Journal of the American College of Surgeons (JACS)

The November issue of JACS is live.

Explore the latest research on advances in surgical care, postoperative risk assessment, and the changing demands on healthcare systems.

Full issue at: ovid.com/jnls/journalac…

Nearly 75% of pulmonary embolisms after bariatric surgery occurred without identifiable discharge risk or preceding warning signs.

A study of 949,289 patients found that discharge risk models identified fewer than 10% of subsequent pulmonary embolism.

Read the full study by Dallal and colleagues: doi.org/10.1097/XCS.00…

Does using clinical decision support translate into guideline-concordant opioid prescribing?

In a 215-encounter surgical pilot, adoption reached 33.6%, but only 7.7% of discharge opioid prescriptions achieved end-to-end fidelity.

Read the full study by @_shraddhapandey and colleagues at: doi.org/10.1097/XCS.00…

How do advances in surgical care, risk assessment, and hospital resources shape patient outcomes?

@LillianErdahlMD highlights the November cover articles exploring treatment effectiveness, pulmonary embolism risk, hospital closures, pediatric tumor resection, and surgical innovation.

Find these studies and more at: ovid.com/jnls/journalac…

Postoperative fever was associated with 6-fold higher odds of surgical site infection after pediatric complicated appendicitis.

Yet discharge antibiotics were not associated with lower infection rate among afebrile children.

Read the full study by @BorstJohanna and colleagues at: doi.org/10.1097/XCS.00…