August 2019 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for August 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Family Dissatisfaction Greater When Intensive End-of-Life CKD Care Utilized

FRIDAY, Aug. 30, 2019 (HealthDay News) -- More intensive patterns of end-of-life care are associated with lower family ratings of quality of care among patients with advanced chronic kidney disease (CKD), according to a study published online Aug. 29 in the Clinical Journal of the American Society of Nephrology.

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Low Nurse and Support Staffing Tied to Higher Inpatient Mortality

WEDNESDAY, Aug. 28, 2019 (HealthDay News) -- Low levels of nurse and nursing support staffing are associated with increased inpatient mortality, according to a study published online Aug. 7 in BMJ Quality & Safety.

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Survival Poor for Elderly Admitted to Long-Term Acute Care Setting

TUESDAY, Aug. 27, 2019 (HealthDay News) -- Hospitalized older adults transferred to a long-term acute care (LTAC) hospital have poor survival, with more than one-third never returning home, according to a study published online Aug. 26 in the Journal of the American Geriatrics Society.

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Rates of Palliative Care Rising for Inpatients With ESKD on Dialysis

MONDAY, Aug. 26, 2019 (HealthDay News) -- There was an increase in provision of palliative care for patients hospitalized between 2006 and 2014 with end-stage kidney disease (ESKD) requiring dialysis, but rates were lower for black and Hispanic patients, according to a study published online Aug. 6 in the Journal of the American Society of Nephrology.

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Radiologists Performing More Paracenteses, Thoracenteses

FRIDAY, Aug. 23, 2019 (HealthDay News) -- The proportion of paracentesis and thoracentesis procedures performed by radiologists is continuing to increase, according to a study published online Aug. 14 in the Journal of Vascular and Interventional Radiology.

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Short-Term Exposure to PM10 and PM2.5 Affects Mortality

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Short-term exposure to inhalable particulate matter (PM) with an aerodynamic diameter of 10 µm or less (PM10) and fine PM (PM2.5) is positively associated with daily all-cause, cardiovascular, and respiratory mortality in more than 600 cities, according to a study published in the Aug. 22 issue of the New England Journal of Medicine.

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Mobile Stroke Unit Speeds Access to Intraarterial Thrombectomy

WEDNESDAY, Aug. 21, 2019 (HealthDay News) -- Pre-emergency department evaluation on a mobile stroke unit (MSU) can speed access to intraarterial thrombectomy (IAT) compared with standard management by emergency medical services (EMS), according to a study published in the July issue of Stroke.

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Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) -- Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

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Racial, Ethnic Disparities in Care for Preemies Have Narrowed

TUESDAY, Aug. 13, 2019 (HealthDay News) -- The disparity gap for care practices and certain outcomes between minority and white infants born at 22 to 29 gestational weeks narrowed from 2006 to 2017, according to a study published online Aug. 14 in Pediatrics.

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One-Third of Physicians Will Take 10+ Years to Pay Off Debt

MONDAY, Aug. 12, 2019 (HealthDay News) -- Nearly two-thirds of actively practicing physicians are still carrying medical school debt, according to the Medical School Debt Report 2019, published by the staffing firm Weatherby Healthcare.

Medical School Debt Report 2019

Flu Vaccine Tied to Better Long-Term Outcomes in Elderly ICU Survivors

MONDAY, Aug. 12, 2019 (HealthDay News) -- Among elderly patients, influenza vaccination is associated with a reduced risk for dying in the year following discharge from an intensive care unit (ICU), according to a study published in the July issue of Intensive Care Medicine.

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Nurse-Led Quality Initiative Cuts Hypoglycemia in ICU Patients

FRIDAY, Aug. 9, 2019 (HealthDay News) -- Nurse-driven root cause analysis is associated with a substantial reduction in hypoglycemia in the intensive care unit, according to a study published in the August issue of in Critical Care Nurse.

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Method to Calculate Central Line Infections Flawed

FRIDAY, Aug. 9, 2019 (HealthDay News) -- Using the true number of central lines as the denominator improves methods of determining central line-associated bloodstream infection (CLABSI) rates, according to a study published online July 24 in Infection Control & Hospital Epidemiology.

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Persistent Inflammation After Sepsis Linked to Higher Mortality

THURSDAY, Aug. 8, 2019 (HealthDay News) -- About two-thirds of patients who survive hospitalization for sepsis have persistent elevation of inflammation and immunosuppression biomarkers, which is linked to increased mortality, according to a study published online Aug. 7 in JAMA Network Open.

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Rate of Dual Burden 37 Per 10,000 Births in California

THURSDAY, Aug. 8, 2019 (HealthDay News) -- The dual burden of preterm birth and severe maternal morbidity (SMM) has a rate of 37 per 10,000 births in California, according to a study published online July 17 in the Journal of Maternal-Fetal & Neonatal Medicine.

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Poor Pneumonia Outcomes Tied to Overuse of Broad-Spectrum Antibiotics

TUESDAY, Aug. 6, 2019 (HealthDay News) -- Overuse of broad-spectrum antibiotics is associated with increased mortality and other poor outcomes in adults admitted for community-onset pneumonia, according to a study published in the July 1 issue of the European Respiratory Journal.

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Brand-Brand Competition Has Not Cut Prices in Pharma Market

FRIDAY, Aug. 2, 2019 (HealthDay News) -- Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices, according to a review published online July 30 in PLOS Medicine.

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Trump Admin Announces Plan to Allow Drug Imports From Canada

THURSDAY, Aug. 1, 2019 (HealthDay News) -- Americans could import less expensive prescription drugs from Canada under a plan being developed by the Trump administration.

HHS Press Release
PhRMA Statement

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