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Total 70311 results found since Jan 2013.

Implementation of the Affordable Care Act: A Comparison of Outcomes in Patients With Severe Sepsis and Septic Shock Using the National Inpatient Sample*
Objectives: Sepsis is the most common and costly diagnosis in U.S.’ hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. The Affordable Care Act, passed in 2010, expanded access to health insurance coverage. The purpose of this study was to evaluate changes in insurance coverage and outcomes in patients with severe sepsis and septic shock as a result of the full implementation of the Affordable Care Act. Design: This retrospective study uses data from the Healthcare Cost and Utilizati...
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Racial/Ethnic Differences in Pediatric Emergency Department Wait Times
Conclusions In unadjusted analyses, non-White children experienced longer PED wait times than NHW children. After adjusting for illness severity, patient demographics, and overcrowding measures, wait times for NHB and other race children were largely determined by site of care. Hispanic children experienced longer within-site and between-site wait times compared with NHW children. Additional research is needed to understand structures and processes of care contributing to wait time differences between sites that disproportionately impact non-White patients.
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research

Effect of Direct-to-Consumer Advertising on Asthma Medication Sales and Healthcare Utilization.
CONCLUSIONS: Among this population, DTCA was associated with higher prescription sales and as well as asthma-related Emergency Department utilization. PMID: 25879303 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - April 16, 2015 Category: Respiratory Medicine Authors: Daubresse M, Hutfless S, Kim Y, Kornfield R, Qato DM, Huang J, Miller K, Emery SL, Alexander GC Tags: Am J Respir Crit Care Med Source Type: research

Physical Function and Mental Health in Trauma Intensive Care Patients: A 2-Year Cohort Study
Conclusions: Improvements in physical function and mental health are evident in the 24 months following injury, but most patients remain below Australian population norms. Factors that were associated with physical function and mental health outcomes over time that are potentially amenable to change include illness perception, self-efficacy, and perceived social support.
Source: Critical Care Medicine - March 15, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

The Scope of Behavioral Health Integration in a Pediatric Primary Care Setting
Conclusions: Pediatric BHCs provide a wide range of services to pediatric populations in the context of integrated behavioral health programs. Implications for workforce capacity development, evaluation of outcomes and impact, and sustainability are discussed.</span>
Source: Journal of Pediatric Psychology - July 16, 2016 Category: Pediatrics Source Type: research

Socioeconomic Status and Childhood Asthma in Urban Minority Youths: The GALA II & SAGE II Studies.
Conclusions: Socioeconomic status plays an important role in predicting asthma, but has different effects depending on race and ethnicity. Further steps are necessary to better understand the risk factors through which socioeconomic status could operate in these populations to prevent asthma. PMID: 24050698 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - September 19, 2013 Category: Respiratory Medicine Authors: Thakur N, Oh SS, Nguyen EA, Martin M, Roth LA, Galanter J, Gignoux CR, Eng C, Davis A, Meade K, Lenoir MA, Avila PC, Farber HJ, Serebrisky D, Brigino-Buenaventura E, Rodriguez-Cintron W, Kumar R, Williams KL, Bibbins-Domingo K, Thyne S, Sen S, Rodriguez-S Tags: Am J Respir Crit Care Med Source Type: research

Asthma in hispanics. An 8-year update.
Abstract This review provides an update on asthma in Hispanics, a diverse group tracing their ancestry to countries previously under Spanish rule. A marked variability in the prevalence and morbidity from asthma remains among Hispanic subgroups in the United States and Hispanic America. In the United States, Puerto Ricans and Mexican Americans have high and low burdens of asthma, respectively (the "Hispanic Paradox"). This wide divergence in asthma morbidity among Hispanic subgroups is multifactorial, likely reflecting the effects of known (secondhand tobacco smoke, air pollution, psychosocial stress, obesity, ina...
Source: American Journal of Respiratory and Critical Care Medicine - June 1, 2014 Category: Respiratory Medicine Authors: Rosser FJ, Forno E, Cooper PJ, Celedón JC Tags: Am J Respir Crit Care Med Source Type: research

Long-Term Ozone Exposure Increases the Risk of Developing the Acute Respiratory Distress Syndrome.
CONCLUSIONS: Long-term ozone exposure is associated with development of ARDS in at-risk critically ill patients, particularly in trauma patients and current smokers. Ozone exposure may represent a previously unrecognized environmental risk factor for ARDS. PMID: 26681363 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - December 17, 2015 Category: Respiratory Medicine Authors: Ware LB, Zhao Z, Koyama T, May AK, Matthay MA, Lurmann FW, Balmes JR, Calfee CS Tags: Am J Respir Crit Care Med Source Type: research

Long-term Mortality and Major Adverse Cardiovascular Events in Sepsis Survivors: A Nationwide Population-based Study.
CONCLUSIONS These data indicate that sepsis survivors had substantially increased risks of subsequent all-cause mortality and major adverse cardiovascular events at 1 year after discharge, which persisted for up to 5 years after discharge. PMID: 26808711 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - January 25, 2016 Category: Respiratory Medicine Authors: Ou SM, Chu H, Chao PW, Lee YJ, Kuo SC, Chen TJ, Tseng CM, Shih CJ, Chen YT 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

Chronic Obstructive Pulmonary Disease in Hispanics: A 9-Year Update.
Abstract Hispanics are the largest minority in the U.S., now encompassing 56.6 million people. A Hispanic or Latino is an individual whose ancestry can be traced to Spain or territories previously under Spanish control. The Hispanic population in the U.S. and Latin America is very diverse for country of origin, nativity, and racial ancestry. Over the last nine years, our knowledge of COPD in Hispanics has improved, due to a better understanding of differences in COPD burden and risk factors across Hispanic subgroups, development of subgroup-specific spirometry reference equations, genetic studies, and better knowl...
Source: American Journal of Respiratory and Critical Care Medicine - September 1, 2017 Category: Respiratory Medicine Authors: Díaz A, Celli B, Celedón JC Tags: Am J Respir Crit Care Med Source Type: research

Clinical Effectiveness of the Anti-Fibrotic Medications for Idiopathic Pulmonary Fibrosis.
CONCLUSIONS: Among patients with idiopathic pulmonary fibrosis, anti-fibrotic agents may be associated with a lower risk of all-cause mortality and hospitalizations compared to no treatment. Future research should test the hypothesis that these treatments reduce early but not long-term mortality as demonstrated in our study. PMID: 31150266 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - May 30, 2019 Category: Respiratory Medicine Authors: Dempsey TM, Sangaralingham LR, Yao X, Sanghavi D, Shah ND, Limper AH Tags: Am J Respir Crit Care Med Source Type: research

Urgent Care Utilization in a Pediatric Population with Private Health Insurance
Pediatric urgent care (UC) utilization patterns have been studied in Medicaid enrollees, but not in those with private insurance.
Source: Journal of Pediatric Health Care - February 19, 2020 Category: Pediatrics Authors: Shawna S. Mudd, Sylvia M. Alvarado, Sarah Otaru, Therese Canares Tags: Article Source Type: research

Lack of insurance as a barrier to care in sepsis: A retrospective cohort study
Conclusions The association between lack of insurance and organ dysfunction on admission in community-onset sepsis suggests that lack of insurance may impede timely care for patients with community-onset infections.
Source: Journal of Critical Care - June 19, 2018 Category: Gastroenterology Source Type: research