Clinical » Patient Care

The Treatment of Obstructive Hypertrophic Cardiomyopathy is best in Higher-Volume Hospitals

NEW YORK (Reuters Health) – Higher-volume hospitals do better in treatment of obstructive hypertrophic cardiomyopathy (HCM), but more efforts are needed to direct patients to these centers, according to New York-based researchers. In an April 27 online paper in JAMA Cardiology, they note that recommendations are that the treatments, septal myectomy (SM) and alcohol septal… [Read More]

Study Shows Statins lower the Risk of Cardiovascular Disease

NEW YORK (Reuters Health) – Lipid-lowering therapy, consisting almost entirely of statins, substantially lowered the risk of cardiovascular disease (CVD) and cardiovascular death in individuals with type 1 diabetes without a history of CVD, according to a new study. Among more than 24,000 Swedish patients with type 1 diabetes, over a mean follow-up of six years, primary prevention with lipid-lowering therapy… [Read More]

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Should Patients Who Develop Postoperative Atrial Fibrillation Start Anticoagulation?

Case A 66-year-old man with diabetes mellitus type 2 and hypertension underwent left total knee replacement. Several hours after surgery, the patient developed atrial fibrillation (AF). He was asymptomatic, and reversible causes of AF were ruled out. Approximately 18 hours later, he spontaneously reverted back to sinus rhythm. Should this patient, who has no known… [Read More]

Metal-on-Metal Hip Replacement Devices Implanted after 2006 have a High Revision Rate

NEW YORK (Reuters Health) – Certain metal-on-metal (MoM) hip replacement devices implanted after 2006 have an “unacceptably high” revision rate, due mainly to manufacturing problems, according to a new study. “Although the use of MoM hip devices has declined dramatically in the past five years, hundreds of thousands remain in situ, with the long-term future uncertain,” Dr. David Langton, of University… [Read More]

Older Patients with Rosacea are Likely to be Diagnosed with Dementia

NEW YORK (Reuters Health) – Older patients with the inflammatory skin disorder rosacea appear significantly more likely to be diagnosed with dementia, according to Danish researchers. As Dr. Alexander Egeberg told Reuters Health by email, “We found an increased risk of dementia, in particular Alzheimer’s disease (AD), in patients with rosacea. The risk was only increased in patients older than 60… [Read More]

Physicians, Residents, Students Can Learn High-Value, Cost-Conscious Care

Clinical question: What are the factors that promote education in delivering high-value, cost-conscious care? Background: Healthcare costs are increasing, with most recent numbers showing U.S. expenditures on healthcare of more than $3 trillion, almost 18% of the gross domestic product. High-value care focuses on understanding the benefits, risks, and costs of care and promoting interventions… [Read More]

Data Show Patients Are More Likely to Die at Night, on Weekends

Clinical question: Is there a clinical difference in rates of return of spontaneous circulation (ROSC) and survival to discharge in patients with in-hospital cardiac arrest (IHCA) depending on time of day and day of the week? Background: Current U.S. data from the American Hospital Association’s “Get with the Guidelines-Resuscitation” (AHA GWTG-R) show hospital survival is… [Read More]

Medicare ‘Hospital Star Rating’ May Correspond to Patient Outcomes

The Centers for Medicare and Medicaid Services has been letting patients grade their hospital experiences, and those “patient experience scores” may give some insight into a hospital’s health outcomes, a new study suggests. Some people have been concerned that patient experience isn’t the most important factor to measure, said coauthor Dr. Ashish K. Jha, of… [Read More]

“Nonurgent” Patients Might Still End up Being Hospitalized

(Reuters Health) – Patients assigned a “nonurgent” status on arrival in the emergency room might still be sick enough to be hospitalized, a new study shows. Patients deemed by triage nurses to be “nonurgent” often receive diagnostic services and procedures, and some are even admitted to critical care units, researchers found. Triage was never intended… [Read More]