June 2019 Briefing - Nursing

Here are what the editors at HealthDay consider to be the most important developments in Nursing for June 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.

Medicare Advantage Patients Have Higher Readmission Rates

FRIDAY, June 28, 2019 (HealthDay News) -- Medicare Advantage patients have higher risk-adjusted hospital readmission rates than traditional Medicare patients for acute myocardial infarction, congestive heart failure, and pneumonia, according to a new study published online June 24 in the Annals of Internal Medicine.

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Nursing Home Costs Outpace Inflation, Other Medical Care

FRIDAY, June 28, 2019 (HealthDay News) -- Out-of-pocket costs for nursing home (NH) care are high and rising faster than other medical care and consumer prices, according to a study published online June 20 in Medical Care Research and Review.

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Three Interventions Could Cut Cardiovascular Deaths

THURSDAY, June 27, 2019 (HealthDay News) -- Lowering blood pressure, cutting sodium intake, and eliminating intake of trans fat could cut the incidence of premature death from cardiovascular disease by 94 million people worldwide during the next 25 years, according to a study published online June 10 in Circulation.

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Higher Protein Intake May Cut Risk for Frailty in Older Women

THURSDAY, June 27, 2019 (HealthDay News) -- Higher levels of protein intake may prevent the onset of frailty in older women, according to a study recently published in the European Journal of Nutrition.

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Educational Attainment Positively Linked to CVD Risk Factors

WEDNESDAY, June 26, 2019 (HealthDay News) -- Educational attainment is positively associated with reduced smoking rates, depression, triglycerides, and heart disease, according to a study published online June 25 in PLOS Medicine.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) -- After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) -- Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Short-Term Walking Intervention Offers Lasting Health Benefits

WEDNESDAY, June 26, 2019 (HealthDay News) -- Short-term primary care pedometer-based walking interventions can produce lasting health benefits, according to a study published online June 25 in PLOS Medicine.

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Higher Intake of Linoleic Acid May Reduce Type 2 Diabetes Risk

WEDNESDAY, June 26, 2019 (HealthDay News) -- Intake of linoleic acid (LA) is inversely associated with the risk for type 2 diabetes, according to a study published in the June issue of Diabetes Care.

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Nutrient Intake Inadequate in Many Pregnant Women in U.S.

TUESDAY, June 25, 2019 (HealthDay News) -- Even with dietary supplements, a substantial number of pregnant women in the United States are not meeting recommendations for vitamins D, C, A, B6, K, and E as well as folate, choline, iron, calcium, potassium, magnesium, and zinc, according to a study published online June 21 in JAMA Network Open.

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USPSTF Urges Interventions to Prevent Tobacco Use in Children

TUESDAY, June 25, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care physicians provide interventions to prevent school-aged children and adolescents from initiating tobacco use. This recommendation forms the basis of a draft recommendation statement, published online June 25 by the USPSTF.

Draft Recommendation Statement
Draft Evidence Review
Comment on Recommendation

FDA Warns Two Kratom Marketers About False Claims

TUESDAY, June 25, 2019 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday took two kratom marketers to task over false claims that their products can treat or cure opioid addiction.

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Smoking Confers Greatest Risk for Major Heart Attack for Women

TUESDAY, June 25, 2019 (HealthDay News) -- Smoking confers a greater increase in ST-segment elevation myocardial infarction (STEMI) risk to women than men, according to a study published in the July 2 issue of the Journal of the American College of Cardiology.

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Diabetes Outcomes Similar Regardless of Primary Provider

TUESDAY, June 25, 2019 (HealthDay News) -- Diabetes outcomes are similar for Veterans Affairs patients regardless of whether the primary provider is a physician, nurse practitioner (NP), or physician assistant (PA), according to a study published in the June issue of the Journal of the American Academy of Physician Assistants.

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Many Trust Doctors, Nurses Over Other Sources of Health Advice

MONDAY, June 24, 2019 (HealthDay News) -- Globally, about three-quarters of people trust doctors or nurses more than other sources when it comes to health advice, according to a report published online June 19 by the Wellcome Global Monitor.

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Antacid Use in First Year of Life Tied to Later Fracture Risk

MONDAY, June 24, 2019 (HealthDay News) -- Infants who are given acid suppression therapy (AST) in their first year of life are more likely to subsequently break a bone, according to a study published online June 7 in Pediatrics.

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Suicide Risk Seen Among Older Adults Living in Long-Term Care

MONDAY, June 24, 2019 (HealthDay News) -- More than 2 percent of suicides among adults 55 years and older are associated with patients living in or transitioning to long-term care (LTC), according to a study published online June 14 in JAMA Network Open.

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Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

MONDAY, June 24, 2019 (HealthDay News) -- Anxiety is independently associated with high-cost resource use among individuals with type 2 diabetes, according to a study published online June 18 in Diabetes Care.

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2018 Busiest Year Ever for U.S. National Domestic Violence Hotline

FRIDAY, June 21, 2019 (HealthDay News) -- The U.S. National Domestic Violence Hotline had its busiest year ever in 2018, receiving 573,670 calls, texts, and online chats, a 36 percent increase from 2017.

NBC News Article

2018 to 2019 Influenza Season in U.S. Was Longest in 10 Years

THURSDAY, June 20, 2019 (HealthDay News) -- In the United States, the 2018 to 2019 influenza season was of moderate severity and lasted 21 weeks, according to research published in the June 21 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Most Women Unaware Alcohol Poses Breast Cancer Risk

THURSDAY, June 20, 2019 (HealthDay News) -- Women have poor awareness of alcohol's role in breast cancer risk, according to a study published online June 17 in BMJ Open.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) -- The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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T2DM Risk in Offspring Up With Maternal Overweight, Obesity

THURSDAY, June 20, 2019 (HealthDay News) -- Maternal obesity and overweight are associated with an increased risk for type 2 diabetes in offspring, according to a study published online June 19 in Diabetologia.

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Suicide Rates Increased for Men, Women From 1999 to 2017

THURSDAY, June 20, 2019 (HealthDay News) -- From 1999 to 2017, there was an increase in suicide rates for women and men, according to a report published in the June Health E-Stats, a publication of the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Sharing Clinical Notes Engages Ob-Gyn Patients

THURSDAY, June 20, 2019 (HealthDay News) -- Obstetrics and gynecology patients are interested in reading clinical notes, which seems to promote engagement and safety, according to a study published online June 11 in Obstetrics & Gynecology.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) -- Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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San Francisco Considering Banning Sales of E-Cigarettes

WEDNESDAY, June 19, 2019 (HealthDay News) -- A ban on the sale and distribution of electronic cigarettes is being considered by San Francisco supervisors. If passed, it would be the first such ban by any city in the United States.

AP News Article
Hartford Courant Article

Outpatient Office Visits Increased With Access to Patient Portal

WEDNESDAY, June 19, 2019 (HealthDay News) -- For patients with diabetes, use of a patient portal can increase engagement in outpatient visits, according to a study published online June 19 in PLOS ONE.

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Excess Weight Tied to Increased Risk for High BP in Young Children

WEDNESDAY, June 19, 2019 (HealthDay News) -- Four-year-olds with excess weight have an increased risk for high blood pressure at age 6 years, according to a study published online June 12 in the European Journal of Preventive Cardiology.

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Many Young Children Treated in ED for Injuries From Personal Care Products

TUESDAY, June 18, 2019 (HealthDay News) -- A steady and persistent number of personal care product-related injuries were reported for young children from 2002 to 2016, most often occurring among those aged <2 years, according to a study published online June 16 in Clinical Pediatrics.

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Pediatric T1DM Medication Adherence Drops on Weekends, Holidays

TUESDAY, June 18, 2019 (HealthDay News) -- For children with type 1 diabetes, medication adherence is lower during school holidays and on weekends, according to a study recently published in the Archives of Disease in Childhood.

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High Soy Intake May Cut Fracture Risk in Younger Breast Cancer Survivors

MONDAY, June 17, 2019 (HealthDay News) -- Higher soy consumption is linked to fewer osteoporotic fractures in younger breast cancer survivors, according to a study published online May 21 in JNCI Cancer Spectrum.

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U.S. Travelers Should Be Aware of Measles Risk in Europe

MONDAY, June 17, 2019 (HealthDay News) -- U.S. travelers need to be aware of measles in Europe and should ensure children are adequately vaccinated, according to a study published online June 17 in Pediatrics.

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PPI Use for Up to Three Years Safe During Anticoagulant Tx

MONDAY, June 17, 2019 (HealthDay News) -- Use of pantoprazole for up to three years to prevent upper gastrointestinal events in patients receiving anticoagulant therapy with aspirin and/or rivaroxaban has a similar safety profile to placebo except for an increased risk for enteric infections, according to a study published online May 29 in Gastroenterology.

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Recommendations Developed to Prepare Children for Camp

MONDAY, June 17, 2019 (HealthDay News) -- In a policy statement issued by the American Academy of Pediatrics and published online June 17 in Pediatrics, recommendations are presented for the preparation of children for summer camps.

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New York State Halts Religious Vaccine Exemption

FRIDAY, June 14, 2019 (HealthDay News) -- Reacting to an ongoing measles outbreak, New York state has eliminated the religious exemption for not vaccinating children.

AP News Article

Maine Legalizes Assisted Suicide

FRIDAY, June 14, 2019 (HealthDay News) -- Maine has become the eighth state to legalize medically assisted suicide.

AP News Article

Depression Symptoms Greater in Mothers With Prior Eating Disorders

THURSDAY, June 13, 2019 (HealthDay News) -- Women with eating disorders experience persistently greater depressive symptoms across the life-course, according to a study recently published in the British Journal of Psychiatry.

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CDC: Prevalence of Meeting Exercise Guidelines Recently Increased

THURSDAY, June 13, 2019 (HealthDay News) -- From 2008 to 2017, there was an increase in the prevalence of meeting physical activity guidelines among adults living in rural and urban areas, according to research published in the June 14 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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HIV Risk Does Not Differ With Three Contraceptive Methods

THURSDAY, June 13, 2019 (HealthDay News) -- For African women seeking effective contraception, there is no significant difference in HIV incidence with use of intramuscular depot medroxyprogesterone acetate (DMPA-IM), a copper intrauterine device (IUD), and a levonorgestrel (LNG) implant, according to a study published online June 13 in The Lancet.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) -- Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Health Care Aides Frequently Report Verbal Abuse

WEDNESDAY, June 12, 2019 (HealthDay News) -- More than one in five home care (HC) aides report verbal abuse from clients and their family members, according to a study published online June 11 in Occupational & Environmental Medicine.

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USPSTF Issues Recommendations on HIV Screening, Prevention

TUESDAY, June 11, 2019 (HealthDay News) -- The U.S. Preventive Services Task Force recommends preexposure prophylaxis (PrEP) and HIV screening for prevention of HIV infection. These recommendations form the basis of two final recommendation statements published online June 11 in the Journal of the American Medical Association.

Recommendation Statement - PrEP
Evidence Report - PrEP
Editorial
Recommendation Statement - Screening
Evidence Report - Nonpregnant
Evidence Report - Pregnant

Nurse Understaffing Ups Inpatient Infection Risk

TUESDAY, June 11, 2019 (HealthDay News) -- Nurse understaffing is associated with an increased risk for health care-associated infections (HAIs) among hospitalized patients, according to a study published in the May issue of the Journal of Nursing Administration.

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Poor Physical Performance Tied to Depression, Anxiety in Midlife Women

TUESDAY, June 11, 2019 (HealthDay News) -- Weak physical performance on tests of the upper and lower body is associated with depressive and anxiety symptoms in midlife women, according to a study published online June 3 in Menopause.

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Data Insufficient for Safety of Lithium During Breastfeeding

MONDAY, June 10, 2019 (HealthDay News) -- There is variability in data relating to the safety of lithium during breastfeeding, according to a review published online June 10 in the International Review of Psychiatry.

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Cough Sound Analyzer Helps Differentiate Peds Respiratory Disorders

MONDAY, June 10, 2019 (HealthDay News) -- An automated cough sound analyzer can serve as a diagnostic aid in the assessment of pediatric respiratory disorders, according to a study published online June 6 in Respiratory Research.

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Irregular Sleep Patterns May Increase Risk for Metabolic Syndrome

MONDAY, June 10, 2019 (HealthDay News) -- Variability in sleep duration and timing is associated with higher odds of metabolic syndrome, according to a study published online June 5 in Diabetes Care.

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Hyperglycemia in Pregnancy May Up Risk for Obesity in Offspring

MONDAY, June 10, 2019 (HealthDay News) -- Pregnancy hyperglycemia at levels below the threshold for gestational diabetes mellitus (GDM) and maternal obesity are associated with childhood obesity, according to a study recently published in PLOS ONE.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) -- Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Individualized Care Plans Advised for T2DM With Heart Failure

FRIDAY, June 7, 2019 (HealthDay News) -- Team-based care emphasizing development of individualized care plans is recommended for management of type 2 diabetes mellitus (T2DM) and heart failure, according to a scientific statement issued by the American Heart Association and Heart Failure Society of America and published online June 6 in Circulation.

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Single-Component Treatments Effective for Insomnia

FRIDAY, June 7, 2019 (HealthDay News) -- Stimulus control therapy and sleep restriction therapy are viable single-component treatments for chronic insomnia, according to a study published in the June issue of Worldviews on Evidence-Based Nursing.

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Job Demands, Burnout Tied to Weight Gain

FRIDAY, June 7, 2019 (HealthDay News) -- Employees with heavier workloads or who are burned out are more likely to emotionally eat and exercise less, according to a study published online May 30 in the Journal of Health Psychology.

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Out-of-Pocket Medical Expenditure Up for Cancer Survivors

FRIDAY, June 7, 2019 (HealthDay News) -- Cancer survivors have significantly higher annual out-of-pocket medical expenditures than individuals without a cancer history, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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WHO: Estimated Incidence of Curable STIs 376.4 Million in 2016

THURSDAY, June 6, 2019 (HealthDay News) -- The estimated incidence of urogenital infections with chlamydia, gonorrhea, trichomoniasis, and syphilis was 376.4 million in 15- to 49-year-old men and women in 2016, according to research published online June 6 in the Bulletin of the World Health Organization.

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Receipt of Breast Milk Increases With Gestational Age at Birth

THURSDAY, June 6, 2019 (HealthDay News) -- Receipt of any breast milk varies with gestational age, ranging from 71.3 percent of extremely preterm infants to 84.6 percent of term infants, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Lowering Cholesterol Levels May Worsen Nerve Damage in T2DM

WEDNESDAY, June 5, 2019 (HealthDay News) -- Lowering serum cholesterol levels in patients with type 2 diabetes is associated with diabetic polyneuropathy (DPN), according to a study published online May 31 in JAMA Network Open.

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Nonsuicidal Self-Injury Rate Up in Sexual-Minority Youth

TUESDAY, June 4, 2019 (HealthDay News) -- The prevalence of nonsuicidal self-injury (NSSI; i.e., intentional self-harm without wanting to die) is higher among sexual-minority youth than heterosexual youth, according to a research letter published online June 3 in JAMA Pediatrics.

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Policy Changes Proposed to Meet Projected Need for Palliative Care

TUESDAY, June 4, 2019 (HealthDay News) -- Policies to support team-based palliative care are urgently needed to meet the growing demand for specialty palliative care, according to a study published in the June issue of Health Affairs.

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Immunizations Up in California After Repeal of Nonmedical Exemptions

TUESDAY, June 4, 2019 (HealthDay News) -- The repeal of nonmedical vaccine exemptions in California was only partially effective in improving vaccination coverage, according to a working paper issued by the National Bureau of Economic Research.

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Peripherally Inserted Central Catheters Often Used in CKD

MONDAY, June 3, 2019 (HealthDay News) -- Peripherally inserted central catheters (PICCs) are frequently used in hospitalized patients with stage 3b or greater chronic kidney disease (estimated glomerular filtration rate [eGFR], <45 mL/min/1.73 m²), according to a study published online June 4 in the Annals of Internal Medicine.

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Most Older Adults Would Have to Liquidate Assets for Home Care

MONDAY, June 3, 2019 (HealthDay News) -- The oldest and sickest Americans are least likely to be able to afford home care, according to a study published online June 3 in Health Affairs.

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Guidelines Issued for Addressing Heart Disease Risk in HIV

MONDAY, June 3, 2019 (HealthDay News) -- People living with HIV (PLWH) have an increased risk for cardiovascular disease (CVD), a risk that needs appropriate management and treatment, according to a scientific statement issued by the American Heart Association and published online June 3 in Circulation.

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Current Strategies for Measles Vaccination Insufficient

MONDAY, June 3, 2019 (HealthDay News) -- Compulsory vaccination at school entry in addition to current immunization programs will be necessary in several high-income countries to prevent future measles resurgence, according to a study published online May 17 in BMC Medicine.

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Pressure Injuries at Time of ICU Admission Tied to Longer Stays

MONDAY, June 3, 2019 (HealthDay News) -- Pressure injuries at the time of admission to an intensive care unit may predict patients at risk for longer hospital stays, according to a study published in the June issue of Critical Care Nurse.

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