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Critical Care News
Risk scores predict 60-day major adverse CV events in possible ACS
Sixty-day major adverse CV events were accurately predicted by three risk scores when a cardiac troponin I cutoff less than the 99th percentile was used in patients presenting to the ED with possible ACS, according to a study published in the Journal of the American College of Cardiology.
PICU care increasingly needed for accidental opioid ingestions
Although the number of pediatric deaths related to opioid ingestions decreased between 2004 and 2015, the number of children requiring care from a pediatric ICU increased dramatically from 24.9 to 35.9 per 10,000 PICU admissions.
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Mortality, resource use in pediatric cardiac surgery vary by neighborhood income
Among children and adolescents who undergo cardiac surgery, those from lower-income neighborhoods have worse mortality rates and use more resources compared with those from higher-income neighborhoods, according to new findings.
Cardiovascular emergencies rarely unrecognized in ED
Opportunities to diagnose patients presenting to the ED for cardiovascular emergencies are missed less than one in 20 times, according to research published in JAMA Internal Medicine.
Unrecognized MI confers similar long-term results to recognized MI
Approximately two-thirds of MI diagnoses were missed by standard medical testing, and over time, outcomes were poor for patients with either unrecognized or recognized MI, according to the results of the ICELAND MI study presented at CMR 2018.
Clinical prediction rule for PE noninferior to usual care
The use of a pulmonary embolism rule-out criteria-based strategy identified similar rates of PE compared with a conventional strategy, according to findings published in JAMA.
Family inclusion in pediatric rounds improves parental satisfaction with care
Many parents who have the opportunity to participate in family-centered rounding, which includes parental involvement with multidisciplinary rounds at their child’s bedside, report positive experiences with the process when compared with standard rounds, according to a review published in Pediatrics.
Multifaceted intervention prevents hospital readmissions
A multifaceted clinical pharmacist intervention that is based on patient-centered medication review, motivational interviewing and follow-up helps to decrease the number of hospital readmissions and ED visits among patients with polypharmacy, according to a study published in JAMA Internal Medicine.
Living kidney donation increases risk for higher BP, poor kidney function
Although adult living kidney donors do not have a heightened risk for certain health outcomes of prior concern, such as CVD and type 2 diabetes, the procedure is linked to higher BP, end-stage renal disease and preeclampsia, according to findings published in Annals of Internal Medicine.
PE rare in patients with syncope
Pulmonary embolism was prevalent in less than 1% of patients presenting to the ED with syncope, according to research published in JAMA Internal Medicine.
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