We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress hp
Sign In
Advertise with Us
ARAB HEALTH - INFORMA

Download Mobile App




Database Analysis Helps Identify “Sweet Spot” for Safe Surgery after Heart Attack

By HospiMedica International staff writers
Posted on 06 Nov 2024
Print article
Image: The study found that delaying elective procedures by 3 to 6 months after a heart attack reduces the risk of complications for aging adults (Photo courtesy of 123RF)
Image: The study found that delaying elective procedures by 3 to 6 months after a heart attack reduces the risk of complications for aging adults (Photo courtesy of 123RF)

The 2014 perioperative guidelines from the American College of Cardiology and the American Heart Association recommend waiting 60 days after a heart attack before proceeding with elective noncardiac surgery. This recommendation was derived from a study involving 500,000 patients between 1999 and 2004. Most deaths or significant complications that occur post-surgery happen within the first 30 days of recovery, prompting perioperative teams to work diligently to mitigate these risks. Aging patients frequently present with multiple acute or chronic conditions, which challenges physicians to balance the risks associated with surgical care against the patients' expectations for quality of life. A new study now suggests that postponing elective procedures by three to six months after a heart attack may lower the risk of complications for older adults. This research, published in JAMA Surgery, offers critical insights that could lead to updates in decision-making guidelines that have relied on data from two decades ago.

Conducted by researchers at the University of Rochester (Rochester, NY, USA), the study revealed that older adults face double or triple the risk of life-threatening complications—such as debilitating strokes or subsequent heart attacks—if they undergo elective noncardiac surgeries too soon after experiencing a heart attack. A comprehensive analysis of the Medicare database, which includes 5.2 million surgeries from 2017 to 2020 involving patients aged 67 and older, indicates that delaying surgery for three to six months after the most common type of heart attack, known as a non-ST-segment elevation myocardial infarction (NSTEMI), could be beneficial. The researchers aim to identify the “sweet spot” for safely scheduling additional surgical procedures in this high-risk group.

“The data physicians are using for patient care decisions today is outdated. Given the advances in care and the ever-changing mix of patients, clinicians need the latest information,” said Laurent Glance, MD, lead author and professor of Anesthesiology and Perioperative Medicine and Public Health Sciences at the University of Rochester Medical Center.

New
Gold Member
X-Ray QA Meter
T3 AD Pro
Gold Member
STI Test
Vivalytic Sexually Transmitted Infection (STI) Array
New
Documentation System For Blood Banks
HettInfo II
New
Fetal and Maternal Monitor
F9 Series

Print article

Channels

Surgical Techniques

view channel
Image: (Left) An image of a 3D-printed material implanted in vivo for 4 weeks. (Right) A photo of coral (Photo courtesy of Dr Zhidao Xia and Jesus Cobaleda)

Revolutionary Coral-Inspired Material for Bone Repair Promotes Faster Healing

Bone defects caused by fractures, tumors, and non-healing injuries are major contributors to disability worldwide. Traditionally, doctors have used either a patient’s own bone (autograft) or donor bone... Read more

Patient Care

view channel
Image: The portable biosensor platform uses printed electrochemical sensors for the rapid, selective detection of Staphylococcus aureus (Photo courtesy of AIMPLAS)

Portable Biosensor Platform to Reduce Hospital-Acquired Infections

Approximately 4 million patients in the European Union acquire healthcare-associated infections (HAIs) or nosocomial infections each year, with around 37,000 deaths directly resulting from these infections,... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The acoustic pipette uses sound waves to test for biomarkers in blood (Photo courtesy of Patrick Campbell/CU Boulder)

Handheld, Sound-Based Diagnostic System Delivers Bedside Blood Test Results in An Hour

Patients who go to a doctor for a blood test often have to contend with a needle and syringe, followed by a long wait—sometimes hours or even days—for lab results. Scientists have been working hard to... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.