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Study: Hospital Patients Still More Likely To Die On Weekends

By Michael Nedelman, CNN (CNN) — Doctors call it the “weekend effect.” Patients in the hospital are more likely to die off-hours — whether it’s due to a brain bleed, a heart attack or a clot in the lungs. New research on cardiac arrest in the hospital now asks: Has the “weekend effect” changed in recent years, as treatment has gotten better? “We know that survival trends have improved in past decade or so,” said Dr. Uchenna Ofoma, assistant professor of medicine at Temple University and a critical care physician at Geisinger Health System in Danville, Pennsylvania. “The question now becomes … what happens to the disparities? Has it remained the same? Is it narrowing?” Ten years after a 2008 study showed lower survival rates during nights and weekends for in-hospital cardiac arrest, Ofoma published a new study this week in the Journal of the American College of Cardiology. The new study builds on that previous research, finding that treatment has indeed gotten better, but we haven’t closed the nights-and-weekends gap. Between 2000 and 2014, weekday survival jumped from 16% to 25.2%, while weekend and weeknight survival rose from 11.9% to 21.9%, according to the new study’s risk-adjusted numbers. There was no significant change in the gap between weekday and off-hours survival, the study said. About half of patients in the study — more than 150,000 patients from 470 US hospitals — e...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health News cardiac arrest Source Type: news

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Intake of hemoglobin by the hemoglobin-haptoglobin receptor CD163 leads to a distinct alternative non–foam cell antiinflammatory macrophage phenotype that was previously considered atheroprotective. Here, we reveal an unexpected but important pathogenic role for these macrophages in atherosclerosis. Using human atherosclerotic samples, cultured cells, and a mouse model of advanced atherosclerosis, we investigated the role of intraplaque hemorrhage on macrophage function with respect to angiogenesis, vascular permeability, inflammation, and plaque progression. In human atherosclerotic lesions, CD163+ macrophages were ...
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
ConclusionsSmokers prescribed varenicline in primary care in the United Kingdom do not appear to be less likely to die, be hospitalized or experience a myocardial infarction or chronic obstructive pulmonary disease during the following 2 years compared with smokers prescribed nicotine replacement therapy, but they gain more weight and attend primary care less frequently.
Source: Addiction - Category: Addiction Authors: Tags: Research Report Source Type: research
This study will inform care providers whether quality of care can be improved by an integrated care concept providing telemedicine through a round-the-clock call center approach. We expect that cost of the NICC will be lower than standard care because of reduced hospitalizations. If the study has a positive result, NICC is planned to be immediately rolled out in the federal state of Mecklenburg-West Pomerania and other federal states in Germany. The trial will also guide additional research to disentangle the effects of this complex intervention.Trial registrationDRKS, ID:DRKS00013124. Registered on 5 October 2017;Clinical...
Source: Trials - Category: Research Source Type: clinical trials
Key Points Cardiogenic shock in the setting of acute myocardial infarction (AMICS) carries high mortality. A systematic, protocol‐driven, approach to AMICS may improve outcomes. The 5 key “ingredients” for the managements of AMICS are: (a) early diagnosis; (b) hemodynamic assessment; (c) culprit‐only coronary revascularization; (d) judicious use of mechanic circulatory support; (e) expert in‐hospital treatment.
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Coronary Artery Disease Source Type: research
Among adults 55 and younger, chest pain is the predominant symptom of a heart attack, but women tend to experience a greater number of additional symptoms too - and those lesser-known symptoms can be dangerously misunderstood, a new study finds.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news
The research published today by the American Heart Association offers clearer evidence than ever that female heart attack survivors may need more intensive care after a cardiac event than men.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
According to a YSPH study, younger women are more likely to mistake heart attack symptoms for anxiety or stress, and more likely to be misdiagnosed by a doctor.
Source: Yale Science and Health News - Category: Universities & Medical Training Source Type: news
Patients with type 2 diabetes suffer from both microvascular and macrovascular complications. Optimal glycemic control is well known to reduce the microvascular complications of retinopathy, nephropathy, and neuropathy. However, despite having multiple classes of antidiabetes medications, we have not been able to favorably affect the cardiovascular (CV) complications of diabetes, which cause considerable morbidity and premature CV mortality in patients with diabetes. The recent publication of the EMPA-REG Outcome and the LEADER studies demonstrating favorable CV outcomes with empagliflozin and liraglutide have led to a dec...
Source: Cardiovascular Endocrinology - Category: Cardiology Tags: Review articles Source Type: research
(American Heart Association) The second Go Red For Women issue of Circulation, a journal of the American Heart Association, features eleven original articles and research letters dedicated to women's heart health. Topics include cardiovascular aspects of pregnancy and its complications; risk factors; symptoms of heart attack and mental stress among others.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
It is now over a century since the introduction of electrocardiography (ECG) by Willelm Einthoven in 1902 [1,2]. The ECG is probably one of the most commonly used test in clinical practice, and, unlike many other clinical tests, the ECG results are available immediately. This is important for an emergency condition where an immediate decision should be made such as in the case of acute myocardial infarction or stroke. Professor Hein Wellens stated that, “Worldwide, approximately 3 million ECGs are made daily.
Source: Journal of Electrocardiology - Category: Cardiology Authors: Source Type: research
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