Here are what the editors at HealthDay consider to be the most important developments in Critical Care for July 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Early Mortality for Most Infants With Trisomy 13, 18
FRIDAY, July 29, 2016 (HealthDay News) — Early mortality is the most common outcome among children born with trisomy 13 or 18, although one-year survival is high for those undergoing surgical procedures, according to a study published online July 26 in The Journal of the American Medical Association.
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Flu Vaccine Protective Against Hospitalization, Death in T2DM
WEDNESDAY, July 27, 2016 (HealthDay News) — The seasonal influenza vaccine may significantly reduce mortality for patients with type 2 diabetes, as well as hospitalizations for stroke and cardiovascular and pulmonary issues, according to a study published online July 25 in CMAJ, the journal of the Canadian Medical Association.
Primary Stroke Centers Have Slight Survival Edge
TUESDAY, July 26, 2016 (HealthDay News) — The odds of surviving a stroke are slightly better for patients treated at hospitals with primary stroke centers (PSCs), but only if stroke patients get to the center in less than 90 minutes, according to research published online July 25 in JAMA Internal Medicine.
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American Red Cross Says Blood Donations Needed Urgently
TUESDAY, July 26, 2016 (HealthDay News) — The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.
Medical Students Often Track Progress of Former Patients
TUESDAY, July 26, 2016 (HealthDay News) — Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.
‘Walking Meetings’ Feasible Strategy for Employee Wellness
MONDAY, July 25, 2016 (HealthDay News) — Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
Health Expenditures Rising for Middle Class, Wealthy
THURSDAY, July 21, 2016 (HealthDay News) — While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.
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Higher Education Linked to Reduced Post-MI Heart Failure
WEDNESDAY, July 20, 2016 (HealthDay News) — Acute myocardial infarction (AMI) survivors with higher levels of education are less likely to develop heart failure, according to a study published online July 20 in the European Journal of Preventive Cardiology.
Diabetes Confers Worse Prognosis for Patients With ACS
WEDNESDAY, July 20, 2016 (HealthDay News) — For patients with acute coronary syndromes (ACS), diabetes confers a worse prognosis, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.
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Medicare Spending Up for Decedents Versus Survivors
WEDNESDAY, July 20, 2016 (HealthDay News) — Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.
Labor Compensation, Purchased Goods, Service Biggest Spends
TUESDAY, July 19, 2016 (HealthDay News) — Labor compensation remains the single largest contributor to costs among physicians’ offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.
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Burnout Can Have Acute Personal, Professional Consequences
MONDAY, July 18, 2016 (HealthDay News) — Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.
Thin-Walled Needle Best for Subclavian Catheterization
MONDAY, July 18, 2016 (HealthDay News) — A thin-walled introducer needle is recommended for right-sided infraclavicular subclavian venous catheterization, with lower catheterization-related complication rates and higher initial and overall success rates of catheterization compared with a catheter-over-needle technique, according to a study published online July 11 in Anaesthesia.
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Growth in U.S. Health Spending Set to Average 5.8 Percent
FRIDAY, July 15, 2016 (HealthDay News) — Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.
Increase in Acute Synthetic Cannabinoid Poisonings
FRIDAY, July 15, 2016 (HealthDay News) — Synthetic cannabinoids are sending increasing numbers of U.S. users to hospitals, according to research published in the July 15 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Pre-Op Patterns Can Predict Post-Cardiac Surgery Constipation
FRIDAY, July 15, 2016 (HealthDay News) — For patients undergoing cardiac surgery, preoperative constipation patterns are associated with postoperative constipation patterns, according to a study published online July 12 in the Journal of Clinical Nursing.
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Supreme Court Ruling Could Impact Med School Admissions
THURSDAY, July 14, 2016 (HealthDay News) — The U.S. Supreme Court’s ruling upholding the University of Texas at Austin’s consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).
Differences in Salary for Male, Female Faculty Physicians
WEDNESDAY, July 13, 2016 (HealthDay News) — For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.
Burnout Syndrome Common in Critical Care Professionals
WEDNESDAY, July 13, 2016 (HealthDay News) — Critical care health care professionals have one of the highest rates of burnout syndrome (BOS), compared to other health care professionals, according to a call-to-action statement published in the July 1 issue of the American Journal of Respiratory and Critical Care Medicine.
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VA Appealing to Physicians to Join Agency
FRIDAY, July 6, 2016 (HealthDay News) — The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.
Blood Test Might Help Diagnose Viral Versus Bacterial Infection
FRIDAY, July 8, 2016 (HealthDay News) — A blood test based on gene responses may help differentiate between bacterial and viral infections, according to a study published July 6 in Science Translational Medicine.
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1997 to 2011 Saw Almost 50 Percent Drop in ED Death Rates
THURSDAY, July 7, 2016 (HealthDay News) — From 1997 to 2011 there was a 48 percent reduction in emergency department (ED) mortality rates, according to a study published online July 6 in Health Affairs.
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Candida auris Causing Healthcare-Associated Infections
WEDNESDAY, July 6, 2016 (HealthDay News) — The emerging multidrug-resistant yeast Candida auris is causing invasive healthcare-associated infections with high mortality internationally, according to a clinical alert to U.S. healthcare facilities published by the U.S. Centers for Disease Control and Prevention.
Step-by-Step Approach Valid for Febrile Infants
WEDNESDAY, July 6, 2016 (HealthDay News) — The Step-by-Step approach is valid for identifying febrile infants at risk for invasive bacterial infection (IBI), according to a study published online July 5 in Pediatrics.
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Many Clinical Trials Are Not Listed in Data-Sharing Repository
WEDNESDAY, July 6, 2016 (HealthDay News) — Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.
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Mortality Odds Lower at Pediatric Trauma Centers for Injured Teens
TUESDAY, July 5, 2016 (HealthDay News) — For injured adolescents, treatment at pediatric trauma centers (PTCs) is associated with lower mortality compared with treatment at adult trauma centers (ATCs) or mixed trauma centers (MTCs) that treat both pediatric and adult trauma patients, according to a study published online June 27 in JAMA Pediatrics.
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Knowledge of CT Risks Varies Among Health Care Providers
FRIDAY, July 1, 2016 (HealthDay News) — Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.
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Rehab in ICU for Respiratory Failure Does Not Reduce LOS
FRIDAY, July 1, 2016 (HealthDay News) — For patients admitted to the intensive care unit (ICU) with acute respiratory failure, standardized rehabilitation therapy (SRT) does not decrease hospital length of stay (LOS) compared with usual care, according to a study published in the June 28 issue of the Journal of the American Medical Association.
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Extended-Spectrum Antibiotics No Benefit for Pediatric Appendicitis
FRIDAY, July 1, 2016 (HealthDay News) — For children diagnosed with appendicitis undergoing appendectomy, extended-spectrum antibiotics seem to offer no advantage over narrower-spectrum agents, according to a study published online June 28 in Pediatrics.
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