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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for October 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
TUESDAY, Oct. 30, 2018 -- The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the "Reimagining Residency" initiative, aimed at improving residency training.
MONDAY, Oct. 29, 2018 -- Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.
MONDAY, Oct. 29, 2018 -- For complicated urinary tract infections caused by multidrug-resistant Gram-negative uropathogens, the siderophore cephalosporin cefiderocol is non-inferior to imipenem-cilastatin, according to a study published online Oct. 25 in The Lancet Infectious Diseases.
FRIDAY, Oct. 26, 2018 -- In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.
THURSDAY, Oct. 25, 2018 -- For acutely ill patients, an oxygen saturation of no more than 96 percent should be maintained, according to a clinical practice guideline published online Oct. 24 in the BMJ.
THURSDAY, Oct. 25, 2018 -- For patients with acute respiratory failure or shock and hypoactive or hyperactive delirium in the intensive care unit, neither haloperidol nor ziprasidone alters the duration of delirium compared with placebo, according to a study published online Oct. 22 in the New England Journal of Medicine.
THURSDAY, Oct. 25, 2018 -- The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.
WEDNESDAY, Oct. 24, 2018 -- Treatment with myo-inositol for up to 10 weeks does not reduce the risk for type 1 retinopathy of prematurity (ROP) or death versus placebo for premature infants younger than 28 weeks of gestational age, according to a study published in the Oct. 23/30 issue of the Journal of the American Medical Association.
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TUESDAY, Oct. 23, 2018 -- A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.
TUESDAY, Oct. 23, 2018 -- Patients with incident chronic kidney disease (CKD) in the setting of intensive systolic blood pressure (SBP) treatment have decreases rather than increases in kidney damage biomarkers, according to a study published online Oct. 23 in the Annals of Internal Medicine.
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FRIDAY, Oct. 19, 2018 -- A streamlined bioinformatics tool can match bloodstream pathogens to a candidate source, according to a study published online Oct. 15 in Nature Medicine.
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WEDNESDAY, Oct. 17, 2018 -- Clostridium difficile spores are able to survive laundering through a commercial washer extractor, according to a study published online Oct. 16 in Infection Control & Hospital Epidemiology.
THURSDAY, Oct. 18, 2018 -- Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.
WEDNESDAY, Oct. 17, 2018 -- Recommendations on best practices for nasogastric tube (NGT) placement and verification in pediatric patients have been developed. The best practice recommendations were published online Sept. 6 in Nutrition in Clinical Practice.
TUESDAY, Oct. 16, 2018 -- A rare but devastating polio-like virus appears to have made itself at home in the United States, partially paralyzing hundreds of children.
TUESDAY, Oct. 16, 2018 -- From 2006 to 2015, there was a significant decrease in intensive care unit (ICU) admissions among Medicare fee-for-service beneficiaries, according to a research letter published online Oct. 15 in the Annals of Internal Medicine.
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MONDAY, Oct. 15, 2018 -- Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states, according to a Government Accountability Office report.
MONDAY, Oct. 15, 2018 -- Hospitalization is associated with lower white matter integrity among older adults, according to a study published online Sept. 24 in the Journal of the American Geriatrics Society.
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FRIDAY, Oct. 12, 2018 -- The U.S. Food and Drug Administration has approved the ID CORE XT DNA-based test to help doctors verify blood compatibility before a transfusion.
THURSDAY, Oct. 11, 2018 -- Nine recent cases of a rare, polio-like disorder in children are being investigated in Illinois, health officials said yesterday.
THURSDAY, Oct. 11, 2018 -- For live-born infants with hypoplastic left heart syndrome (HLHS) and d-transposition of the great arteries (TGA), Hispanic ethnicity is associated with poor outcome, according to a study published online Oct. 10 in the Journal of the American Heart Association.
THURSDAY, Oct. 11, 2018 -- For infants with uncomplicated, late-onset group B Streptococcus (GBS) bacteremia, a shortened intravenous (IV) course of antibiotic therapy is sometimes prescribed and is associated with low rates of disease recurrence and treatment failure, according to a study published online Oct. 11 in Pediatrics.
WEDNESDAY, Oct. 10, 2018 -- For patients with early-stage septic shock and severe acute kidney injury, 90-day mortality does not differ for patients randomly assigned to an early strategy for initiation of renal-replacement therapy versus a delayed strategy, according to a study published in the Oct. 11 issue of the New England Journal of Medicine.
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WEDNESDAY, Oct. 10, 2018 -- A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the U.S. Justice Department.
WEDNESDAY, Oct. 10, 2018 -- Albuminuria is associated with incident lung function decline and chronic obstructive pulmonary disease (COPD), according to a study published online Sept. 28 in the American Journal of Respiratory and Critical Care Medicine.
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TUESDAY, Oct. 9, 2018 -- A rare, polio-like condition in children is on the rise again in the United States, with 38 confirmed cases in 16 states so far this year, the U.S. Centers for Disease Control and Prevention says.
TUESDAY, Oct. 9, 2018 -- In critically ill patients, mechanical ventilation with positive end-expiratory pressure (PEEP) results in reduced diaphragm fiber length that may make it more difficult to wean patients from mechanical ventilation, according to a study published in the Aug. 15 issue of the American Journal of Respiratory and Critical Care Medicine.
TUESDAY, Oct. 9 2018 -- Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis, according to a study published online Sept. 28 in JAMA Network Open.
FRIDAY, Oct. 5, 2018 -- Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals, according to a study published online Oct. 3 in The BMJ.
FRIDAY, Oct. 5, 2018 -- Of older adults who undergo intubation in the emergency department, 33 percent die during the index hospitalization, according to a study published recently in the Journal of the American Geriatrics Society.
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FRIDAY, Oct. 5, 2018 -- Models using four or five predictors have acceptable to good discrimination for determining additional intracerebral hemorrhage growth in patients with acute intracerebral hemorrhage, according to a review published in the October issue of The Lancet Neurology.
FRIDAY, Oct. 5, 2018 -- Announcement and implementation of the Hospital Readmissions Reduction Program (HRRP) was not associated with increases in in-hospital or post-discharge mortality after acute myocardial infarction (AMI), heart failure, or pneumonia, according to a study published online Sept. 28 in JAMA Network Open.
THURSDAY, Oct. 4, 2018 -- The frequency of acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) in a single year predicts the long-term rate of AECOPDs, according to a study recently published in the American Journal of Respiratory and Critical Care Medicine.
THURSDAY, Oct. 4, 2018 -- Medical residents should start budgeting and save for the future, according to an article published in the American Medical Association AMA Wire.
THURSDAY, Oct. 4, 2018 -- A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013, according to a study published in the October issue of Health Affairs.
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THURSDAY, Oct. 4, 2018 -- Just over three-quarters of health care personnel received a flu vaccine last season, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
WEDNESDAY, Oct. 3, 2018 -- In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier, according to a report released Aug. 29 by the National Center for Health Statistics (NCHS).
TUESDAY, Oct. 2, 2018 -- Preventable cardiovascular events place a considerable health and economic burden on the United States, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report.
TUESDAY, Oct. 2, 2018 -- Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance, according to a study published in the October issue of Health Affairs.
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TUESDAY, Oct. 2, 2018 -- Black patients have a lower likelihood of receiving guideline-based therapies for non-ST-segment-elevation myocardial infarction (NSTEMI), according to a study published online Sept. 20 in the Journal of the American Heart Association.
TUESDAY, Oct. 2, 2018 -- In preparing to interview to hire a new physician, practices must understand their own cultures, according to an article published in Medical Economics.
TUESDAY, Oct. 2, 2018 -- The number of health data breaches has steadily increased since 2010, according to a research letter published in the Sept. 25 issue of the Journal of the American Medical Association.
MONDAY, Oct. 1, 2018 -- Curtains surrounding patient beds become progressively contaminated with bacteria, according to a study published in the September issue of the American Journal of Infection Control.
MONDAY, Oct. 1, 2018 -- The risk of recurrence after incident venous thromboembolism is high, particularly among patients with cancer-related venous thromboembolism, according to a study published in the September issue of The American Journal of Medicine.
MONDAY, Oct. 1, 2018 -- From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans, according to a report published by the Robert Wood Johnson Foundation.
Posted: November 2018