Neighborhood-Level Chronic Disease Surveillance: Utility of Primary Care Electronic Health Records and Emergency Department Claims Data

Conclusions: Both EHRs and ED claims data are useful for identifying neighborhoods with greater disease burden and have potential for monitoring chronic conditions at the neighborhood level.
Source: Journal of Public Health Management and Practice - Category: Health Management Tags: Research Full Report Source Type: research

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Conclusion: Older adults with higher burden of CMVD, driven especially by diabetes, are likely to increase the risk of prevalent and incident MCI and dementia.Gerontology
Source: Gerontology - Category: Geriatrics Source Type: research
Walter OlsonI ’ve got a piece inThe Dispatch this morning. Excerpt:Governments around the country have been directing medical providers to allocate potentially lifesaving COVID therapies among patients on the basis of race, a policy that is almost certainly unconstitutional as well as morally open to question. …For those late to this controversy, here ’s a few examples of how the preferences work. In dispensing the scarce kind of monoclonal antibody that is known to retain broad effectiveness against COVID, for example, the Minnesota Department of Healthprescribed a point system in wh...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Pathol Int. 2022 Jan 25. doi: 10.1111/pin.13202. Online ahead of print.ABSTRACTAtherosclerotic disease, such as myocardial infarction and stroke, is the number one killer worldwide. Atherosclerosis is considered to be caused by multiple factors, including genetic and environmental factors. In humans, it takes several decades until the clinical complications develop. There are many known risk factors for atherosclerosis, including hypercholesterolemia, hypertension, diabetes and smoking, which are involved in the pathogenesis of atherosclerosis; however, it is generally believed that atherosclerosis is vascular chronic infl...
Source: Atherosclerosis - Category: Cardiology Authors: Source Type: research
CONCLUSION: No significant differences were found in maternal outcomes such as C-section, induction of labor, episiotomy or preterm labor, or neonatal outcomes such as macrosomia, neonatal hypoglycemia or congenital abnormalities among treatment groups. OHA can be considered as an alternative to insulin for the treatment of DM during pregnancy in selected cases.PMID:35077074
Source: Puerto Rico Health Sciences Journal - Category: International Medicine & Public Health Authors: Source Type: research
This study estimates aspirin use for preeclampsia prevention in pregnant women with prepregnancy diabetes, obesity, chronic hypertension, and combinations of these factors in 2018-2020.
Source: JAMA - Category: General Medicine Source Type: research
AbstractBackgroundPortal vein thrombosis (PVT) and venous thromboembolism (VTE) are fearsome complications of liver cirrhosis.ObjectivesTo assess the prevalence and the main risk factors for venous thrombotic complications in hospitalized cirrhotic patients.Patients/methodsWe retrospectively reviewed electronic administrative discharge data of 19461  cirrhotic patients hospitalized over a 35-year period; univariate and multivariate logistic regression was used to asses risk factors for PVT or VTE and their impact on hospital stay and mortality.Results382 out of 7445 patients (5.1%) were diagnosed with PVT and 95 (1.3%...
Source: Internal and Emergency Medicine - Category: Emergency Medicine Source Type: research
AbstractThe aim of the study was to investigate the epidemiological characteristics of stone components in patients with urolithiasis and analyze the associations between stone components with patients' clinical characteristics. A total of 7126 patients with urolithiasis between July 2005 and June 2020 were retrospectively analyzed. In this research, calcium oxalate stones (74.6%) accounted for the highest proportion, followed by infection stones (11.8%), uric acid (10.6%), brushite (2.0%), and others (1.1%). The change in trend in the composition of urinary stones revealed that the proportion of uric acid declined steadil...
Source: Urolithiasis - Category: Urology & Nephrology Source Type: research
This popular science article takes an approach that seems useful when presenting the argument for treating aging as a medical condition to people who are entirely unfamiliar with the concept. At present the practice of medicine treats the symptoms of aging only, addressing each symptom - each age-related condition - separately. But most old people have numerous conditions, stemming from the same underlying causes, the causative mechanisms of aging. It only makes sense to address age-related conditions more efficiently, and the path to that goal is to target these deeper causes of aging, thereby treating numerous age-relate...
Source: Fight Aging! - Category: Research Authors: Tags: Daily News Source Type: blogs
J Prim Care Community Health. 2022 Jan-Dec;13:21501319211069748. doi: 10.1177/21501319211069748.ABSTRACTOBJECTIVE: To evaluate the performance of an Electronic Health Record (EHR) integrated risk score for COVID-19 positive outpatients to predict 30-day risk of hospitalization.PATIENTS AND METHODS: A retrospective observational study of 67 470 patients with COVID-19 confirmed by polymerase chain reaction (PCR) test between March 12, 2020 and February 8, 2021. Risk scores were calculated based on data in the chart at the time of the incident infection.RESULTS: The Mayo Clinic COVID-19 risk score consisted of 13 components i...
Source: Primary Care - Category: Primary Care Authors: Source Type: research
J Formos Med Assoc. 2022 Jan 20:S0929-6646(21)00574-X. doi: 10.1016/j.jfma.2021.12.009. Online ahead of print.ABSTRACTBACKGROUND: Renal transplantation (RTX) is the treatment of choice for end-stage kidney disease (ESKD). Taiwan has the highest incidence and prevalence of ESKD in this world. This is the first study to illustrate the national registry database of RTX.METHODS: All patients who received RTX in Taiwan between 2010 and 2018 were enrolled in this study. Demographic data and comorbidities were obtained from the National Health Insurance Research Database and Transplantation Society of Taiwan. Graft and patient su...
Source: J Formos Med Assoc - Category: General Medicine Authors: Source Type: research
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