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November 2019 Briefing – Surgery

Here are what the editors at HealthDay consider to be the most important developments in Surgery for November 2019. This roundup includes the latest...
In two reports published online Nov. 25 in Infection Control & Hospital Epidemiology

Antimicrobial Resistance Patterns Examined for Adult, Peds HAIs

Antimicrobial nonsusceptibility less prevalent in pediatric than adult health care-associated infections
Change in the U.S. allocation system for donor hearts has reduced waitlist mortality

Outcomes Poorer With New U.S. Donor Heart Allocation System

Early observations show lower waitlist mortality but higher posttransplant mortality or retransplantation
Patients who are frail and very frail have high rates of postoperative mortality across all levels of operative stress

Rates of Postoperative Mortality High for Frail, Very Frail Patients

Rates of postoperative mortality high across all levels of the Operative Stress Score for frail patients
In an expert panel consensus

Dermatologists Issue Consensus Guideline for Opioid Prescribing

For most uncomplicated procedures, postop pain can be managed with acetaminophen and/or ibuprofen
Children's hospitals participating in the Pediatric Cardiac Critical Care Consortium have improved cardiac surgery outcomes

Peds Cardiac Surgical Outcomes Improved in Consortium

In-hospital mortality, major complications dropped for hospitals in Pediatric Cardiac Critical Care Consortium
U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

Life expectancy increased from 1959 to 2016 but began declining in 2014 among 25- to 64-year-olds
The five-year incidence rate of joint surgery in psoriatic arthritis patients is twice as high as in the general population

Rates of Joint Surgery Higher With Psoriatic Arthritis

After 15 years of follow-up, 29 percent of psoriatic arthritis patients had received surgery
From 1990 to 2016

Overall Rate of Pediatric Nonpowder Firearm Injuries Down

From 1990 to 2016, overall rate of these injuries declined, rate of eye injuries increased by one-third
Teens who undergo bariatric surgery may be at increased risk for nutritional deficiencies years later

Nutritional Deficiencies ID’d in Teens After Bariatric Surgery

Gastric bypass tied to greater nutritional disruption than vertical sleeve gastrectomy