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The disparity gap for care practices and certain outcomes between minority and white infants born at 22 to 29 gestational weeks narrowed from 2006 to 2017

Racial, Ethnic Disparities in Care for Preemies Have Narrowed

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Disparities have narrowed in specific care practices for African-American, Hispanic versus white infants
Among elderly patients

Flu Vaccine Tied to Better Long-Term Outcomes in Elderly ICU Survivors

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Those who are vaccinated have lower risk for stroke, death in year following ICU discharge
Nearly two-thirds of actively practicing physicians are still carrying medical school debt

One-Third of Physicians Will Take 10+ Years to Pay Off Debt

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Survey shows that taking extra shifts is one strategy to help doctors pay off medical school debt
Using the true number of central lines as the denominator improves methods of determining central line-associated bloodstream infection rates

Method to Calculate Central Line Infections Flawed

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Counting multiple concurrent central lines may help account for hospitals with patients with higher acuity of care
Nurse-driven root cause analysis is associated with a substantial reduction in hypoglycemia in the intensive care unit

Nurse-Led Quality Initiative Cuts Hypoglycemia in ICU Patients

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Percentage of patients experiencing hypoglycemia decreased for those without, with diabetes
The dual burden of preterm birth and severe maternal morbidity has a rate of 37 per 10

Rate of Dual Burden 37 Per 10,000 Births in California

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Significant predictors of dual burden of preterm birth, severe maternal morbidity include smoking, HTN
About two-thirds of patients who survive hospitalization for sepsis have persistent elevation of inflammation and immunosuppression biomarkers

Persistent Inflammation After Sepsis Linked to Higher Mortality

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Persistent inflammation, immunosuppression linked to increased mortality and readmission after discharge
Overuse of broad-spectrum antibiotics is associated with increased mortality and other poor outcomes in adults admitted for community-onset pneumonia

Poor Pneumonia Outcomes Tied to Overuse of Broad-Spectrum Antibiotics

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Poor outcomes include higher mortality, longer hospital stay, and greater risk for C. difficile infection
Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices

Brand-Brand Competition Has Not Cut Prices in Pharma Market

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Review shows evidence that brand-brand competition was mediated by quality of competing drugs

July 2019 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for July 2019. This roundup includes the...