The rates of perioperative mortality and morbidity following surgery remain of great concern. Patients thought that SURPAS was helpful regardless of their risk level, whereas providers thought that SURPAS was more helpful in higher risk patients. Patients and providers reported the use of SURPAS helpful and informative during the preoperative risk assessment of patients, thus improving the surgical decision making process. As patient risk increased, providers reported that SURPAS was increasingly helpful ( p < 0.0001). Providers shared that 83.4% of the time they reported SURPAS was very or somewhat helpful 44.7% of the time the providers reported it changed their interaction with the patient and this change was beneficial 94.3% of the time. Of the total patients, 98.8% reported they understood their surgical risks very or quite well after exposure to SURPAS 92.7% reported SURPAS was very helpful or helpful. ResultsĪ total of 197 patients were provided their SURPAS postoperative risk estimates in nine surgeon’s clinics. Relationships between patient risk and patient and provider assessment of SURPAS were examined. Patients and providers were surveyed and interviewed on their opinion of how SURPAS impacted the preoperative encounter. MethodsĪ convergent mixed-methods study assessed SURPAS’s trial implementation, concurrently collecting quantitative and qualitative data, separately analyzing it, and integrating the results. We assessed patient and provider perceptions of SURPAS as a risk assessment tool. Preoperative use of the Surgical Risk Preoperative Assessment System (SURPAS) providing individualized risk assessment, may enhance informed consent. Patient case reports are valuable resources of new and unusual information that may lead to vital research.Risk assessment is essential to informed decision making in surgery. The conclusion section should be brief and provide a conclusion with evidence-based recommendations and applicability to practice. It ought to evaluate the patient case for accuracy, validity, and uniqueness compare and contrast the case report with the published literature derive new knowledge summarize the essential features of the report and draw recommendations. The discussion section is the most important section of the case report. The case presentation section should describe the case in chronological order and in enough detail for the reader to establish his or her own conclusions about the case's validity. It must explain why the case report is novel or merits review, and it should include a comprehensive literature review that corroborates the author's claims. The introduction section should provide the subject, purpose, and merit of the case report. The abstract of a patient case report should succinctly include the four sections of the main text of the report. The format of a patient case report encompasses the following five sections: an abstract, an introduction and objective that contain a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion. Guidelines for writing patient case reports, with a focus on medication-related reports, are provided.
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