Articles Tagged With:
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CDC: Candida auris Spreading at ‘Alarming’ Rate
The agency reported the number of clinical cases has risen each year since 2016, with the worst spike occurring during the 2020-2021 period.
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When the Aortic Annulus Is Small, Does TAVR Valve Type Matter?
In this propensity-matched analysis of transcatheter aortic valve replacement (TAVR) registry patients with small aortic annuli, the hemodynamic advantage of self-expanding TAVR valves was not associated with better clinical outcomes compared with balloon-expandable valves up to five years.
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Does One Negative Troponin Measurement Rule Out Acute Coronary Syndrome?
Using a common clinical chest pain algorithm plus a point-of-care troponin measurement for low-risk patients, researchers reported significantly lower healthcare costs. Also, this approach did not seem to result in more major adverse cardiovascular events.
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The Role of Influenza Vaccination in Cardiovascular Event Prevention
Researchers studied English patients with an acute cardiovascular event who received an influenza vaccine in the same 12-month period and compared that to the 120-day period after vaccination and the rest of the year. They observed those vaccinated were less likely to experience an acute cardiovascular event for 120 days after vaccine vs. the rest of the year.
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Bleeding Risk with Combination Amiodarone and Direct-Acting Oral Anticoagulants
Among patients with atrial fibrillation who were taking a direct-acting oral anticoagulant, there was a significant association between major bleeding and amiodarone use within 60 days, but no association with amiodarone use longer than 60 days before the bleed.
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Unexpected Low Voltage on an ECG
A registry study of hypertrophic cardiomyopathy (HCM) patients and elite athletes in Italy revealed low voltage on ECG is not uncommon in HCM and may be a marker for more left ventricular scarring on cardiac imaging — and a poor prognosis.
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Case Management for Patients Nearing the End of Life
As the median age of the U.S. population increases, conversations around end-of-life care will need to be more robust. Hospital case managers often are among the only providers who might broach this topic with their patients. They need to be equipped for those conversations, even when the patient does not know what to think. Sometimes, the patients have not put much thought into their own values or priorities, and need someone to serve as a guide.
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Population Health Initiatives Could Include Focus on Spiritual Care
Spiritual care can be separated from the chaplain experience and focus on patients across the continuum, the author of a new paper suggests. Integrating spiritual care into outpatient, managed care, and population health can enhance patient care and improve the effectiveness of interdisciplinary teams.
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More Work Needed to Fight Healthcare Disparities
It takes a village to improve population health and whole person care. The village includes the public health system, which can be led by case management or a care coordination team. Populations that experience health inequities can benefit from the whole-person approach, particularly when hospitals form public health partnerships and use telehealth at discharge.
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High-Risk Patients Benefit From Direct Social Needs Assistance
A case management team can help high-risk patients access social assistance. But to be most effective, they need to help clients access psychosocial support and direct assistance for social needs. A health system’s program reduced inpatient hospitalizations by 11% in a randomized study.