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Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program

For Hospitals, No Benefit for Early Adoption of Financial Incentives

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Hospitals with early adoption do not have better process scores, lower mortality than late adopters
The rates of three major complications at less than 30 days after bariatric surgery are low and vary among surgical procedures

Low Rates of Major Complications After Bariatric Surgery

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<30-day rates for anastomotic leak, MI, PE, and following mortality generally low
For patients with chronic obstructive pulmonary disease

CVD Risk Up With β2-Agonist, Antimuscarinic Antagonist Start

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New use of long-acting β2-agonists, antimuscarinic antagonists tied to higher CVD risk in first 30 days
Dasiglucagon is well tolerated and is associated with an early pharmacodynamic response similar to that of GlucaGen for severe hypoglycemia

Dasiglucagon Well Tolerated for Severe Hypoglycemia

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Early pharmacodynamic response similar to that of GlucaGen, with longer lasting effects plasma glucose
Silent myocardial infarction is associated with an increased long-term risk of heart failure

Silent Myocardial Infarction Linked to Heart Failure Risk

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Silent and clinically manifested MI both correlated with future risk of heart failure in adjusted models
The prevalence of work-related musculoskeletal disorders appears to be high for at-risk physicians

Higher Risk of Musculoskeletal Disorders in Some Physicians

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Increasing risk for work-related musculoskeletal disorders, particularly in procedural specialists
For patients with acute or subacute stroke

Outcome Scores Predict Discharge Destination Post Stroke

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Outcome measure scores strongly predict discharge destination after acute, subacute stroke
From 2002 to 2015 there was a substantial increase in gabapentinoid use

Increase Seen in Gabapentinoid Use From 2002 to 2015

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More than three-fold increase in percentage of adults using gabapentin and/or pregabalin

December 2017 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 December 2017. This roundup includes the...
A same-day

Same-Day, Low-Dose Bowel Prep Feasible for Colonoscopy

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For inpatients at high risk of poor bowel prep, same-day 1-liter polyethylene glycol-based prep effective