Coronary artery disease (CAD) continues to be neglected in women, despite killing at least as many women as men, a state-of-the-art review found. In addition, women are less likely to receive preventive therapies, such as lipid-lowering therapies and lifestyle advice compared with men at a similar risk level.
Kidney recipients in their mid-teens are at the greatest risk for losing the graft, researchers reported. Additionally, in a retrospective database analysis, black teens, ages 14 through 16, were at the highest risk of having the new kidney fail, according to Kenneth Andreoni, MD, of the University of Florida in Gainesville, and colleagues.
Despite coronary artery disease (CAD) killing at least as many women as men each year, women are still today less likely to receive preventive recommendations, such as lipid-lowering therapy, aspirin, and lifestyle advice, than are men at a similar risk level.
Close to half of older adults undergoing surgery with general anesthesia are found to have delirium in the postanesthesia care unit (PACU), according to a study. Delirium occurring early after surgery is linked to decreased cognitive (mental) function and an increased rate of nursing home admission, according to the study.
(2013 ESP Award Nominee) The Wrong Site Sleeve from Patient Safety Gear can be placed on the arm or leg. It is designed to protect against wrong site surgery. After marking the surgical site pre-operatively with a skin marker, the wrong site sleeve is placed on the patient’s “wrong limb” to avoid any mistakes once the patient is taken to the operating room.
Medical malpractice can be a nightmare for both patients and doctors. A large new study takes a close look at claims to get an idea where most of these cases are coming from. The study looked specifically at claims for primary care doctors, since these physicians are often the first line of care for patients seeking treatment for health woes.
Given the inadequacies in care for discharged patients — a well-documented and common problem — is it any wonder that so many bounce back to hospitals after they’re sent home? Medicare, the government’s health care program for seniors, has trained its sights on the issue and is focused on trying to reduce the number of seniors readmitted to hospitals shortly after being sent home.
New research released earlier this week show that hospital quality measurements specific to cancer versus non-cancer care provides a more accurate assessment of a hospital’s overall quality performance. Currently, programs used to measure surgical quality report outcomes based on operation type do not report outcomes based on different patient groups, such as cancer verses non-cancer patients.
Financial incentives are likely a key factor driving greater use of laparoscopic colon cancer surgery, says a study led by a McMaster University surgeon. The research found that between 2002 and 2009 there was an increase in laparoscopic versus traditional open techniques - with only minimal decreases in how long patients stayed in the hospital after surgery and saw no changes in the survival of patients.
Falling televisions sent nearly 200,000 U.S. children to the emergency room over the last 20 years, and the injury rate has climbed substantially for these sometimes deadly accidents, a study has found. Doctors and safety experts say better awareness is needed about the dangers — especially the risks of putting heavier, older model TV sets on top of dressers and other furniture.
While there is an expectation that newer medical practices improve the standard of care, the history of medicine reveals many instances in which this has not been the case. A recent analysis documents 146 contemporary medical practices that have subsequently been reversed.
Federal legislation imposes financial penalties on hospitals that experience excessive patient readmissions within 30 days. A new study looks at the potential of a program designed to improve the discharge process and prevent avoidable rehospitalizations.
Telephone follow-up after ambulatory surgery proved acceptable to most patients, saved time and money, and was associated with few complications, investigators in a pilot program reported. Three-fourths of patients contacted by telephone after hernia repair or laparoscopic cholecystectomy accepted the contact as the sole means of follow-up.
Patients presenting as emergencies account for the majority of deaths associated with general surgery. There is increasing evidence that the quality of care for these high-risk patients is variable across hospitals within England's National Health Service, which is the country's publicly funded healthcare system. Such variability in care is likely to be reflected in differences in mortality rates among hospitals.
(2013 ESP Award Nominee) The SANDEL Count In Progress Beacon is nurse-developed and designed to reduce the risk of retained surgical items in the operating room. It helps notify the surgical team that a count is about to begin, and helps minimize distractions and unnecessary activity while the count is in progress.
(2013 ESP Award Nominee) Aspen Surgical is excited to announce the launch of its Bard-Parker Hands-Free Transfer Tray. The Transfer Tray provides surgeons and operating room staff with a method for organizing and passing surgical instruments in a more safe and effective way. It is optimized for easy hands-free transfer of sharp instruments.
Patients with prosthetic valve endocarditis (PVE) continue to have a high mortality risk that early surgical intervention does not reduce, results of a large multinational trial showed. An unadjusted analysis controlling only for treatment selection suggested a large benefit from early surgery. A fully adjusted analysis, however, showed no benefit of surgery versus medical therapy for in-hospital (HR 0.90) or 1-year mortality (HR 1.04).
The company said in a statement that the FDA wants more time to assess the drug, called sugammadex, following an agency inspection of one of the company's clinical trial sites. The site was one of four where Merck was studying allergic reactions to the drug.
If you need cardiac surgery in the future, aortic dissection in particular, reach for the moon. Or at least try to schedule your surgery around its cycle. According to a study at Rhode Island Hospital, acute aortic dissection (AAD) repair performed in the waning full moon appears to reduce the odds of death, and a full moon was associated with shorter length of stay (LOS).
Who is responsible for mistakes in healthcare? Who should take credit for success or blame for failure? Most families, patients and obviously the courts, hold the doctor responsible. It seems to me this is reasonable; it is the obligation physicians assume and which society returns with empowerment and respect. However, is this changing because of the Internet and big data?
A new study evaluating surgical outcomes at California hospitals enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) found surgical patients at ACS NSQIP hospitals had significantly reduced mortality rates compared with non-ACS NSQIP hospitals.
In the first five years after valve replacement approximately 3-6 percent of patients will develop prosthetic valve endocarditis (PVE). These patients are much more likely to die. Now a large observational study — the first of its type — has found that surgery is no better than medical therapy in reducing mortality in these patients.
Patients do need the power to complain about bad doctors and, trust me, there are some bad doctors out there. That being said, the other way for patients to get some retribution is to stop seeing that doctor. Word of mouth will spread, like any other business, and that doctor’s business goes under.
The brutality of the procedure vividly illustrates the adage that surgery is barbarism with a purpose. But decompressive craniectomy also raises difficult questions regarding trade-offs between quantity and quality of life. Despite many successful recoveries, some remarkable, significant numbers of patients who receive the operation die, or are left profoundly disabled.
On June 10, 2013 a 32-year-old pregnant woman was reported to have died after having an ovary removed instead of her inflamed appendix. As the infected appendix festered, she became septic and succumbed to multiple organ failure. This tragedy occurred in the UK in late 2011, but has just come to light. How could this have happened?