Articles Tagged With: Outcomes
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Predicting Outcomes of Congenital Cytomegalovirus Infection
Congenital cytomegalovirus infection can cause hearing loss and neurologic deficits, but most affected newborns escape without sequelae. New data suggest a good prognosis if the mother’s infection was after the first trimester and if the newborn has normal hearing, a normal platelet count, and a normal head ultrasound exam.
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Failure to Diagnose and Treat Post-Surgery Infection Leads to $1.18 Million Verdict
One of the primary takeaways from this case is the importance of keeping thorough and accurate records. Keeping thorough and accurate records is important given the length of time that lapses between the underlying medical services and the potential for legal action, particularly trials.
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Unmet Social Needs May Be Reason for ED Visit
Many unmet social needs are the true underlying reason for ED visits, although they often go unrecognized at the time of presentation. Without screening for social needs, ED patients may face physical, psychological, and economic consequences.
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Is the Patient Admitted to the ICU But Still in the ED? Handoffs Are a Safety Concern
Many patients are admitted to the intensive care unit but remain in the ED waiting for an inpatient bed. Depending on how long the patient is boarded, emergency physicians may need to hand the patient off at shift change.
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Social Needs Data Are Useful, but Consistent Collection Needed
Case managers and researchers need data that can be used to improve care coordination and prevent hospitalizations and ED visits. But the challenge is deciding which patient data are useful and which are not.
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Making Sense of the CMS Discharge Planning Rule
Working to maintain compliance with Centers for Medicare & Medicaid Services rules is a challenge. But when the messaging seems confusing or inconsistent, the task is that much more difficult.
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Pregnancy with IUDs in Place: What Is the Risk of Complications?
In this retrospective cohort study, 233 individuals who conceived with a copper intrauterine device (IUD) in place were followed. There were 44 ectopic pregnancies, 31 non-viable intrauterine pregnancies, and 158 viable intrauterine pregnancies. Of the viable pregnancies, 137 patients continued the pregnancy and, of these, 54 had the IUD removed. Those who underwent IUD removal had a lower rate of pregnancy loss (33%) compared to those who retained the IUD (61.4%).
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Does Treatment of Gestational Diabetes Before 20 Weeks of Gestation Improve Pregnancy Outcomes?
Therapy for gestational diabetes diagnosed before 20 weeks of pregnancy was associated with a slightly decreased frequency of a composite of unfavorable neonatal outcomes compared to deferred treatment or no therapy. No significant changes were demonstrated for pregnancy-related hypertension or neonatal lean body mass between the two groups.
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Is Dexamethasone Effective in the Treatment of Chronic Subdural Hematomas?
Chronic subdural hematomas are common disorders and may occur after minor trauma or no trauma. For decades, nonsurgical therapies have been tried and proposed, including the use of corticosteroids. Various case series and nonrandomized trials of treatment with corticosteroids have been reported to show benefit, but efficacy of steroid therapy has been uncertain.
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Gene Therapy for Leber’s Hereditary Optic Neuropathy Patients: The REFLECT Trial
Gene therapy for Leber’s hereditary optic neuropathy, a mitochondrial genetic disorder, using nuclear deoxyribonucleic acid that is transported into mitochondria, shows promising benefits in the treatment of this disease.