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September 2016 Briefing - Critical Care

Here are what the editors at HealthDay consider to be the most important developments in Critical Care for September 2016. 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.

Early Mobilization Improves Outcomes, LOS in Surgical ICUs

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Early mobilization benefits surgical intensive care unit (ICU) patients, according to a study published in the Oct. 1 issue of The Lancet.

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CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Considerable Number of Doctors Attend Patient Funerals

THURSDAY, Sept. 29, 2016 (HealthDay News) -- A considerable proportion of doctors attend patient funerals, including 71 percent of general practitioners (GPs), according to a study published online Sept. 9 in Death Studies.

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Constitutional Symptoms Often Trigger Antibiotic Rx in Elderly

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Constitutional symptoms, including mentation, often lead to diagnostic testing and potentially inappropriate antibiotic prescribing in older patients suspected of having a urinary tract infection (UTI) or pneumonia, according to a study published online Sept. 22 in the Journal of the American Geriatrics Society.

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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Readmission Reduction Program Successful in Safety-Net Hospitals

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Medicare's Hospital Readmissions Reduction Program (HRRP) has reduced 30-day readmissions at safety-net hospitals, according to a study published in the September issue of Health Affairs.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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ICU Physicians Use Variety of Techniques to Cope With Fatigue

MONDAY, Sept. 26, 2016 (HealthDay News) -- A variety of cognitive and lifestyle strategies are employed by intensive care unit (ICU) physicians to prevent and cope with fatigue, according to a study published in the September issue of the Annals of the American Thoracic Society.

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Tx Failure Up for High-Flow Therapy Versus CPAP in Preemies

THURSDAY, Sept. 22, 2016 (HealthDay News) -- For preterm infants with early respiratory distress, high-flow therapy used as primary support is associated with a higher rate of treatment failure than continuous positive airway pressure (CPAP), according to a study published in the Sept. 22 issue the New England Journal of Medicine.

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NIH: More Must Be Done to Fight Antimicrobial Resistance

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Antimicrobial resistance (AMR) remains a major public health threat, and only a multipronged attack can address the problem, according to a report published in the Sept. 20 issue of the Journal of the American Medical Association.

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Research Reveals 2 Genetic Loci Linked to Acute Kidney Injury

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Four single-nucleotide polymorphisms at two loci that are associated with acute kidney injury have been identified, according to a study published online Aug. 30 in the American Journal of Respiratory and Critical Care Medicine.

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CDC: Prescribing of Antibiotics in U.S. Hospitals Still Too High

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Despite growing concerns about creating drug-resistant bacteria, overprescribing of antibiotics in U.S. hospitals didn't drop between 2006 and 2012, according to a new federal report published online Sept. 19 in JAMA Internal Medicine.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Learning Collaborative Model Cuts Door-to-Needle Times

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A learning collaborative model can reduce door-to-needle (DTN) times in patients with acute ischemic stroke treated with tissue-type plasminogen activator, according to a study published online Sept. 13 in Circulation: Cardiovascular Quality and Outcomes.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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Meta-Analysis: Colchicine Cuts Risk of Pericarditis Recurrence

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- Colchicine is effective and reduces the risk of pericarditis recurrence/post-pericardiotomy syndrome, according to a meta-analysis published online Aug. 31 in Cardiovascular Therapeutics.

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Objective Criteria ID Those With No Chance of Survival in OHCA

TUESDAY, Sept. 13, 2016 (HealthDay News) -- For patients with out-of-hospital cardiac arrest (OHCA), objective criteria enable early identification of those with no chance of survival, according to research published online Sept. 13 in the Annals of Internal Medicine.

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Similar Outcomes for Permissive Underfeeding, Standard Feeding

TUESDAY, Sept. 13, 2016 (HealthDay News) -- For critically ill adults, permissive underfeeding with full protein intake is associated with similar outcomes as standard feeding among those with high and low nutritional risk, according to research published online Sept. 2 in the American Journal of Respiratory and Critical Care Medicine.

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Endobronchial Valves Can Improve Lung Physiology

THURSDAY, Sept. 8, 2016 (HealthDay News) -- Use of endobronchial valves (EBV) can improve lung physiology in patients with homogeneous emphysema with absence of collateral ventilation, according to a study published online Aug. 31 in the American Journal of Respiratory and Critical Care Medicine.

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Metformin, Sitagliptin Prolong Normoglycemia Remission in DKA

FRIDAY, Sept. 2, 2016 (HealthDay News) -- For patients with new-onset diabetic ketoacidosis (DKA) and severe hyperglycemia, metformin and sitagliptin treatment after normoglycemia remission correlate with increased relapse-free survival and prolonged remission, according to a study published online Aug. 29 in Diabetes Care.

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Infective Endocarditis From Injection Drug Use Increasing

FRIDAY, Sept. 2, 2016 (HealthDay News) -- The number of Americans hospitalized with infective endocarditis (IE) related to injecting opioids and heroin is on the rise, according to a study published in the Summer issue of Open Forum Infectious Diseases.

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Healthy Gut Microbiome Compromised in ICU Patients

THURSDAY, Sept. 1, 2016 (HealthDay News) -- Dysbiosis from unexpected environmental sources is seen within days after intensive care unit (ICU) admission, according to a study published online Aug. 31 in mSphere.

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Physician's Briefing
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