This cohort study reports that the proportion of violence-related injuries was significantly lower among preteens cared for in the setting of humanitarian aid and conflict zones, while surgical interventions in the teenage group were primarily caused by trauma-related injuries.
Gandaglia et al evaluate the role of the surgical approach on the risk for surgical site infections (SSIs) in a large cohort of patients undergoing open and minimally invasive surgery. See also the Invited Commentary by Kim and Smaldone.
Keenan et al determine the effect of a preventive surgical site infection (SSI) bundle on SSI rates and costs in colorectal surgery. In a retrospective study of institutional clinical and cost data, the primary outcome was the rate of superficial SSIs before and after implementation of the bundle. See the Invited Commentary by Leeds and Wick.
This study identifies risk factors for readmission within 30 days of discharge from a general surgery service.
This study evaluates whether a clinical practice guideline for complicated appendicitis is associated with improved clinical outcomes.
This national cohort study uses data from the Veterans Affairs National Surgical Quality Improvement Program to report noncardiac postoperative outcomes in the Veterans Affairs health system for the past 15 years.
This retrospective review shows that mandated reporting for ventilator-associated pneumonia bundle and catheter-related bloodstream infection bundle compliance is poorly correlated with decreased infection rates.
Cassidy et al developed and implemented a set of multidisciplinary standardized interventions to reduce postoperative pulmonary complications in patients. The I COUGH program emphasizes incentive spirometry, coughing and deep breathing, oral care (brushing teeth and using mouthwash twice daily), understanding (patient and family education), getting out of bed at least 3 times daily, and head-of-bed elevation. See also the invited critique by Leavitt.
This multicenter cohort study of a trauma system in Canada reports the development of a quality indicator for in-hospital complications that can be used to evaluate the quality of acute injury care.
This retrospective cohort study evaluates differences across hospitals in the costs of care for patients surviving perioperative complications after major inpatient surgery.
This study compares the Comprehensive Care for Joint Replacement program’s broad definition of an episode of care (ie, initial hospitalization until 90 days after hospital discharge) with a clinically narrow definition of an episode of care.
This study assesses the rates and risk factors for hospital readmissions following emergency general surgery.
This prospective cohort study found that postoperative complications and delirium are separately associated with adverse events and demonstrate a combined effect.
Wakeam et al assess the association between safety-net burden and failure to rescue and evaluate the effect of clinical resources on this relationship. A retrospective cohort of 46 519 patients who underwent high-risk inpatient surgery between 2007 and 2010 was assembled using the Nationwide Inpatient Sample. See the Invited Commentary by Hiatt.