Here are what the editors at HealthDay consider to be the most important developments in Critical Care for November 2016. 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.
Preemies Often Receive Gastroesophageal Reflux Meds
WEDNESDAY, Nov. 30, 2016 (HealthDay News) — Thirty-seven percent of premature infants receive gastroesophageal reflux (GER) medications, with more than three-quarters initiating medication use after discharge from the neonatal intensive care unit (NICU), according to a study published online Nov. 23 in Pediatrics.
E-Prescribing of High-Risk Drugs May Contribute to Falls in Elderly
TUESDAY, Nov. 29, 2016 (HealthDay News) — Preprogrammed doses of medications that can raise the risk of falls are often set too high for older hospital patients, according to research published online Nov. 28 in the Journal of the American Geriatrics Society.
Review Links Natriuretic Peptide Thresholds to Mortality in ADHF
TUESDAY, Nov. 29, 2016 (HealthDay News) — For patients hospitalized with acute decompensated heart failure (ADHF), achieving predischarge natriuretic peptide (NP) thresholds is associated with reduced mortality and readmission, according to a review published online Nov. 29 in the Annals of Internal Medicine.
Recommended Tx Adherence Low in Pediatric Acute Seizure
MONDAY, Nov. 28, 2016 (HealthDay News) — For pediatric patients transported for an acute seizure, adherence to recommended treatment is poor, according to a study published online Nov. 23 in Pediatrics.
In Acetaminophen-Induced Acute Liver Failure, FABP1 IDs Mortality
MONDAY, Nov. 28, 2016 (HealthDay News) — Serum liver-type fatty acid binding protein (FABP1) early (day one) or late (day three to five) levels are associated with mortality in patients with acetaminophen (APAP)-induced acute liver failure (ALF), according to a study published online Nov. 18 in Hepatology.
Acute Kidney Injury Is Risk Factor for Delirium, Coma
WEDNESDAY, Nov. 23, 2016 (HealthDay News) — For critically ill adults, acute kidney injury is a risk factor for delirium and coma, according to a study published online Nov. 17 in the American Journal of Respiratory and Critical Care Medicine.
Palliative Care Positively Affects Symptom Burden, QOL
WEDNESDAY, Nov. 23, 2016 (HealthDay News) — Palliative care interventions are associated with improvements in patient quality of life and symptom burden, but do not affect survival, according to a review published in the Nov. 22/29 issue of the Journal of the American Medical Association.
Rising Rx, ER Prices Pushing U.S. Health Care Spending Up
TUESDAY, Nov. 22, 2016 (HealthDay News) — Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.
Computer Order Entry System Ups Antimicrobial Policy Compliance
TUESDAY, Nov. 22, 2016 (HealthDay News) — Use of a computerized physician order entry (CPOE) system can improve compliance with antimicrobial restriction policies, according to a study published online Nov. 16 in the Journal of Pharmacy Practice and Research.
Mortality Risk Up for Hospital Patients With Hypoglycemia
FRIDAY, Nov. 18, 2016 (HealthDay News) — Hospital patients with hypoglycemia may be at increased mortality risk, according to research published online Nov. 17 in the Journal of Clinical Endocrinology & Metabolism.
IV, Oral Antibiotics Compared for Complicated Pneumonia
THURSDAY, Nov. 17, 2016 (HealthDay News) — For children with complicated pneumonia, peripherally inserted central venous catheter (PICC) and oral antibiotic administration post-discharge have similar rates of treatment failure, according to a study published online Nov. 17 in Pediatrics.
HR Capabilities Positively Linked to Quality of Patient Care
FRIDAY, Nov. 11, 2016 (HealthDay News) — Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.
Survival Lower for Night CPR Events in Children
WEDNESDAY, Nov. 9, 2016 (HealthDay News) — Hospitalized children have reduced survival odds with cardiopulmonary resuscitation (CPR) events occurring at night compared to other times of the day, according to a study published online Nov. 7 in JAMA Pediatrics.
Better Teamwork Linked to Improved Outcomes for CABG
WEDNESDAY, Nov. 9, 2016 (HealthDay News) — For patients undergoing coronary artery bypass grafting (CABG), surgical outcomes are better for health systems with physicians who have higher teamwork levels, according to a study published online Nov. 8 in Circulation: Cardiovascular Quality and Outcomes.
Donor Milk Doesn’t Improve Neurodevelopment Outcomes
TUESDAY, Nov. 8, 2016 (HealthDay News) — For infants with very-low-birth weight (VLBW), use of supplemental donor milk does not improve neurodevelopment compared with placebo at 18 months’ corrected age, according to a study published in the Nov. 8 issue of the Journal of the American Medical Association.
Five Strategies Can Reduce Risk of Medical Lawsuits
MONDAY, Nov. 7, 2016 (HealthDay News) — Five strategies can be employed by physicians in order to help reduce the risk of lawsuits, according to an article published in Medical Economics.
No Recommendation for Inpatient Inherited Thrombophilia Testing
MONDAY, Nov. 7, 2016 (HealthDay News) — Inpatient assessment for inherited thrombophilia is not recommended, according to a review published in the November issue of the Journal of Hospital Medicine.
Women Have Worse Outcomes During 36 Months After ACS
FRIDAY, Nov. 4, 2016 (HealthDay News) — In a study published in the Nov. 1 issue of The American Journal of Cardiology, among patients with acute coronary syndrome (ACS), women were found to have a higher mortality rate than men during 36 months of follow-up.
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