January 2019 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for January 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.

Infective Endocarditis Related to Injection Drug Use Rising

WEDNESDAY, Jan. 30, 2019 (HealthDay News) -- The risk for infective endocarditis related to injection drug use increased from 2006 to 2015, according to a study published online Jan. 28 in CMAJ, the journal of the Canadian Medical Association.

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NOACs Recommended as First-Line Prevention of Stroke in A-Fib

TUESDAY, Jan. 29, 2019 (HealthDay News) -- For patients with atrial fibrillation, novel oral anticoagulants (NOACs) are recommended over warfarin to prevent stroke and weight loss is recommended for overweight and obese individuals, according to updated guidelines published online Jan. 28 in Circulation.

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Report IDs Areas Lacking Good Practice in Health Tech Assessment

FRIDAY, Jan. 25, 2019 (HealthDay News) -- In a report published in the January issue of Value in Health, an ISPOR--The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).

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Gun Injury Hospitalization Cost Over $911 Million 2010 to 2015

THURSDAY, Jan. 24, 2019 (HealthDay News) -- The average annual cost of inpatient hospitalizations for firearm injury exceeded $911 million from 2010 to 2015, with 9.5 percent of that amount due to readmissions, according to a study published online Jan. 24 in PLOS ONE.

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Doctors Should Encourage Exercise in Patients With Diabetes, CV Disease

WEDNESDAY, Jan. 23, 2019 (HealthDay News) -- Physicians need to take an active role in prescribing specific exercise training in patients with both type 2 diabetes mellitus and cardiovascular disease, according to a position paper published online Jan. 14 in the European Journal of Preventive Cardiology.

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FDA Down to 5 Weeks of Funding to Review New Drug Applications

THURSDAY, Jan. 17, 2019 (HealthDay News) -- Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.

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Adoption of Advanced Health IT Capabilities Inconsistent

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.

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Accidental IV Dislodgement Reported to Be Very Common

WEDNESDAY, Jan. 16, 2019 (HealthDay News) -- Clinicians perceive accidental dislodgement of intravenous (IV) devices to be a common occurrence, according to a study published in the December issue of the Journal of the Association for Vascular Access.

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American College of Physicians Releases 7th Edition of Ethics Manual

TUESDAY, Jan. 15, 2019 (HealthDay News) -- Ethical principles are discussed in an updated Ethics Manual, issued by the American College of Physicians (ACP) and published as a supplement to the Jan. 15 issue of the Annals of Internal Medicine.

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Red Cross Issues Emergency Call for Blood Donations

MONDAY, Jan 14, 2019 (HealthDay News) -- The holidays, winter weather, and the flu season have all prompted a blood shortage, the American Red Cross warns.

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Prices Still Explain High U.S. Health Care Spending

FRIDAY, Jan. 11, 2019 (HealthDay News) -- The difference in health spending between the United States and other countries is still explained by health care prices, according to a study published in the January issue of Health Affairs.

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Sociodemographic Factors Predict Recovery After Traumatic Injury

FRIDAY, Jan. 11, 2019 (HealthDay News) -- Most traditional measures of injury severity may not be predictive of trauma recovery, but some sociodemographic characteristics are predictive of recovery, according to a study published online Dec. 13 in the Annals of Surgery.

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Adverse Birth Outcomes Up for Women With H1N1 Flu in ICU

FRIDAY, Jan. 11, 2019 (HealthDay News) -- Pregnant women with 2009 H1N1 influenza admitted to an intensive care unit (ICU) have an increased risk for adverse birth outcomes, according to a study published online Jan. 9 in Birth Defects Research.

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Flu Vaccination Safe for Hospitalized Patients

THURSDAY, Jan. 10, 2019 (HealthDay News) -- Influenza vaccination during hospitalization is associated with reduced risk for readmission, outpatient visits, fever, and clinical evaluations for infection postdischarge, according to a study published online Jan. 8 in the Mayo Clinic Proceedings.

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Nine Cases of Wound Botulism ID'd in Injection Drug Users

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Among persons who inject drugs, nine cases of wound botulism were identified in Southern California from September 2017 to April 2018, according to research published in the Jan. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Many Female Health Care Workers Live in Poverty

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- Many U.S. female health care workers, particularly women of color, live in poverty and lack health insurance, according to a study published online Dec. 20 in the American Journal of Public Health.

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Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs

WEDNESDAY, Jan. 9, 2019 (HealthDay News) -- The costs of oral and injectable brand-name drugs increased from 2008 to 2016, with most of the increase due to existing drugs, while new drugs accounted for cost increases in specialty and generic drugs, according to a study published in the January issue of Health Affairs.

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Single-Family Rooms May Benefit Very Preterm Infants

TUESDAY, Jan. 8, 2019 (HealthDay News) -- For extremely preterm infants, the use of single-family rooms is associated with reduced sepsis incidence and improvements in breastfeeding rates during hospital stays but with no difference in long-term neurodevelopment, according to a review published online Jan. 7 in The Lancet Child & Adolescent Health.

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Muscle Atrophy Occurs Rapidly in Critically Ill, Ventilated Children

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Children receiving invasive mechanical ventilation for ≥48 hours often experience muscle atrophy, especially in the diaphragm, according to a study published online Dec. 19 in PLOS ONE.

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ACA Coverage Gains Could Erode Without Individual Mandate

TUESDAY, Jan. 8, 2019 (HealthDay News) -- Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains, according to a study published in the January issue of Health Affairs.

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Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

MONDAY, Jan. 7, 2019 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD) hospitalization, influenza vaccination is associated with a significant reduction in influenza-related hospitalization, according to a study published online Jan. 4 in CHEST.

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Clinical Tool Rapidly Assesses Post-Intensive Care Syndrome

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The self-report version of the Healthy Aging Brain Care Monitor is valid for assessing post-intensive care syndrome (PICS), according to a study published in the January issue of the American Journal of Critical Care.

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Study Reveals High Rate of Phlebitis Caused by IV Cannulas

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The incidence of phlebitis caused by peripheral intravenous cannula insertions may be higher among patients with certain risk factors, according to a study published online Dec. 27 in the Journal of Clinical Nursing.

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Child Pneumonia Rate Dropped Globally From 2000 to 2015

THURSDAY, Jan. 3, 2019 (HealthDay News) -- The global incidence of child pneumonia and related mortality decreased substantially from 2000 to 2015, consistent with decreases in the prevalence of some key risk factors, according to a study published in the January issue of The Lancet Global Health.

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