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June 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 June 2017. This roundup includes the...
For community-dwelling older adults

Preadmission Functional Impairment Ups Medicare Costs

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Increase in mean Medicare costs after discharge linked to severity of preadmission impairment
The number of Americans hospitalized for heart failure has dropped substantially since 2002

Number of Hospitalizations for Heart Failure Declining

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But blacks still face far greater odds than whites, researchers find
For Medicare beneficiaries age 65 years and older

Revisits After Discharge From Observation Up in Elderly

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From 2006 to 2011, increases seen in repeat observation stays and any hospital revisit for seniors
Opioid-related hospitalizations among women in the United States increased far faster than among men between 2005 and 2014

Sharp Rise Among Women for Opioid-Related Hospitalizations

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U.S. cases rose 75 percent for females versus 55 percent for males over a decade, researchers say
Although patients aged 65 and older are four times less likely to leave the hospital against medical advice than adults under 65

Age a Factor in Patients Leaving Hospital Against Medical Advice

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Race/ethnicity and poverty are more pronounced as risk factors for DAMA in elderly inpatients
About 20 percent of U.S. hospital patients who receive antibiotics experience side effects from the drugs

20 Percent of Hospital Patients Have Side Effects From Abx Rx

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One-fifth of those who had antibiotic-related side effects didn't require the drugs in the first place
The Hospital Value-Based Purchasing program

Limited Change With Hospital Value-Based Purchasing Program

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HVBP not linked to improvements in measures of clinical process or patient experience
Depression affects about one-third of hospital patients and could slow their recovery

Review: Depression Screening As Inpatient Important, Feasible

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Still, more research needed to determine effect of screening/treatment on patient outcomes
For older adults with acute stroke

Type of Hospital Doesn’t Impact Thrombolysis Outcomes in Stroke

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Similar outcomes seen for comprehensive stroke centers, primary stroke centers, telestroke system