Evidence strongly supports improved outcomes following surgery when patients are more physically active, have better dietary intake, or generally fitter prior to surgery. Having an operation is a major life event for patients, and many not educated around what they can do as individuals aid speedier successful recovery their operation. What if there was time point before where clinicians could inspire adjust lifestyles the better, in order see fewer complications after surgery? This concept...

Background/Objectives: Patient safety is directly linked with health and wellbeing of healthcare workers. In the UK, COVID-19 severely disrupted healthcare, surgeons tackling prolonged waiting lists working longer hours under high stress. This study explored biomechanical psychosocial demands on hospital surgeons, as well their experience pain work-life balance post-pandemic. Methods: A questionnaire was developed combining validated tools assessing physical demands; modified job demand,...

Abstract Introduction There has been a rapid growth in the use of digital technologies healthcare to improve population health. However, due exclusion (DE) (the unfair differences motivation, access and these technologies), some demographic groups are unable harness health benefits technologies. Various frameworks have designed highlight vulnerable inequities, but none focus on DE. To provide better support for digitally excluded individuals, we must start by identifying most at risk Aim...

We studied the influence of number sternotomy mechanical fixation points on deep sternal wound infection (DSWI).Between September 2007 and February 2011, 2672 patients underwent a standard peri-sternal wire closure following median for first-time cardiac surgery. Data were collected during study period.The mean age was 66 ± 11 1978 (74.0%) male. The body mass index (BMI) 28.9 9.3 logistic EuroSCORE 3.14, with range 0.88-54.1. Postoperatively, 40 (1.5%) developed DSWI after 14 6 days, whom 39...

Cor triatriatum sinister is a rare congenital defect in which the left atrium divided by fibromuscular membrane into two distinct chambers. Classically, patients present infancy although some cases they remain asymptomatic until adulthood. The clinical features on presentation can mimic those of mitral stenosis due to obstructive properties membrane. presented this case an adult as stenosis. Factors that may be relevant determining late are also discussed.

Background Health behavior changes made by patients during the perioperative period can impact outcomes and success of elective surgeries. However, there remains a limited understanding how best to support this time, particularly through use digital health interventions. Recognizing potential unmet needs orthopedic surgery is central motivating healthier change, improving recovery, optimizing overall surgical in short long term. Objective The aim study explore patient perspectives on...

A patient's capability, motivation, and opportunity to change their lifestyle are determinants of successful outcomes following bariatric surgery. Lifestyle changes before after surgery, including improved dietary intake physical activity levels, have been associated with greater postsurgical weight loss long-term health. Integrating patient-centered digital technologies within the surgical pathway could form part an innovative strategy promote sustain healthier behaviors, provide holistic...

Current blood prescription in cardiac surgery is based largely on hemoglobin (Hb) concentration. Hb may not provide a reliable guide to the patient's red cell (RBC) volume (RCV) during as consequence of high fluid loads infused. This study provides estimates perioperative changes RCV, plasma (PV), and (BV) with view developing more accurate way assessing need for transfusion.Thirty adult elective patients were recruited study. The preoperative RCV was calculated by use standard nomogram....

Objectives: To evaluate the time to onset and predictors of atrial fibrillation (AF) during long term follow up patients with typical flutter (AFL) treated transisthmic ablation.Design: Prospective multicentre study.Methods results: 383 (75.4% men, mean (SD) age 61.7 (11.1) years) who underwent ablation for AFL were investigated.In 239 (62.4%)AF was present before ablation.Ablation proved successful in 367 (95.8%).During a 20.5 (12.4) months, 41.5% reported AF.The cumulative probability...

Cardiac surgery is currently considered one of the heaviest users red blood cells. An explanation may be found, in part, considering effect heavy clear fluid load associated with cardiopulmonary bypass. This result artificial depression haemoglobin concentration, overestimating requirement for cell transfusion if this sole parameter considered. To address issue, we examined impact a volume-based guideline on requirement.This was single-centre, randomized controlled trial. The cohort 86...