Publications by authors named "A Stahlschmidt"
Article Synopsis
- The study investigates the impact of ICU admission on postoperative mortality for high-risk surgical patients in Low- and Middle-Income Countries (LMICs), finding that ICU allocation did not significantly reduce mortality rates despite higher allocation to it among the most at-risk patients.
- Among 1431 patients analyzed, those in the ICU had a 28% 30-day mortality rate compared to 8.9% in the Postanesthetic Care Unit, indicating that the location of care might not be the sole factor influencing outcomes.
- The findings highlight a need for improved postoperative care strategies and further exploration of risk assessment models to aid in decision-making for high-risk patients, particularly in resource-limited settings.
Background: Surgical risk stratification is crucial for enhancing perioperative assistance and allocating resources efficiently. However, existing models may not capture the complexity of surgical care in Brazil. Using data from various healthcare settings nationwide, we developed a new risk model for 30-day in-hospital mortality (the Ex-Care BR model).
View Article and Find Full Text PDFPurpose: Myocardial injury after noncardiac surgery is common and mostly asymptomatic. The ideal target population that will benefit from routine troponin measurements in low and middle income countries (LMICs) is unclear. This study aims to evaluate the clinical outcomes of a cohort of high-risk surgical patients according to high-sensitivity troponin T (hsTnT) in an LMIC setting.
View Article and Find Full Text PDFBackground: Postoperative delirium (POD) has a negative impact on prognosis, length of stay and the burden of care. Although its prediction and identification may improve postoperative care, this need is largely unmet in the Brazilian public health system.
Objective: To develop and validate a machine-learning prediction model and estimate the incidence of delirium.
Mortality and morbidity for high-risk surgical patients are often high, especially in low-resource settings. Enhanced peri-operative care has the potential to reduce preventable deaths but must be designed to meet local needs. This before-and-after cohort study aimed to assess the effectiveness of a postoperative 48-hour enhanced care pathway for high-risk surgical patients ('high-risk surgical bundle') who did not meet the criteria for elective admission to intensive care.
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