Electronic Health Records (EHR) Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A Randomized Controlled Trial of the Implementation of BREASTChoice, a Multilevel Breast Reconstruction Decision Support Tool With Personalized Risk Predictiona
CONCLUSIONS: BREASTChoice is a novel decision tool incorporating risk prediction, patient education, and clinician engagement. Patients using BREASTChoice had higher knowledge; older adults and those from racially minoritized backgrounds especially benefitted. There was no impact on other decision outcomes. Future studies should overcome implementation barriers and specifically examine decision outcomes among high-risk patients.PMID:38801247 | DOI:10.1097/SLA.0000000000006354 (Source: Cancer Control)
Source: Cancer Control - May 27, 2024 Category: Cancer & Oncology Authors: Mary C Politi Terence M Myckatyn Krista Cooksey Margaret A Olsen Rachel M Smith Randi Foraker Katelyn Parrish Crystal Phommasathit Guy Brock Sarah Janse Janine Guglielmino Anne Peled Paul B Mills Sherrill Jackson Clara N Lee Source Type: research

Use of CYP2D6 Inhibitors with CYP2D6 Opioids: Association with Emergency Department Visits for Pain
Clin Pharmacol Ther. 2024 May 26. doi: 10.1002/cpt.3314. Online ahead of print.ABSTRACTHydrocodone, tramadol, codeine, and oxycodone are commonly prescribed opioids that rely on activation by cytochrome P450 2D6 (CYP2D6). CYP2D6 inhibitors can significantly decrease CYP2D6 activity, leading to reduced generation of active metabolites, and impairing pain control. To understand this impact, we assessed emergency department (ED) visits in patients initiating these CYP2D6-dependent opioids while on CYP2D6-inhibitor antidepressants vs. antidepressants that do not inhibit CYP2D6. This retrospective cohort study included adult pa...
Source: Clinical Pharmacology and Therapeutics - May 27, 2024 Category: Drugs & Pharmacology Authors: Noor Ahmed Nahid Caitrin W McDonough Yu-Jung Jenny Wei Emily J Cicali Yan Gong Roger B Fillingim Julie A Johnson Source Type: research

Risk factors associated with escalation of care in a quaternary academic hospital at home program
AbstractBackgroundHospital-at-home has become a more recognized way to care for patients requiring inpatient hospitalization. At times, these patients may require escalation of care (transfer from home back to the brick-and mortar (BAM) hospital for ongoing hospitalization care needs), a process that has not been extensively studied.ObjectiveTo evaluate what patient factors contribute to escalations of care in the hospital-at-home delivery model.Designs, Settings, and ParticipantsWe conducted a retrospective review of all patients admitted to Mayo Clinic's Advanced Care at Home (ACH) program from January 1, 2022 to Decembe...
Source: Journal of Hospital Medicine - May 27, 2024 Category: Hospital Management Authors: Jed Colt Cowdell, Ellen Lopez, Amy Haney, Luke Myers, Barbara Coble, Michael G. Heckman, Ryan T. Moerer, Margaret R. Paulson, Michael Maniaci Tags: ORIGINAL RESEARCH Source Type: research

Prognostic clinical decision support for pneumonia in the emergency department: A randomized trial
ConclusionsEHR-based prognostic CDS did not improve ED disposition decisions for children with pneumonia. Although the intervention's content was favorably received, low subject accrual and workflow integration problems likely limited effectiveness. Clinical Trials Registration: NCT06033079. (Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - May 27, 2024 Category: Hospital Management Authors: Derek J. Williams, Hui Nian, Srinivasan Suresh, Jason Slagle, Stephen Gradwohl, Jakobi Johnson, Justine Stassun, Carrie Reale, Shari L. Just, Nancy S. Rixe, Russ Beebe, Donald H. Arnold, Robert W. Turer, James W. Antoon, Laura F. Sartori, R Tags: ORIGINAL RESEARCH Source Type: research

Post-COVID-19 Mental Health Distress in 13 Million Youth: A Retrospective Cohort Study of 7 Million Electronic Health Records
To investigate the impact of the SARS-CoV-2 infection on the rates of mental disorders in youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 27, 2024 Category: Psychiatry Authors: Yanli Zhang-James, John W.S. Clay, Rachel B. Aber, Hilary M. Gamble, Stephen V. Faraone Tags: New Research Source Type: research

Post-COVID-19 Mental Health Distress in 13 Million Youth: A Retrospective Cohort Study of Electronic Health Records
To investigate the impact of the SARS-CoV-2 infection on the rates of mental disorders in youth. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 27, 2024 Category: Psychiatry Authors: Yanli Zhang-James, John W.S. Clay, Rachel B. Aber, Hilary M. Gamble, Stephen V. Faraone Tags: New Research Source Type: research

African American patients have a higher probability of cognitive impairment after incident stroke: An analysis of national electronic health record data
Cognitive impairment (CI) and stroke are diseases with significant disparities in race and geography. Post stroke cognitive impairment (PSCI) can be as high as 15-70% but few studies have utilized large administrative or electronic health records (EHR) to evaluate trends in PSCI. We utilized an EHR database to evaluate for disparities in PSCI in a large sample of patients after first recorded stroke to evaluate for disparities in race. (Source: Journal of Stroke and Cerebrovascular Diseases)
Source: Journal of Stroke and Cerebrovascular Diseases - May 25, 2024 Category: Neurology Authors: Alicia Zha, Chenguang Zhang, Gen Zhu, Xinran Huang, Sahar Anjum, Yashar Talebi, Sean Savitz, Hulin Wu Source Type: research

Comprehensive ABC (HbA < sub > 1c < /sub > , blood pressure, LDL-C) control and cardiovascular disease risk in patients with type 2 diabetes mellitus and major depressive disorder in a South African managed healthcare organisation
CONCLUSIONS: Despite a managed-care environment, the comprehensive ABC control among patients with T2DM was suboptimal, particularly in those with MDD, placing them at greater risk for CVD events.PMID:38787623 | DOI:10.5830/CVJA-2024-003 (Source: Cardiovascular Journal of Africa)
Source: Cardiovascular Journal of Africa - May 24, 2024 Category: Cardiology Authors: Lovina A Naidoo Neil Butkow Paula Barnard-Ashton Elena Libhaber Source Type: research

Care Quality and Equity in Health Centers During and After the COVID-19 Pandemic
CONCLUSIONS: While preventive screening and chronic disease management in FQHCs have largely rebounded to pre-pandemic levels following an initial decline, persistent disparities highlight the need for targeted interventions to support FQHCs in addressing healthcare inequities.PMID:38788862 | DOI:10.1016/j.amepre.2024.05.011 (Source: Cancer Control)
Source: Cancer Control - May 24, 2024 Category: Cancer & Oncology Authors: Brenda M McGrath Rose Goueth Matthew W H Jones Nicole Cook Suparna M Navale Stephen J Zyzanski Wyatt P Bensken Anna R Templeton Siran M Koroukian Rae L Crist Kurt C Stange Source Type: research

Development and Implementation of an Integrated Standard e-Prescription Model in Alignment with Iranian National EHR
Stud Health Technol Inform. 2024 May 23;314:139-143. doi: 10.3233/SHTI240077.ABSTRACTThe implementation of an Electronic Prescribing (EP) system offers numerous advantages in enhancing the efficiency of prescribing practices. To ensure successful implementation, a comprehensive understanding of the workflow in paper-based prescribing is crucial. In Iran, the Ministry of Health, and Medical Education (MOHME) has been actively involved in developing an EP system since 2011. The pilot results within MOHME have garnered significant support from all basic insurance organizations, primarily due to the importance of addressing fi...
Source: Studies in Health Technology and Informatics - May 24, 2024 Category: Information Technology Authors: Somayeh Abedian Amin Biglarkhani Ali Azami Ghadikolaei Mohsen Barahmand Source Type: research

Exploring Negated Entites for Named Entity Recognition in Italian Lung Cancer Clinical Reports
Stud Health Technol Inform. 2024 May 23;314:98-102. doi: 10.3233/SHTI240066.ABSTRACTThis paper explores the potential of leveraging electronic health records (EHRs) for personalized health research through the application of artificial intelligence (AI) techniques, specifically Named Entity Recognition (NER). By extracting crucial patient information from clinical texts, including diagnoses, medications, symptoms, and lab tests, AI facilitates the rapid identification of relevant data, paving the way for future care paradigms. The study focuses on Non-small cell lung cancer (NSCLC) in Italian clinical notes, introducing a ...
Source: Studies in Health Technology and Informatics - May 24, 2024 Category: Information Technology Authors: Domenico Paolo Alessandro Bria Carlo Greco Marco Russano Sara Ramella Paolo Soda Rosa Sicilia Source Type: research

Multicenter Analysis of Cardiometabolic-Related Diagnoses in Youth with Congenital Adrenal Hyperplasia: a PEDSnet study
CONCLUSIONS: Overall, youth with CAH are at increased risk of diagnoses related to worse cardiometabolic health.PMID:38783717 | DOI:10.1210/clinem/dgae362 (Source: The Journal of Clinical Endocrinology and Metabolism)
Source: The Journal of Clinical Endocrinology and Metabolism - May 24, 2024 Category: Endocrinology Authors: Li-Min Chen Anna Valentine Shanlee M Davis Evan Graber Patricia Y Fechner Anna Furniss Leena Nahata Laura Pyle Arpita K Vyas Maria G Vogiatzi Natalie J Nokoff Source Type: research