{'fraction_non_alphanumeric': 0.020524515393386546, 'fraction_numerical': 0.0, 'mean_word_length': 5.702290076335878, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Improving peri-operative outcome: Time once more to update protocols.

Thirty-day postoperative mortality is one of the top three global causes of death. The burden of postoperative deaths is, therefore, considerable and is related to major postoperative complications. Shortcomings during preoperative decision-making may be one reason for high shortterm mortality. Another reason may be the failure to identify opportunities to improve outcomes in high-risk patients. Two such opportunities would be first, the optimisation of physiological reserve to prevent complications, and second, the early identification and treatment of complications. This editorial aims to provide some new information from recently published scientific investigations and offers avenues for improving outcomes in high-risk adults having noncardiac surgery that could be incorporated into practice.