Search results for "Disabilities"
SDOH data collected for varied reasons including curriculum development, quality improvement
A review found that food security or malnutrition was the social determinant of health (SDOH) most commonly screened for among patients hospitalized on medicine services, followed by housing, transportation, employment, education, income, functional status and disability, and social support.
https://acphospitalist.acponline.org/archives/2022/12/14/sdoh-data-collected-for-varied-reasons-including-curriculum-development-quality-improvement.htm
14 Dec 2022
Harm during hospitalization more common in patients with developmental disability
Hospitalized patients with intellectual disability, chromosomal abnormalities, pervasive developmental disorders, and congenital malformation syndrome had a 2.7-fold higher risk of an avoidable patient safety incident than those without developmental disability, according to an analysis in England.
https://acphospitalist.acponline.org/archives/2022/10/12/harm-during-hospitalization-more-common-in-patients-with-developmental-disability.htm
12 Oct 2022
Flying thrombectomy teams faster than transferring stroke patients
The median time from the decision to pursue endovascular thrombectomy to the start of the procedure was 58 minutes in patients who received thrombectomy from interventionists deployed to them by helicopter and 148 minutes in patients transferred to the hospital, a German study found.
https://acphospitalist.acponline.org/archives/2022/05/11/flying-teams-to-perform-thrombectomy-faster-than-transferring-stroke-patients.htm
11 May 2022
Isolation intensifies ICU impacts
The senior author of a recent study discusses the potential link between social isolation and increased disability and mortality after hospitalization for a critical illness, and what this might mean in the era of COVID-19.
https://acphospitalist.acponline.org/archives/2022/03/30/free/isolation-intensifies-icu-impacts.htm
30 Mar 2022
Nearly half of internal medicine residents report experiencing mistreatment, survey finds
A survey of residents who completed the ACP Internal Medicine In-Training Examination in 2019 found that 48.3% reported experiencing mistreatment and 62.4% reported witnessing mistreatment, most often by patients and their families.
https://acphospitalist.acponline.org/archives/2022/03/09/nearly-half-of-internal-medicine-residents-reported-experiencing-mistreatment.htm
9 Mar 2022
Dementia in the hospital
The pandemic added to the pre-existing systemic and legal challenges clinicians face managing hospitalized patients with dementia and behavioral disturbances.
https://acphospitalist.acponline.org/archives/2022/02/09/dementia-in-the-hospital.htm
9 Feb 2022
Ward-based program for elderly inpatients associated with improved delirium, but no improvement in other outcomes
A pragmatic cluster randomized trial at four Australian hospitals found that “Eat Walk Engage” did not reduce length of stay or overall hospital-associated complications compared to usual inpatient care.
https://acphospitalist.acponline.org/archives/2022/01/19/ward-based-program-for-elderly-inpatients-associated-with-improved-delirium.htm
19 Jan 2022
Epinephrine delays defibrillation, lowers survival in shockable in-hospital cardiac arrest
More than one in four patients with in-hospital cardiac arrest due to ventricular fibrillation or pulseless ventricular tachycardia were treated with epinephrine before the first defibrillation, according to a Get With The Guidelines study.
https://acphospitalist.acponline.org/weekly/archives/2021/11/17/3.htm
17 Nov 2021
No difference found for moderate vs. mild hypothermia for comatose survivors of out-of-hospital cardiac arrest
There may not be a single, optimal target temperature for all patients with cardiac arrest, noted the authors of a trial that compared target temperatures of 31 °C and 34 °C. The effects of therapeutic hypothermia could be modulated by several clinical variables, they suggested.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/4.htm
27 Oct 2021
Mobile stroke units led to better outcomes in patients eligible for tPA
A prospective, observational, multicenter study found that median time from stroke onset to administration of tissue plasminogen activator (tPA) was 72 minutes in patients treated by mobile stroke units and 108 minutes for those receiving standard emergency medical services.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/3.htm
15 Sep 2021