and J. Krishnan. "Shoulder impingement syndrome: Preoperative health status." Journal of Shoulder and Elbow Surgery 9, no. 1 (2000): 12–15. http://dx.doi.org/10.1016/s1058-2746(00)90003-x.
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Lai, Sean Wei Hong, Camelia Qian Ying Tang, Arjunan Edward Kumanan Graetz, and Gowreeson Thevendran. "Preoperative Mental Health Score and Postoperative Outcome After Hallux Valgus Surgery." Foot & Ankle International 39, no. 12 (2018): 1403–9. http://dx.doi.org/10.1177/1071100718794661.
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Background: Preoperative mental health status as a predictor of operative outcome has been a growing area of interest. In this paper, the correlation between preoperative mental health status and postoperative functional outcome following scarf osteotomy for hallux valgus correction was explored. Methods: Parameters were tabulated preoperatively and postoperatively at a minimum of 1-year follow-up. They included the Short Form 36 (SF-36), American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, hallux valgus angle (HVA), and intermetatarsal angle (IMA) measurements and the visual analog score (VAS) to quantify pain. SF-36 mental component summary (MCS) score was used as a surrogate for patient’s mental health status. Seventy-six consecutive cases were analyzed at a minimum of 1-year follow-up. Results: There were significant improvements in all 8 domains of the SF-36, with the mean MCS score increasing from 52.3 ± 7.6 preoperatively to 55.7 ± 6.8 postoperatively. Preoperative MCS scores were not correlated to changes in AOFAS score, PCS score, VAS pain score, HVA or IMA. Preoperative MCS was observed to be correlated to postoperative AOFAS ( r = 0.381, P = .001) and PCS score ( r = 0.315, P = .006). Patients with a preoperative MCS score ⩾50 had a statistically higher postoperative AOFAS and PCS score than patients with MCS score <50. There was no correlation between preoperative MCS scores and improvements in radiologic parameters. There was also no correlation between the improvements in radiologic parameters and improvements in both the AOFAS and VAS pain scores. Conclusion: Preoperative mental health (as measured by the MCS score) was only correlated to postoperative functional outcome (as measured by the postoperative AOFAS and PCS score), but not other postoperative outcomes (VAS pain score, radiologic parameters). Level of Evidence: Level III, comparative study.
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Sahu, Manoj Kumar, Surbhi Dubey, Mahendra Kumar, and Rajesh Kumar Dubey. "Preoperative Mental Health Status of Living Kidney Donors." Journal of Evolution of Medical and Dental Sciences 9, no. 47 (2020): 3547–50. http://dx.doi.org/10.14260/jemds/2020/778.
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MacPhedran, A. Kate, David B. Barker, Mark L. Marbey, Kieran Fogarty, and Eric Vangsnes. "Is Preoperative Functional Status Associated with Postoperative Mortality and Morbidity in Elective Open Heart Patients?" Health 10, no. 05 (2018): 654–66. http://dx.doi.org/10.4236/health.2018.105051.
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DiMaria-Ghalili, Rose Ann. "Changes in Nutritional Status and Postoperative Outcomes in Elderly CABG Patients." Biological Research For Nursing 4, no. 2 (2002): 73–84. http://dx.doi.org/10.1177/1099800402238330.
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To systematically examine the pattern of nutritional status over time in older people undergoing elective coronary artery bypass grafting (CABG) and the extent to which nutritional status affects health outcomes postdischarge. Design. The sample consisted of 91 community-dwelling English-speaking persons 65 (72.27 4.85) years of age with normal cognitive function and no active cancer. Data collected prospectively at 3 time points (preoperatively, postoperatively on day 5, and 4 to 6 weeks postdischarge) included serum albumin, transferrin, and calculated Body Mass Index (BMI). The Short-Form 36 Health Status Survey Questionnaire was administered 4 to 6 weeks postdischarge as a primary health outcome measure. Results. Nutritional status changed over time. For albumin and transferrin, the pattern of change corresponded to the phases of surgical stress (P = 0.001). The BMI decreased from preoperative to 4 to 6 weeks postdischarge (P = 0.001), and this decrease explained 13.8% of the variance in physical health 4 to 6 weeks postdischarge (P=0.008). The change in the BMI corresponds to an average weight loss of 5% from preoperative to postdischarge. Conclusions. Older people undergoing CABG who lose significant weight from preoperative to postdischarge aremore likely to have lower self-reported physical health.
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Meguid, Robert A., Michael R. Bronsert, Karl E. Hammermeister, et al. "The Surgical Risk Preoperative Assessment System: Determining which predictor variables can be automatically obtained from the electronic health record." Journal of Patient Safety and Risk Management 24, no. 6 (2019): 230–37. http://dx.doi.org/10.1177/2516043519876489.
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Introduction The Surgical Risk Preoperative Assessment System is a parsimonious, universal surgical risk calculator integrated into our local electronic health record. We determined how many of its eight preoperative risk predictor variables could be automatically obtained from the electronic health record. This has implications for the usability and adoption of Surgical Risk Preoperative Assessment System, serving as an example of use of electronic health record data for populating clinical decision support tools. Methods We quantified the availability and accuracy in the electronic health record of the eight Surgical Risk Preoperative Assessment System predictor variables (patient age, American Society of Anesthesiology physical status classification, functional health status, sepsis, work Relative Value Unit, in-/outpatient operation, surgeon specialty, emergency status) at the patient’s preoperative encounter of 5205 patients entered into the American College of Surgeons National Surgical Quality Improvement Program. Accuracy was determined by comparing the electronic health record data to the same patient’s National Surgical Quality Improvement Program data, used as the “gold standard.” Acceptable accuracy was defined as a Kappa statistic or Pearson correlation coefficient ≥0.8 when comparing electronic health record and National Surgical Quality Improvement Program data. Acceptable availability was defined as presence of the variable in the electronic health record at the preoperative encounter ≥95% of the time. Results Of the eight predictor variables, six had acceptable accuracy. Only preoperative sepsis and functional health status had Kappa statistics <0.8. However, only patient age and surgeon specialty were ≥95% available in the electronic health record at the preoperative visit. Conclusions Processes need to be developed to populate more of the Surgical Risk Preoperative Assessment System preoperative predictor variables in the patient’s electronic health record prior to the preoperative visit to lessen the burden on the busy surgeon and encourage more widespread use of Surgical Risk Preoperative Assessment System.
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HAHN, R. G., A. LÖFGREN, and A. M. NORDIN. "Health status and the preoperative change in serum potassium concentration." Acta Anaesthesiologica Scandinavica 37, no. 4 (1993): 329–33. http://dx.doi.org/10.1111/j.1399-6576.1993.tb03724.x.
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Albright, Emily L., Daniel L. Davenport, and J. Scott Roth. "Preoperative Functional Health Status Impacts Outcomes after Ventral Hernia Repair." American Surgeon 78, no. 2 (2012): 230–34. http://dx.doi.org/10.1177/000313481207800244.
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Associated with the aging population is an increase in comorbidities and a decrease in the ability to perform basic daily activities. This is tracked within the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) as a patient's preoperative functional health status. Our goal was to evaluate the impact of preoperative functional status upon outcomes after ventral hernia repair. We reviewed all cases of patients that underwent ventral hernia repair from 2005 to 2010 in the ACS-NSQIP database. Patients were identified based on selected Current Procedural Terminology codes and grouped based on functional status as listed in the ACS-NSQIP database—independent, partially dependent, and totally dependent. Preoperative and operative variables were recorded for all patients. Clinical risk factors and short-term outcomes between groups were compared. Multivariable logistic regression was used to adjust for age, wound class, American Society of Anesthesiologists class, and case relative value units. A total of 76,397 patients were identified: 74,785 were independent (97.9%), 1,317 partially dependent (1.7%), and 295 totally dependent (0.4%). Totally dependent patients had an increased risk for all short-term outcomes after ventral hernia repair: wound occurrence, pneumonia, pulmonary embolism, urinary tract infection, myocardial infarction, deep venous thrombosis, sepsis, return to the operating room, and death ( P < 0.001 for all).
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Imamura, Kyoko, and Nick A. Black. "Total Hip Replacement: The Preoperative Health Status of Patients in Japan Compared with England and the United States." International Journal of Technology Assessment in Health Care 13, no. 1 (1997): 1–10. http://dx.doi.org/10.1017/s0266462300010187.
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AbstractTo explore the contribution of health care to the excellent health status enjoyed by the Japanese compared with other industrialized populations, the preoperative health status of a retrospective cohort of 256 patients who underwent total hip replacement in Japan was compared with 301 patients in England (and published data from the United States). Patients in Japan had less severe hip disease, less comorbidity (in particular, less cardiovascular disease), and were in better general health. This finding suggests that health care contributes little to explaining the better health of people in Japan compared with England and the United States.
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Sutherland, Jason, Guiping Liu, Trafford Crump, Matthew Bair, and Ahmer Karimuddin. "Relationship between preoperative patient-reported outcomes and hospital length of stay: a prospective cohort study of general surgery patients in Vancouver, Canada." Journal of Health Services Research & Policy 24, no. 1 (2018): 29–36. http://dx.doi.org/10.1177/1355819618791634.
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Objectives As an aging population drives more demand for elective inpatient surgery, one approach to reducing length of stay is enhanced evaluation of patients’ preoperative health status. The objective of this research was to determine whether patient-reported outcome measures collected preoperatively can identify patients at risk for longer lengths of stay. Methods This study was based on a prospectively recruited cohort of patients who were scheduled for elective inpatient general surgery in Vancouver, Canada. All participants completed a number of patient-reported outcome measures preoperatively, including the EQ-5D for general health status, the Patient Health Questionnaire (PHQ-9) for depression, and the pain intensity (P), interference with enjoyment of life (E), and interference with general activity (G), known as the PEG, for pain. Patient-reported outcome data were linked to hospital discharge summaries. Multivariate regression was performed to estimate risk of longer lengths of stay, adjusting for patient and clinical characteristics. The primary outcome was length of stay and its associated cost. Data collection took place between October 2012 and November 2016. Results Participation among the population of 2307 eligible patients was 50.5%, providing 1165 participants. Preoperative patient-reported outcomes were not concordant with hospital reported diagnoses of depression or pain. Patients’ preoperative depression and pain scores were independently positively associated with longer length of stay after adjusting for patient-level characteristics. Patients whose PHQ-9 score was 10, representing clinically significant depression, were estimated to have a 1.53 day longer hospitalization, which was associated with an estimated incremental hospital cost of $1667. Conclusions Preoperative self-reported assessment of depression and pain can assist with identifying patients at higher risk of longer lengths of stay. Patient’s self-reported preoperative measures of depression and pain should be incorporated into patient pathways. They provide opportunities for improving management of general surgery patients and possibly play a role in aligning hospital funding with patients’ needs.
Dissertations / Theses on the topic "Preoperative health status"
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Aljassir, Fawzi F. "The effect of preoperative status and timing on outcome following total hip arthroplasty /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83959.
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Introduction. Total hip arthroplasty (THA) has been well documented to enhance patient function, but patient outcome is dependent on preoperative status. The exact timing of surgery to optimize patient outcome after THA remains unknown. This study determines the ideal timing for surgery to obtain the best possible functional outcome.<br>Methods. Prospective, multicenter, cohort studies of 175 hybrid THAs. General health (SF-36) and disease specific (WOMAC and Harris Hip Score (HHS)) questionnaires were used to determine preoperative and 2 year final outcomes. Student's t-test, 95% confidence intervals, receiver operator characteristic curves, simple regression analysis and probability were measured.<br>Results. All functional scores were improved significantly postoperatively (p<0.001). Patients with a HHS ≥ 65 preoperatively had a 100% probability of having an excellent result postoperatively. A preoperative HHS value of 34 and preoperative WOMAC (physical function) value of 50 were the best cutoff points to attain a significantly better postoperative functional outcome.
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Klassen, Anne Frances. "Outcome assessment in plastic surgery : a study of patients' health related quality of life before and after cosmetic surgery." Thesis, University of Oxford, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.360423.
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Rodrigues, Ricardo Jorge Pereira. "Can we assess the effect of surgery for degenerative spinal diseases by using patients' recall of their preoperative status?" Dissertação, 2018. https://hdl.handle.net/10216/111931.
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Rodrigues, Ricardo Jorge Pereira. "Can we assess the effect of surgery for degenerative spinal diseases by using patients' recall of their preoperative status?" Master's thesis, 2018. https://hdl.handle.net/10216/111931.
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莊安慧. "The Effects of Systematic Preoperative Nursing Intervention on Mothers with Children of Congenital Heart Disease in Anxiety Status and Coping Behaviors." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/86320418176894275981.
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碩士<br>國防醫學院<br>護理研究所<br>87<br>Cardiac surgery is an invasive treatment. Patient''s mother has to face with a series of stress during child''s hospitalization for preparing for operation. Therefore the purpose of the study is to delve into the effects of systematic preoperative nursing intervention on mothers with children of congenital heart disease (CHD) in anxiety status and coping behaviors.
Quasi-experimental design was conducted during February 1999 to May 1999 at the pediatric and surgical ward of two medical centers in Taipei, Taiwan. Forty mothers whose children aging under 3 years with CHD and prepared for operation were chosen as subjects by purposive sampling. The subjects were assigned into two groups according to the time sequence of admission. Twenty subjects in the control group received regular nursing care, and twenty subjects in the experimental group received systematic nursing intervention.
「State Trait Anxiety Inventory (STAI)」and 「Jalowiec Coping Scale (JCS)」were used to evaluate the effects of nursing intervention for the mother''s anxiety status and coping behaviors ( pre and post intervention). The collected data were analyzed by frequency distribution, rank, percentage, mean, standard deviation, Chi-square test, t test, paired-t test, ANCOVA, and stepwise regression through the SPSS for window 8.0 P/C.
The results adjusted by ANCOVA were : The subjects in the experimental group received systematic nursing intervention whose mean of decrease of state anxiety level was significantly much greater than the mean of decrease of state anxiety level of the subjects in the control group received regular nursing care ( p＜0.001 ).
In both of the two groups, between the pre and post tests, the use frequencies of the coping behavior types were not significantly different. After the systematic preoperative nursing intervention, the effectiveness of two coping strategies of 「Tried to look at the problem objectively and see all sides」and 「Tried to find out more about the problem」was significantly higher than the effectiveness of the same coping strategies before the subjects in the experimental group received the systematic preoperative nursing intervention ( p＜0.05 ), but not significantly in the control group''s subjects.
In conclusion, this study demonstrates that more actual information was given and more decrease in state anxiety level of mothers from the use of systematic preoperative nursing intervention. The research bring forth some suggestions for the reference with the respect of study design, nursing practice, nursing education, and nursing research.
Books on the topic "Preoperative health status"
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Clifford, Michael. Children with Congenital Heart Disease for Non-cardiac Surgery. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0030.
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It is estimated that up to 1 million children in the United States have congenital heart disease (CHD). These children range from those who are essentially normal functionally with anatomically repaired hearts, and hence minimal impact for anesthesia, to those that have had complex and numerous surgical procedures with significant residual abnormalities in circulation and cardiac function, and a range of comorbidities. These latter children have many issues that will affect anesthesia for non-cardiac surgery. When presented with a child with CHD for non-cardiac surgery, the general pediatric anesthesiologist should be able to perform a tailored cardiac preoperative evaluation and plan an appropriate anesthetic with suitable anesthetic techniques, agents, and monitoring. Not every child with CHD has a single ventricle with all its complexity (see Chapter 31), but every child with CHD will offer challenges for the pediatric anesthesiologist.
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Balik, Martin. Perioperative cardiac care of the high-risk non-cardiac patient. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0076.
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Non-cardiac surgery conveys a cardiac risk related to the status of the patient’s cardiovascular system. Cardiac-related risk of surgery can be assessed by integrating the risk and urgency of the procedure with cardiovascular risk factors, which include age, ischaemic heart disease, heart failure, stroke, diabetes mellitus, chronic obstructive pulmonary disease, and renal dysfunction. An individual assessment can include simple multivariate scoring systems, developed with the aim of evaluating cardiac risk prior to non-cardiac surgery. Patient assessment can be extended for indicated additional tests. The indications for further cardiac testing and treatments are the same as in the non-operative setting, but their timing is dependent on the urgency of surgery, and patient-specific and surgical risk factors. A delay in surgery, due to the use of both non-invasive and invasive preoperative testing, should be limited to those circumstances in which the results of such tests will clearly affect patient management. In high-risk patients, the result of the cardiac assessment helps to choose adequate perioperative monitoring and to indicate for an intensive care unit stay perioperatively. Chronic medications can be adjusted, according to the current knowledge on perioperative management. Drugs with the potential to reduce the incidence of post-operative cardiac events and mortality include beta-blockers, statins, and aspirin. Chronic platelet anti-aggregation and anticoagulation therapies have to be adapted by weighing the risk of bleeding against the risk of thrombotic complications.
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Balik, Martin. Perioperative cardiac care of the high-risk non-cardiac patient. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0076_update_001.
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Non-cardiac surgery conveys a cardiac risk related to the status of the patient’s cardiovascular system. Cardiac-related risk of surgery can be assessed by integrating the risk and urgency of the procedure with cardiovascular risk factors, which include age, ischaemic heart disease, heart failure, stroke, diabetes mellitus, chronic obstructive pulmonary disease, and renal dysfunction. An individual assessment can include simple multivariate scoring systems, developed with the aim of evaluating cardiac risk prior to non-cardiac surgery. Patient assessment can be extended for indicated additional tests. The indications for further cardiac testing and treatments are the same as in the non-operative setting, but their timing is dependent on the urgency of surgery, and patient-specific and surgical risk factors. A delay in surgery, due to the use of both non-invasive and invasive preoperative testing, should be limited to those circumstances in which the results of such tests will clearly affect patient management. In high-risk patients, the result of the cardiac assessment helps to choose adequate perioperative monitoring and to indicate for an intensive care unit stay perioperatively. Chronic medications can be adjusted, according to the current knowledge on perioperative management. Drugs with the potential to reduce the incidence of post-operative cardiac events and mortality include beta-blockers, statins, and aspirin. Chronic platelet anti-aggregation and anticoagulation therapies have to be adapted by weighing the risk of bleeding against the risk of thrombotic complications.
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Balik, Martin. Perioperative cardiac care of the high-risk non-cardiac patient. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199687039.003.0076_update_002.
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Non-cardiac surgery conveys a cardiac risk related to the status of the patient’s cardiovascular system. Cardiac-related risk of surgery can be assessed by integrating the risk and urgency of the procedure with cardiovascular risk factors, which include age, ischaemic heart disease, heart failure, stroke, diabetes mellitus, chronic obstructive pulmonary disease, and renal dysfunction. An individual assessment can include simple multivariate scoring systems, developed with the aim of evaluating cardiac risk prior to non-cardiac surgery. Patient assessment can be extended for indicated additional tests. The indications for further cardiac testing and treatments are the same as in the non-operative setting, but their timing is dependent on the urgency of surgery, and patient-specific and surgical risk factors. A delay in surgery, due to the use of both non-invasive and invasive preoperative testing, should be limited to those circumstances in which the results of such tests will clearly affect patient management. In high-risk patients, the result of the cardiac assessment helps to choose adequate perioperative monitoring and to indicate for an intensive care unit stay perioperatively. Chronic medications can be adjusted, according to the current knowledge on perioperative management. Drugs with the potential to reduce the incidence of post-operative cardiac events and mortality include beta-blockers, statins, and aspirin. Chronic platelet anti-aggregation and anticoagulation therapies have to be adapted by weighing the risk of bleeding against the risk of thrombotic complications.
Book chapters on the topic "Preoperative health status"
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Abd-Elsayed, Alaa, Ravi Grandhi, and John Dombrowski. "Importance of General Health Status in Preoperative Evaluation." In Pain. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99124-5_183.
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Hupp, James R. "Preoperative Health Status Evaluation." In Contemporary Oral and Maxillofacial Surgery. Elsevier, 2014. http://dx.doi.org/10.1016/b978-0-323-09177-0.00001-3.
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Jibawi, Abdullah, Mohamed Baguneid, and Arnab Bhowmick. "Preoperative assessment." In Current Surgical Guidelines, edited by Abdullah Jibawi, Mohamed Baguneid, and Arnab Bhowmick. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198794769.003.0007.
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All patients scheduled for procedures should undergo preoperative assessment. The process should aim to identify, evaluate, and optimize medical comorbidities that may otherwise have an adverse effect on outcome. In addition, it provides an opportunity to ensure that the patient comprehends the proposed procedure and is happy to proceed. A complete assessment including history, examination, ASA grade, and consideration of functional status should be performed by an appropriate health professional. Investigations should be performed only if they contribute to the preoperative process and subsequent management of the patient. Physicians should be vigilant of pre-existing cardiac or respiratory disease as these two systems are the most common cause of perioperative complications. A more thorough workup may be indicated in these cases and risk reduction strategies put in place.
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Warner, Mark A. "Perioperative Positioning Injuries." In Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199743032.003.0004.
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Positioning-related injuries such as central and peripheral neuropathies, compartment syndromes, and soft-tissue injury can be reduced by considering preoperative and intraoperative factors. Preoperative considerations include normal joint range of motion, body habitus, and health status. Intraoperative considerations include compression by table attachments, duration of surgery, airway management, and use of pads and supports.
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McAnally, Heath B., Lyn Freeman, and Beth Darnall. "Putting It All Together." In Preoperative Optimization of the Chronic Pain Patient. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190920142.003.0011.
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Joint behavioral health and medical care is required for optimal success in preoperative optimization of the chronic pain patient. This effort basically comprises lifestyle modification issues, and habit breaking and replacement do not come easily. Physical and psychological dependence on tobacco, alcohol, and opioids adds to the complexity and requires skilled and individualized intervention. Nonetheless, some basic principles, goals and a template/plan for multidimensional “baby steps” can be implemented in every case. Given that many of these variables (e.g., sleep, exercise, diet, kinesiophobia, etc.) are interdependent, such a multidimensional approach is preferred in terms of efficacy. Correspondingly, current forward-thinking charters such as the US National Pain Strategy recognize that the mainstream passivity-inducing and frequently opioid-reliant chronic pain management culture with its failure to encourage biopsychosocial-spiritual health and proactive solutions fosters dependence on reactive efforts. It is no wonder patients suffering with chronic pain in this country should pursue stronger drugs, more procedures and surgery, which in the absence of improved baseline mind-body health status all too often results in worsening of their pain syndrome and opioid dependence. The individual patient and the system at large require recalibration, focusing on what our forebears called “fitness for surgery.”
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Politarczyk, K., Ł. Stepniak, M. Kozinoga, D. Czaprowski, and T. Kotwicki. "Loss of body height due to severe thoracic curvature does impact pulmonary testing results in adolescents with idiopathic scoliosis." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210474.
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A standing body height is a variable used to calculate pulmonary parameters during spirometry examination. In adolescents with idiopathic scoliosis, the loss of the body height is observed, and it may potentially influence the results of pulmonary testing. The study aimed to analyze pulmonary parameters in adolescents with idiopathic scoliosis in relation to the measured versus the corrected body height. Preoperative pulmonary testing and radiographic evaluation were performed in 39 children (29 females, 10 males) aged 12–17 years. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were measured. The single best effort was analyzed. Thoracic Cobb angle ranged 50°–104°. Corrected body height was calculated according to the Stokes’ formula. The subgroup analysis was performed for the subjects with curves 50°–74° (N=26) versus 75°–104° curves (N=13). Mean measured body height was 166.1±9.0 cm versus 168.9±8.9 cm mean corrected body height. The %FVC obtained for the measured height was significantly higher than obtained for the corrected height: 84.6% ±15.6 vs. 81.6% ±15.6, p<0.001. The %FEV1 obtained for the measured height was significantly higher than obtained for the corrected height: 79.8% ±16.3 vs. 77.35% ±15.9, p<0.001. The subgroup analysis revealed significant differences in %FVC and %FEV1 calculated for the measured versus the corrected body height, p<0.001. Corrected body height significantly influences the results of pulmonary parameters measurement. In consequence, it may influence the analysis of the pulmonary status of children with idiopathic scoliosis.
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McAnally, Heath B., and Beth Darnall. "The Pragmatism of Habit in Preoperative Optimization." In Preoperative Optimization of the Chronic Pain Patient. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190920142.003.0004.
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As stated in the previous chapter’s introduction, effective preoperative optimization of patients suffering with chronic pain depends on behavioral modification. Chronic pain is largely influenced if not mediated by omission of healthy biopsychosocial-spiritual behaviors (e.g., healthy diet, sleep, exercise, and stress management patterns) and commission of unhealthy ones (e.g., pro-inflammatory diet, toxin consumption). This chapter explores the critical role of habit in directing behavior in general and, in particular, health behaviors. It examines what is currently known about the psychology and neurobiology of habit formation and maintenance. It then turns to a brief overview of the application of these concepts to the perioperative optimization of patients with chronic pain.
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McAnally, Heath B. "Preoperative Management of Tobacco." In Preoperative Optimization of the Chronic Pain Patient. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190920142.003.0009.
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Despite significant reductions in prevalence in the United States over the past half-century, smoking (and the use of other tobacco products) continues to constitute the most common chemical dependency (aside from caffeine, perhaps) and the leading preventable cause of morbidity and mortality in the developed world. It is well documented that the use of tobacco products increases overall health risks and, in the context of this work, perioperative complications. Less well recognized but also supported by the literature is an independent association with chronic pain in general after adjusting for common comorbid health risks, and also with worsened postoperative pain control. Conversely, there is evidence that preoperative tobacco cessation results in substantial improvements in outcomes. This chapter briefly reviews basic and clinical science underpinning these phenomena, the descriptive epidemiology and available outcomes data pertinent to the issue, and what the current literature has to say about preoperative tobacco cessation and support, both biologic/pharmacologic and behavioral. Recognizing the complex issues surrounding tobacco use, the chapter highlights the importance of both motivational enhancement and habit alteration.
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Klein, Evan C., and Mitchell T. Saltzberg. "Preoperative Strategies for Optimizing Mechanical Circulatory Support." In Mechanical Circulatory Support. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190909291.003.0007.
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Several validated risk models can help determine whether patients with advanced heart failure should be considered for mechanical circulatory support based on its potential survival advantage. Once a patient is a candidate for device therapy, an understanding of these risk models can help inform decisions about modifying risk factors to provide the best postsurgical outcomes. Specific preoperative factors that can be addressed include the adequacy of perfusion, volume status, and the status of non-cardiac organ systems (e.g., the pulmonary, infectious, hematologic, renal systems). Additionally, an understanding of preoperative right ventricular hemodynamics and function can help alert providers to patients with an increased need for postoperative right-ventricular support. The chapter reviews several risk-stratification models, as well as the approach used by the authors’ institution to optimize the preoperative treatment of patients before implementing mechanical circulatory support.
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Jackson, Jane. "Managing Perioperative Care." In Adult Nursing Practice. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199697410.003.0037.
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This chapter focuses on the preparation and care of adult patients undergoing elective surgery, the associated challenges, and supporting evidence in providing safe and effective care. A key principle is the identification of relevant health issues and optimizing comorbidities prior to admission for surgery, which will minimize cancellations on the day of surgery. Informed consent, patient education, and teamworking all contribute to effective care and efficient service delivery. To provide the optimum healthcare, it is essential that the health professional has a full understanding of the patient’s physical and psychological health and social history, allowing tailored care to be shaped and implemented. It is important that the patient understands the associated risks and benefits of planned treatment. Patients often present for elective surgery with comorbidities. In optimizing the treatment, it is possible to prevent negative consequences related to planned care, and to increase the patient’s understanding of these so that he or she they can make an informed choice. Gathering information prior to admission is important because patients are often anxious on the day of surgery, and medication/anaesthetic agents can render them unable to provide clear decisions relating to treatment. This is commonly referred to as the preoperative assessment (POA), but is probably better referred to as patient preparation. Patient preparation is the process by which a patient’s health status is identified and comorbidities made known to the relevant healthcare professionals. The healthcare professional will interpret the information, decide on additional investigations and examinations, and then determine the risk factors associated with the patient’s health and the anticipated anaesthetic and surgical intervention. The patient must be informed of the risk and benefits and be provided with sufficient information to ensure an informed choice. Integral to patient preparation is the anticipation of potential outcomes, including length of hospitalization, ability to complete activities of daily living, and discharge planning. The process will involve the patient and his or her carer(s) and all healthcare professionals appropriate to the individual patient in primary and secondary care. It may be that, at the end of the patient preparation stage, the patient decides not to proceed with surgery.
Conference papers on the topic "Preoperative health status"
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Joskowiak, D., D. Meusel, C. Hagl, and G. Juchem. "Impact of Preoperative Functional Status on the Health-Related Quality of Life after Cardiac Surgery—A Prospective Study." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678852.
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Mittal, Sujata. "Cervical cancer management in Rural India: Are we really living in 21st century or need to focus on health education of our doctors." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685408.
Full textAbstract:
Objectives: To study cases of cervical cancer managed/unmanaged in rural India and to analyze the reasons for poor outcome. Methods: This is a retrospective study of 218 cases of cervical cancers between 2008-2013 with resultant outcome in terms of treatment or absence of treatment in spite of diagnosis. Reasons for not taking the treatment have been analyzed. Also, analysis of 21 cases of simple hysterectomy with resultant complications like VVF, RVF has been done. Indications of surgery, operating surgeon, availability of preoperative/postoperative HPR, slides/blocks, discharge summary and disease status at the time of referral was done. Results: 44% refused to take treatment in spite of stage III diagnosis citing financial constraints, distance to be traveled daily for RT and apathetic attitude of family towards females. 20.65% opted for other hospitals. 29.8% took complete treatment. 80% of females were illiterate and dependent. 9.7% had simple hysterectomy for invasive disease. 95% of simple hysterectomies were performed by general surgeons in private setups resulting in 19% of complications like VVF, RVF. 100% cases of simple Hysterectomy did not have pre-operative biopsy. Only 50% cases had post-operative biopsy report and in none of the cases were slide/blocks available for review as trained pathologists were not available. General surgeons who had performed surgery were neither trained in doing P/V examinations nor aware of staging of cervical cancer. Conclusion: Illiteracy, poverty and absence of implementation of cancer control programs are the major hurdles in control of cervical cancer. The study highlights the absence of Government’s will to control cervical cancer in rural India. It emphasizes on the need of intensive training and health education of gynaecologists and surgeons at district/rural level, lack of which is a primary factor for violation of medical ethics by the doctors.
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Bellon, J. L., J. D. Szefner, C. Castellanos, et al. "COAGULATION CONTROL MADE IN FIFTEEN RECIPIENTS OF JARVIK 7 ARTIFICIAL HEART. AN STATISTICAL STUDY." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643095.
Full textAbstract:
From April to December of 1986 fifteen Jarvik-7 artifi cial heart were temporally implanted until definitive-heart transplantation in 12 men and 3 women of 18 to 55 years old.Jarvik's stay ranged between 48 hours to 20 days, The coagulation control applied was:PT,APTT, reptilase,fibrinogen,platelet aggregation by turbidi-metry to ADP,epinephrine,collagen and arachidonic acid thromboelastography in whole blood,plasma and serum antithrombin III and activated factor X by specific substrates,haematocrit, platelet count,platelet factor 4 and B-thromboglobulin by enzymeimmunoassays,fibrin/ fibrinogen degradation products,alfa-2-antiplasmin, fibrinopeptide A and Raby’s transference test.Number of controls for each patient were 1 to 3 daily.Measure ments were done in preoperative,immediate postoperative and maxim bleeding period.The most significant data were compiled in tables as number of cases, x ± S.E. and S.D.x.Statistical methods were correlation coeffic ient, Pares “t”and Newman-Keuls for p <0.05. It is concluded that the most critical period was the immediate postoperative and because of the treatments applied in the maxim bleeding period, it was possible to reach the patient’s healtn recuperation whenever either a se vere organic failure or sepsis did not appear.Treatments mainly applied were heparin,dipyridamol,aproti-nin and antithrombin III concentrates, dose being adag ted to the results obtained in controls.Jarvik’s status observations when explanted will be presented in a paper aside.No patient suffered any cerebral,vascular or thromboembolic event.