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Specialty: Hospital Management
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Total 178 results found since Jan 2013.
Cost-effectiveness of the Victorian Stroke Telemedicine program
ConclusionThe VST program was likely to be cost saving or cost-effective. Our findings provide confidence in supporting wider implementation of telemedicine for acute stroke care in Australia.PMID:35589669 | DOI:10.1071/AH21377
Source: Australian Health Review - May 19, 2022 Category: Hospital Management Authors: Joosup Kim Elise Tan Lan Gao Marj Moodie Helen M Dewey Kathleen L Bagot Nancy Pompeani Lauren Sheppard Christopher F Bladin Dominique A Cadilhac Source Type: research
What Medications Prevent Delirium in Elderly Medical Inpatients?
This study demonstrated lower rates of delirium in the melatonin arm, with an impressive number needed to treat (NNT) below six patients; mortality and length of hospital stay were unaffected.3 A delirium-prevention effect of melatonin has not been reproduced in other studies, notably Jaiswal et al, which randomized patients to a placebo or 3 mg of melatonin and found no difference in rates of delirium prevention.7
The melatonin receptor agonist ramelteon also has small but favorable evidence for preventing non-ICU hospitalized delirium. This comes from a study of 67 patients aged 65 years or older who were randomized to...
Source: The Hospitalist - May 2, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Drug Therapy Geriatrics Key Clinical Questions Medication Source Type: research
Mayo Clinic research finds AI-enabled ECGs may identify patients at greater risk of stroke, cognitive decline
ROCHESTER, Minn. — Atrial fibrillation, the most common cardiac rhythm abnormality, has been linked to one-third of ischemic strokes, the most common type of stroke. But atrial fibrillation is underdiagnosed, partly because many patients are asymptomatic. Artificial intelligence-enabled electrocardiography (ECG) w as recently shown to identify the presence of brief episodes of atrial fibrillation, and the ability of an AI-enabled ECG algorithm to predict atrial fibrillation up to 10 years before clinical diagnosis has been confirmed…
Source: Mayo Clinic Arizona News - May 2, 2022 Category: Hospital Management Source Type: news
Bhatt Honored on AHA ’s Top Heart Disease and Stroke Research Advances of 2021
Deepak L. Bhatt, MD, MPH, executive director of Interventional Cardiovascular Programs, was recognized twice on the American Heart Association ’s 2021 list of top heart disease and stroke research advances. This list recognizes the most consequential
Source: BWH News - March 15, 2022 Category: Hospital Management Source Type: news
Can I use DOAC in a patient with renal disease?
Case
A 76-year-old man is diagnosed with non-valvular atrial fibrillation. His comorbid conditions are hypertension, diabetes complicated by neuropathy, and chronic kidney disease stage 3. His current medications include metformin, lisinopril, gabapentin, and aspirin. His most recent laboratories showed a creatinine 1.8, creatinine clearance (CrCl) 35 mL/min, hemoglobin 11g/dL, and international normalized ratio 1.0. His congestive heart failure, hypertension, age, diabetes, stroke, vascular disease, and sex (CHADSVASc) score is 4. Which medication should we use to prevent stroke in this patient?
Brief overview of the is...
Source: The Hospitalist - February 3, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Renal & Genitourinary Source Type: research
3 things to know about women's heart health
ROCHESTER, Minn. — February is American Heart Month ― a time to call attention to heart health issues such as heart disease and stroke. Cardiovascular disease is the No. 1 killer of women, causing 1 in 3 deaths each year, according to the American Heart Association. Progress has been made to reduce cardiovascula r disease for every age and gender over the past two decades, but the progress has been slower in improving risk factors and…
Source: Mayo Clinic Minnesota News - February 1, 2022 Category: Hospital Management Source Type: news
Anticoagulant choice in antiphospholipid syndrome – associated thrombosis
Background: DOACs have largely replaced VKAs as first-line therapy for venous thromboembolism in patients with adequate renal function. However, there is concern in APS that DOACs may have higher rates of recurrent thrombosis than VKAs when treating thromboembolism.
Dr. David Portnoy
Study design: Randomized noninferiority trial.
Setting: Six teaching hospitals in Spain.
Synopsis: Of adults with thrombotic APS, 190 were randomized to receive rivaroxaban or warfarin. Primary outcomes were thrombotic events and major bleeding. Follow-up after 3 years demonstrated new thromboses in 11 patients (11.6%) in the DOAC...
Source: The Hospitalist - December 10, 2021 Category: Hospital Management Authors: Daniel Hickman Tags: Hematology Thrombosis Source Type: research
Optimal patient protocols in regional acute stroke care
We describe acute stroke care as a multi-flow two-level hierarchical facility location problem and the model is formulated as a mixed integer linear program. The objective of the model is the minimization of the total time until treatment in a region and it incorporates volume-dependent in-hospital delays. The resulting model is used to gain insight in the performance of practically oriented patient allocation protocols, used by EMS. We observe that the protocol of directly driving to the nearest stroke centre with s pecial facilities (i.e., the mothership protocol) performs closest to optimal, with an average total time d...
Source: Health Care Management Science - September 1, 2021 Category: Hospital Management Source Type: research
St. Michael’s Outpatient Stroke and Neurology Clinic proves highly specialized care can be delivered quickly
Source: St. Michael's Hospital News and Media - October 30, 2020 Category: Hospital Management Tags: Hospital News Source Type: news
Largest pharmacogenetic clinical trial in cardiology shows potential benefit in individualized approach to anti-platelet therapy
ROCHESTER, Minn. ? Heart patients who undergo percutaneous coronary intervention (PCI) or stent placement? nonsurgical procedures to improve blood flow to the heart ? are typically prescribed anti-platelet therapy to avoid blood clots that can lead to a heart attack or stroke. New research from the international TAILOR-PCI trial, the largest pharmacogenetics clinical trial in [...]
Source: Mayo Clinic Minnesota News - August 24, 2020 Category: Hospital Management Source Type: news
Impact of rhabdomyolysis on outcomes of hospitalizations for heat stroke in the United States
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Source: Hospital Practice - July 26, 2020 Category: Hospital Management Authors: Charat Thongprayoon Tananchai Petnak Swetha R. Kanduri Karthik Kovvuru Wisit Cheungpasitporn Boonphiphop Boonpheng Api Chewcharat Tarun Bathini Juan Medaura Saraschandra Vallabhajosyula Wisit Kaewput Source Type: research
Frequent general practitioner visits are protective against statin discontinuation after a Pharmaceutical Benefits Scheme copayment increase.
ConclusionsPatients who visited their GP at least three times per year had a lower risk of ceasing their statins in the year following the copayment increase. GPs can help patients maintain treatment following rises in medicines costs.What is known about the topic?Following the 21% increase in medication copayment in 2005, individuals discontinued or reduced their statin usage, including for tertiary prevention.What does this paper add?Patients who visited their GP at least three times per year were less likely to discontinue their statin therapy for tertiary prevention following a large copayment increase.What are the imp...
Source: Australian Health Review - May 10, 2020 Category: Hospital Management Authors: Seaman KL, Sanfilippo FM, Bulsara MK, Brett T, Kemp-Casey A, Roughead EE, Bulsara C, Preen DB Tags: Aust Health Rev Source Type: research
