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August 2017 Briefing – Critical Care

August 2017 Briefing – Critical Care
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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for August 2017. 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.

Intracranial Pressure Monitoring No Benefit in Pediatric TBI

WEDNESDAY, Aug. 30, 2017 (HealthDay News) — For children with severe traumatic brain injury, intracranial pressure (ICP) monitoring is not associated with improved functional survival, according to a study published online Aug. 28 in JAMA Pediatrics.

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Race/Ethnicity Shown to Factor Into Quality of Care in NICU

TUESDAY, Aug. 29, 2017 (HealthDay News) — Race and ethnicity may be factors in the quality of care a premature baby receives in a neonatal intensive care unit (NICU), according to a study published online Aug. 28 in Pediatrics.

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Tidal CO2 Prognostic for Chronic Thromboembolic Pulmonary HTN

MONDAY, Aug. 28, 2017 (HealthDay News) — End-tidal carbon dioxide (ETCO2) levels are prognostic for patients with chronic thromboembolic pulmonary hypertension (CTEPH), according to a letter to the editor published online Aug. 14 in the Annals of the American Thoracic Society.

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PERSEVERE-XP Improves Mortality Risk Stratification in Sepsis

WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Addition of previously unconsidered genes from the Pediatric Sepsis Biomarker Risk Model (PERSEVERE) can improve mortality risk stratification for children with septic shock, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) — For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Online Nursing Education Can Up Patient Use of VTE Prophylaxis

THURSDAY, Aug. 17, 2017 (HealthDay News) — Online training for nurses has been found to increase hospital patients’ use of venous thromboembolism (VTE) prophylaxis, according to a study published online Aug. 16 in PLOS ONE.

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Increase in Survival Without Severe Disability for Preemies

THURSDAY, Aug. 17, 2017 (HealthDay News) — During the past two decades, survival and survival without severe or moderate neuromotor or sensory disabilities have increased among preterm infants, according to a study published online Aug. 17 in The BMJ.

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Coping Support Assists Parents of Hospitalized Children

THURSDAY, Aug. 17, 2017 (HealthDay News) — Coping support interventions can reduce anxiety and stress, but not depression, among parents of hospitalized children, according to a review published online Aug. 17 in Pediatrics.

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Study Highlights Readmit Factors Post Atrial Flutter Ablation

THURSDAY, Aug. 17, 2017 (HealthDay News) — Recognition of factors associated with early readmission for patients after atrial flutter (AFL) ablation is necessary for reducing costs and improving quality of life, according to a study published online Aug. 11 in the Journal of Cardiovascular Electrophysiology.

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Geriatric Trauma Outcome Score Estimates Unfavorable Discharge

WEDNESDAY, Aug. 16, 2017 (HealthDay News) — The geriatric trauma outcome score II (GTOS II) prognostic calculator can estimate the probability of unfavorable discharge in injured elders, according to a study published online Aug. 14 in the Journal of the American Geriatrics Society.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) — Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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High Platelet Reactivity Tied to Ischemic, Bleeding Outcomes

TUESDAY, Aug. 15, 2017 (HealthDay News) — There is a strong relationship between high on-clopidogrel platelet reactivity and two-year ischemic and bleeding outcomes after drug-eluting stent implantation, according to a study published online Aug. 2 in JACC: Cardiovascular Interventions.

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Diverse Spectrum of Neurologic Syndromes Seen With Zika

TUESDAY, Aug. 15, 2017 (HealthDay News) — Zika virus (ZIKV) infection is associated with increased incidence of neurological syndromes, according to a study published online Aug. 14 in JAMA Neurology.

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Short-Term Risk of Arterial Embolism Up in Cancer Patients

MONDAY, Aug. 14, 2017 (HealthDay News) — The risk of arterial thromboembolism is increased in the short term among patients with incident cancer, according to a study published in the Aug. 22 issue of the Journal of the American College of Cardiology.

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Cannabis Intoxication Admissions in Children Up in France

MONDAY, Aug. 14, 2017 (HealthDay News) — From 2004 to 2014 there was an increase in annual admissions in France for children with unintentional cannabis intoxication, according to a study published online Aug. 14 in Pediatrics.

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ICU Admissions for Opioid Overdose Up From 2009 to 2015

MONDAY, Aug. 14, 2017 (HealthDay News) — From 2009 to 2015 there was an increase in opioid overdose admissions requiring intensive care, as well as in associated mortality, according to a study published online Aug. 11 in the Annals of the American Thoracic Society.

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Use of ICU Resources After Cardiac Surgery Upped by Obesity

FRIDAY, Aug. 11, 2017 (HealthDay News) — For patients undergoing cardiac surgery, increasing obesity is associated with increased intensive care unit (ICU) resource utilization, according to a study published online Aug. 9 in the Annals of Thoracic Surgery.

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Smaller Racial Gap in Survival After In-Hospital Cardiac Arrest

THURSDAY, Aug. 10, 2017 (HealthDay News) — There has been a considerable reduction in racial differences in survival after in-hospital cardiac arrest, according to a study published online Aug. 9 in JAMA Cardiology.

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Higher Risk of CVD Persists After Hospital Stay for Severe Infection

WEDNESDAY, Aug. 9, 2017 (HealthDay News) — There is an increased risk of cardiovascular disease following hospital admission for sepsis or pneumonia that persists for at least five years after the infection, according to a study published online Aug. 1 in the European Journal of Preventive Cardiology.

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Revenue Exceeds Expenditures for Many ABMS Member Boards

WEDNESDAY, Aug. 2, 2017 (HealthDay News) — Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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Conservative Fluid Management Benefits Black ARDS Patients

TUESDAY, Aug. 1, 2017 (HealthDay News) — For patients with acute respiratory distress syndrome (ARDS), conservative fluid management is associated with reduced mortality for non-Hispanic black, but not white, patients, according to a study published online July 14 in the Annals of the American Thoracic Society.

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