UChicago Medicine’s Post

The Annual Northwestern Medicine Respiratory and Critical Care Symposium is coming up fast — September 22 is just around the corner. Have you secured your spot yet? This annual symposium brings together experts across pulmonary medicine, critical care medicine and thoracic surgery to discuss evidence-based updates and important topics in the field. Register now! #symposium #CriticalCare #pulmonology #ThoracicSurgery #RespiratoryCare #HealthCare #NMBetter

In my latest #OffScript blog piece for TCTMD, I discuss how two moments at meetings in the past 6 months got me thinking about how cardiologists & cardiac surgeons need to change how we collaborate, how we hold meetings and how we build trust in each other...so I discuss my hopes for 2024 in our fields. Cardiologists are increasingly treating patients that have undergone prior heart surgery... and cardiac surgeons are increasingly operating on patients that have previously undergone percutaneous treatments. Each speciality is learning new procedures... this learning will be better, in every sense of the word, if we learn together. Mamas Mamas Ritu Thamman MD FASE FACC Purvi Parwani MBBS MPH FACC Raj Khattar Vass Vassiliou Bashir Alaour Jaymin Shah Ronak Rajani Madalina Garbi Julia Grapsa Sanjay Kaul Norman Briffa Michel Pompeu Sá Shelley Zieroth Shelley Wood Rohin Francis Chirag Bavishi MD, MPH, FACC, FSCAI https://lnkd.in/eXiDffSS

Cognitive Training for Reduction of Delirium in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial https://lnkd.in/gEMHcgQr Title: Cognitive Training for Reducing Delirium in Cardiac Surgery Patients Delirium is a serious issue for patients undergoing cardiac surgery, leading to longer hospital stays and increased risk of complications, including higher mortality rates. Cognitive training involves exercises and activities to improve cognitive function. While its effectiveness in reducing delirium in cardiac surgery patients was not well understood, a recent study in JAMA found promising results. The study involved 377 patients aged 60 years or older scheduled for elective cardiac surgery. The cognitive training program consisted of 10 sessions targeting memory, attention, and executive function, with education on delirium and prevention strategies. Results showed a 47% reduction in delirium risk in the cognitive training group, along with shorter duration of delirium and hospital stay compared to the control group. Cognitive training may improve cognitive reserve and brain plasticity, helping the brain withstand the stress of surgery and recover from its effects. This intervention could be easily incorporated into preoperative care, potentially reducing the risk of delirium and improving patient outcomes. However, further research is needed to understand its long-term effects and cognitive function. In conclusion, cognitive training shows promise in reducing delirium risk in cardiac surgery patients and could become a routine part of clinical practice. #ClinicalTrials #AIinHealthcare #MedicalAI #HealthTech #DigitalHealth #PatientCareAI #AIResearch #MedicalInnovation #BioTech #AIforGood #HealthcareData #AIinMedicine #PharmaAI #ClinicalData #HealthAI #AIHealthSolutions #PrecisionMedicine #AIandHealth #ClinicalAnalytics #AIDiagnostics

📱Pip, a cutting-edge digital health #innovation developed by Pip Care in partnership with our department, is revolutionizing #perioperative care! Newly published #research by authors in our department and Department of Surgery, Neurological Surgery, and Orthopedic Surgery showcases the power of Pip, marrying human health coaches with innovative technology to optimize patient outcomes like never before. 🌟 172 patients embraced Pip's guidance from pre-op to post-op, with an impressive 80.2% engaging in health coach sessions. The results speak volumes – patients reported high satisfaction levels and a strong sense of support throughout their surgical experience. 🏥 Patients using Pip experienced a significant reduction in length of hospital stay, demonstrating the platform's potential to streamline recovery processes. 👉 Read more: https://lnkd.in/e8DWTFXd

Excited to share our latest research publication, "Impact of Hospital Affiliation With a Flagship Hospital System on Surgical Outcomes," now available in Annals of Surgery. Our study dives into the nuanced effects of hospital system affiliations on patient care, specifically looking at surgical outcomes within flagship hospitals compared to their affiliates and matched controls. Key Findings: -Patients at flagship system hospitals exhibit significantly lower mortality rates post-surgery than those treated at non-affiliated hospitals. -This outcome advantage is particularly pronounced in flagship hospitals themselves, highlighting the importance of hospital selection for patients, especially those with multimorbidity. -Surprisingly, affiliate hospitals within these flagship systems did not demonstrate the same level of outcome superiority, suggesting that the benefits of flagship affiliation may not uniformly extend across all networked facilities. This work underscores the critical need for patients and policymakers to consider the varying levels of care within hospital networks. It also highlights the importance of rigorous standards and continuous quality improvement efforts across all hospitals, particularly those serving high-risk patient populations. #HealthcareQuality #SurgicalOutcomes #HospitalNetworks #PatientCare #MedicalResearch Rubrum Advising

"Postoperative neurocognitive decline is a meaningful concern to patients and represents a significant and expanding challenge to healthcare in the US and worldwide." -- Study on Cognitive Decline Associated With Anesthesia and Surgery in Older Patients, August 2021 We here at Solo-Dex, Inc. have accepted that challenge and we are offering a better solution. Our innovative and pioneering approach to regional anesthesia reduces cost, enhances patient satisfaction, and eliminates post-surgery cognitive side effects often associated with general anesthesia. Embrace a smarter way to manage your pain with Solo-Dex. To learn more, go to solo-dex. https://lnkd.in/gsu8xrkx #medtech #manufacturing #medicaldesign #medicaldevices #medicalengineering #healthcare #healthtechnology #healthtech

Don't miss the latest from the Cardiovascular Ambulatory Surgery Center (ASC) Topic Center: Cardiac Procedures: Is an ASC the Right Move? Lorraine Buck, MBA, MSN, RN There were 118 single-specialty cardiology ASCs billing Medicare in 2021 as opposed to 13 in 2016. While ASCs accounted for 10% of all cardiology procedures in 2018, some expect ASCs will account for 30%-35% of all cardiology procedures by the mid-2020s. Read more: https://okt.to/qG6y2e

Female surgeons are more cost-effective? This article will certainly generate some comments 🙂. That is what the data from this study shows. "Total healthcare costs assessed at 1 year following surgery were more than $6000 higher when the surgery was performed by a male surgeon." Simply put--wow. Now before anyone thinks I disrespect my male colleagues (as I do not--they were/are my teachers, mentors, partners and friends)---we should always explore the data. Clearly more research is needed here to understand factors which contribute to these lower costs by female surgeons. Are male surgeons operating on more medically complex patients (with higher risk of complications, readmissions, etc.)? Are female surgeons educating patients better to decrease the risk of postoperative complications? Studies do show female physician more likely to follow evidence-based guidelines. Notice that these questions fall into our typical gender stereotype--a man is more comfortable with risk; a woman a better communicator and more rule-adherent. Note there is also other data supporting better clinical outcomes if your physician is female: study from 2017 (JAMA Tsugawa et al.) of 1.5M hospitalization for common medical conditions, "patients treated by female physicians had significantly lower mortality rates (adjusted mortality rate, 11.07% vs 11.49%) and readmission rates (adjusted readmission rate, 15.02% vs 15.57%) compared with those cared for by male physicians within the same hospital." Time to better understand what I think are subtle practice differences between female and male physicians with the goal of improving patient care. We need physicians and surgeons of all backgrounds to care for our communities---and we want our patients to have the best possible outcomes. Happy 2024 to all. And thank you Margaret (Maggi) Cary, MD MBA MPH PCC (executive coach extraordinaire) for sending me this article!

From the Cardiovascular Ambulatory Surgery Center (ASC) Topic Center: 4 Things to Consider in 2024 as You Implement Your Cardiovascular Outmigration Strategy Marc Toth, Market President, Cardiovascular Services, Atlas Healthcare Partners, Phoenix, Arizona https://okt.to/odhZlr

Comprehensive Spine Centers (CSCs) are integral to any large health system delivering complex spine care. Delivering de-fragmented, integrated operative and non-operative Spine Care will be key to improving access and outcomes in the years to come. If nothing else, and I say this as a surgeon, triaging patients through the appropriate non-operative route first decreases potential unnecessary utilization of surgical services. Our article below dives into this topic with more details. https://lnkd.in/dq8q2ma3 #neurosurgery #orthopedics #spine #health #hospitals #medicine #healthcare