Publications by authors named "Jacqueline E M Vernooij"
Background: Multiple preoperative calculators are available online to predict preoperative mortality risk for noncardiac surgical patients. However, it is currently unknown how these risk calculators perform across different raters. The current study investigated the interrater reliability of three preoperative mortality risk calculators in an elective high-risk noncardiac surgical patient population to evaluate if these calculators can be safely used for identification of high-risk noncardiac surgical patients for a preoperative multidisciplinary team discussion.
View Article and Find Full Text PDFBackground: As a result of increased life expectancy and improved care for patients suffering from chronic disease, the number of patients with multimorbidity requiring surgical intervention is increasing. For complex surgical patients, it is essential to balance the potential benefits of surgical treatment against the risk of permanent loss of functional capacity and quality of life due to complications. European and US guidelines on perioperative care recommend preoperative multidisciplinary team (MDT) discussions for high-risk noncardiac surgical patients.
View Article and Find Full Text PDFArticle Synopsis
- Medical schools in the Netherlands have a special final year called the transitional year to help students prepare for their future jobs as doctors.
- UMC Utrecht created an optional program called the Acute Care Transitional Year (ACTY) to specifically focus on emergency medical care skills.
- Graduates from the ACTY did better in practice tests than those who didn't participate, showing they were more ready for the challenges of being a doctor in training.
Purpose: Preoperative multidisciplinary team (MDT) meetings are recommended for patients at high risk for perioperative complications and mortality, although the underlying evidence is scarce. We aimed to investigate the effect of MDT decisions on patient management and patient outcome.
Methods: We conducted a single-centre retrospective cohort study including all noncardiac surgical patients selected for discussion at preoperative MDT meetings from January 2017 to December 2019 (N = 120).