Conference Highlights: ACS 2016

Conference Highlights: ACS 2016

Assessing Early Discontinuation of Opiates After Trauma The inappropriate use of prescription opiates  is a significant public health issue throughout the United States, but little is known about patterns of use and factors associated with discontinuation of these drugs after major trauma. For a study, investigators sought to identify predictors of opiate discontinuation in patients who were discharged after experiencing a trauma. At 3 months, more than 90% had discontinued opiate use. Advanced age, marital status, and low socioeconomic status appeared to be significantly associated with a lower likelihood of discontinuation of opiates after a trauma whereas race, injury severity, and comorbid anxiety or depression were not. The findings may help surgeons identify high-risk patients and manage them accordingly. —————————————————————-   Monitoring Functional Recovery at Home Few studied have explored the feasibility of wearable, real-time, wireless monitoring devices and their effect on functional recovery and patient-centered outcomes after surgery. For a study, researchers had major abdominal surgery patients wear wristband pedometers that tracked their steps 3 to 7 days before their operation, during their hospitalization, and for 2 weeks after they were discharged. Web-based, self-reported symptoms and quality of life (QOL) were obtained throughout the study. Adherence rates for wearing the pedometer were above 80% before and after discharge. More than 75% of symptom and QOL assessments were completed by about 63% and 74% of patients, respectively. Patient satisfaction scores were 4 out of 5. —————————————————————-   Predicting ICU Readmission for Surgical Patients ICU readmission within 72 hours is an established quality measure of postoperative care, but research is lacking on predictors of these readmissions following various types of...

ACS 2012: Advanced Surgical Techniques for the Elderly

The Particulars: Elderly patients with colorectal or bladder cancers are generally treated with chemotherapy and radiation rather than surgery because of risks associated with surgery. Advanced and minimally invasive surgical procedures may enable the elderly to experience fewer risks. Data Breakdown: A study involving patients aged 80 to 88 who underwent robotic-assisted cystectomy demonstrated an average postoperative length of stay of 7 days and few complications within the first 90 days after surgery. In a separate study, more patients receiving laparoscopic surgery were disease free from colorectal cancers than those undergoing open surgery (60% vs 40%) when assessed 5 years after surgery. Take Home Pearl: Robotic-assisted bladder operations and laparoscopic colorectal surgery appear to be viable and safe procedures for octogenarians with colorectal or bladder cancers. Source: American College of Surgeons Press...