Articles Tagged With:
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Neuroimaging Before Lumbar Puncture?
The investigators retrospectively evaluated ESCMIID, IDSA, and Swedish guidelines for neuroimaging in 815 adults with acute bacterial meningitis. Swedish guidelines omit altered mental status and immunosuppression as indications for imaging prior to lumbar puncture. Adherence to Swedish guidelines resulted in decreased mortality and more favorable outcomes.
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Permanent His-bundle Pacing Cardiac Resynchronization: The Way Nature Intended
When used as either a primary alternative to biventricular pacing or a rescue therapy for failed biventricular pacing, permanent His-bundle pacing was associated with significant QRS narrowing, an increase in left ventricular ejection fraction, and an improvement in New York Heart Association functional class.
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Age-stratified NT-proBNP Thresholds Identify Acute Heart Failure
In patients presenting to the ED with acute dyspnea, age-based NT-proBNP cutpoints help diagnose acute heart failure.
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Are Beta-blockers Indicated for Heart Failure at all LVEF Levels?
A meta-analysis of 11 trials of beta-blockers for heart failure showed that beta-blockers increased left ventricular ejection fraction and reduced cardiovascular mortality in patients in sinus rhythm with baseline ejection fractions < 50%, including those in the 40-49% range.
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CABG vs. PCI in Diabetes With Multivessel Coronary Artery Disease and LV Dysfunction
A propensity score-matching analysis of all patients undergoing coronary angiography in Alberta, Canada, identified a subgroup with diabetes, multivessel coronary artery disease, and left ventricular ejection fraction < 50% who were undergoing revascularization and could be separated into a group undergoing percutaneous coronary intervention (PCI) and another coronary artery bypass grafting (CABG). At five years' follow-up, the CABG group experienced significantly fewer major cardiac or cerebral vascular events compared to PCI and a low risk of stroke that was similar to that observed with PCI.
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TAVR in Lower-risk Patients: How Low Should We Go?
A meta-analysis of studies comparing transcatheter aortic valve replacement (TAVR) to surgical aortic valve replacement over a two-year follow-up in low surgical risk patients exhibits a higher mortality in the TAVR group, prompting the authors to recommend caution in applying TAVR to low-risk patients until randomized trials are completed.
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ED-based Universal Screening Helps Identify Patients at Risk for Suicide
Can a universal screening approach for suicide be implemented efficiently in a busy emergency setting where taking care of acute problems is the primary focus? Parkland Hospital & Health System in Dallas has demonstrated that it can, and administrators there believe their approach could be adapted for use in other hospital systems.
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JAHF Age-friendly Initiative Showing Results
Hospitals are reporting positive results from a program sponsored by The John A. Hartford Foundation, a nonprofit, nonpartisan organization in New York City that works to improve conditions for the care of older adults in the healthcare system.
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Want a Case Management Revolution? Here’s How It’s Done
Using a homegrown seven-day case management program, a Florida hospice gives case managers more time to work with patients, improving quality and efficiency of care.
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Here’s How Complex Case Management Can Work
A case management complex care team handles a health system’s most challenging patients by working toward a number of goals, including using a risk stratification tool to triage patients who could benefit the most.