There are 7 statistically significant conditions that independently increase the risk of morbidity and mortality after outpatient surgery, according to research recently reported in Anesthesiology News.
For a presentation at the American Society of Anesthesiologists' annual meeting last year, researchers at the University of Michigan selected the 150 most common outpatient procedures and reviewed more than 240,000 cases in a clinical database. They identified these 7 "red flags":
- history of cancer;
- age 70 or older;
- history of renal failure/dialysis;
- current steroid use;
- chronic obstructive pulmonary disease; and
- history of cerebral vascular attack/transient ischemic attack.
Complications resulting in "major morbidity or mortality" were incredibly low, occurring in 0.3% of cases. But the top 5 perioperative complications included unplanned re-intubation, post-op pneumonia, surgical site infection, intraoperative blood transfusion and inability to intubate, according to the research.
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