Longer hospital stay linked to low health literacy

Low health literacy is associated with a longer hospital length of stay among general medicine patients, according to a study published in the Journal of Hospital Medicine. Ethan G. Jaffee, MD, from Massachusetts General... read more

Longer hospital stay linked to low health literacy

Frailty Association with Perioperative Morbidity in Patients After Ambulatory General Surgery Operations

Frailty is associated with increased perioperative morbidity in common ambulatory general surgery operations, independent of age, type of anesthesia, and other comorbidities. Surgeons should consider frailty rather than chronological... read more

Frailty Association with Perioperative Morbidity in Patients After Ambulatory General Surgery Operations

Comparison of Postoperative Outcomes Among Patients Treated by Male and Female Surgeons

After accounting for patient, surgeon, and hospital characteristics, patients treated by female surgeons had a small but statistically significant decrease in 30 day mortality and similar surgical outcomes (length of stay,... read more

Comparison of Postoperative Outcomes Among Patients Treated by Male and Female Surgeons

Tenfold increase in childhood and adolescent obesity in four decades

The number of obese children and adolescents (aged five to 19 years) worldwide has risen tenfold in the past four decades. If current trends continue, more children and adolescents will be obese than moderately or severely... read more

Tenfold increase in childhood and adolescent obesity in four decades

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

Rapid genetic testing useful for diagnosis of critically ill children

Terminal weaning or immediate extubation for withdrawing mechanical ventilation in critically ill patients

This prospective observational multicentre study (ARREVE) was done in 43 French ICUs to compare terminal weaning and immediate extubation, as chosen by the ICU team. Terminal weaning was a gradual decrease in the amount of... read more

Terminal weaning or immediate extubation for withdrawing mechanical ventilation in critically ill patients

Hypothermia No Help When Cardiac Arrest Occurs in Hospital

While therapeutic hypothermia may help improve some outcomes, it doesn't appear to provide benefit when cardiac arrest happens in a hospital setting, according this study.... read more

Hypothermia No Help When Cardiac Arrest Occurs in Hospital

Cooling therapy might not help all cardiac arrest patients

While cooling patients whose hearts stop suddenly outside the hospital may help improve outcomes, it doesn't seem to show the same benefit when cardiac arrest happens in a hospital setting, a new study suggests.... read more

Cooling therapy might not help all cardiac arrest patients

Study suggests a new tool for diagnosing post-concussion syndrome

Unlike more common diagnostic tools, including magnetic resonance imaging and computerized axial tomography scan, diffusion tensor imaging, or DTI, effectively scans for micro abnormalities that may often go undetected by... read more

Study suggests a new tool for diagnosing post-concussion syndrome

Post-ICU syndrome signals need for better transition between life-saving care and return to life

Studies show that there are a range of reactions to a stay in the ICU, from the physical wasting that patients experience when they're prone and immobilized to the emotional problems that can come with surviving a near-death... read more

Post-ICU syndrome signals need for better transition between life-saving care and return to life

4m-gait speed test reliable/valid physical function measure in ARDS survivors

The 4-m gait speed is a reliable, valid, and responsive measure of physical function in acute respiratory distress syndrome survivors. The estimated minimal important difference will facilitate sample size calculations for... read more

4m-gait speed test reliable/valid physical function measure in ARDS survivors

Cellular Immunotherapy for Septic Shock

The infusion of freshly cultured allogenic bone marrow derived MSCs into participants with septic shock up to a dose of 3 million cells per kg (250 million cells) appears safe. Ages of participants in the interventional versus... read more

Cellular Immunotherapy for Septic Shock

Cytomegalovirus infection in immunocompetent critically ill adults

Some studies have demonstrated an association between Cytomegalovirus (CMV) disease and increased mortality rates, prolonged intensive care unit and hospital length of stay, prolonged mechanical ventilation, and nosocomial... read more

Cytomegalovirus infection in immunocompetent critically ill adults

Traditional vs. Extended Cefepime Infusion in Critically Ill Patients

Patients with Pseudomonas aeruginosa bacteremia or pneumonia had a reduced 28-day all-cause mortality and length of stay in the ICU when administered an extended infusion of cefepime.... read more

Traditional vs. Extended Cefepime Infusion in Critically Ill Patients

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

First Year in Care Critical to Retention, HIV Suppression

Anesthesia changes neuronal choreography

Even under deep anesthesia, nerve cells remain highly active. A study conducted by researchers from Charite - Universitätsmedizin Berlin has shown by high-resolution cellular imaging that local neuronal networks remain active... read more

Anesthesia changes neuronal choreography

Face Mask vs Helmet for Noninvasive Ventilation

In Reply Drs Taccone and Chiumello state that physicians must understand the helmet’s physiologic behavior in terms of CO2 rebreathing to ensure safety. Neurological impairment led to intubation in 5 of the 8 intubated... read more

Face Mask vs Helmet for Noninvasive Ventilation

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

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