Here are what the editors at HealthDay consider to be the most important developments in Critical Care for October 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.
Early Infectious Diseases Consult May Lower Sepsis Mortality
THURSDAY, Oct. 31, 2019 (HealthDay News) — Early infectious diseases (ID) consultation is associated with a reduction in in-hospital mortality for patients receiving a severe sepsis and septic shock (SS/SS) treatment bundle, according to a study published online Oct. 31 in Open Forum Infectious Diseases.
CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
CDC: Most Patients With Vaping-Related Lung Injury Report THC Use
TUESDAY, Oct. 29, 2019 (HealthDay News) — Most patients with electronic cigarette, or vaping, product use-associated lung injury (EVALI) reported use of tetrahydrocannabinol (THC)-containing products in the three months preceding symptom onset, according to research published in the Oct. 28 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Facebook Launches Preventive Health Tool
TUESDAY, Oct. 29, 2019 (HealthDay News) — A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.
Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators
MONDAY, Oct. 28, 2019 (HealthDay News) — Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.
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Lung Transplant With Ex Vivo Lung Perfusion Feasible
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Use of ex vivo lung perfusion (EVLP)-treated lungs increases the number of patients undergoing transplantation with comparable long-term outcomes, according to a study published online Oct. 9 in JAMA Surgery.
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More Choices, Lower Premiums for ACA Consumers Next Year
TUESDAY, Oct. 22, 2019 (HealthDay News) — There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.
Antiviral Antibodies ID’d in CSF of Acute Flaccid Myelitis Cases
MONDAY, Oct. 21, 2019 (HealthDay News) — Enterovirus (EV)-specific antibodies have been identified in the cerebrospinal fluid (CSF) of pediatric cases of acute flaccid myelitis (AFM) versus controls, according to a study published online Oct. 21 in Nature Medicine.
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Tranexamic Acid Within Three Hours Cuts Some TBI Deaths
MONDAY, Oct. 21, 2019 (HealthDay News) — Among patients with mild-to-moderate acute traumatic brain injury (TBI), the risk for head injury-related death is reduced in those receiving tranexamic acid within three hours compared with placebo, according to a study published online Oct. 14 in The Lancet.
Outcomes Poorer for Extreme Preemies Transferred After Birth
THURSDAY, Oct. 17, 2019 (HealthDay News) — Birth in a nontertiary hospital and transfer within 48 hours is associated with poorer outcomes compared with birth in a tertiary hospital for extremely preterm infants, according to a study published online Oct. 16 in The BMJ.
Study Looks at Pediatric Firearm-Related Eye Injuries in the U.S.
THURSDAY, Oct. 17, 2019 (HealthDay News) — A quarter of all U.S. ocular firearm injuries occur within the pediatric population, according to a study published online Oct. 10 in JAMA Ophthalmology.
CDC Releases Clinical Guidance on E-Cigarette Lung Injury
TUESDAY, Oct. 15, 2019 (HealthDay News) — In an early-release Oct. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, the CDC presents interim guidance to help clinicians assess, evaluate, manage, and follow patients with electronic cigarette, or vaping, product use-associated lung injury (EVALI).
CDC: Seasonal Influenza Viruses Circulating in Southern Hemisphere
THURSDAY, Oct. 10, 2019 (HealthDay News) — Seasonal influenza viruses are circulating widely in the Southern Hemisphere, but influenza activity is currently low in the United States, according to research published in the Oct. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Rate of Advancement of Feeding Volume Does Not Impact Survival
THURSDAY, Oct. 10, 2019 (HealthDay News) — For very preterm or very low-birth-weight infants, advancing feeding volume in faster increments versus slower increments is not associated with a difference in survival without moderate or severe neurodevelopmental disability at 24 months, according to a study published in the Oct. 10 issue of the New England Journal of Medicine.
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Medicare Fraud-Prevention Rules to Be Revised
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.
2000 to 2015 Saw Increase in Medicare GME Payments
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.
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Burnout Linked to Poor Quality Care in Published Literature
TUESDAY, Oct. 8, 2019 (HealthDay News) — In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.
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Cost of Waste in U.S. Health System Estimated
TUESDAY, Oct. 8, 2019 (HealthDay News) — The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.
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Mortality Down for Autoantibody-Associated Vasculitides Patients
MONDAY, Oct. 7, 2019 (HealthDay News) — From 1999 to 2017, there was a decrease in mortality among individuals with antineutrophil cytoplasmic autoantibody-associated vasculitides (AAV) in the United States, according to a research letter published online Oct. 8 in the Annals of Internal Medicine.
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Guideline for Community-Acquired Pneumonia Updated
MONDAY, Oct. 7, 2019 (HealthDay News) — In an updated official clinical practice guideline from the American Thoracic Society and Infectious Diseases Society of America, published in the Oct. 1 issue of the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the diagnosis and management of community-acquired pneumonia (CAP).
Data Suggest Viral Etiology for Pediatric Acute Flaccid Myelitis
MONDAY, Oct. 7, 2019 (HealthDay News) — Surveillance data for acute flaccid myelitis (AFM) suggests a viral etiology, according to a study published online Oct. 7 in Pediatrics.
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Considerable Proportion of ICU Admissions May Be Preventable
FRIDAY, Oct. 4, 2019 (HealthDay News) — A considerable proportion of intensive care unit (ICU) admissions may be preventable, according to a study published online Oct. 4 in the Annals of the American Thoracic Society.
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Survey: Many U.S. Adults Not Planning to Get Flu Vaccine
FRIDAY, Oct. 4, 2019 (HealthDay News) — Many U.S. adults, including some at the highest risk for the flu and pneumonia, do not plan to get preventive vaccines, according to a survey conducted by NORC at the University of Chicago on behalf of the National Foundation for Infectious Diseases.
Gradual ACS Symptom Onset Linked to Delay in Presentation for Acute Care
WEDNESDAY, Oct. 2, 2019 (HealthDay News) — For patients with acute coronary syndrome (ACS), having a gradual onset of symptoms is associated with longer prehospital delay, according to a study published online Sept. 11 in the European Journal of Cardiovascular Nursing.
Few Critical Care Nurses Feel Competent in Providing Palliative Care
WEDNESDAY, Oct. 2, 2019 (HealthDay News) — Most critical care nurses feel inadequately prepared to provide palliative care, according to a study published in the October issue of Critical Care Nurse.
No Benefit Found for High-Dose Vitamin C Infusions in Sepsis, ARDS
TUESDAY, Oct. 1, 2019 (HealthDay News) — Compared with placebo, intravenous infusion of high-dose vitamin C does not improve organ dysfunction or alter markers of inflammation or vascular injury among patients with sepsis and acute respiratory distress syndrome (ARDS), according to a study published in the Oct. 1 issue of the Journal of the American Medical Association.
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