Lindee Strizich, MD, MSc
News
Heparin Bridging for Atrial Fibrillation
December 3, 2015
Maralyssa Bann, MD, Kay M. Johnson, MD, Anneliese M. Schleyer, MD, MHA, FHM, Shobha W. Stack, MD, PhD, Lindee Strizich, MD, MSc, Jessica S. Woan, MD; Hospital Medicine Program, University of Washington Medicine, Seattle
News
Modified Valsalva Better than Standard Maneuver to Restore Sinus Rhythm
December 1, 2015
Clinical question: Does a postural modification to the Valsalva maneuver improve its effectiveness? Background: The Valsalva maneuver, often used to treat supraventricular tachycardia, is rarely successful.
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CHA2DS2-Vasc Score Modestly Predicts Stroke, Thromboembolism, Death
December 1, 2015
Clinical question: For patients with heart failure (HF), with and without concurrent Afib (AF), does the CHA2DS2-VASc score predict ischemic stroke, thromboembolism, and death? Background: Factors in the CHA2DS2-VASc score predict increased risk of stroke, thromboembolism, and death, regardless o
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Intraoperative Hypotension Predicts Postoperative Mortality
December 1, 2015
Clinical question: What blood pressure deviations during surgery are predictive of mortality? Background: Despite the widely assumed importance of blood pressure (BP) management on postoperative outcomes, there are no accepted thresholds requiring intervention. Study design: Retrospective coho
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Caprini Risk Assessment Tool Can Distinguish High Risk of VTE in Critically Ill Surgical Patients
December 1, 2015
Clinical question: Is the Caprini Risk Assessment Model for VTE risk valid in critically ill surgical patients? Background: Critically ill surgical patients are at increased risk of developing VTE. Chemoprophylaxis decreases VTE risk, but benefits must be balanced against bleeding risk.
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Adherence to Restrictive Red Blood Cell Transfusion Guidelines Improved with Peer Feedback
December 1, 2015
Clinical question: Can a multifaceted approach involving clinician education, peer email feedback, and monthly audit data improve adherence to restrictive red blood cell (RBC) transfusion guidelines? Background: Randomized controlled trials and professional society guidelines support adoption of
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Corticosteroids Improve Outcomes in Community- Acquired Pneumonia
December 1, 2015
Clinical question: Are adjunctive corticosteroids beneficial for patients hospitalized with community-acquired pneumonia (CAP)? Background: Numerous studies have tried to determine whether or not adjunctive corticosteroids for CAP treatment in hospitalized patients improve outcomes.
News
Standard Triple Therapy for H. Pylori Lowest Ranked among 14 Treatment Regimens
December 1, 2015
Clinical question: How do current Helicobacter pylori treatments compare in efficacy and tolerance? Background: Efficacy of standard “triple therapy” for H.
News
Social Isolation, Polypharmacy Predict Medication Noncompliance Post-Discharge in Cardiac Patients
December 1, 2015
Clinical question: What are predictors of primary medication nonadherence after discharge? Background: Primary nonadherence occurs when a patient receives a prescription at hospital discharge but does not fill it.
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Inpatient Navigators Reduce Length of Stay without Increasing Readmissions
December 1, 2015
Clinical question: Does a patient navigator (PN) who facilitates communication between patients and providers impact hospital length of stay (LOS) and readmissions? Background: Increasing complexity of hospitalization challenges the safety of care transitions.