Articles tagged with Patient Monitoring
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.
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.
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 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.
Earlier onset of atrial fibrillation is associated with an elevated risk of subsequent all-cause dementia, Alzheimer's disease, and vascular dementia. Monitoring cognitive function among patients with atrial fibrillation, especially those younger than 65 years at diagnosis, is crucial.
A population-based study found a significant increase in overdose-related OHCA from 2015 to 2021, with opioid-stimulant cases having lower survival rates. The combination of increasing incidence and lower survival rates supports prevention and treatment initiatives tailored to drug-specific profiles.
A study found that gastrointestinal and sleep issues may be connected to self-injury and aggression in adolescents diagnosed with profound autism. The researchers discovered a possible connection between these health issues and future challenging behaviors, predicting next-day behavior with over 80% accuracy.
The study demonstrates that concurrent DNA and RNA sequencing improves the detection of novel variants in individuals undergoing hereditary cancer testing, expanding identification of those with hereditary cancer predisposition. This advancement enables personalized therapeutics and surveillance for these individuals.
A novel multicomponent intervention aimed at improving patient access to kidney transplants did not significantly increase the rate of completed steps in a randomized clinical trial involving 20,375 patients. The study highlights the need for sustained efforts to address barriers to transplantation globally.
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.
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.
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.
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.
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.
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.
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.