Search results for "Dementia"
U.S. uses mechanical ventilation much more than Canada, England, especially for elderly
Invasive mechanical ventilation was provided to 209 patients ages 80 years or older per 100,000 population in England, compared to 694 in Canada and 1,788 in the U.S., an analysis of 2018 data showed.
https://acphospitalist.acponline.org/archives/2023/07/05/us-uses-mechanical-ventilation-much-more-than-canada-england-especially-for-elderly.htm
5 Jul 2023
Automated alert increased documented goals-of-care conversations
Emailing primary hospital team members about their older or seriously ill patients' current code status with suggested language about goals of care had a particularly large effect on whether these conversations occurred with patients of minoritized race or ethnicity, a trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/automated-alert-increased-documented-goals-of-care-conversations.htm
31 May 2023
Encephalopathy in 2023
It can be a challenge to distinguish between delirium and acute encephalopathy, and both encephalopathy and delirium should be documented for correct coding.
https://acphospitalist.acponline.org/archives/2023/01/11/encephalopathy-in-2023.htm
11 Jan 2023
A brief connection with long-term effects
The advice and example of an attending during residency left a hospitalist with lessons that have lasted a lifetime.
https://acphospitalist.acponline.org/archives/2022/11/30/a-brief-connection-with-long-term-effects.htm
30 Nov 2022
Do-not-attempt-resuscitation order rates compared for heart failure, other hospital conditions
A retrospective study in California found low overall rates of do-not-attempt-resuscitation orders in patients hospitalized for heart failure, pneumonia, acute myocardial infarction, or chronic obstructive pulmonary disease, with some variation by race.
https://acphospitalist.acponline.org/archives/2022/11/23/free/do-not-attempt-resuscitation-order-rates-compared-for-heart-failure-other-hospital-conditions.htm
23 Nov 2022
Nearly 1 in 7 community-living Medicare patients died within year after major surgery
Mortality rates after major surgery were 28% among patients who were frail and 33% among those with dementia, a prospective longitudinal cohort study of Medicare fee-for-service beneficiaries found.
https://acphospitalist.acponline.org/archives/2022/10/26/nearly-1-in-7-community-living-medicare-patients-died-within-year-after-major-surgery.htm
26 Oct 2022
Behavioral symptoms associated with poor outcomes in hospitalized patients with dementia
A cross-sectional retrospective study of elderly U.S. inpatients found that behavioral symptoms of dementia were associated with higher in-hospital mortality, longer length of stay, higher rates of 30-day readmission, and lower likelihood of discharge to home.
https://acphospitalist.acponline.org/archives/2022/08/24/behavioral-symptoms-associated-with-poor-outcomes-in-hospitalized-patients-with-dementia.htm
24 Aug 2022
Dementia associated with increased risk of death or readmission after discharge
A study of recently hospitalized Medicare beneficiaries found that patients with a dementia diagnosis had increased 30-day risk of death or readmission, particularly if they were discharged to the community rather than to nursing facilities.
https://acphospitalist.acponline.org/archives/2022/04/20/dementia-associated-with-increased-risk-of-death-or-readmission-after-discharge.htm
20 Apr 2022
Syphilis cases from Thomas Jefferson University
Four cases highlight the varied complications and presentations of syphilis.
https://acphospitalist.acponline.org/archives/2022/04/20/free/brief-case-jefferson-syphillis.htm
20 Apr 2022
Ease up on antipsychotics
Antipsychotics started for an episode of agitation in the ICU are often continued through hospitalization and even after discharge, posing serious health risks to patients, experts say.
https://acphospitalist.acponline.org/archives/2022/04/06/free/ease-up-on-antipsychotics.htm
6 Apr 2022