AVAS Session III, Monday April 29, 2019
Improved all cause mortality
A lower rate of potential adverse outcomes
Improved cardiac related mortality
Greater risk of adverse outcomes
CR is not associated with worse 10 Year survival
Patients rescued from major complications persist to have worse survival at 10 years
Very low EF doe not impact long-term survival
Complication rescue impacts 30 day survival but not long-term survival
Lack of Veterans with severe obesity
Providers having difficulty coordinating care across multiple VA sites
Lack of interest from Veterans with severe obesity
Bariatric surgery is not a service that is provided in the VA system
Tissue Factor
Platelets
Factor VII
Thrombin
MACE
30 day mortality
Pneumonia
Stroke
Commonly obtained prior to Veterans undergoing high-risk surgeries
Associated with increased family distress
Rarely obtained for Veterans undergoing high-risk surgeries, even though they were associated with better family-reported quality of death
Deemed by the study authors to be inappropriate at any time for surgical patients.
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