Publications by authors named "R L Dalman"
Objective: Frailty is characterized by decreased physiological reserve and vulnerability to adverse events in the presence of a stressor such as surgery. We prospectively implemented a preoperative frailty screening and optimization pathway for patients undergoing vascular surgery and assessed its impact on postoperative outcomes.
Methods: As part of an ongoing quality improvement initiative, surgical frailty was assessed prospectively in all patients undergoing inpatient surgery using the Risk Analysis Index (RAI).
Article Synopsis
- The study showcases the connection between endothelial cells and cardiac injuries related to long COVID, particularly focusing on the cytokine CCL2.
- Researchers utilized patient tissues and induced stem cells to model conditions of endotheliitis, finding that CCL2 release leads to cardiac dysfunction after SARS-CoV-2 exposure.
- Their findings emphasize the role of cytokines in promoting oxidative stress and cardiac protein modifications, suggesting the need for early vascular health monitoring in long COVID patients.
Article Synopsis
- The Delphi consensus aimed to clarify management practices for abdominal aortic aneurysms (AAAs) due to conflicting data in previous literature.
- A group of 44 experts anonymously discussed six key topics over three rounds, achieving a 100% response rate.
- Key findings included the agreement on minimum case volume for AAA repairs, the effectiveness of screening programs, lifelong surveillance after repair, and the consideration of screening for women smokers at 65, but no consensus on certain repair thresholds or thrombosis prevention was reached.
Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms.
Eur J Vasc Endovasc Surg
February 2024
Objective: The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries in succession to the 2011 and 2019 versions, with the aim of assisting physicians and patients in selecting the best management strategy.
Methods: The guideline is based on scientific evidence completed with expert opinion on the matter. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated.