Articles tagged with Patient Monitoring
Researchers at Mainz University Medical Center aim to improve patients' quality of life by applying smart data technology to physical activity. The DECIDE project aims to provide individualized control of patients' daily physical activity, while the RELEVIUM project focuses on alleviating pain and weight loss in pancreatic cancer patie...
The study found that bronchiolitis admissions decreased temporarily during the pandemic but then surged among older patients, suggesting atypical seasonality. Hospitals should prepare for potential outbreaks in unusual timing in 2023.
A randomized clinical trial involving 126 patients found that landiolol did not prevent organ failure in those with established septic shock. The study concluded that this beta-blocker is not a suitable treatment option for managing tachycardia in these patients.
A randomized clinical trial of 524 trauma patients found that adding sigh breaths to mechanical ventilation did not increase ventilator-free days. However, prespecified secondary data suggest that sighs are well-tolerated and may improve clinical outcomes in this patient population.
Researchers found no significant improvement in primary composite outcomes, including organ support-free days and hospital survival, among hospitalized patients with COVID-19 who received intravenous vitamin C. The study suggests that vitamin C treatment may not be effective in improving patient outcomes for this population.
Tongxinluo significantly improved 30-day and 1-year clinical outcomes in STEMI patients, according to a randomized clinical trial. Further research is needed to understand its mechanism of action.
A large cohort study found a significant association between adult attention-deficit/hyperactivity disorder (ADHD) and the risk of dementia. The study followed 109,000 individuals born between 1933 and 1952 and found that ADHD was associated with an increased risk of dementia.
Researchers analyzed 249,000 emergency department visits and found that patients of color received lower acute scores despite similar workups. Clinical decision support systems may help reduce these disparities, but require careful calibration to avoid bias.
Red blood cell transfusions were common in ICU patients globally, with overlapping reasons for use despite differing clinical contexts. The three most common triggers for transfusion (hypotension, tachycardia, hemodynamic instability) were largely consistent across regions.
A cross-sectional study found that most survey respondents who gave birth between June and December 2020 did not use prenatal telehealth. Personal preference for in-person care was the most common reason among those who chose not to use telehealth services.
A meta-analysis found that CPAP treatment adherence is associated with a lower risk of recurrent cardiovascular events in patients with obstructive sleep apnea. Adherence to CPAP therapy may be a key factor in secondary cardiovascular prevention.
The study found that Paxlovid treatment was associated with reduced risk of COVID-19 hospitalization or death in clinically extremely vulnerable individuals. Severely immunocompromised patients showed the greatest benefit from this treatment.
A study of 69,000 adults with hepatitis C virus (HCV) infection found no difference in sustained virologic response across alcohol use categories. This suggests that restricting access to direct-acting antiviral therapy based on alcohol use may create unnecessary barriers for patients. The findings challenge HCV elimination goals.
Adult Black patients experience higher risk of physical restraint in emergency departments compared to other racial groups, according to a systematic review and meta-analysis. The study emphasizes the importance of considering how racism may affect disparate use of restraints among adult patients.
A significant burden of cardiovascular disease and cardiometabolic risk factors has been identified among 220,000 American Indian and Alaska Native patients with Medicare insurance. The study emphasizes the critical need for future efforts to prioritize cardiovascular health in this population.
A study of 68,000 patients with COVID-19 found that using Paxlovid or Lagevrio significantly reduced mortality and hospitalization rates in those at high risk of progressing to severe COVID-19, regardless of age, race, or virus strain. These medications can be used to treat non-hospitalized patients at high risk of severe disease.
Over 75% of hospitalized AKI patients lack proper follow-up kidney health testing after discharge. Less than 25% have kidney function monitored with blood and urine tests within 90 days of discharge.
The study of 6,499 patients suggests that higher buprenorphine doses can reduce time to discontinuation. This finding challenges current recommended dosages for improving treatment retention.
Research found that depression screening methods, such as the Patient Health Questionnaire-9, correctly identified more patients who attempted suicide than suicide risk screenings. The study suggests that comprehensive screenings tools may be more effective in identifying patients at risk of suicide and depression.
A study of 805,000 patients found that receiving physical therapy after dizziness was associated with a significant reduction in fall risk over the next 12 months. The findings suggest that timely physical therapy referral for dizziness may be beneficial for these patients.
Patients treated by female surgeons have a lower risk-adjusted likelihood of adverse postoperative outcomes at 90 days and one year following surgery. The study of over one million patients suggests differences in patient outcomes based on physician sex warrant further investigation into underlying causes and potential solutions.
The COVID-19 pandemic worsened treatment outcomes for patients admitted with acute myocardial infarction (AMI), but did not significantly amplify existing racial and ethnic disparities in care. Additional efforts are needed to mitigate these inequities, particularly during periods of high hospital COVID-19 burden.
A randomized clinical trial found that a preoperative augmented reality walkthrough decreased preoperative anxiety compared to traditional education and handouts. However, there was no significant impact on postoperative anxiety, pain levels, or narcotic use in patients undergoing surgery.
Patients with caregivers at higher depression risk experienced poorer quality of life and increased emergency department use. Additional caregiving resources could improve patient outcomes in Parkinson's disease.
The study of 18.4 million patients indicates a low annual probability of 5% or greater weight loss, but a higher likelihood of BMI reduction to the healthy weight category, especially among those with high initial BMIs.
A recent study of Massachusetts schools found low secondary attack rates for SARS-CoV-2 among school-based contacts. The study highlights the importance of ongoing surveillance efforts to maintain optimal disease prevention strategies.
A secondary analysis of a randomized clinical trial found that exercise can significantly reduce symptoms of chemotherapy-induced peripheral neuropathy (CIPN) in ovarian cancer survivors. Incorporating exercise programs into standard oncology care may improve quality of life for these patients.
Consistent disparities among marginalized populations are more likely to experience unexplained queue jumps and hallway placement. Standardizing triage processes can help mitigate conscious and unconscious biases in emergency departments.
A University of Missouri study reveals that being asked to weigh during a doctor's visit negatively affects female patients' emotions and self-esteem. Researchers advocate for policy changes to educate patients about their rights and promote weight-inclusive healthcare.
The Capture the Fracture Partnership has successfully driven global Fracture Liaison Services implementation, effectiveness, and sustainability. The partnership's unique approach, including policy, coalitions, mentorship, and scalable solutions, has delivered impactful resources and activities to prioritize secondary fracture prevention.
A new position paper reviews TBS for fracture risk prediction, treatment initiation and monitoring in osteoporosis. The evidence-based guide provides practical guidance for clinicians to integrate TBS into clinical practice.
A study of 1.6 million patients reveals that residing in disadvantaged neighborhoods increases the risk of dementia among older veterans integrated into a national healthcare system. The results suggest that socioeconomic factors contribute to cognitive decline and increase the risk of developing dementia.
Researchers found that sleep patterns vary significantly across cultures and geographical locations. The study used commercially available smartwatches to collect data from over 52 million individuals in 11 countries, revealing discrepancies between self-reported data and digital logs.
A large-scale study found that exercise programs for dialysis patients lead to significant improvements in physical fitness, quality of life, and reduced hospital stays. Personalized exercise plans showed low costs per training unit, making them a viable option for standard healthcare coverage.
A new study published in the American Journal of Preventive Medicine finds that home blood pressure monitoring can reduce cardiovascular events by 4.9% and stroke cases by 3.8% over 20 years, leading to cost savings and improved health outcomes for underserved populations.
A new study creates graphene capsules using seaweed and salt, enabling high precision, real-time biomechanical and vital signs measurements. This sustainable technology has the potential to outperform traditional non-sustainable sensors.
A new study published in JAMA found that bempedoic acid can reduce major adverse cardiovascular events in high-risk primary prevention patients who cannot tolerate recommended doses of statins. The treatment has the potential to improve outcomes for these patients, providing a new option for primary prevention.
Medical evacuation by train in a war zone is possible and can transport more severely ill or injured individuals due to intensive care capacity on board. The target population should not be limited to trauma patients only.
Head and neck squamous cell carcinoma patients face substantial burden of uncontrolled cardiovascular risk factors, leading to increased risk of stroke and heart attack. Modifiable CV risk factor control is crucial in reducing the risk of adverse cardiovascular events and death among these patients.
US delivery-related hospital mortality decreased for all groups between 2008 and 2021, while severe maternal morbidity increased, particularly among older women and minority patients with comorbidities
A peer support group intervention has been shown to be feasible and acceptable among undocumented Latinx immigrants with kidney failure. The study found that the intervention built camaraderie and provided emotional support, which is particularly important for socially marginalized uninsured populations.
Researchers developed outcome indicators to measure health issues in children with cancer, allowing for improvement in care and treatment. The indicators consider physical, psychosocial, and neurocognitive outcomes, providing a clear and comparable measurement of quality of survival.
An AI model called SCORE-AI achieved human expert level performance in fully automated electroencephalogram interpretation. This technology has the potential to improve diagnosis and patient care in underserved areas and increase efficiency in specialized epilepsy centers.
Interventions with wearable activity trackers increased physical activity levels, reduced sedentary behavior, and improved physical functioning in hospitalized adults. This systematic review and meta-analysis of 15 studies and 1,900 participants supports the use of wearable technology to enhance patient outcomes.
A recent study found that germline genetic testing after cancer diagnosis is underutilized, with rates significantly lower among Asian, Black, and Hispanic patients compared to non-Hispanic whites. The study, published in JAMA, suggests disparities in access to genetic testing by race.
A study of 8,269 pediatric patients reveals persistent disparities in central line–associated bloodstream infection rates for Black patients and those who speak a language other than English. Stratifying outcomes to assess for disparities may inform targeted interventions to improve equity.
A Danish nationwide cohort study found that COVID-19 patients, especially those over 70, had a significantly higher risk of developing new-onset mental disorders compared to the general population. Hospitalized COVID-19 patients showed increased mental disorder risk similar to non-COVID-19 hospitalizations.
Provision of over-the-counter hearing aids associated with greater uptake of hearing intervention and improved patient quality of life. The study found that OTC hearing aids are cost-effective when prices exceed $55 per device.
Researchers developed a 'Skeletal Age' metric to assess impact of fractures on mortality, revealing a loss of one to seven years of life depending on gender, age, and bone site. The online calculator measures bone fragility to help doctors and patients understand fracture risks.
Patients using medical cannabis reported sustained improvements in health-related quality of life in the study. Adverse events were common but rarely serious, highlighting the need for caution when prescribing medical cannabis.
A large-scale study of patient experiences with telemedicine and in-person visits found that telemedicine consistently outperformed in-person visits in terms of access to care and provider engagement. The study analyzed survey responses from over 39,000 patients across more than 50,000 visits.
A Chinese Medical Journal review highlights the health hazards of air pollution, particularly from fine particulate matter (PM2.5), which is associated with increased risks of cardiovascular disease, hospitalization, and respiratory mortality. The study suggests that reducing PM2.5 levels through government interventions and individual...
Hospitals affected by ransomware may see increased patient loads and resource strain, impacting time-sensitive care for acute stroke patients. Targeted cyberattacks can have regional disaster implications on healthcare delivery.
Patients with SARS-CoV-2 infection report cognitive deficits that are associated with post-COVID-19 condition (long COVID) symptoms. Researchers suggest a potential affective component in some patients, highlighting the need for further exploration of underlying reasons.
A study comparing physician and AI chatbot responses found chatbots excelled in both quality and empathy, while physicians were preferred for their nuanced understanding. The findings suggest that integrating chatbots into clinical settings could improve response quality and reduce clinician burnout.
A study of 167,000 non-hospitalized patients revealed that neutralizing monoclonal antibody treatment for COVID-19 was associated with significant reductions in emergency department visits, hospitalization rates, and mortality. These findings suggest targeted risk stratification strategies may optimize future nMAb treatment decisions.
A University of Gothenburg study found that future doctors and nurses in Sweden consider their disaster medicine knowledge inadequate. Students who have been conscripts or have experience in rescue services scored higher on a self-assessment questionnaire, suggesting 40 hours of education is reasonably adequate.
A study of 55,000 Canadian patients with COVID-19 found that vaccination significantly reduced severe outcomes and burden on healthcare systems. The research also highlights the importance of vaccination in reducing mortality rates associated with COVID-19.
A survey study of 19,000 patients found that self-managed abortion was prevalent before accessing in-clinic care, particularly among those with limited access. The findings suggest a need for increased access to telemedicine and decentralized abortion care models.
A national cohort study found that early dexamethasone administration reduced odds of mortality in hospitalized COVID-19 patients needing supplemental oxygen or mechanical ventilation. The treatment was not associated with improved outcomes for those without such needs.