The frailest patients resuscitated during noncardiac surgery had a 1 in 3 chance of surviving a month, in an analysis that adds to a clinical topic with few published studies. MedTwitter
The 3058 patients in the analysis, from the ACS National Surgical Quality Improvement database, received CPR for cardiac arrest during or soon after noncardiac surgery. Their mean age was 71 and 44% were women.
During emergency surgeries, a greater proportion of frail than nonfrail patients experienced cardiac arrest, 42% and 38%, respectively. The same relationship was observed during low-to-moderate stress surgeries: 76.6% of frail patients and 64.8% of nonfrail patients.was used in about 93% of procedures for both frail and nonfrail patients, the report states.
."Frail patients should be medically optimized prior to undergoing surgery and anesthesia, and plans should be tailored to patients' vulnerabilities to reduce the risk of complications and facilitate rapid recognition and treatment when they occur."
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