March 2019 Briefing - Critical Care

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

Doctors With Malpractice Claims More Likely to Leave Medicine

THURSDAY, March 28, 2019 (HealthDay News) -- Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings, according to a study published in the March 28 issue of the New England Journal of Medicine.

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Infants Born Weighing <400 g Who Survive at Risk for Severe Morbidity

WEDNESDAY, March 27, 2019 (HealthDay News) -- One-fifth of infants born with a birth weight (BW) less than 400 g survive to 18 to 26 months' corrected age, but they are at high risk for neurodevelopmental impairment, according to a study published online March 25 in JAMA Pediatrics.

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Douglas County, Colorado, Ranked as Healthiest Community

TUESDAY, March 26, 2019 (HealthDay News) -- The 2019 healthiest community in America is Douglas County, Colorado, according to a report published online March 26 by U.S. News & World Report, in conjunction with the Aetna Foundation.

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Risk for Miscarriage Increased With Night Work During Pregnancy

TUESDAY, March 26, 2019 (HealthDay News) -- Night work during pregnancy seems to confer an increased risk for miscarriage, with the risk increased for two or more night shifts the previous week, according to a study published online March 25 in Occupational & Environmental Medicine.

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Blindfolding Leader Improves Pediatric Resuscitation Training

TUESDAY, March 26, 2019 (HealthDay News) -- Team leaders who wear a blindfold during pediatric resuscitation simulation-based training show improved leadership skills compared with standard training teams, according to a study recently published in Frontiers in Pediatrics.

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2019 Residency Match Day Was Largest in History

MONDAY, March 25, 2019 (HealthDay News) -- The 2019 Main Residency Match was the largest in history, with a record high of 38,376 applicants for 35,185 positions, according to 2019 Match Day results released by the National Resident Matching Program.

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Aspiration Noninferior to Stent Retriever for Clot Removal

MONDAY, March 25, 2019 (HealthDay News) -- Aspiration is as effective as the traditional stent retriever approach for clot removal in patients presenting with large-vessel occlusion stroke, according to a study published online March 9 in The Lancet.

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Critical Care Nurses' Work Environments Improving

FRIDAY, March 22, 2019 (HealthDay News) -- Work environments for critical care nurses have improved since 2013, though there are still several areas of concern, according to survey results recently published in Critical Care Nurse.

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Overall, Physicians Are Happy and Enjoy Their Lives

WEDNESDAY, March 20, 2019 (HealthDay News) -- Overall, physicians are happy and enjoy their lives, according to the 2019 American Academy of Family Physicians (AAFP)/CompHealth Physician Happiness Survey published online March 19.

2019 AAFP/CompHealth Physician Happiness Survey

Practices for Reducing COPD Hospital Readmissions Explored

WEDNESDAY, March 20, 2019 (HealthDay News) -- Communication, implementation of guidelines, and improved identification of risk factors may help reduce chronic obstructive pulmonary disease (COPD) hospital readmissions, according to a report published in the February issue of the Annals of the American Thoracic Society.

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Machine-Learning Models Allow Early Detection of Sepsis in NICU

MONDAY, March 18, 2019 (HealthDay News) -- Machine-learning models that use electronic health record (EHR) data can identify infants with sepsis in the neonatal intensive care unit hours before clinical recognition, according to a study published online Feb. 22 in PLOS ONE.

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Average of 8.8 Inactive Ingredients Found in Oral Medications

MONDAY, March 18, 2019 (HealthDay News) -- Oral forms of medications contain an average of 8.8 inactive ingredients, many of which could cause adverse reactions, according to a perspective piece published in the March 13 issue of Science Translational Medicine.

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Physician Burnout Rate Increased From 2014 to 2017

FRIDAY, March 15, 2019 (HealthDay News) -- From 2014 to 2017, there was an increase in physician burnout, with early-career physicians being the most susceptible, according to a study published online March 15 in JAMA Network Open.

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Troponin Assay Confusion May Cause Misdiagnosis of Acute MI

THURSDAY, March 14, 2019 (HealthDay News) -- The 99th centile of high-sensitivity cardiac troponin I (hs-cTnI) concentration is substantially higher in a hospital population than the manufacturer's recommended upper limit of normal (ULN), according to a study published online March 13 in The BMJ.

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Head of National Cancer Institute Named Acting FDA Commissioner

WEDNESDAY, March 13, 2019 (HealthDay News) -- The U.S. Food and Drug Administration will temporarily be overseen by the head of the National Cancer Institute when FDA Commissioner Scott Gottlieb, M.D., leaves the post next month.

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CDC: Most Americans Report Excellent, Good Health

WEDNESDAY, March 13, 2019 (HealthDay News) -- Most Americans report having excellent or good health and have a usual place to go for medical care, according to a report published March 13 for the National Health Interview Survey Early Release Program.

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Home Health Clinicians Frequently Lack Access to Hospital Records

FRIDAY, March 8, 2019 (HealthDay News) -- Communication between hospitals and home health care (HHC) is suboptimal, according to a study published online Feb. 21 in the Journal of Post-Acute and Long-Term Care Medicine.

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Probiotic Sanitation Cuts Antimicrobial Resistance in Hospitals

THURSDAY, March 7, 2019 (HealthDay News) -- An environmental intervention of probiotic sanitation can effectively alter hospital microbiota, helping to limit the spread of antimicrobial resistance (AMR) in health care-associated infections (HAIs), according to a study published online Feb. 27 in Infection and Drug Resistance.

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Predictors ID'd for Successful Removal of Mechanical Ventilation

THURSDAY, March 7, 2019 (HealthDay News) -- Mechanically ventilated patients who pass a spontaneous breathing trial (SBT) and are extubated reach a higher level of wakefulness, indicated by a higher odds ratio product (ORP), according to a study published online March 1 in the American Journal of Respiratory and Critical Care Medicine.

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Electronic Order Set May Reduce Inappropriate ECG Monitoring

WEDNESDAY, March 6, 2019 (HealthDay News) -- Use of electronic order sets is a safe and effective way to enhance appropriate electrocardiographic (ECG) monitoring of hospitalized patients, according to a study published in the March issue of the American Journal of Critical Care.

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FDA Commissioner Dr. Scott Gottlieb Resigns

TUESDAY, March 5, 2019 (HealthDay News) -- In what probably came as a surprise to many, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced his resignation on Tuesday. Gottlieb is leaving the FDA because he wants to spend more time with his wife and three young daughters -- twins aged 9 and a 5-year-old -- one official said. He currently commutes each week from the family home in Connecticut to his Washington, D.C., office.

The Washington Post Article

Problems Identified With Gaps in EHR Functionality in Morning Rounds

TUESDAY, March 5, 2019 (HealthDay News) -- There is a considerable amount of variability in the ways in which electronic health records (EHRs) are used during morning rounds, resulting in extensive use of workarounds and problems with team communication, according to a study published online Feb. 25 in PLOS ONE.

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Methanol Toxicity Can Result From Occupational Exposure

TUESDAY, March 5, 2019 (HealthDay News) -- Methanol toxicity can occur as a consequence of occupational exposure, according to a research letter published online March 5 in the Annals of Internal Medicine.

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Readmission for Patients With Sepsis Common and Costly

MONDAY, March 4, 2019 (HealthDay News) -- Readmission after sepsis hospitalization is common and is associated with considerable costs, according to a study published in the March issue of CHEST.

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Multidimensional Approach Cuts Unneeded Drug-Drug Interaction Alerts

MONDAY, March 4, 2019 (HealthDay News) -- An iterative, multidimensional quality improvement (QI) effort can reduce interruptive drug-drug interaction (DDI) alerts, according to a study published in the March issue of Pediatrics.

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Intraoperative Methylprednisolone During Bypass Not Renal Protective

MONDAY, March 4, 2019 (HealthDay News) -- For patients undergoing cardiac surgery with a cardiopulmonary bypass pump, administration of intravenous methylprednisolone does not reduce the risk for acute kidney injury, according to a study published online March 4 in CMAJ, the journal of the Canadian Medical Association.

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Wireless Sensor System Feasible for Monitoring Vital Signs in NICU

FRIDAY, March 1, 2019 (HealthDay News) -- Wireless epidermal electronic systems with in-sensor analytics are feasible for use in the neonatal intensive care unit (NICU), according to a study published in the March 1 issue of Science.

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Antibiotic Delay Leads to Increased Risks in Seniors With UTI

FRIDAY, March 1, 2019 (HealthDay News) -- Delaying or withholding antibiotics for older patients with a urinary tract infection (UTI) is associated with an increase in bloodstream infection and all-cause mortality, according to a study published online Feb. 27 in The BMJ.

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