Articles tagged with Patient Monitoring
In individuals with a diabetes duration of 10 years or less, bariatric metabolic surgery was associated with greater weight loss and reduced mortality compared to first-generation GLP-1RAs. No differences were observed between treatment modalities in patients with longer diabetes duration.
A 15-day course of nirmatrelvir-ritonavir did not demonstrate a significant improvement in select postacute sequelae of SARS-CoV-2 infection symptoms in vaccinated adults with prolonged symptom duration. Further studies are needed to determine the role of antivirals in PASC treatment.
A large health system study found cannabis use was prevalent among primary care patients, with most using it to manage health-related symptoms. The study suggests clinicians could benefit from integrating cannabis use information to assess patient risk for cannabis use disorder.
Longitudinal study finds that higher baseline body mass index is associated with more depressive symptoms over time. Children's cognitive performance also declines as they enter adolescence, highlighting the importance of monitoring children with overweight or obesity for depression problems.
Early admission of COVID-19-positive patients to skilled nursing facilities was associated with preventable cases and mortality among residents. Facilities with staff and PPE shortages were disproportionately affected, underscoring the importance of adhering to infection-control protocols.
A stepped-care model integrating palliative care at key points in patients' cancer trajectories shows reduced palliative care visits without compromising quality of life. The approach enables more efficient delivery of early palliative care, enhancing patient-reported outcomes.
This study found that lowering the fecal immunochemical test positivity threshold can achieve comparable sensitivity and specificity to the multitarget stool RNA test without additional testing. The findings are similar to previous observations with multitarget stool DNA testing, suggesting a potentially simpler screening method.
Ivonescimab plus chemotherapy significantly improved progression-free survival (7.1 vs 4.8 months) compared to chemotherapy alone in TKI-treated non-small cell lung cancer patients. This treatment may offer a new option for patients with EGFR variant and limited treatment options.
Active surveillance for favorable-risk prostate cancer demonstrated to be a safe and effective management strategy, with less than 2% developing metastatic disease. The study found no significant association between delayed treatment during surveillance and worse outcomes.
Patients who received COVID-19 vaccines after acute coronary syndromes had similar rates of primary composite end point and major adverse cardiovascular events (MACE) compared to unvaccinated patients. Retrospective studies have shown a short-term reduction in MACE risk after COVID-19 vaccination.
After the Dobbs ruling, more people traveled from out of state for abortion care. In-state patients waited a week longer to receive care. These findings can inform access-improving interventions and policies.
In a proof-of-concept study, USC researchers used functional ultrasound imaging to collect high-resolution brain imaging data through a transparent skull implant in a patient. The results suggest that this approach could open new avenues for patient monitoring and clinical research.
A matched cohort study found no overall increased risk of early death among women with premenstrual disorders. However, the risk was elevated for young women and deaths by suicide, highlighting the need for careful follow-up and suicide prevention strategies.
The study found a substantial increase in glucagon-like peptide-1 receptor agonist (GLP-1RA) dispensing among adolescents and young adults between 2020 and 2023. This trend is particularly notable for females, emphasizing the need for targeted education on sex-specific safety risks, such as concerns during pregnancy.
A recent study found that treatment with intravenous acetaminophen for 5 days in critically ill sepsis patients was safe, but did not improve the primary end point of days alive and free of organ support. The study suggests acetaminophen may have a role in preventing or treating organ dysfunction in sepsis.
Treatment with bisoprolol did not reduce self-reported COPD exacerbations, contradicting previous expectations. Researchers found bisoprolol effective for cardiovascular conditions but noted physician reluctance to prescribe it for COPD patients.
Adult carriers of BAP1 tumor predisposition syndrome show a high incidence of onychopapillomas, a benign nail tumor. This finding suggests using these skin abnormalities to identify family members and patients with cancers associated with the syndrome.
A team of researchers from Tokyo Medical and Dental University developed a novel kind of optical coherence tomography (OCT) to investigate the detailed structure of the sclera in living patients. They found that the sclera is divided into inner and outer layers with different structural arrangements, which can provide important insight...
Chronic kidney disease patients at a US-based academic medical center experienced significant sex disparities in primary care management. Females received poorer care compared to males, highlighting the need for further examination of these differences.
A web-based cognitive behavioral self-help intervention has been shown to effectively reduce binge eating episodes and improve various mental health outcomes in patients with binge eating disorder. This scalable solution bridges the treatment gap for this condition, offering a promising alternative to traditional therapies.
Clear sociodemographic disparities were identified in patient portal engagement among patients with hypertension treated in primary care. Without targeted interventions, patient portals may exacerbate existing health disparities.
A study published in JAMA found that hospitalization for COVID-19 increased the risk of death more than seasonal influenza during the fall-winter 2023-2024 season. The research also highlights the importance of vaccination and public health measures to mitigate COVID-19-related mortality.
A new study finds mail-order pharmacy dispensing of mifepristone for medication abortion is effective, acceptable to patients, and feasible. This care model can improve access to medication abortion services and reduce the need for in-person screening.
A secondary analysis of a randomized clinical trial found that home blood pressure self-monitoring plus medication self-titration reduces BP in the longer term without increasing healthcare use or adverse events. This simple, inexpensive intervention has potential to improve long-term hypertension control in routine clinical practice.
Black and Hispanic patients with atrial fibrillation were less likely to initiate direct oral anticoagulants at study onset, but these disparities narrowed over time. The study highlights the need to address unequal access to novel therapies for Black and Hispanic populations.
A new set of clinical practice standards and recommendations offers tailored and effective care for individuals with advanced and metastatic cancer. The initiative, backed by MASCC and ASCO, provides a critical resource to healthcare stakeholders.
A recent study found that preoperative GLP-1 receptor agonist use is not associated with an increased risk of postoperative respiratory complications. The results suggest liberalizing withholding guidelines for these medications may be beneficial.
A new study finds that initiating antihypertensive medication in older long-term care residents increases fracture risk, particularly among those with dementia. The study advises caution when prescribing antihypertensives to this vulnerable population.
Only 4% of cancer survivors met all four American Cancer Society guidelines, with a mean of 2.0 guidelines met. This study aims to improve understanding of guideline adherence and inform recommendations for patients who have completed cancer treatments.
Over five RSV seasons, researchers found that nearly one-quarter of hospitalized adults aged 50+ experienced an acute cardiac event, mostly heart failure. The risk of severe outcomes was nearly twice as high in patients with cardiac events compared to those without.
Researchers observed a significant increase in permanent contraception procedures for young adults following the Dobbs decision, with females being disproportionately affected. The study highlights the gendered dynamics of permanent contraceptive use and its implications for women and people with reproductive capacity.
Most cancer drugs granted accelerated approval show no benefit in overall survival or quality of life within five years. Patients should be informed about the limited effectiveness of these drugs.
A telephone-based strategy improved guideline-directed medical therapy rates for outpatients with heart failure by 30 days, offering a low-cost solution for rural settings with limited access to care. This study suggests the potential for expanded remote healthcare initiatives to address health disparities.
Researchers found RSV was less common but similar in severity to COVID-19 and influenza among unvaccinated patients. Among vaccinated patients, RSV disease was more severe than both COVID-19 and influenza for serious outcomes.
Patients with post-COVID condition exhibit lower aerobic capacity and muscle strength compared to control groups, indicating potential benefits of cautious exercise regimens. The study highlights the need for personalized exercise recommendations to mitigate further skeletal muscle deconditioning in PCC patients.
The study reveals that smartphone-based cognitive assessments can provide reliable and valid results for diagnosing frontotemporal lobar degeneration. These findings suggest a scalable solution for remote evaluations, which may enhance early detection.
A study published in JAMA found that Black candidates have lower heart offer acceptance rates compared to white candidates of the same gender, while women have higher acceptance rates than men. These disparities persist after adjusting for various factors, highlighting the need for further investigation into site-level decision-making.
A study of 5,437 US adults found that many patients with varying socioeconomic status chose telemedicine over in-person visits. The results support the use of telemedicine as a valued care delivery approach, and continued monitoring is needed to ensure equitable access.
The study found that patient outcomes for six critical conditions worsened at urban hospitals, while rural hospitals experienced smaller declines, highlighting the need for tailored strategies to reduce excess deaths in future crises.
A recent study found that large language models can accurately translate discharge summaries into more readable formats, improving patient understanding. However, initial implementation will require physician review due to safety concerns.
A study analyzing nationally representative data found that youth experienced a sustained increase in mental health issues between 2006 and 2019. The findings suggest that treatment and prevention strategies must address preexisting psychiatric needs in addition to the pandemic's direct effects.
A study of 34,500 patients found racial and ethnic disparities in locally advanced rectal cancer treatment outcomes may be influenced by unidentified biological or social factors. Non-Hispanic Black patients were more likely to experience poorer outcomes.
This study of 536 adults with chronic conditions found disparities in patient portal use, with sociodemographic groups and health literacy levels showing varying trends. The COVID-19 pandemic led to an increase in portal use, while a brief validated health literacy measure may help identify patients who need further support.
A comprehensive study found pulse oximeters significantly overestimated oxygen saturation readings in individuals with darker skin tones. This could lead to missed treatments and incorrect diagnoses, as devices may not accurately reflect critical oxygen levels.
A study of 82,000 patients found a strong association between hourly heat exposure and the onset of acute ischemic stroke. The findings suggest that high ambient temperatures may contribute to an increased risk of cerebrovascular events under global warming.
The COVID-19 pandemic has widened socioeconomic disparities in death at home and access to specialized palliative care for cancer patients. The study found that these disparities were amplified, highlighting the need for equitable and consistent care access.
A recent study published in JAMA Network Open found that vaccinated adults with hematologic cancers were at high risk of severe COVID-19, even after receiving treatment. The study included 6,122 patients and showed no significant decline in severe cases through mid-2022.
A positive association was found between total prescription opioid dose dispensed and the odds of spontaneous preterm birth in a study of 251,000 pregnant patients. Minimizing opioid exposure during pregnancy is crucial to prevent spontaneous preterm delivery.
Youth with intellectual and developmental disabilities face higher risk for foster care involvement, particularly among Black and female populations. The study highlights the urgent need for system-level interventions to address these disparities.
A randomized clinical trial of 1,680 patients with acute ischemic stroke due to large-vessel occlusion found no significant improvement in disability with adjunctive methylprednisolone. The study suggests that methylprednisolone may not be effective as an adjunct therapy after endovascular thrombectomy for this patient population.
A study of 352 patients found that endovascular thrombectomy benefits both directly presenting and transferred patients with large ischemic strokes, with better functional outcomes observed in those presenting directly to EVT-capable centers. Prolonged transfers worsened outcomes due to evolving ischemic change.
A randomized clinical trial of 1,015 participants found that apixaban did not significantly reduce recurrent stroke risk compared to aspirin in patients with cryptogenic stroke and atrial cardiopathy. The study suggests that alternative treatments may be more effective for preventing stroke recurrence in these patients.
A randomized clinical trial of 336 patients with extensive ischemic stroke found that endovascular thrombectomy improved clinical outcomes across a range of infarct volumes. However, the treatment's effectiveness was limited by low enrollment rates among patients with minimal penumbra volume.
Intravenous thrombolysis (IVT) plus thrombectomy demonstrates significant benefits over thrombectomy alone when administered within a short timeframe after symptom onset. This study, based on individual participant data from six randomized clinical trials, found IVT before thrombectomy to be time-dependent and statistically significant.
A study of Medicare patients in 2022 revealed disparities in COVID-19 therapy access based on patient age, race and ethnicity, Medicaid eligibility, and nursing home residence. Higher-risk individuals received COVID-19 therapy less often than those with lower risk factors.
This study found that sports-related traumatic brain injuries (TBI) result in higher rates of functional limitations six months after injury. In contrast, patients with non-sports related TBI exhibit better mental health and post-concussion symptom recovery. The findings highlight the need for a more nuanced understanding of TBI outcomes.
A study of 238,000 participants aged 45 and older found that self-reported walking limitations were associated with an increased risk of fracture. Clinicians may use patient self-assessment of walking ability as a tool to identify high-risk candidates for further assessment.
Women with perinatal depression are at a heightened risk of suicidal behavior, particularly in the first year after diagnosis, with persistent elevations throughout 18 years of follow-up. The study emphasizes the need for vigilant clinical monitoring to support this vulnerable group.
Diagnostic errors in hospitalized adults who died or were transferred to the intensive care unit were common, with problems in test choice and clinician assessment identified as high-priority areas for improvement. The study analyzed 2,428 patient records at 29 hospitals and found that these errors led to significant patient harm.
A recent study suggests that AI can provide real-time analysis of foods and support nutritionists in their work with patients. The study evaluates the consistency and accuracy of AI in providing energy and macronutrient information, showing promising results.