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Adherence to pneumonia treatment guidelines results in better outcomes, Pitt study shows

A year-long randomized trial involving 32 emergency departments in Connecticut and southwestern Pennsylvania showed that moderate- and high-intensity quality improvement strategies safely increased outpatient treatment for low-risk patients. The study also found effective implementation of guideline recommendations among practitioners.

SourceUniversity of Pittsburgh Medical Center·JournalAnnals of Internal Medicine·DateDec 19, 2005

Statins protect from death from pneumonia

Patients taking statins prior to hospital admission with community-acquired pneumonia were 2.8 times less likely to die than those not on statins. Statins' impact on the immune system may contribute to their protective effect on patients suffering from pneumonia.

SourceBMC (BioMed Central)·JournalRespiratory Research·DateJul 24, 2005

Quality of care in hospitals varies among regions and within individual hospitals

A study of 3,558 US hospitals found that patients received inadequate care for six quality indicators, with performance varying by region, hospital type, and profit status. Hospitals in the Northeast and Midwest scored higher than those in the West and South, while not-for-profit hospitals outperformed for-profits.

SourceHarvard T.H. Chan School of Public Health·JournalNew England Journal of Medicine·DateJul 20, 2005

Efforts to improve hospital care

Two studies using standardized measures found that hospitals improved on 15 of 18 clinical performance measures, but didn't show significant reductions in early deaths from heart attacks and injuries during delivery. The findings suggest that higher levels of adherence with evidence-based guidelines are achievable, but may be somewhat ...

SourceUniversity of California - Davis Health·JournalNew England Journal of Medicine·DateJul 20, 2005

Vaccine against childhood pneumonia shows promise

A recent study published in The Lancet found that a new vaccine against childhood pneumonia reduced the first episode of pneumonia diagnosed by chest x-ray by 37% and overall child mortality by 16%. The vaccine also lowered disease caused by pneumococcus bacteria types by 77%, providing promising results for global health.

SourceThe Lancet_DELETED·JournalThe Lancet·DateMar 24, 2005

American Thoracic Society Journal news tips for February 2005 (first issue)

Researchers find that low-dose hydrocortisone infusion speeds up pneumonia resolution and prevents sepsis-related complications. Sildenafil protects against altitude-induced pulmonary problems, improves gas exchange, and limits hypoxemia. Patient segregation reduces Pseudomonas aeruginosa transmission in cystic fibrosis patients

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateFeb 1, 2005

Feb. 1, 2005, Annals of Internal Medicine tip sheet

The American College of Physicians recommends one-time ultrasound examination for abdominal aortic aneurysm screening in men aged 65-75 who are smokers. New evidence suggests that large abdominal aneurysms may reduce deaths from ruptured aneurysms. Meanwhile, a study found that the COX-2 inhibitor rofecoxib increases heart attack risk ...

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateJan 31, 2005

Senior citizens at risk for pneumonia

A three-year study of over 46,000 seniors in Washington state found that peak CAP rates coincide with flu season and are more common among men. Quitting smoking and getting influenza vaccinations can reduce the risk of pneumonia, while other factors like heart problems and dementia increase vulnerability.

SourceInfectious Diseases Society of America·JournalClinical Infectious Diseases·DateNov 10, 2004

Zinc can help in the treatment of pneumonia

A zinc supplement reduced treatment time for severe pneumonia in children by an average of one day, with a corresponding decrease in hospital stay duration. The treatment was also found to be safe and well-tolerated, with significant implications for reducing antimicrobial resistance.

SourceThe Lancet_DELETED·JournalThe Lancet·DateMay 20, 2004

American Thoracic Society Journal news tips for April 2004 (second issue)

Research suggests that community-acquired pneumonia patients who are discharged from the hospital may face a higher risk of mortality in the subsequent 2-3 years if they have certain predictors, such as increasing age and cardiovascular disease. The study also found no excess mortality in younger patients without accompanying diseases.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateApr 12, 2004

Long-term follow-up of mortality in patients with community-acquired pneumonia

A large-scale study found that long-term mortality in community-acquired pneumonia patients is influenced by factors such as age, nutritional status, and preexisting illnesses. The severity of pneumonia at initial presentation surprisingly did not predict mortality, with lower-grade fever actually linked to higher long-term death rates.

SourceInfectious Diseases Society of America·JournalClinical Infectious Diseases·DateNov 21, 2003

Pneumococcal vaccine significantly reduces disease in South African children

A South African clinical trial showed a significant reduction in pneumococcal disease incidence with the conjugate vaccine, resulting in a 5% decrease among all children and a 6% decrease among HIV-infected children. The study demonstrates the vaccine's effectiveness in preventing invasive pneumococcal disease and saving lives.

SourceEmory University Health Sciences Center·JournalNew England Journal of Medicine·DateOct 1, 2003

American Thoracic Society Journal news tips for September 2003 (first issue)

Researchers developed a new composite score combining CT imaging and pulmonary function testing to assess treatment effects in young cystic fibrosis patients. A new test was also developed to predict increased mortality risk in idiopathic interstitial pneumonia patients with significant decline in pulmonary function.

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateAug 27, 2003

Computer reminders can increase delivery of preventive care to hospitalized patients

A randomized trial shows that computer reminders can significantly boost vaccination rates for hospitalized patients, particularly those over 65. The system identified eligible candidates and prompted physicians to order vaccinations, resulting in a 51% increase in influenza vaccinations and a 36% increase in pneumonia vaccinations.

SourceIndiana University·JournalNew England Journal of Medicine·DateSep 27, 2001