Algorithm Can Diagnose Pneumonia Better than Radiologists

Algorithm Can Diagnose Pneumonia Better than Radiologists

Stanford researchers have developed a deep learning algorithm that evaluates chest X-rays for signs of disease. In just over a month of development, their algorithm outperformed expert radiologists at diagnosing pneumonia.... read more

Responding to Ten Common Delirium Misconceptions With Best Evidence

Responding to Ten Common Delirium Misconceptions With Best Evidence

Delirium (acute confusion) is a serious, common health condition, and it predicts poor outcomes, including greater rates of mortality, institutionalization, prolonged hospitalization, and cognitive impairment. Expedient diagnosis... read more

Enhancing Delirium Case Definitions in Electronic Health Records

Enhancing Delirium Case Definitions in Electronic Health Records

Delirium is an acute confusional state, associated with morbidity and mortality in diverse medically ill populations. Delirium may be better captured by composite outcomes, including both administrative claims data and elements... read more

Accuracy and Applications of Lung Ultrasound to Diagnose VAP

Accuracy and Applications of Lung Ultrasound to Diagnose VAP

Lung ultrasound (LUS) is an accurate tool to diagnose community-acquired pneumonia. However, it is not yet an established tool to diagnose ventilator-associated pneumonia (VAP). Small subpleural consolidations and dynamic... read more

Medical Misdiagnosis: More Common Than You Think

Medical Misdiagnosis: More Common Than You Think

Each year an estimated 12 million Americans get the wrong diagnosis from their doctor--a medical problem is seen as something else, missed entirely or identified late. Most of the diagnostic errors are not about rare diseases,... read more

Endobronchial Ultrasound Can ID Pulmonary Thromboembolism

Endobronchial Ultrasound Can ID Pulmonary Thromboembolism

The researchers found that in four cases (0.7 percent), filling defects were demonstrated in central pulmonary arteries while sampling mediastinal lymph nodes.... read more

Rapid genetic testing useful for diagnosis of critically ill children

Rapid genetic testing useful for diagnosis of critically ill children

In a cohort of children under the age of 12 months admitted to the intensive care unit (ICU) without a clear diagnosis, rapid, targeted genetic testing revealed a diagnosis in about one-third of patients. Genetic diagnoses... read more

First Year in Care Critical to Retention, HIV Suppression

First Year in Care Critical to Retention, HIV Suppression

A previous study showed that the rate of long-term mortality more than doubled when patients missed visits in the first year after diagnosis.... read more

Systematic review suggests synovial fluid analysis when necessary for diagnosis of gout

Systematic review suggests synovial fluid analysis when necessary for diagnosis of gout

Gout presents with acute attacks of synovitis that start out as intermittent but can advance to chronic symptoms.... read more

Link Between Diabetes and Hospital Readmission Rates

Link Between Diabetes and Hospital Readmission Rates

Patients with diabetes have higher rates of hospital readmission compared with patients without diabetes, according to a pilot study published in Clinical Diabetes and Endocrinology. In the first study, the readmission rate... read more

Growing Concerns of Hepatitis E in Europe

Growing Concerns of Hepatitis E in Europe

Cases of Hepatitis E in Europe have increased by 10x over 10 years, with 5617 cases in 2015. Testing, case definitions, diagnosis, and surveillance for HEV infection vary extensively across Europe, with only 20 member states... read more

New Diagnostic Tests: More Harm Than Good

New Diagnostic Tests: More Harm Than Good

Although new diagnostics may advance the time of diagnoses in selected patients, they will increase the frequency of false alarms, overdiagnosis, and overtreatment in others. Bjorn Hofmann and H. Gilbert Welch explain how... read more

Transthoracic echocardiography: an accurate and precise method for estimating cardiac output in the critically ill patient

Transthoracic echocardiography: an accurate and precise method for estimating cardiac output in the critically ill patient

Cardiac output (CO) monitoring is a valuable tool for the diagnosis and management of critically ill patients. In the critical care setting, few studies have evaluated the level of agreement between CO estimated by transthoracic... read more

Diagnostic Value of Procalcitonin on Early Postoperative Infection After Pediatric Cardiac Surgery

Diagnostic Value of Procalcitonin on Early Postoperative Infection After Pediatric Cardiac Surgery

Procalcitonin was more accurate than C-reactive protein and WBC to predict early postoperative infection, but the diagnostic properties of procalcitonin could not be observed during the first 3 postoperative days due to the... read more

Exosomes in Critical Illness

Exosomes in Critical Illness

Exosomes are small, cell-released vesicles (40–100 nm in size) with the potential to transfer proteins, lipids, small RNAs, messenger RNAs, or DNA between cells via interstitial fluids. Due to their role in tissue homeostasis,... read more

New Telestroke Guidelines by American Telemedicine Association

New Telestroke Guidelines by American Telemedicine Association

These new telestroke guidelines were developed to assist practitioners in providing assessment, diagnosis, management, and/or remote consultative support to patients exhibiting symptoms and signs consistent with an acute... read more

Integrating Advance Care Planning into Practice

Integrating Advance Care Planning into Practice

Advanced respiratory diseases progress over time and often lead to death. As their condition worsens, patients may lose medical decision making ability. Advance care planning (ACP) is a process in which patients receive information... read more