Articles Tagged With: Outcomes
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Poor Diabetes Control Associated with Poorer Coronary Stent Outcomes
In this large, observational study of diabetic patients with coronary stents, poorer glycemic control as measured by hemoglobin A1c was associated with stepwise hazard for stent failure over a period of more than six years, primarily driven by in-stent restenosis.
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Multicomponent Breastfeeding Interventions in Women with a Body Mass Index > 25
The study found no statistically significant differences in breastfeeding outcomes between the intervention and control groups at various postpartum time points, although the intervention group received more hospital-based support, while the control group sought more private lactation support.
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Recent Cases Add to Complexity of Treatment Withdrawal Decision-Making
Many ethics consults involve conflicts over withdrawal of life-sustaining treatment. If patients’ families are aware of recent cases demonstrating recovery potential in patients with traumatic brain injury who were thought to have a low chance of survival, it can make the decision-making process even more challenging.
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Ethical Decision-Making for High-Risk Surgical Patients
High-risk patients present some unique ethical considerations for surgeons. One issue is that surgeons are under increasing pressure to meet quality metrics, but high-risk patients are more likely to have adverse outcomes. That can result in lower metrics — and, possibly, less reimbursement.
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Better Outcomes for Acute Stroke Patients Who Arrive Rapidly at Endovascular-Capable Centers
The SELECT2 trial was structured to identify which patients with large ischemic strokes would benefit from endovascular thrombectomy and analyzed the effect of direct arrival at a thrombectomy-capable center compared to transfer from a primary stroke center.
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NICHE Practice Model Helps Improve Care of Older Adults
Nurses Improving Care for Healthsystem Elders (NICHE) is a geriatric care model that targets expert nursing practice at the bedside of older adults. The NICHE model helps organizations meet national quality goals set by the Centers for Medicare & Medicaid Services. It focuses on closing gaps in clinical care by enhancing nursing workforce skills for care of older adult patients.
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Age Is Not a Risk Factor for the Oldest Patients with COVID-19
Are patients hospitalized for COVID-19, who are younger than 65 years of age, at less risk of serious outcomes than are similar patients who are older than 85 years of age? New research provides an answer that may surprise many clinicians: Metabolic syndrome measures are a major predictor of outcomes, but chronological age is not a relevant risk factor for poor outcomes attributed to COVID-19.
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Care Coordination Screening Tool Helps Case Managers Spot Delirium
Case managers and other healthcare providers can improve overall patient care and outcomes using an assessment tool that identifies patients’ delirium and confusion. A health system found that a confusion assessment tool helped decrease hospital length of stay and reduced utilization.
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Human Contact Matters in Text Messaging Care Coordination Program
The results of a recent study revealed that a post-discharge texting program can greatly reduce readmissions and revisits. But there was a surprising finding: It can make patients happy or satisfied, as indicated by patient feedback on the program.
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Outcomes Are Better for Acute Stroke Patients Who Arrive Rapidly at Endovascular-Capable Centers
The SELECT2 trial was structured to identify which patients with large ischemic strokes would benefit from endovascular thrombectomy and analyzed the effect of direct arrival at a thrombectomy-capable center compared to transfer from a primary stroke center.