Articles Tagged With:
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Variables Associated with Resolution and Persistence of Ovarian Cysts
This prospective cohort study evaluated 2,683 individuals with incidental cysts discovered during ovarian cancer screenings to determine what factors are associated with cyst resolution over time. Characteristics such as smaller cysts, septated cysts, younger age, premenopausal status, and family history of ovarian cancer were associated with an increased percentage of cyst resolution overall, and factors including older age and lack of hormone therapy were associated with a faster rate of cyst resolution over time. The findings of this study indicate that different surveillance times may be appropriate, depending on cyst morphology and patient characteristics.
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Metformin for the Management of Early Gestational Diabetes
The administration of metformin in the early stages of gestational diabetes did not demonstrate superiority over placebo in relation to the need to start insulin therapy prior to delivery, or on fasting blood glucose concentrations ≥ 5.1 mmol/L at either the 32nd or 38th weeks of gestation (composite primary outcome).
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Oral Contraception and Obesity
This study was a re-analysis of drospirenone 4 mg Phase III efficacy trials comparing 590 non-obese and 325 obese patients who showed equivalent pregnancy rates with Pearl Indices of 3.0 (95% confidence interval [CI], 1.3 to 5.8) and 2.9 (95% CI, 0.8 to 7.3), respectively.
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Major Orthopedic Trauma
Major orthopedic trauma is a common issue for the emergency medicine provider. Being able to make a timely diagnosis and optimize care improves patient outcomes.
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Many Patients Perceive Discrimination at ED Visit
Is a patient unhappy with the way they were treated in the ED? Some patients might assume they received poor care because of their race, gender, or age, or because of their appearance, income, or health literacy level.
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New Sepsis Rule Puts Teeth Behind the SEP-1 Bundle, Putting Revenue at Risk for Providers Who Fail to Meet Benchmarks
A coalition of large healthcare associations, including the American College of Emergency Physicians, is taking issue with a new rule from the Center for Medicare & Medicaid Services that will require hospitals to meet the provisions outlined in the Severe Sepsis/Septic Shock Management Bundle, a series of labs, measurements, and therapies often referred to as SEP-1.
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Behavioral Flags in ED Charts Have Unintended Consequences
If a patient attacked an ED nurse, the next ED nurse caring for that individual probably would want to know specifics about what happened. Some EDs place behavioral flags in ED charts to warn other providers.
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EDs Need Processes for Transfer of Pediatric Mental Health Patients
ED visits by children and adolescents with mental health disorders are unique in many ways, according to a recent report from the Centers for Disease Control and Prevention’s National Center for Health Statistics.
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EDs Are Getting Clarity on State Abortion Laws
After the Dobbs decision, clinical practices changed in some EDs in states with abortion bans. The changes did not come about directly because of state laws, per se, but more so over uncertainty about how the laws could be interpreted.
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OB Emergencies Pose Patient Safety, Legal Risks
Patients with pregnancy complications presenting to EDs with little or no obstetric services may require transfer to another facility. This situation poses multiple risks for emergency physicians.