Articles tagged with Patient Monitoring
A clinical trial aims to evaluate whether laser therapy reduces vaginal dryness caused by breast cancer treatment. The study, REVITALIZE, plans to enroll approximately 250 women with a history of breast cancer who experience moderate to severe vaginal dryness.
Long-term opioid therapy prescription rates declined in the US from 2015 to 2023, despite a growing population of older adults receiving these treatments. Approximately 4-5 million patients were prescribed long-term opioids in 2023, with Medicare covering a larger proportion, raising concerns about safety.
Among highly boosted patients with cancer, overall postacute sequelae risk was not elevated compared to noninfected patients; hospitalized COVID-19 patients remained at increased risk despite therapeutics. Vaccination and boosting remain important in mitigating long COVID among immunocompromised patients
Canada's health system would bear the burden of medical care in major armed conflicts, and lacks a coordinated command structure and surge capacity. A national framework with three pillars – sustained clinical readiness, dual-use capacity, and formal coordination – is proposed to address this vulnerability.
Patients with atrial fibrillation have a higher risk of adverse cardiovascular events, including stroke, heart attack, and cardiac arrest. Serum neurofilament light chain levels can serve as a biomarker for cardiovascular risk in these patients.
The EMPEROR-Preserved risk model demonstrated good performance in the FINEARTS-HF trial, showing that baseline risk does not modify the relative treatment effect of finerenone. Finerenone has been shown to have a significant benefit for heart failure patients.
A post hoc analysis found that tirzepatide was associated with a lower incidence of a broad composite cardiovascular and kidney endpoint. The study compared tirzepatide with dulaglutide in patients with diabetes and established cardiovascular disease.
A large randomized trial shows that continuous wearable monitoring reduces time with dangerously low oxygen levels after surgery, leading to improved composite outcomes and safety. The study found a 30-minute reduction in hypoxemia and a significant risk reduction for desaturation events.
A large randomized trial shows measurable improvements in postoperative patients who received continuous wearable monitoring, reducing time with dangerously low oxygen levels and composite outcomes. The study found a statistically significant 14% risk reduction for dangerous desaturation events and overall safety improvement.
A cohort study found that smokers with negative baseline low-dose computed tomography findings had a significantly increased long-term lung cancer risk, becoming apparent only after two years of screening. This suggests supporting extended initial screening intervals and personalized long-term monitoring based on smoking history.
A single-group implementation trial successfully introduced warfarin patient self-management in the US healthcare system, providing critically needed evidence to accelerate its implementation. The study's results support safe and effective patient self-management of anticoagulation therapy.
Researchers found that patients who followed an exercise prescription while receiving chemotherapy reported fewer problems with thinking and memory and felt less mentally tired. The study suggests that exercise may help people with cancer stay mentally sharp and better able to handle daily tasks.
Patients with type 2 diabetes and brain metastases who used GLP-1 receptor agonists showed a significant reduction in all-cause mortality. The use of these medications was associated with reduced neuroinflammation, preservation of the blood-brain barrier, and lowered oxidative stress and mitochondrial dysfunction.
The Alliance for Clinical Trials in Oncology is spotlighting new trials for colorectal cancer in March, focusing on early detection methods and treatments for treatment delays and loss of appetite. The trials aim to improve patient outcomes, with several enrolling patients with newly diagnosed colon or rectal cancer.
A new Cochrane review found that sucrose can effectively reduce pain in newborn babies during painful procedures like venepuncture. The study examined 29 clinical trials involving over 2,700 babies and showed that a small amount of sucrose given before the procedure significantly reduces pain when combined with non-nutritive sucking.
A recent study found that standard therapy plus catheter ablation did not significantly reduce the risk of primary composite end point in patients with atrial fibrillation and a recent stroke history. The observed event rate was lower than anticipated, suggesting underpowered detection of clinically meaningful differences.
A new framework identifies 38 competencies for effective healthcare investigators, including technical expertise, empathy, and system understanding. The research aims to shift from blame-based investigations to a more proactive approach to prevent repeated harm to patients.
The ESE and ESPE have launched a landmark Joint Clinical Practice Guidance to support structured and effective transition of young people with endocrine conditions. The Guidance provides practical, evidence-based recommendations to ensure continuity, safety and quality of care during this critical phase in a patient's life.
A new Cochrane review found that nurse-led hospital care matches doctor-led care for safety and effectiveness, but may achieve better outcomes in some areas. Nurse substitution is not a one-size-fits-all approach, requiring the right training and support to work well.
Scientists have developed a novel computational framework for real-time, personalized heart rate variability monitoring. The framework provides robust, adaptive alerts and improves the accuracy of HRV analysis by excluding artifact-prone periods.
The 4th annual symposium of Project CHANGE will focus on addressing Japan's future healthcare workforce shortage, particularly the nursing shortage, through collaboration with engineering. The event will feature a keynote speech by Prof. Sei-Kwang Hahn and presentations on nursing engineering.
A recent cohort study found that individuals diagnosed with cancer in 2020 and 2021 experienced worse short-term survival rates compared to those diagnosed between 2015 and 2019. The study suggests substantial harms associated with cancer care disruptions during the COVID-19 pandemic.
A retrospective analysis of 94 adult patients who underwent PEEK cranioplasty found that surface architecture may influence postoperative healing, with smooth implants associated with higher rates of wound complications and infections. Perforated implants showed lower rates of major fluid collections, especially in trauma patients.
A recent study highlights the dangers of a compartmentalized medical system and proposes three essential reforms to promote inclusive care. Patients with multiple conditions face difficulties in accessing care due to fragmented services, while interdisciplinary care ultimately leads to positive outcomes.
A UBC study found that exercise physiology research predominantly focuses on male bodies and voices, while women are underrepresented as participants and researchers. The study highlights the need for greater equity in exercise physiology research to improve understanding of sex-based differences in physiology and treatment.
A new study from Nationwide Children's Hospital finds that similar to older children and adults, about one fourth of children under six years old who experience a concussion will develop prolonged symptoms. Younger children are more likely to sustain brain injuries due to their size differences and weaker muscles.
A study found that witnessing terminal lucidity in children is a profoundly spiritual experience, influencing caregivers' belief systems and sparking personal growth. Caregivers reported disclosing what they witnessed to others, receiving mixed reactions from healthcare professionals and colleagues.
A cohort study found a 9-fold increased risk of suicide in Norwegian patients discharged alive after critical injury. Follow-up is recommended for possible psychological distress in this patient group.
The symposium brings together researchers to discuss end-of-life experiences, exploring biological processes, cultural interpretations, and spiritual approaches. It features lectures by prominent international experts, including Christof Koch, Michael Rera, Daniel Kondziella, and Jim Tucker.
Researchers created an ultrathin hydrogel electrode that can track vital signals without interruption, overcoming previous dehydration, freezing, and mechanical fragility issues. The new material forms a flexible layer that can withstand extreme temperatures and retain water content over time.
The study found a significant increase in alcohol-related hospitalizations between 2016 and 2022, with rising mortality rates and extended lengths of stay. Preventive efforts are needed to reduce population-level alcohol consumption and improve treatment outcomes for individuals with alcohol use disorder.
Researchers have launched a new multimodal medical dataset, Observer, capturing anonymized, real-time interactions between patients and clinicians. The dataset links video, audio, transcripts, and electronic health records to study subtleties like body language and environmental factors affecting care.
Studies show that patients with advanced ovarian and metastatic breast cancer dedicate approximately 7 hours per week to cancer-related tasks. Most participants report performing these tasks daily, impacting their time burden. The use of a mobile app facilitated the collection of detailed time-use data.
The study demonstrates a significant association between the overall asynchrony index (OAI) and patient outcomes in COVID-19-associated severe pneumonia. Patients with a high asynchrony burden had significantly higher intensive care unit mortality and fewer ventilator-free days, highlighting the importance of PVA monitoring.
A multicenter study found that higher-intensity rehabilitation in the ICU is linked to faster recovery and lower risk of delayed recovery for critically ill patients on mechanical ventilation. Purposeful mobilization preserves muscle strength and function, supporting faster return to independence.
Using GLP-1 receptor agonists may lower the risk of vertebral compression fractures and related surgical interventions in people with type 2 diabetes. The study suggests that these medications have a bone-protective effect, offering benefits for patients.
A UK-based study found that epilepsy can be a primary cause of death in people with intellectual disabilities, with those from ethnic minorities living in the UK being particularly at risk. The research highlights significant disparities in care and service provision, calling for systemic changes to prevent avoidable deaths.
A study found that lung microbiomes play a significant role in pneumonia, with patients having oral-like pneumotypes more likely to recover. The researchers identified four distinct microbial patterns, or 'pneumotypes,' associated with different types of pneumonia.
Researchers analyzed AI methods for detecting pulse rates from facial video recordings and found significant errors at elevated heart rates. The study highlights weaknesses in remote photoplethysmography (rPPG) technique under challenging conditions.
Researchers at Purdue University are testing a computer-vision method to analyze smartphone photos of pregnant women's eyes to predict preeclampsia risk. The two-year study aims to reduce maternal mortality in Africa and could potentially save thousands of lives.
A UCSF study found that a combination of outreach methods, including texts and live phone calls, significantly improves follow-up care for hard-to-reach patients. The integrated approach increased engagement among African American patients to 76.4% and improved overall reach rate by 3.5%, supporting their recovery and treatment outcomes.
A new study aimed to standardize POCUS education, leading to more physician trainees learning the technique. The research found consensus on over 50 essential skills and teaching methods, promoting better patient care with faster diagnosis times.
Research suggests that health apps, wearables, and interactive programs can improve physical activity, diet, and weight outcomes for children and teens. Mobile apps had the greatest impact on diet and weight outcomes, while wearables were most effective for reducing sedentary time.
Approximately 1 in 30 clinical trials were disrupted due to grant funding terminations, disproportionately affecting infectious disease and prevention studies. The study emphasizes the need for sustainable financial support to ensure trial operations and participant safety.
A University of Delaware study uses robotic testing to gauge perception-based movement in stroke survivors, revealing hidden sensory losses. The researchers hope their findings will encourage clinicians to integrate precision testing into assessments, leading to a personalized medicine approach to treatment.
University Hospitals Cleveland Medical Center has received a top hospital safety grade of 'A' from the Leapfrog Group, demonstrating its commitment to zero harm and quality care. The hospital's Zero Harm initiatives have reduced infections, improved outcomes, and enhanced patient safety.
Researchers identified a 'sweet spot' in clinical decision-making, where presenting two or more appropriate treatment options increases the odds of physicians selecting a high-quality alternative. The study challenges the widely cited status-quo bias theory and suggests that more options can lead to better care decisions.
A new report from Northwestern University offers six practical strategies to improve the doctor-patient bedside encounter in an era dominated by AI. By employing these strategies, clinicians can strengthen patient-physician relationships, combat inequities, and reduce burnout, ultimately leading to better patient outcomes.
A doctor warns of critical treatment gaps in eating disorders, highlighting the dangers of ignoring physical warning signs and behavioral indicators. Dr. Jennifer Gaudiani advocates for integrated medical and psychological care to address the urgent need for effective treatment.
The University of Houston is part of a statewide effort to fight the opioid epidemic by investigating opioid use disorder among people living with HIV in Harris County. Researchers aim to integrate prevention methods, including Screening, Brief Intervention, and Referral to Treatment (SBIRT), into treatment for those affected.
Research published in ERJ Open Research suggests that assessing hospital patients' reported shortness of breath could help doctors prioritize care for those at high risk of death. Patients who developed shortness of breath were six times more likely to die than those who did not, with a higher rating indicating greater risk.
The study found clear absolute benefits of SGLT2 inhibitors on kidney, hospitalization, and mortality outcomes regardless of diabetes status and level of urine albumin to creatinine ratio. This benefit suggests a potential therapeutic approach for patients with kidney disease.
A study published in JAMA finds that using different methods to estimate glomerular filtration rate (eGFR) can lead to significant discrepancies, particularly for those with chronic kidney disease. The findings suggest that cystatin C-based eGFR may be more accurate in predicting clinical outcomes.
A culturally tailored community health worker intervention modestly lowered interdialytic weight gain and improved dialysis adherence among Hispanic and Latino patients with hemodialysis-dependent kidney failure. This study suggests that such interventions can enhance patient outcomes for these vulnerable populations.
A new standardized discharge system at UCLA Health reduced patient departure delays from nearly 3 hours to under 90 minutes for four common conditions and decreased hospital length-of-stay by 2.5 days, according to a pilot study published in BMJ Open Quality.
A University of East Anglia study found that treating patients at home with IV antibiotics can save the NHS over £3,500 per patient and potentially free-up vital hospital beds. The treatment involves having antibiotics prepared at home and continuously delivered into the bloodstream by an elastomeric pump.
A team of researchers has proposed a novel ultrathin flexible sensor inserted endovascularly to detect Type-I endoleaks with maximum rupture risk. The sensor is robust enough to withstand dynamic processes and exhibits long-term stability and functionality.
Colorectal cancer screening modities shifted among privately insured individuals after COVID-19, with decreased colonoscopy and fecal tests, increased stool DNA tests. Differences found by sex, socioeconomic status, and metropolitan area residence.
Researchers have uncovered contrasting risk profiles for individuals who attempt suicide and those who die by suicide, with the former showing more overlap with other mental health conditions. These findings suggest distinct approaches may be needed to prevent suicidal behavior and improve patient outcomes.