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Author: Zirui Song Hospitals play an important role in caring for patients in the current opioid crisis, but data on the outcomes and composition of opioid-driven hospitalizations in the United States have been lacking. Nationally representative all-payer data for the period 1993–2014 from the National Inpatient Sample were used to compare the mortality rates and […]
Read MoreNonpharmacologic interventions improve outcomes. By Amy Karon Preventing delirium in the ICU doesn’t have to involve sophisticated medical interventions. Doubling the length of family visiting hours halved rates of ICU delirium, according to one study. And twice-daily occupational therapy cut the risk of ICU delirium even more dramatically when added to standard preventive measures, such as avoiding restraints […]
Read MoreEdited by Susan Sadoughi, MD Two humanized monoclonal antibodies seem effective in preventing migraine, according to two industry-conducted, phase III trials in the New England Journal of Medicine. The investigational treatments target the calcitonin gene-related peptide (CGRP) or its receptor; CGRP affects neuronal modulation of pain and vascular activity. In the first trial, researchers randomized nearly 1000 […]
Read MoreEdited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Delayed surgery for hip fracture is associated with elevated morbidity and mortality, a JAMA study finds. Using administrative databases in Ontario, researchers studied 42,000 adults who underwent hip fracture surgery in 72 hospitals. Only a third received early surgery — that is, within 24 hours […]
Read MoreAuthor: William T. Basco, Jr., MD, MS Delays in Appendectomy and Risk for Complicated Appendicitis Although appendicitis is among the more common surgical conditions of childhood, complicated appendicitis requires considerably more resources and intervention. Delays in seeking care can contribute to the risk of developing complicated appendicitis, but it’s less clear whether delayed surgical treatment […]
Read MoreBy Evan Sweeney | An Illinois district judge denied a motion by Draeger Inc. to dismiss a lawsuit from Rush University Medical Center alleging the company’s patient monitoring software was inaccurate and unreliable. Rush filed the claims against Draeger in August, explaining that the medical center spent an estimated $48 million installing and later replacing a system designed to […]
Read MoreAuhors: Camille Rolland-Debord, M.D. et Anesthesiology 12 2017, Vol.127, 989-997. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim was to […]
Read MorePatients with fibromyalgia who take opioids and consume caffeine have significantly lower pain interference, pain catastrophizing, less pain severity and depressive symptoms, and higher physical function than patients taking opioids who avoid caffeine. By Katie Estes, PhD Interviews with Ryan Scott, MPH, CPH and Don Goldenberg, MD. A reported 85% of American adults consume caffeine on […]
Read MoreBY BRUCE D. SOKLER AND FARRAH SHORT A physician organization has failed to sufficiently plead that a physician certification group caused an unreasonable restraint of trade through its actions to promulgate its certification program. Last week, a district court dismissed the case that centered on the defendant organization’s agreement with a hospital accreditation company to encourage the use […]
Read MoreAuthor: Mary Jane Kornacki, MS Amicus, Inc. Consider this brief exchange, and how a physician leader ought to respond: Chief of surgery at department meeting: “Our metrics around rehospitalization for the past half year haven’t gotten any better. The board quality committee asked some hard questions about medical staff plans to move the numbers, so that’s […]
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