Hematology/Oncology
RSSArticles
-
Primary Care Reports - Full January 2015 Issue in PDF
-
Updates and Future Direction on Medical Uses for Probiotics
The probiotic movement is rapidly growing and, although to date no probiotics have been approved by the FDA, they are actively marketed to the public as either foods or dietary supplements. It behooves the primary care physician to be familiar with the science, indications, and appropriate usage of probiotic therapies. -
Ebola Virus Disease and the ICU Clinician
As hospitals in the United States and other resource-intensive countries prepare for the care of patients with possible Ebola virus disease, the greatest impact on its clinical outcome and further spread will most likely come from the application of existing basic critical-care and infection-control principles. -
After-Hours ICU Discharge: A Potentially Modifiable Cause of Increased Hospital Mortality
Examination of outcomes in 710,535 patients in relation to the timing of ICU discharge showed that being moved out to the ward between 1800 and 0600 hours was associated with increased risks of both in-hospital death and unplanned ICU readmission. -
Unplanned Extubations as a Quality-of-Care Issue
Reintubation following unplanned extubation in critically ill post-operative patients is associated with increased hospital mortality. -
Dehydration Is a Poor Prognostic Sign in Acute Ischemic Stroke Patients
Dehydration is an independent predictor of discharge outcome and admission cost in acute ischaemic stroke. -
Nurse Practitioners and Physician Assistants in the ICU
Using retrospective cohort data from a national survey of medical and mixed medical-surgical ICUs, this study found that nurse practitioner (NP)/physician assistant (PA) staffing was common and not associated with any differences in in-hospital mortality compared to ICUs without NP/PAs. -
Peri-procedural Management of New Oral Anticoagulants
Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging. These investigators from Germany analyzed the Dresden NOAC registry data to assess peri-procedural NOAC management and safety until 30 days post-procedure. -
Health Care Utilization in the Aftermath of Severe Sepsis
SYNOPSIS: This observational cohort study of survivors of severe sepsis found that the post-discharge needs of this population are substantial. Severe sepsis survivors spent more days admitted to facilities after their acute hospitalization than prior and had greater mortality, a steeper decline in days at home, and a greater increase in proportion of days alive in a facility compared to survivors of non-sepsis hospitalizations.
-
Can We Reduce Unnecessary Head CT Scans in Patients with Delirium?
This study was a retrospective review of medical records of hospitalized general medicine patients with head CT imaging performed for the evaluation of delirium.