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Papers by Cornelia Taylor
Perioperative Care and Operating Room Management, Sep 1, 2017
With the growth of dedicated pre-operative clinics in recent decades, patients have access to for... more With the growth of dedicated pre-operative clinics in recent decades, patients have access to formalized and rigorous assessments in the days to weeks before surgery. The hallmark of preoperative evaluations is cardiac risk stratification before non-cardiac surgery, yet any organ system has the potential to be addressed or further optimized before surgery. A formal, global clinic-based risk assessment before cardiac surgery seems to be a novel pre-operative clinic practice pattern, especially for a hospitalist-led preoperative medicine clinic. In July 2014, the
Perioperative Care and Operating Room Management, 2017
With the growth of dedicated pre-operative clinics in recent decades, patients have access to for... more With the growth of dedicated pre-operative clinics in recent decades, patients have access to formalized and rigorous assessments in the days to weeks before surgery. The hallmark of preoperative evaluations is cardiac risk stratification before non-cardiac surgery, yet any organ system has the potential to be addressed or further optimized before surgery. A formal, global clinic-based risk assessment before cardiac surgery seems to be a novel pre-operative clinic practice pattern, especially for a hospitalist-led preoperative medicine clinic. In July 2014, the
Journal of hospital medicine, Apr 1, 2017
Hospitalists have long been involved in optimizing perioperative care for medically complex patie... more Hospitalists have long been involved in optimizing perioperative care for medically complex patients. In 2015, the Society of Hospital Medicine organized the Perioperative Care Work Group to summarize this experience and to develop a framework for providing optimal perioperative care. The work group, which consisted of perioperative care experts from institutions throughout the United States, reviewed current hospitalist-based perioperative care programs, compiled key issues in each perioperative phase, and developed a framework to highlight essential elements to be considered. The framework was reviewed and approved by the board of the Society of Hospital Medicine. The Perioperative Care Matrix for Inpatient Surgeries was developed. This matrix characterizes perioperative phases, coordination, and metrics of success. Additionally, concerns and potential risks were tabulated. Key questions regarding program effectiveness were drafted, and examples of models of care were provided. Th...
Anesthesia & Analgesia, 2020
BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with post... more BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with postoperative delirium. However, cognitive function is inconsistently assessed preoperatively, leading to missed opportunities to recognize vulnerable patients. We designed a prospective cohort study to assess the agreement of the Mini-Cog screening tool administered in the preoperative clinic (clinic-day test) or immediately before surgery (surgery-day test) and to determine whether a positive screening for cognitive dysfunction in the surgery-day test is associated with postoperative delirium in the postanesthesia care unit (PACU). METHODS: This was a cohort study of patients aged 65–89 years, scheduled for elective, inpatient surgery under general anesthesia between June 20, 2018 and August 3, 2018. Mini-Cog test scores were obtained during a clinic-day test and surgery-day test. The Short Confusion Assessment Method was performed in the PACU. Agreement between Mini-Cog clinic-day and sur...
Perioperative Care and Operating Room Management, Sep 1, 2017
With the growth of dedicated pre-operative clinics in recent decades, patients have access to for... more With the growth of dedicated pre-operative clinics in recent decades, patients have access to formalized and rigorous assessments in the days to weeks before surgery. The hallmark of preoperative evaluations is cardiac risk stratification before non-cardiac surgery, yet any organ system has the potential to be addressed or further optimized before surgery. A formal, global clinic-based risk assessment before cardiac surgery seems to be a novel pre-operative clinic practice pattern, especially for a hospitalist-led preoperative medicine clinic. In July 2014, the
Perioperative Care and Operating Room Management, 2017
With the growth of dedicated pre-operative clinics in recent decades, patients have access to for... more With the growth of dedicated pre-operative clinics in recent decades, patients have access to formalized and rigorous assessments in the days to weeks before surgery. The hallmark of preoperative evaluations is cardiac risk stratification before non-cardiac surgery, yet any organ system has the potential to be addressed or further optimized before surgery. A formal, global clinic-based risk assessment before cardiac surgery seems to be a novel pre-operative clinic practice pattern, especially for a hospitalist-led preoperative medicine clinic. In July 2014, the
Journal of hospital medicine, Apr 1, 2017
Hospitalists have long been involved in optimizing perioperative care for medically complex patie... more Hospitalists have long been involved in optimizing perioperative care for medically complex patients. In 2015, the Society of Hospital Medicine organized the Perioperative Care Work Group to summarize this experience and to develop a framework for providing optimal perioperative care. The work group, which consisted of perioperative care experts from institutions throughout the United States, reviewed current hospitalist-based perioperative care programs, compiled key issues in each perioperative phase, and developed a framework to highlight essential elements to be considered. The framework was reviewed and approved by the board of the Society of Hospital Medicine. The Perioperative Care Matrix for Inpatient Surgeries was developed. This matrix characterizes perioperative phases, coordination, and metrics of success. Additionally, concerns and potential risks were tabulated. Key questions regarding program effectiveness were drafted, and examples of models of care were provided. Th...
Anesthesia & Analgesia, 2020
BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with post... more BACKGROUND: Cognitive impairment is common in older surgical patients and is associated with postoperative delirium. However, cognitive function is inconsistently assessed preoperatively, leading to missed opportunities to recognize vulnerable patients. We designed a prospective cohort study to assess the agreement of the Mini-Cog screening tool administered in the preoperative clinic (clinic-day test) or immediately before surgery (surgery-day test) and to determine whether a positive screening for cognitive dysfunction in the surgery-day test is associated with postoperative delirium in the postanesthesia care unit (PACU). METHODS: This was a cohort study of patients aged 65–89 years, scheduled for elective, inpatient surgery under general anesthesia between June 20, 2018 and August 3, 2018. Mini-Cog test scores were obtained during a clinic-day test and surgery-day test. The Short Confusion Assessment Method was performed in the PACU. Agreement between Mini-Cog clinic-day and sur...