Practice Changing Updates in Perioperative Medicine Literature 2023. A Systematic Review - 11/02/25

Doi : 10.1016/j.amjmed.2024.10.036

Richard E. Silbert, MD ^a,^⁎ , Maleka Khambaty, MD ^b, Aditya P. Devalapalli, MD ^b, Deanne T. Kashiwagi, MD ^b, Chris R. Stephenson, MD, MHPE ^a, Matthew A. Bartlett, MB, BCh, BAO ^a, Dennis W. Regan, MD ^b, Karna K. Sundsted, MD ^b, Karen F. Mauck, MD, MS ^a
^a Division of General Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn
^b Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minn

^⁎Requests for reprints should be addressed to Richard E. Silbert, MD, Division of General Internal Medicine, Department of Medicine, Mayo Clinic and Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN 55905.Division of General Internal MedicineDepartment of MedicineMayo Clinic and Mayo Clinic College of Medicine200 1st St SWRochesterMN55905

Abstract

Perioperative medicine is an evolving field, with important publications each year across multiple disciplines. Staying up to date in the field is complicated due to the wide range of journals that publish relevant articles. This review summarizes the most noteworthy perioperative publications in 2023. We conducted a multi-database search of the literature from January to December 2023 and included all original research articles, meta-analyses, systematic reviews, and guidelines. Abstracts, case reports, letters, protocols, pediatric and obstetric articles, and cardiac surgery publications were excluded. Two authors reviewed each reference using the Distiller SR systematic review software (Evidence Partners Inc., Ottawa, Ont, Canada). A modified Delphi technique was used to identify 8 practice-changing articles as well as another 8 articles for table-based summary.

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Keywords : Perioperative delirium, Perioperative management of renin-angiotensin-systems inhibitors, Perioperative medicine, Perioperative venous thromboembolism prophylaxis, Postoperative pulmonary complications

Plan

Introduction

Methods

Results and Discussion

1. Utility of Preoperative Cardiovascular Risk Assessment Utilizing Coronary Artery Calcium Scores from Existing Non-Gated Chest CT Imaging^{Choi DY, Hayes D, Maidman SD, et al. Existing nongated CT coronary calcium predicts operative risk in patients undergoing noncardiac surgeries (ENCORES) Circulation 2023 ; 148 (15) : 1154-1164}

Prophylactic Melatonin Decreased Postoperative Delirium in Elderly Patients^{Jiang L-S, Lai L, Chen Y-J, Liu K, Shen Q-H Prophylactic effect of exogenous melatonin and melatonin receptor agonists on postoperative delirium in elderly patients: a systemic review and meta-analysis of randomized controlled trials Aging Clin Exp Res 2023 ; 35 (11) : 2323-2331}

Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture^{Major Extremity Trauma Research Consortium (METRC)O'Toole RV, Stein DM, et al. Aspirin or low-molecular-weight heparin for thromboprophylaxis after a fracture N Engl J Med 2023 ; 388 (3) : 203-213}

Timing of Elective Surgery after SARS-COV-2 Infection^{El-Boghdadly K, Cook T, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update: a multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Perioperative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England Anaesthesia 2022 ; 77 (5) : 580-587}

Self-Reported Functional Capacity Does Not Improve Risk Discrimination Beyond That Predicted By Currently Available Risk Calculators That Are Based on Clinical Risk Factors Alone^{Buse GAL, Mauermann E, Ionescu D, et al. Risk assessment for major adverse cardiovascular events after noncardiac surgery using self-reported functional capacity: international prospective cohort study Br J Anaesth 2023 ; 130 (6) : 655-665}

Six-Year Cognitive Trajectory in Older Adults Following Major Surgery and Delirium^{Kunicki ZJ, Ngo LH, Marcantonio ER, et al. Six-year cognitive trajectory in older adults following major surgery and delirium JAMA Intern Med 2023 ; 183 (5) : 442-450}

Discontinuation vs. Continuation of Renin-Angiotensin System Inhibitors Before Non-Cardiac Surgery: the SPACE Trial^{Ackland GL, Patel A, Abbott TE, et al. Discontinuation vs. continuation of renin–angiotensin system inhibition before non-cardiac surgery: the SPACE trial Eur Heart J 2024 ; 45 (13) : 1146-1155}

Noninvasive Respiratory Support and Postoperative Pulmonary Complications in Obese Patients^{Li R, Liu L, Wei K, Zheng X, Zeng J, Chen Q Effect of noninvasive respiratory support after extubation on postoperative pulmonary complications in obese patients: a systematic review and network meta-analysis J Clin Anesth 2023 ; 91 : 111280}

Conclusion

	Funding: Funds for Distiller SR systematic review software (Evidence Partners Inc., Ottawa, Ontario, Canada) were provided through internal funding from the Divisions of General Internal Medicine and Hospital Internal Medicine.
	Conflicts of Interest: MAB reports stock ownership in Johnson and Johnson and received honoraria from Elsevier Clinical Key as an expert contributor on “Dual Antiplatelet Therapy, Perioperative Management.” No other authors report conflicts of interest.
	Authorship: All authors had access to the data and a role in writing the manuscript. RES: Writing – original draft, review, and editing, Supervision, Formal analysis, Data curation, Conceptualization; MK: Writing – original draft, review, and editing, Supervision, Methodology, Formal analysis, Data curation, Conceptualization; APD: Writing – original draft, review, and editing, Formal analysis, Data curation; DTK: Writing original draft, review, and editing, Investigation, Data curation, Conceptualization; CRS: Writing – original draft, review, and editing, Formal analysis, Data curation; MAB: Writing original draft, review, and editing, Formal analysis, Data curation; DWR: Writing original draft, review, and editing, Formal analysis, Data curation, Conceptualization; KKS: Writing – original draft, review, and editing, Formal analysis, Data curation, Conceptualization; KFM: Writing original draft, review, and editing, Supervision, Formal analysis, Data curation, Conceptualization.

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Vol 138 - N° 3

P. 419 - mars 2025 Retour au numéro

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Practice Changing Updates in Perioperative Medicine Literature 2023. A Systematic Review - 11/02/25

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