Articles tagged with Patient Monitoring
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 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.
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.
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.
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 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 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 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.
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 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.
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.
Researchers found that nurse practitioner placement in Miyagi Prefecture, Japan, resulted in reduced emergency visits and optimized care for residents with higher care needs. The study suggests a paradigm shift in elder care, highlighting the pivotal role of NPs in delivering quality healthcare.
Private equity acquisition of hospitals was associated with increased hospital-acquired adverse events, suggesting poorer quality of inpatient care. These findings highlight concerns about the implications of private equity on healthcare delivery, particularly among Medicare beneficiaries.
Patients screened in emergency departments (ED) are more likely to screen positive for Social Determinants of Health (SDOH) needs compared to primary care patients. Primary care may be better optimized to address SDOH needs, with lower screening rates.
A multicenter randomized clinical vignette survey study found that AI models, when systematically biased, reduced diagnostic accuracy. The study involved hospitalist physicians, nurse practitioners, and physician assistants from 13 states.
A systematic review and meta-analysis of 15 clinical trials found daily tooth brushing may reduce hospital-acquired pneumonia rates by up to 50% in high-risk patients. This study suggests that widespread toothbrushing policies could save lives and reduce healthcare costs.
Patients with lower socioeconomic status in their neighborhoods have a higher risk of nonadherence to guideline-directed medical therapy for heart failure. Neighborhood-level socioeconomic factors play a significant role in shaping healthcare outcomes.
Black patients in integrated communities experience greatest benefits from PCI-CF openings, including a five times greater likelihood of receiving same-day PCI. Segregation is associated with poorer outcomes for racial minority groups.
The study reveals a diverse landscape of software as a medical device (SaMD) with notable progress in artificial intelligence/machine learning-based devices, accounting for 22% of all FDA-approved SaMDs. Established companies focus on incremental innovations, while new entrants and start-ups drive disruptive innovation.
A retrospective cohort study of 4,732 BRCA carriers found that pregnancy following breast cancer was not associated with decreased disease-free survival. 1 in 5 patients conceived within 10 years after diagnosis.
A study of 170 COVID-19 patients with severe ARDS found that prone positioning compared to supine positioning did not significantly reduce the time to successful weaning from ECMO. The study suggests that other factors may influence ECMO weaning outcomes.
Significant racial and ethnic disparities in atherosclerotic cardiovascular disease treatment were found in a study of 5,218 adults. The disparities persisted despite optimal recommended therapies, underscoring the need for sustained efforts to achieve better outcomes for all patients regardless of their background.
A study of 33.1 million hospital visits found that Black and Hispanic patients are more likely to be discharged against medical advice, indicating a need for interventions to address medical segregation. This disparity may be related to unequal allocation of healthcare resources in hospitals serving racial and ethnic minoritized groups.
A study of 278,000 individuals in Sweden found that longer cumulative duration of ADHD medication use was associated with an increased risk of hypertension and arterial disease. Clinicians should regularly monitor cardiovascular signs and symptoms during long-term treatment.
A new study has found that most patients with osteoporosis want to receive information on their fracture risk, but only half of them actually get it. Patients prefer visual representations, such as graphs with a colored traffic-light system, to communicate fracture risk and are more likely to take medication if presented in this way.
A study of 34,000 patients found that screening-detected colorectal cancer had a lower risk of recurrence. The risk of recurrence decreased over time, and risk-stratified surveillance protocols may be warranted for selected patient groups.
A randomized clinical trial of 2,858 patients with new-onset and worsening chronic heart failure shows that torsemide and furosemide have no significant difference in clinical or patient-reported outcomes at 12 months. Torsemide is associated with better outcomes for patients with de novo heart failure.
Patients with heart failure treated with dapagliflozin experienced frequent initial estimated glomerular filtration rate declines, but without increased cardiovascular or kidney event risks. The study suggests that sodium-glucose cotransporter-2 inhibitors can be safely continued in patients experiencing eGFR decline.
A randomized clinical trial found that avoiding aspirin as part of an antithrombotic regimen reduces bleeding events without increasing thromboembolism risk in patients with advanced heart failure treated with left ventricular assist devices. The study suggests that aspirin avoidance may be a viable option for these patients.
A randomized clinical trial found that self-monitoring and physician-guided titration of antihypertensive medications reduced postpartum blood pressure compared to usual care. The study involved 220 participants in the UK and showed promising results for long-term blood pressure control.
The study aims to test two interventions to lower blood pressure in stroke survivors, including telehealth and in-person clinic management. Over 1,550 participants will be enrolled, with a focus on under-represented populations at higher risk for recurrent stroke.
Patients with post–COVID-19 chemosensory alterations experience improved recovery of smell function over a 3-year period. Taste dysfunction shows lower frequency and faster recovery compared to smell dysfunction.