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Total 32351 results found since Jan 2013.
Hospitalization Type Predicts Risk of Subsequent Severe Sepsis.
CONCLUSIONS: There is a strong dose-response relationship between events known to result in dysbiosis and subsequent severe sepsis hospitalization that is not present for re-hospitalization for non-sepsis diagnoses.
PMID: 26016947 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 27, 2015 Category: Respiratory Medicine Authors: Prescott HC, Dickson RP, Rogers MA, Langa KM, Iwashyna TJ Tags: Am J Respir Crit Care Med Source Type: research
Medicare's Sepsis Reporting Program: Two Steps Forward, One Step Back.
PMID: 27167169 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 10, 2016 Category: Respiratory Medicine Authors: Barbash IJ, Kahn JM, Thompson BT Tags: Am J Respir Crit Care Med Source Type: research
Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study.
CONCLUSIONS: At 12 months after ARDS, nearly one-half of previously-employed survivors were jobless. Post-ARDS joblessness is associated with readily identifiable patient and hospital variables, and accompanied by substantial lost earnings and a shift toward government-funded healthcare coverage.
PMID: 28448162 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - April 27, 2017 Category: Respiratory Medicine Authors: Kamdar BB, Huang M, Dinglas VD, Colantuoni E, von Wachter TM, Hopkins RO, Needham DM, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network Tags: Am J Respir Crit Care Med Source Type: research
Assessing the Generalizability of the National Lung Screening Trial: Comparison of Stage 1 Patients.
CONCLUSIONS: Elderly patients with minimal comorbid conditions meeting the inclusion criteria of the NLST who undergo surgery, had excellent post-operative outcomes and similar lung-cancer specific 5 year survivorship. In those with significant comorbidities or those not undergoing surgery, competing causes of death may diminish benefit and the evidence does not support screening in this group.
PMID: 28722466 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - July 19, 2017 Category: Respiratory Medicine Authors: Tanner NT, Dai L, Bade BC, Gebregziabher M, Silvestri GA Tags: Am J Respir Crit Care Med Source Type: research
Risk Trajectories of Readmission and Death in the First Year Following Hospitalization for COPD.
Conclusions Discharge from hospital is associated with prolonged risks of readmission and death that vary with need for ventilator support. Interventions limited to the first month after discharge may be insufficient to improve longitudinal outcomes.
PMID: 29206052 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - December 5, 2017 Category: Respiratory Medicine Authors: Lindenauer PK, Dharmarajan K, Qin L, Lin Z, Gershon AS, Krumholz HM Tags: Am J Respir Crit Care Med Source Type: research
Readmissions Reduction Program, Mortality and Readmissions for Chronic Obstructive Pulmonary Disease.
CONCLUSIONS: We found a reduction in 30-day all-cause readmission rate during the implementation period compared to the pre-announcement phase. HRRP implementation was also associated with a significant increase in 30-day mortality after discharge from COPD hospitalization. Additional research is necessary to confirm our findings and understand the factors contributing to increased mortality in patients with COPD in the HRRP implementation period.
PMID: 32871097 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - August 31, 2020 Category: Respiratory Medicine Authors: Puebla Neira DA, Hsu ES, Kuo YF, Ottenbacher KJ, Sharma G Tags: Am J Respir Crit Care Med Source Type: research
Cost-effectiveness analysis of early point-of-care lactate testing in the emergency department
Conclusions Implementing a POC Lactate Program for screening ED patients with suspected sepsis is a cost-effective intervention to identify patients responsive to early resuscitation.
Source: Journal of Critical Care - July 14, 2016 Category: Gastroenterology Source Type: research
Sovaldi - a "Revolution" in Clinical Care, or in Marketing and Public Relations?
DiscussionWashington Post/ Kaiser Health NewsOn May 12, 2014, in an article on the dilemma the drug's US price of $1000/ pill presents to Medicare, Richard Knox wrote this about a patient with the infection:Previous drug treatments didn't clear the virus from Bianco's system. But it's almost certain that potent new drugs for hep-C could cure him. In other words, the article asserted that Sovaldi and similar drugs cure nearly everyone with hepatitis C, even those not cured by previous treatment. ReutersOn May 20, 2014, in an article about how US health insurers are balking at the price of Sovaldi, was this statement b...
Source: Health Care Renewal - May 28, 2014 Category: Health Management Tags: evidence-based medicine Gilead health care prices manipulating clinical research Sovaldi You heard it here first Source Type: blogs
ICU Telemedicine and Critical Care Mortality: A National Effectiveness Study
Background: Intensive care unit (ICU) telemedicine is an increasingly common strategy for improving the outcome of critical care, but its overall impact is uncertain.
Objectives: To determine the effectiveness of ICU telemedicine in a national sample of hospitals and quantify variation in effectiveness across hospitals.
Research Design: We performed a multicenter retrospective case-control study using 2001–2010 Medicare claims data linked to a national survey identifying US hospitals adopting ICU telemedicine. We matched each adopting hospital (cases) to up to 3 nonadopting hospitals (controls) based on size, case-mix,...
Source: Medical Care - February 18, 2016 Category: Health Management Tags: Original Articles Source Type: research
Variation in mortality rates after admission to long-term acute care hospitals for ventilator weaning
Conclusions LTACHs vary widely in mortality rates, underscoring the need to better understand the sources of this variation and improve the quality of care for patients requiring long-term ventilator weaning.
Source: Journal of Critical Care - April 6, 2018 Category: Gastroenterology Source Type: research
An Interprofessional Precision Health Model for Assessment of Caregiver Impact on Polypharmacy in Elderly Intensive Care Unit Patients
Elderly critical care patients are one of the largest growing patient population groups according to Medicare data. More than 51% of elderly patients are discharged on inappropriate medications that have the potential to cause harm or interact adversely with other medications. Precision health has the potential to prevent adverse drug events and prescription of inappropriate medications. The purpose of this literature review was to define the concept of precision health and determine the state of science regarding interprofessional models of precision health for assessment of caregiver impact on polypharmacy in elderly int...
Source: Critical Care Nursing Clinics of North America - August 18, 2023 Category: Nursing Authors: Debbra Pogue, Mary O'Keefe Source Type: research
Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit.
CONCLUSIONS: A comprehensive, proactive, collaborative ulcer prevention program based on staff education and a focus on adherence to protocols for patient care can be an effective way to reduce the incidence of HAPUs in intensive care units.
PMID: 26932917 [PubMed - in process]
Source: American Journal of Critical Care - March 1, 2016 Category: Nursing Authors: Swafford K, Culpepper R, Dunn C Tags: Am J Crit Care Source Type: research
The Call to Be a Primary Care Doctor
By HANS DUVEFELT
I suspect the notion of calling in narrower specialties is quite different from mine. Surgeons operate, neurologists treat diseases of the nervous system, even as the methods they use change over time.
Primary care has changed fundamentally since I started out. Others have actually altered the definition of what primary care is, and there is more and more of a mismatch between what we were envisioning and trained for and what we are now being asked to do. Our specialty is often the first to see a patient and also the last stop when no other specialty wants to deal with them.
We have also been requ...
Source: The Health Care Blog - July 16, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Hans Duvefelt Source Type: blogs
