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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Although a lower risk for acute myocardial infarction in patients with alopecia areata (AA) has been reported, the association between AA and ischemic heart disease (IHD) has not been well-examined. The aim of this study was to determine whether an association exists within a large Midwestern US patient population for IHD in patients with AA. Data were extracted from a medical record data repository (>6 million patients; Jan 2001-Nov 2018) for those adults of either sex who had a dermatologist diagnosis for AA (ICD-9-10 codes; 704.01; L63) and had>/= 1 month follow-up visit.
Source: Journal of Investigative Dermatology - Category: Dermatology Authors: Tags: Epidemiology Source Type: research
CONCLUSIONS: Persistent impairment of endothelial vasomotor function in the conduit arterial segment and the resistance arteriole was related to atheromatous plaque progression in the infarct-related coronary arteries of STEMI survivors. PMID: 30996201 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
CONCLUSION: sST2 is one of the independent predictors of the no-reflow phenomenon in STEMI patients undergoing primary percutaneous coronary intervention. PMID: 30996145 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
When it comes to staying healthy, most people have the same motivation: living as long and fulfilling a life as possible. And while science has yet to find a true fountain of youth, researchers have identified certain behaviors that can increase longevity. One study, published in the journal Circulation last year, even argued that adhering to just five healthy habits could extend your lifespan by roughly a decade. Here’s what they are, and what research to date says about living your longest life. Eating a healthy diet Diet is strongly linked to longevity. Research has long suggested that following a Mediterranean di...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Longevity Source Type: news
Several prior studies have shown lower risk of myocardial infarction (MI) in carotid artery stenting (CAS) compared with carotid endarterectomy. This is likely because the majority of endarterectomies are performed under general anesthesia (GA), whereas CAS is mainly performed under local anesthesia (LA). Performing CAS under GA may reverse its minimally invasive benefits. The aim of this study was to compare the safety profile of CAS-GA with that of CAS-LA.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Clinical research study Source Type: research
“Remember that patient you saw?” What a horrible question that always was. You came to work, and a friend would come up to you quietly and take you aside.“Remember that guy yesterday with the chest pain?”“Mr. Hayes?”“Yeah him.”“What happened?”“He came back with a heart attack.”“Oh wow, I feel terrible.” […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Practice Management Source Type: blogs
To assess characteristics and outcome of patients treated with Impella for acute myocardial infarction (AMI) complicated by severe cardiogenic shock (CS) or cardiac arrest (CA).
Source: Resuscitation - Category: Emergency Medicine Authors: Tags: Clinical paper Source Type: research
It is undeniably the case that both diet and exercise influence the course of aging, though the size of the beneficial effect, even in the case of optimal lifestyle choices, is nowhere near as large as we'd all like it to be. Animal studies show calorie restriction extending maximum life span in mice by up to 40%, as well as lesser effects from various other forms of dietary strategy. Exercise meanwhile doesn't extend life span in mice, but does postpone age-related dysfunction and disease. Unfortunately, the effects on life span due to any of the strategies that are based on the metabolic effects of exercise and reduced c...
Source: Fight Aging! - Category: Research Authors: Tags: Medicine, Biotech, Research Source Type: blogs
ConclusionsWhile pre-AF is independently associated with in-hospital mortality, new-AF may reflect a worse hemodynamic impact of the acute coronary syndromes, with the latter ultimately driving the prognosis.ResumenIntroducción y objetivosEl tratamiento y la estratificación del riesgo de los pacientes con fibrilación auricular (FA) y síndromes coronarios agudos son todo un reto. El objetivo es evaluar el impacto pronóstico de la FA, ya sea al ingreso como la aparecida durante la hospitalización por síndrome coronario agudo, así como las tendencias en los tratamientos ...
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research
ConclusionsIn patients with ACS, ticagrelor is more efficacious in protecting against new ischemic events and mortality than clopidogrel, irrespective of the presence of HF. There is no difference between ticagrelor or clopidogrel treatment in new-onset HF post-ACS.
Source: American Heart Journal - Category: Cardiology Source Type: research
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