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An Official Publication of
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Jenny Tuan, MD

  • News

    Thrombectomy within Eight Hours of Stroke Onset Reduces Poststroke Disability

    October 20, 2015

    Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.

  • News

    High-Flow Nasal Oxygen Therapy Noninferior to BiPAP in Post-Operative Respiratory Failure

    October 6, 2015

    Clinical question: In post-operative cardiothoracic surgery patients, is high-flow nasal oxygen therapy inferior to BiPAP for resolution of acute respiratory failure? Background: Acute respiratory failure is common following cardiothoracic surgery, and noninvasive ventilation often is used to avo

  • News

    Supplemental Oxygen During STEMI Might Increase Myocardial Injury

    October 6, 2015

    Clinical question: Does routine oxygen supplementation in patients with STEMI increase myocardial injury? Background: Because of physiologic and clinical studies conducted before the era of acute coronary intervention, supplemental oxygen routinely is administered to patients with STEMI, regardle

  • News

    Thrombectomy Within Eight Hours of Stroke Onset Reduces Post-Stroke Disability

    October 6, 2015

    Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.

  • News

    Interdisciplinary Team Care on General Medical Units Does Not Improve Patient Outcomes

    October 6, 2015

    Clinical question: Does interdisciplinary care on general medical wards improve patient outcomes? Background: Patients on general medical wards might experience errors and/or preventable deaths.

  • News

    Patient Satisfaction Scores, Objective Measures of Surgical Quality Have Positive Association

    October 6, 2015

    Clinical question: Is there an association between objective measures of surgical quality and patient satisfaction as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey? Background: The Centers for Medicare and Medicaid Services (CMS) has tied financi

  • News

    Extended Anticoagulation Therapy and Recurrent Rates of Venous Thromboembolism

    October 6, 2015

    Clinical question: Among patients with a first episode of unprovoked pulmonary embolism (PE), what are the benefits and harms of extending the duration of anticoagulation for secondary prophylaxis against recurrent VTE? Background: Optimal duration of anticoagulation after initial unprovoked PE i

  • News

    Wells Score Can’t Rule Out Deep Vein Thrombosis in Inpatient Setting

    October 6, 2015

    Clinical question: Should the Wells score be used for DVT risk stratification in the hospital? Background: The Wells score was derived to reduce lower extremity ultrasounds (LEUS) in the outpatient evaluation of DVTs.

  • News

    Antibiotic Therapy, Appendectomy for Uncomplicated Acute Appendicitis

    October 6, 2015

    Clinical question: Is antibiotic therapy noninferior to appendectomy for treatment of uncomplicated acute appendicitis? Background: Previous randomized clinical trials have compared antibiotic therapy versus appendectomy for the treatment of uncomplicated, acute appendicitis.

  • News

    Social, System Factors Can Influence Decisions to Continue Patient Care

    October 6, 2015

    Clinical question: Why do healthcare providers work while sick? Background: Healthcare providers generally are aware of the risks of infection to hospitalized patients; however, despite this knowledge, several studies have revealed providers continue to work while ill. Study design: Mixed-meth

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