Hospital Medicine

CDC: Many Children With Heart Conditions Have Special Needs

CDC: Many Children With Heart Conditions Have Special Needs

One in 77 US children reportedly had heart conditions in 2016, with special needs in 60%.

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes.

One-Third of Older Adults Die After Emergency Intubation

One-Third of Older Adults Die After Emergency Intubation

Twenty-four percent of adults aged 65 years who undergo intubation in ED are discharged home.

A Zebra in the Emergency Department

A Zebra in the Emergency Department

Many cases of vaginal foreign body are unusual and often difficult to detect.

Hospital Privacy Curtains Become Increasingly Contaminated

Hospital Privacy Curtains Become Increasingly Contaminated

Ten to 14 days after being hung, curtains show increased MRSA positivity.

Effects of Parental Decision Aids on ED CT Rates Among Children at Risk for TBI

Effects of Parental Decision Aids on ED CT Rates Among Children at Risk for TBI

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Emergency department computed tomography rates for children with minor head trauma were not affected by parent decision aid use.

Implementing EMRs Affects Time Spent With Patients in Clinic

Implementing EMRs Affects Time Spent With Patients in Clinic

Even after return to pre-EMR efficiency, more time spent on documentation, less on patient interaction.

Interpreter Services Critical for Emergency Care

Interpreter Services Critical for Emergency Care

Authors recommend professional interpreter when practical if patient has limited English proficiency.

Actigraphy May Overestimate Sleep in ICU Setting

Actigraphy May Overestimate Sleep in ICU Setting

Wide ranges of sleep quality and quantity with use of actigraphy among critically ill patients in ICU.

Dozens of Medical Groups Join Forces to Improve Diagnoses

Dozens of Medical Groups Join Forces to Improve Diagnoses

Diagnostic error is the most common cause of medical errors that patients report.

No Clear Benefit for Rivaroxaban After Hospital Discharge

No Clear Benefit for Rivaroxaban After Hospital Discharge

Incidence of major bleeding low with rivaroxaban, but clot risk not lower.

Ambient Particulate Matter Linked to Emergency Asthma Care

Ambient Particulate Matter Linked to Emergency Asthma Care

Increase in asthma hospital visits with increasing ambient particulate matter in San Luis Valley.

Recommendations Issued for Enhancing ICU Diagnostic Safety

Recommendations Issued for Enhancing ICU Diagnostic Safety

Include enhancing recognition of potential errors, increasing teamwork, patient-centeredness.

Lower patient satisfaction reported at for-profit dialysis centers

Patient reported experience has recently been incorporated into Quality Incentive Programs for dialysis centers across the United States. Lower patient experience scores were reported in for-profit, free-standing, and large dialysis organization centers.

Nurse-Led Call After Discharge Doesn't Cut Peds Urgent Care

Nurse-Led Call After Discharge Doesn't Cut Peds Urgent Care

One-time nurse-led call does not lower reutilization of urgent care services after pediatric discharge.

Reducing HF Hospitalization Risk: Antidiabetic Drug Classes Compared

Reducing HF Hospitalization Risk: Antidiabetic Drug Classes Compared

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The authors searched for randomized placebo-controlled trials (December 1, 2008 to November 24, 2017) involving 3 pharmacologic classes of antidiabetic medications to compare the effects of these agents on the risk of hospitalization for HF in T2DM patients.

Physician Assistants Match Medical Residents in ICU Skills

Physician Assistants Match Medical Residents in ICU Skills

Score in clinical performance in the simulated ICU setting equal for PAs, medical residents.

New Bronchoscopic Option Used for Severe Emphysema

New Bronchoscopic Option Used for Severe Emphysema

First bronchoscopic lung volume reduction using endobronchial valve performed at Temple University.

Discharge Directly From ICU Not Linked to Increased Health Care Use or Mortality

Discharge Directly From ICU Not Linked to Increased Health Care Use or Mortality

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Patient discharge directly home from intensive care compared with discharge from a hospital ward was not associated with increased healthcare resource use or mortality.

Medicare, Med Advantage Health Care Use Differs Regionally

Medicare, Med Advantage Health Care Use Differs Regionally

Variation in skilled nursing facility, hospital care up in Medicare Advantage vs traditional Medicare.

Laryngeal Tube Insertion Beats Endotracheal Intubation in OHCA

Laryngeal Tube Insertion Beats Endotracheal Intubation in OHCA

And, 30-day functional outcomes similar with supraglottic airway device or tracheal intubation.

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

Opioid-Related Emergency Department Visits, Hospitalization Rates Decrease From 2009 to 2015

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The number of patients prescribed opioids and visiting an emergency department or requiring hospitalization decreased from 2009 to 2015.

Lower Long-Term Survival for In-Hospital Cardiac Arrests in Blacks

Lower Long-Term Survival for In-Hospital Cardiac Arrests in Blacks

Black survivors of in-hospital cardiac arrest have lower survival at 1, 3, 5 years vs whites.

Information Deficits, Moral Stances Contribute to Lack Interest in Organ Donation

Information Deficits, Moral Stances Contribute to Lack Interest in Organ Donation

A person's unwillingness to become an organ donor may be explained by a significant information deficit, mistrust for the medical establishment, or a moral opposition to killing.

Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

Lumpectomy + Radiation May Cut Breast Cancer Mortality in DCIS

Lumpectomy, radiotherapy tied to reduction in breast cancer mortality vs lumpectomy, mastectomy.

AAP Outlines Appropriate Pediatric Nephrology Testing

AAP Outlines Appropriate Pediatric Nephrology Testing

Five evidence-based recommendations list tests, procedures that doctors, patients should question.

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

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In high-volume centers, patients with liver metastases from colorectal cancer may often be eligible for minimally invasive liver surgery via laparoscopy, thereby reducing potential morbidity risks associated with open surgery.

DNR Orders Linked to Increased Mortality in Older Adults

DNR Orders Linked to Increased Mortality in Older Adults

Early vs late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older.

Triple combination antihypertension therapy improves blood pressure control for mild-to-moderate hypertension

In this randomized controlled trial, patients receiving triple combination antihypertension therapy were more likely to achieve their blood pressure target compared to those with usual care at 6 months.

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

However, completing individual bundle elements in that timeframe does not reduce pediatric mortality.

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