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Related Concept Videos

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Sep 7, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Evaluating a pre-surgical health optimisation programme: a feasibility study.

Joanna McLaughlin1, Lauren J Scott2,3, Lucie Owens4

  • 1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. Joanna.Mclaughlin@bristol.ac.uk.

Perioperative Medicine (London, England)
|June 22, 2022
PubMed
Summary
This summary is machine-generated.

Evaluating pre-surgery health optimisation programmes is feasible but challenging. While uptake was low, participants showed greater BMI reduction, suggesting benefits for surgical patients.

Keywords:
Elective surgeryHealth optimisationObesityPrehabilitationSmoking

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Area of Science:

  • Health Services Research
  • Public Health
  • Surgical Pathway Optimization

Background:

  • Health optimisation programmes (HOPs) are popular for pre-surgery weight loss and smoking cessation.
  • Limited evidence exists on the impact of these popular programmes.
  • This study assessed the feasibility of evaluating a National Health Service (NHS) HOP.

Purpose of the Study:

  • To evaluate the feasibility of using routinely collected data to assess a pre-operative health optimisation programme.
  • To determine the impact of a health optimisation programme on Body Mass Index (BMI) and surgical referral rates.

Main Methods:

  • Feasibility study involving 502 patients on a hip/knee surgery pathway.
  • Mapped data from seven routinely collected sources for availability and completeness.
  • Assessed patient eligibility, acceptance, and outcomes related to the health optimisation programme.

Main Results:

  • Data collation was complex, with poor completeness for smoking and ethnicity.
  • Only 28% of eligible patients accepted the health optimisation support.
  • Patients completing the programme showed a greater median BMI reduction (-1.8 vs. -0.5 BMI points).
  • 49% of those accepting support were referred to surgery vs. 61% who did not.

Conclusions:

  • Evaluating HOPs using routinely collected data is feasible but resource-intensive.
  • Evidence suggests positive effects of health optimisation interventions.
  • Prioritising evaluation and long-term cost-outcome analysis is crucial for policy development.