Journal of the American College of Surgeons
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Comparative Study
Nationwide analysis of outcomes of bowel preparation in colon surgery.
There are limited data comparing the outcomes of preoperative oral antibiotic bowel preparation (OBP) and mechanical bowel preparation (MBP) in colorectal surgery. We sought to identify the relationship between preoperative bowel preparations (BP) and postoperative complications in colon cancer surgery. ⋯ Our analysis revealed that solitary mechanical bowel preparation and solitary oral bowel preparation had no significant effects on major postoperative complications after colon cancer resection. However, a combination of mechanical and oral antibiotic preparations showed a significant decrease in postoperative morbidity.
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Observational Study
Quality of Care Delivered Before vs After a Quality-Improvement Intervention for Acute Geriatric Trauma.
Older trauma-injury patients had improved recovery after we implemented routine geriatric consultation for patients aged 65 years and older admitted to the trauma service of a Level I academic trauma center. The intervention aimed to improve quality of geriatric care. However, the specific care processes that improved are unknown. ⋯ Geriatricians and surgeons can collaboratively improve geriatric QOC for older trauma patients.