June 2014 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for June 2014. 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.

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Complications Only Account for Some Variation in Hospital LOS

MONDAY, June 30, 2014 (HealthDay News) -- For patients undergoing colorectal resection, much of the variation in extended length of stay is not due to patient illness or complications, according to a study published online June 25 in JAMA Surgery.

Abstract
Full Text (subscription or payment may be required)

Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

More Information

PCP Follow-Up Cuts Readmission After High-Risk Surgery

THURSDAY, June 26, 2014 (HealthDay News) -- For surgical patients at high risk of readmission, especially those with surgical complications, early primary care provider (PCP) follow-up reduces the rate of readmission, according to a study published online June 25 in JAMA Surgery.

Abstract
Full Text (subscription or payment may be required)

Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

Full Text

Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

More Information

CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

More Information

Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

Abstract
Full Text

Frequent Prior Hospitalization May Predict Stroke Readmission

FRIDAY, June 20, 2014 (HealthDay News) -- Frequent prior hospitalization and National Institutes of Health Stroke Scale (NIHSS) rating at admission may predict 30-day readmission after ischemic or hemorrhagic stroke, according to a study published online June 11 in the American Journal of Medical Quality.

Abstract
Full Text (subscription or payment may be required)

Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

More Information

Significant Risk for Major Surgery in Low-Weight Infants

FRIDAY, June 20, 2014 (HealthDay News) -- In very low-birth-weight infants, major surgery is independently associated with more than a 50 percent increased risk of death or neurodevelopmental impairment at 18 to 22 months' corrected age, according to a study published online June 16 in JAMA Pediatrics.

Full Text
Editorial

Hospital Variation in Pediatric In-Hospital Cardiac Arrest Survival

FRIDAY, June 20, 2014 (HealthDay News) -- Despite risk-standardization, there is substantial hospital variation in survival for pediatric in-hospital cardiac arrest, according to a review published online June 17 in Circulation: Cardiovascular Quality and Outcomes.

Abstract
Full Text (subscription or payment may be required)

NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

Full Article
More Information

Sharp Rise in 'Meth'-Linked ER Visits in U.S.

THURSDAY, June 19, 2014 (HealthDay News) -- The number of methamphetamine-related visits to U.S. hospital emergency departments jumped from about 68,000 in 2007 to almost 103,000 in 2011, the latest year for which such data is available, a new federal government report finds.

Full Article
More Information

Anesthesiologists Issue Choosing Wisely Recommendations

THURSDAY, June 19, 2014 (HealthDay News) -- A list of the top five unnecessary medical services in anesthesiology has been developed as part of the Choosing Wisely campaign, according to a study published online June 16 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Preop β-Blockers Don't Improve CABG Outcomes

WEDNESDAY, June 18, 2014 (HealthDay News) -- Preoperative β-blockers do not improve perioperative outcomes in patients undergoing nonemergent coronary artery bypass grafting (CABG) surgery, according to a study published June 16 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial

Beta-Blocker Therapy Cuts All-Cause Mortality in STEMI

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), beta-blocker therapy at discharge correlates with reduced all-cause mortality, according to a study published in the June issue of JACC: Cardiovascular Interventions.

Full Text (subscription or payment may be required)

ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

Full Article
Full Text (subscription or payment may be required)

MERS Virus Did Not Spread in Two U.S. Cases: Health Officials

TUESDAY, June 17, 2014 (HealthDay News) -- The potentially deadly MERS virus did not spread from two patients in the United States to any people in their homes or to health care workers who treated them, federal health officials said Tuesday.

Full Article
More Information

Thrombolytic Tx Cuts Mortality Rate With Pulmonary Embolism

TUESDAY, June 17, 2014 (HealthDay News) -- Among patients with pulmonary embolism, thrombolytic therapy is associated with lower rates of all-cause mortality but increased risks of major bleeding and intracranial hemorrhage (ICH) compared with anticoagulation therapy, according to research published in the June 18 issue of the Journal of the American Medical Association.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
More Information

Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

More Information

Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

Abstract
Full Text (subscription or payment may be required)

HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

More Information

Frailty Index Predicts Adverse Outcomes in Geriatric Trauma

FRIDAY, June 13, 2014 (HealthDay News) -- Frailty index is an independent predictor of in-hospital complications and adverse discharge disposition among geriatric trauma patients, according to a study published online June 11 in JAMA Surgery.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Life Expectancy Affects Treatment for Acute MI

FRIDAY, June 13, 2014 (HealthDay News) -- Evidence-based treatment for acute myocardial infarction is strongly influenced by the clinician's assessment of life expectancy of a patient, according to a study published online June 3 in Circulation: Cardiovascular Quality & Outcomes.

Abstract
Full Text (subscription or payment may be required)

Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

Abstract
Full Text

Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

More Information

Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

Full Article

Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

More Information

Improved Outcomes With Greater Use of Transradial PCI

MONDAY, June 9, 2014 (HealthDay News) -- Greater change in hospital-level use of transradial percutaneous coronary intervention (TRI) is associated with improved periprocedural outcomes, according to a study published online June 4 in Circulation: Cardiovascular Quality and Outcomes.

Abstract
Full Text (subscription or payment may be required)

Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

More Information

Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

High Recurrence Risk With Severe Cutaneous Adverse Reactions

FRIDAY, June 6, 2014 (HealthDay News) -- The risk of recurrent episodes of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) is substantially higher than the risk of a first episode in the general population, according to a research letter published in the June 4 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required)

Lower Mortality Tied to Azithromycin for Pneumonia

THURSDAY, June 5, 2014 (HealthDay News) -- Older patients hospitalized with pneumonia and treated with azithromycin have lower risk of 90-day mortality, compared to those treated with other antibiotics, according to a study published in the June 4 issue of the Journal of the American Medical Association.

Abstract
Full Text (subscription or payment may be required)

Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Camels Confirmed as Source of Human MERS Infection

THURSDAY, June 5, 2014 (HealthDay News) -- Saudi Arabian doctors say they've identified camels as one source of Middle East Respiratory Syndrome (MERS) infections in humans. The scientists report they matched genetic samples from the virus that killed a Saudi man last November to virus samples present in one of nine camels that he owned.

Full Article
Abstract
Full Text

Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

More Information

Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

Full Text

EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

More Information

Outcomes of CABG Worse in Patients With Diabetes

TUESDAY, June 3, 2014 (HealthDay News) -- Coronary artery bypass graft surgery (CABG) is more expensive and the risk of long-term adverse outcomes is greater in patients with diabetes mellitus (DM), according to research published in the June issue of the Annals of Thoracic Surgery.

Abstract
Full Text (subscription or payment may be required)

UV Environmental Disinfection Cuts Drug Resistant Infection

MONDAY, June 2, 2014 (HealthDay News) -- Use of ultraviolet environmental disinfection (UVD) following discharge cleaning of contact precautions rooms is associated with a significant reduction in overall hospital-acquired multiple-drug-resistant organism (MDRO) and Clostridium difficile (CD) incidence, according to a study published in the June issue of the American Journal of Infection Control.

Abstract
Full Text

Physician's Briefing