The authors condemned a lack of consistent care for patients having the high-risk surgery
Renal dysfunction had the largest contribution to IHM in this study (PAF 0.34), followed by high-risk surgery
(PAF 0.15), male gender (PAF 0.08), cerebrovascular disease (PAF 0.03) and congestive heart failure (PAF 0.03).
"It was very high-risk surgery
, I really had to (operate) very fast."
The devices could one day be used to continuously track heart health and provide doctors a safer method of measuring a key vital sign for newborn and other high-risk surgery
She recently underwent a 12-hour high-risk surgery
and is undergoing further treatment for cancer.
"It is very high-risk surgery
that is elective; it is an open procedure, not fetoscopic; and it depends on a very multidisciplinary team," she said in an interview These are a combination of features that makes it unique, said Dr.
However, because they studied veterans eligible for VHA care rather than VHA users, it is not clear whether the high rates of elective surgery outside of the VHA among their population reflected a desire of regular VHA users to obtain certain services, such as high-risk surgery
, outside the VHA or whether their VHA cohort primarily consisted of veterans who received very little or no care from the VHA.
THE care given to high-risk surgery
patients regularly falls short of acceptable standards, according to an independent review.
"Despite the intentions of the CMS [Centers for Medicare and Medicaid Services] to provide patients with information that will facilitate patient choice of high-quality hospitals, currently available information on the Hospital Compare Web site will not help patients identify hospitals with better outcomes for high-risk surgery
," wrote the authors, from the University of Michigan and the Michigan Surgical Collaborative for Outcomes Research and Evaluation, both in Ann Arbor.
(1) Traditional valve replacement is considered a high-risk surgery
for elderly patients, especially as this patient demographic usually has one, if not more, co-morbidities.
In major elective high-risk surgery
, large-scale UK audits demonstrate mean elective postoperative mortality rates of 12% for major oesophageal and gastric surgery (McCulloch et al 2003), 5.6% for colorectal surgery (Tekkis et al 2003) and 6.2% for elective open aortic aneurysm repair (NCEPOD 2005).