The American College of Chest Physicians' flagship journal CHEST published its June issue featuring 58 articles on various chest medicine topics, including asthma and COPD. The journal is set to expand with two new open-access journals, CHEST Pulmonary and CHEST Critical Care.
The May issue of the CHEST journal features 56 articles on clinically relevant topics such as asthma, COPD, and critical care. The journal also includes a special Adult Cystic Fibrosis Series with latest epidemiologic data and challenges in managing CF.
The American College of Chest Physicians journal features cutting-edge original research on various chest medicine topics, including asthma, COPD, critical care, and sleep. The March issue includes a special series on nontuberculous mycobacterial pulmonary disease, offering insights into clinical epidemiology, risk factors, and diagnosis.
The November issue of CHEST journal includes 69 articles on topics such as asthma, COPD, critical care and thoracic oncology. The journal also offers complementary web and multimedia activities to expand the reach of its research.
The American College of Chest Physicians has released new clinical guidelines for venous thromboembolism (VTE) management, providing 29 recommendations on patient care and treatment. The guidelines update previous recommendations and offer strong guidance for clinicians managing patients with VTE.
The CHEST conference explores current issues in pulmonary, critical care, and sleep medicine, including healthcare disparities and coding updates. Interactive presentations will be delivered through expert panel discussions, roundtable discussions, and didactic lectures.
Research reveals that exposure to biomass fuel is a major contributor to COPD in nonsmokers, particularly in rural populations. The study found that 61% of patients lived in rural areas and had exposure to biomass gas, highlighting the need for further research into this subset of nonsmokers with COPD.
A new study found that authors' tweets about their own work increase dissemination of research on Twitter. Publications from top respiratory and critical care journals benefited most from author tweeting, with a significant increase in tweets at one year post-publication.
Researchers found a correlation between elapsed time between two consecutive admissions and mortality in an observational study of 13,234 consecutive ICU admissions. The shorter the interval between admissions, the higher the odds of death.
A new study found a significant decrease in teen driving accidents after implementing a 50-minute delay in high school start times. The study showed a 5.25% reduction in crash rates, as well as decreases in distraction-related and alcohol-related accidents.
A study of nearly 19,000 Asian patients reveals variations in lung cancer treatment, with Chinese, Indian, and Korean patients more likely to receive surgery and chemotherapy. Women were also more likely to receive these treatments than men.
Researchers analyzed children's asthma management and found that environmental exposures like secondhand smoke and pet ownership were not significant factors in improving asthma control. Once asthma guidelines are followed, these exposures do not impact overall asthma improvement.
A study presented at CHEST Annual Meeting 2018 found that women were more likely to receive excessively high tidal volumes during the 48 hours prior to death. Women spent more time receiving excessive ventilation and were more likely to receive TV volumes greater than 10mL/kg compared to men.
The study found a significant decrease in overall mortality in septic shock from 51.7% to 39.3% between 2004 and 2014, with shorter hospital stays also observed.
Researchers found that acute respiratory failure, obstetric hemorrhage, and hypertensive disorders were common indications for mechanical ventilation. Factors associated with higher mortality included vasopressor use, blood transfusions, neurological dysfunction, coagulopathy, and ARDS.
Researchers investigated using Facebook to implement a critical care ultrasound (CCUS) curriculum. Fellows participated in a two-day hands-on bootcamp and joined a private CCUS Facebook group, which provided them with core skills and case studies over 20 weeks.
A study found that despite a well-designed low-dose computed tomography (LDCT) screening program, only 77.6% of eligible veterans underwent annual repeat scans. This highlights the need for improved adherence to lung cancer screening to maximize mortality benefits and cost-efficacy.
Researchers found no significant differences between synthetic and live tissue models in terms of stress levels during training. This study suggests that synthetic models can be used without sacrificing educational quality, reducing the need for live animal use.
Researchers created a conflict management education intervention to improve ICU team knowledge, mindfulness, and awareness. The study found that participants' knowledge and perception scores increased following the intervention.
A recent study at the CHEST Annual Meeting 2018 revealed that women are underrepresented as Fellows in CHEST but have increased application rates. The study found significant differences in gender distribution among specialties and letter of recommendation authors, highlighting barriers to academic advancement for women.
Research found that gram-negative bacteria, excluding Pseudomonas, increase mortality, ICU admission, and vasopressor use in hospitalized patients with interstitial lung diseases (ILD). Patients infected with these organisms had higher 30-day mortality rates compared to those infected with other pathogens.
A study of 44,832 Medicare patients found that disruption in their regular combination inhaled corticosteroid therapy led to a higher rate of costly exacerbations and hospitalizations. Approximately 45% of patients did not receive an ICS/LABA after a formulary block, potentially impacting symptoms and disease control.
The InforMing the PAthway of COPD Treatment (IMPACT) study found that triple dual therapies significantly reduced annual rates and moderate-to-severe exacerbations, improved lung function, and enhanced quality of life in patients with COPD. This benefit was observed regardless of baseline reversibility.
Research found that patients discharged between 1300-0100 were more likely to be readmitted compared to those discharged during earlier or later hours. Smoking cessation education also played a role in reducing readmission likelihood, with former smokers being more prone to rehospitalization.
The American College of Chest Physicians has introduced updated guidelines for low-dose CT lung cancer screening, focusing on asymptomatic smokers and former smokers aged 55-77 with 30 pack-years or more smoking history. The new recommendations aim to balance potential benefits and harms of screening.
Two studies investigated alarm fatigue in ICU staff and found that reducing alarm frequency led to a significant decrease in alarm rates, but not improvement in response time. A large number of ICU alarms are false without clinical significance, highlighting the need for accurate alarm protocols.
Researchers found that 66% of family members lacked knowledge about their loved ones' required medical services, leading to emotional distress and poor communication. The study suggests that establishing optimal channels of communication can improve the quality of transitions of care in intensive care settings.
A study analyzed 300 seasonal influenza videos on YouTube, finding that most were created by healthcare providers (4.50 score) or professional societies (mean score of 3.52). Despite containing accurate information, these videos often failed to thoroughly educate patients, highlighting the need for improved online health resources.
Two studies investigated clinicians' preparedness to give bad news, finding that only one-third have received formal training. Medical students receive less training than other professionals, but more experienced physicians compensate with better skills. The study also highlights the importance of communication training in delivering b...
A recent study by Saint Peter's University Hospital found that US resident physicians are unprepared to counsel patients on medical cannabis, citing concerns over safety and addiction potential. The study highlights the need for further education among resident physicians in this area.
A study by Montefiore Medical Center found that wearing personalized numbered jerseys for code team members significantly increases overall teamwork performance during cardiac arrest. The Mayo Teamwork score was higher in the experimental group, and the percent of directed commands was also increased.
Researchers found that patients with acute kidney injury had higher VTE rates despite prophylaxis, highlighting the need for optimal heparin dosing in these cases. The study also showed that creatinine clearance was not associated with VTE rates when unfractionated or low-molecular-weight heparins were given.
A survey of healthcare providers in 40 countries found that clinicians' religious beliefs can influence their approach to caring for homosexual patients. Non-Christian and non-Catholic providers were more likely to report feeling unprepared or changing their treatment approach.
Gender disparities are identified in lung cancer screening and care, with more female patients meeting high-risk criteria but not completing low-dose CT scans. Language barriers do not delay initiation of lung cancer care, according to a second study.
A study found that asthma prevalence and emergency department visits vary widely among different NYC neighborhoods. Pollutants like nitrogen dioxide and elemental carbon are associated with greater urgent asthma care in lower-prevalence areas, especially among children.
A new pilot study using Bluetooth technology has shown remarkable improvements in cystic fibrosis adherence, with 80% of patients adhering to their treatment. The study also found significant reductions in measures of airflow limitation and disease flare-ups.
A recent study found that only 29% of patients with COPD had spirometry testing, leading to misdiagnoses in 31.6%. This highlights the need for education and training on COPD diagnosis to improve accuracy.
At CHEST Annual Meeting 2016, unusual case reports highlighted foreign object inhalation, where asthma inhaler cap lodged in the bronchus, and a woman coughed out stone after chiseling accident. A patient with substance abuse history swallowed a small metal crucifix, which was successfully removed during surgery.
Two studies found that patients with a higher resting heart rate after an exacerbation are at risk for recurrent exacerbations, while hand grip strength is associated with fewer COPD exacerbations. Muscle weakness is linked to exercise limitation and exacerbations, making hand grip strength a useful marker.
A recent study reveals that blood-based genomic and proteomic testing can rapidly identify genetic mutations in patients with lung cancer, enabling personalized treatment. This approach significantly reduces the wait period between diagnosis and treatment, improving patient outcomes.
A single home visit significantly increases patient adherence to office visits and inhaler use, reducing severe exacerbations and emergency department visits. After the intervention, patients exhibited a 40% decrease in ED visits and improved maintenance inhaler use.
A study of healthcare staff perceptions found that only 36.9% were in favor of family presence during resuscitation, with attending physicians being the most comfortable at 47%. Staff working in intensive care units and emergency departments were more amenable to FPDR, despite concerns about increased stress and anxiety.
A survey of American College of Chest Physicians members revealed divided perception on e-cigarette harms and benefits. Most respondents reported patients asking for professional opinion, but providers were often uncomfortable discussing health effects.
A study found that sepsis mortality rates are highest in regions with few trained intensivists, highlighting the need for increased critical care training programs. The authors suggest promoting critical care training and incentives to improve outcomes.
Non-invasive positive pressure ventilation enhances efficiency of pulmonary rehabilitation in patients with stable COPD, improving measures of shortness of breath and exercise tolerance. Patients experience significant relief from breathing difficulties during exercising, allowing for more effective pulmonary rehabilitation.
Patients evaluated with point-of-care ultrasound (POCUS) had significantly less time on vasoactive agents, fewer ICU days, and decreased morbidity. POCUS also resulted in cost savings of about $20,000 per patient.
A study published by the American College of Chest Physicians found that bronchial thermoplasty improves asthma quality of life for severe refractory asthmatics, regardless of their demographic factors. The procedure was shown to be effective in reducing resource utilization and improving patient outcomes.
Researchers have discovered that e-cigarettes cause immediate damage to pulmonary function in healthy and mild asthmatic young smokers. The study, presented at CHEST World Congress 2016, found e-cigarette use led to worse airway obstruction and inflammation compared to cigarette smoking.
Researchers found that combining computed bioconductance (CB) with positron emission tomography (PET) before biopsy can improve the detection of potentially cancerous lung lesions. This non-invasive diagnostic tool may aid in the accurate evaluation of suspicious lung lesions.
Researchers analyzed over 7,000 patient encounters with severe sepsis or septic shock, finding that 68% of patients without shock did not receive an ICD diagnosis code. Patients assigned codes had a higher mortality rate, ICU admission rate, and hospital length of stay compared to those identified by clinical criteria alone.