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Syncope Evaluation: Evidence-Based and Economical
This study eliminated low-risk syncope patients and those with non-syncope transient loss of consciousness, such as seizure and head trauma, using a structured approach in the emergency department (ED), with only high-risk syncope patients being admitted. These high-risk syncope patients made up 28% of the patients included in the study. After admission, a simplified Wells’ pulmonary embolism criteria score was calculated, and a D-dimer was obtained. If either was high, the patient was scanned for PE and 17% were found to be positive, with two-thirds of those being found to have large-vessel pulmonary emboli. The bottom ...
Source: The Hospitalist - July 5, 2023 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines Source Type: research

There is a Decreased Risk of Hospitalization from Heart Failure in Type II Diabetics Initiated on a SGLT2 Inhibitor When Compared to a GLP-1 Receptor Agonist
Dr. Huang Clinical question: Determine the cardiovascular risk outcome in type II diabetic patients initiated on an sodium-glucose cotransporter-2 (SGLT2)  inhibitor versus a glucagon-like peptide-1 (GLP-1) receptor agonist. Background: Various studies have suggested that several SGLT2 inhibitors and GLP-1 receptor agonists may improve cardiac outcomes—myocardial infarction, stroke, hospitalization for heart failure, and cardiovascular death. Current guidelines recommend using either an SGLT2 inhibitor or GLP-1 receptor agonist for patients with type II diabetes and cardiovascular disease. However, there has been no st...
Source: The Hospitalist - September 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Diabetes Heart Failure In the Literature Source Type: research

Compliance with national guidelines for stroke in Radiology
Publication date: Available online 14 September 2015 Source:Operations Research for Health Care Author(s): Izabela Komenda, Vincent Knight, Hannah Mary Williams Stroke is a medical emergency, and if patient outcomes are to be optimised there should be no delays in accessing treatment. This project focuses on the application of Operational Research methodology to investigate how a hospital can comply with the revised computerised tomography (CT) scanning guidelines for stroke. Such guidelines, released by the Royal College of Physicians recommend a 50% reduction in time from hospital admission to report of a CT head sc...
Source: Operations Research for Health Care - September 14, 2015 Category: Hospital Management Source Type: research

The scope for improvement in hyper-acute stroke care in Scotland
Publication date: Available online 11 September 2015 Source:Operations Research for Health Care Author(s): Evin Uzun Jacobson, Steffen Bayer, James Barlow, Martin Dennis, Mary Joan MacLeod Thrombolysis is associated with reduced disability for selected patients who have suffered ischemic stroke. However only a fraction of all patients who have suffered this type of stroke receive thrombolysis. The short time window of 4.5 h in which treatment is licensed means that rapid care and well-organised pathways are essential. We studied measures to increase the uptake of thrombolysis through a better understanding of the ho...
Source: Operations Research for Health Care - September 11, 2015 Category: Hospital Management Source Type: research

Disproportionate effects of dementia on hospital discharge disposition in common hospitalization categories
CONCLUSIONSDementia proportions in many hospitalization categories have increased. The variable effect of dementia on home discharge suggests that dementia has a differential influence on hospital discharge disposition depending on the DRG. These findings have implications for healthcare allocation and long‐term care planning. Journal of Hospital Medicine 2015. © 2015 Society of Hospital Medicine
Source: Journal of Hospital Medicine - June 7, 2015 Category: Hospital Management Authors: Robert Y. Lin, Brian C. Scanlan, William Liao, Truc Phuong Thanh Nguyen Tags: Original Research Source Type: research

GMC invests $1.7M in 128-slice CT scanner
Gwinnett Medical Center has invested $1.7 million in a computed tomography (CT) scanner at its Lawrenceville hospital. The 128-slice CT scanner will be used in GMC Lawrenceville's emergency room, which is a Level II trauma center. The CT scanner boasts lower radiation levels than conventional x-ray devices, and allows physicians to see what was previously unseen, a hospital spokeswoman noted. The device will be used for bariatric, cancer, stroke and cardiac patients because it offers 4-D imaging,…
Source: bizjournals.com Health Care:Hospitals headlines - January 4, 2013 Category: Hospital Management Authors: Urvaksh Karkaria Source Type: research