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Errors in Surgical Procedures Persist

November 19, 2009
Poor communication causes most mistakes in and out of operating room, VA study shows. The U.S. Veterans Administration has taken the lead in improving patient safety, but its efforts are still a work in progress as surgical errors in and out of the operating room persist, a new study shows.

For Chest Pain in the ER, CT Angiography May Be Best

November 19, 2009
Procedure cuts diagnosis time and costs, study finds. Compared to standard emergency room triage, CT angiography is quicker, more accurate and much less expensive for screening patients with chest pain who have low to moderate enzyme and EKG scores, according to a new study.

The study included 749 acute chest pain patients at 16 emergency rooms who were randomly assigned to receive either coronary computed tomographic angiography (CCTA) or standard screening with myocardial perfusion imaging (MPI).

Both methods were found to be safe, and similar numbers of patients underwent invasive angiography during the first visit.

Task Force Member Defends Mammography Guidelines

November 19, 2009
Meanwhile, three doctors weigh in on what women should do about the new recommendations. Responding to the uproar over revised mammogram recommendations unveiled earlier this week, a member of the independent task force that crafted the recommendations defended them Thursday, saying they were based on the most current, accurate information available.

Dr. Timothy Wilt, a member of the U.

Study Shows Hospital Report Cards Unlikely to Spur Improvement

November 18, 2009
Treatment of heart patients no better after performance data released to public, researchers find. One might assume that public report cards ranking their performance would encourage hospitals to improve, but a new Canadian study finds that isn't the case.

Researchers found that hospitals in the province of Ontario didn't do a better job of treating heart patients after report cards were released.

The findings, released online Nov.

New Heart Attack Treatment Guidelines Stress Coordination

November 18, 2009
Getting patients to the right hospitals quickly is critical, experts say. There's a message for doctors, hospitals and communities in new guidelines for treatment of coronary disease and heart attacks: Get organized.

Every community should have an organized system of emergency care for heart attacks, including programs to identify patients before they get to hospitals and strategies for getting them to medical centers equipped to perform artery-opening procedures, say the guidelines issued by the American Heart Association, the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions.

"The focus on integrated systems for patients with STEMI is important," said Dr.

Mammography

What to Do Now?

November 18, 2009
Three doctors weigh in on what women should do about the new guidelines. When a U.S. government task force recommended that women wait until they're 50 to get their first mammogram to check for breast cancer, reaction was swift.

U.S. Scores a 'D' on Preterm Birth Report Card

November 17, 2009
March of Dimes' annual state-by-state stats show need for improvement. The United States is doing a poor job of reducing preterm births, according to a new report, which found Mississippi, Alabama and Louisiana have especially high numbers of early, life-threatening deliveries.

Vermont and New Hampshire were the only states with a preterm birth rate under 10 percent, while in Louisiana, Alabama and Mississippi, the premature birth rate ranged from 16.5 to 18.

Uninsured Trauma Patients More Likely to Die

Study

November 17, 2009
Causes for the disparity need to be further explored, researchers say. Americans without health insurance are more likely to die after admission to the hospital with trauma injuries than those who are insured, new research suggests.

"After admission to a hospital, trauma patients can have worse outcomes based on insurance status," the study authors wrote. "This concerning finding warrants more rigorous investigation to determine why such variation in mortality would exist in a system where equivalent care is not only expected but mandated by law.

Medical Tests Hit Heart Patients With High Doses of Radiation

November 16, 2009
Average amount more than five times higher than annual exposure outside hospital, study shows. Heart attack patients arriving at the hospital typically receive the radiation equivalent of 725 chest X-rays from medical tests during that single hospital stay, new research shows.

The average exposure was 14.5 millisieverts (mSv), about one-third the annual maximum of 50 mSv allowed radiation workers and more than five times the amount of background radiation Americans get from just going about their business in any given year.

Medicare Part D

What to Expect This Open Enrollment Period

November 13, 2009
Plans are boosting premiums, adding deductibles and offering little gap coverage. Seniors enrolled in private, standalone Medicare prescription drugs plans (PDP) could encounter significant changes this open enrollment period, which begins Sunday.

Monthly premiums will rise 11 percent to $38.94, on average, according to an analysis published by the Henry J.

Quitting Smoking Simplifies Surgical Recovery

November 12, 2009
Fewer complications, speedier healing awaits ex-smokers, experts say. Want to boost the odds that you'll thrive after surgery and avoid complications?

The American Society of Anesthesiologists has a recommendation: Drop that butt.

Quitting smoking will make it more likely that you'll recover from an operation without anything going seriously wrong, the society says.

"Anesthesiologists are the heart and lung specialists in the operating room, making sure our patients' vital functions are working properly," said Dr.

Income Inequality Affects Quality of Life for All

November 11, 2009
Closing gap between rich and poor could save 1.5 million lives a year, study suggests. Reducing the income gap between the richest and poorest people in developed countries could save 1.5 million lives a year, a new study claims.

American and Japanese researchers analyzed data on about 60 million people in 30 developed countries who took part in previous studies and found that those living in areas with a large income inequality gap are more likely to die at a younger age, regardless of their income, socioeconomic status, age and gender.

The Revolving Door of Heart Failure Hospitalization

November 10, 2009
Better coordination urged to stem re-admission rate of nearly 1 in 4 people. Almost a quarter of the people on Medicare who are hospitalized for heart failure are back in the hospital within a month of discharge, a new study reveals.

That should not be happening, said Dr. Joseph S.

Ventilation Positions Comparable in Lung Syndrome Patients

November 10, 2009
Face up or down doesn't affect death risk for acute respiratory distress, study finds. Lying face down instead of face up while receiving mechanical ventilation doesn't lower the risk of death for patients with acute respiratory distress syndrome (ARDS), according to Italian researchers.

Prone, or face-down, positioning is recommended for patients with ARDS, a serious and often fatal lung condition that may be associated with severe hypoxemia (abnormally low levels of oxygen in the blood, resulting in shortness of breath), according to background information in the study.

"Moreover, prone positioning has been advocated as a rescue maneuver for severe hypoxemia, owing to its positive effects on oxygenation, which have been repeatedly documented since its first description in 1976.

Doctors Spending More Time Now With Patients

November 09, 2009
Quality of care increases with longer doctor visits, researchers add. Family doctors are now taking more time consulting with adult patients, seeing them more often and improving the quality of visits, a new study suggests.

"Patients spent more time with their primary care physicians during office visits in 2005 than they did almost a decade earlier, and overall they seemed to receive better care," said Dr. Lena M.

Pay Less for Prescription Drugs

November 06, 2009
Check out pharmacy, clinic and government programs, expert says. The recession has made it more difficult than ever before for many Americans to afford prescription medications, but several options are available, according to an expert from Butler University in Indianapolis.

First, talk to your pharmacist, advised Carriann Richey, director of outreach and assistant professor of pharmacy practice at Butler's College of Pharmacy and Health Sciences. Pharmacists may be able to recommend a lower-cost generic drug or an alternative, less expensive drug.

Firm Says Low-Cost Genome Sequencing Is Possible

November 05, 2009
10,000 human genomes could be sequenced next year, company says. A genome sequencing company says it has developed a lower-cost DNA platforming sequence.

Its report, including an analysis of data from three full human genomes, was published Nov. 5 in Science.

Doctors Point Out Gaps in U.S. Health Care

November 05, 2009
Survey finds poorer results, higher costs than in other countries. The United States lags behind other developed countries in a range of health-care practices, according to a new international survey of primary care doctors.

"We spend far more than any of the other countries in the survey, yet a majority of U.S.

Without Job Stress, Retirees Sleep Better

November 05, 2009
Those who left demanding jobs report the most improvement, study finds. What you're not doing once retired seems to make a good night's sleep come more easily.

A study of nearly 15,000 French workers who had retired found that the odds of having disturbed sleep in the seven years after retirement were 26 percent lower than in the seven years before they stopped working.

Sleep improvements probably had less to do with how they were spending their retirement, though, than with the removal of the demands and psychological stress associated with working, the researchers said.

School Violence Drops With Federal Program

November 05, 2009
Participating districts report safer campuses and communities. A program called Safe Schools/Healthy Students greatly increases the safety of students, says a U.S. government report.

Deadly Intestinal Infection Spreading Outside Hospitals

November 05, 2009
Study finds growing number of C. difficile cases among elderly. A potentially deadly intestinal infection is on the rise outside of hospital settings, especially among the elderly, researchers warn.

The germ that causes the condition, known as Clostridium difficile, can create serious symptoms, including diarrhea and an inflammation of the colon, that can be fatal. The infection can be difficult to treat because the bacteria have become immune to some drugs.

CDC Finds U.S. 30th in Infant Mortality

November 03, 2009
Finding is attributed to country's high rate of premature births. When comparing rates of infant mortality, the United States lags dismally behind most other developed countries, largely because of a disproportionately high number of babies delivered prematurely, according to a new government report.

"The U.S.

Food Stamps Help Stave Off Hunger in Many U.S. Homes

November 02, 2009
Over 30-year period, nearly half of American children received nutrition assistance, analysis shows. At some point, nearly half of all American children and teens will live in a home that receives food stamps, a new study shows.

Researchers analyzed 30 years (1968 to 1997) of national data collected by the Panel Study of Income Dynamics and found that by the time they were 1 year old, 12.1 percent of U.

Delays in Lung Cancer Care More Common in Public Hospitals

November 02, 2009
Age, race, insurance also influence timing between diagnosis and therapy, study finds. The length of time a patient has to wait between lung cancer diagnosis and treatment is influenced by a number of health-care system factors, a new U.S. study finds.

Virulent Strain of MRSA Resists Treatment

November 02, 2009
Type that causes bloodstream infections can be quickly fatal, study finds. New research holds bad news for health officials worried about a potentially lethal infection called MRSA that haunts hospitals: A strain that infects the bloodstream is five times more deadly than other strains.

To make matters worse, the USA600 strain appears to be at least partially immune to an antibiotic that's used to treat the condition, the researchers have found.

A full half of patients infected with the strain died within a month, according to a study scheduled to be presented at the annual meeting of the Infectious Diseases Society of America, held Oct.

Antibiotic Resistance Still a Major Public Health Threat

October 30, 2009
Studies show it's worsening while there are few new drugs in pipeline. The emergence of antibiotic-resistant bacteria continues to present a major public health problem, said scientists gathering at one of the world's largest infectious diseases meetings Friday.

Chief among the concerns are resistant gram-negative bacteria and bacteria that appears to be infecting younger and otherwise healthier people. The troubling trend is compounded by another concerning fact: a paucity of new antibiotics coming down the pipeline, they added.

Patients More Likely to Die While in ICU in U.S. Than in England

October 30, 2009
More study needed to discern if difference is due to intensive care overuse or underuse Dying hospital patients in the United States are nearly five times more likely to spend their last days in the intensive care unit than patients in England, finds a new study, and U.S. patients over age 85 are eight times more likely to be in the ICU when they die.

Undocumented Hispanics Face Health Care Roadblocks in U.S.

October 30, 2009
Policies needed to eliminate disparities among immigrants, survey findings suggest. Financial and language issues pose serious barriers to quality health care for undocumented foreign-born Hispanics in the United States, say researchers who called for improved health systems for all immigrants.

The study authors analyzed data from the 2007 Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey of more than 4,000 Hispanic adults across the United States. The researchers examined differences in perceived quality of care, receipt of preventive care, and usual source of health care among foreign-born, U.

Stroke Centers May Offer Best Shot at Recovery

October 29, 2009
Specialty facilities are more apt to give needed treatment, and faster, study finds. Stroke patients taken directly to a designated stroke center are much more likely to receive the clot-busting drug tPA than those taken to the nearest hospital, says a new study.

If given within the first few hours after a stroke, tPA (tissue plasminogen activator) can reduce stroke-related disability.

The study grew out of a citywide program in Toronto that trains paramedics to screen for stroke and to take stroke patients to one of three regional stroke centers.

17,000 Child Deaths Linked to Lack of Insurance

October 29, 2009
Kids without coverage are more apt to die while hospitalized, study finds. An estimated 17,000 children in the United States might have died unnecessarily over nearly two decades because they didn't have health insurance, according to a report from researchers at Johns Hopkins Children's Center in Baltimore.

They found that kids who lacked health insurance were 60 percent more likely to die in the hospital than were kids who had insurance. After adjusting for such differences as race and gender, uninsured kids were still 37.

Access to U.S. Burn Centers Varies by Region

October 27, 2009
Northeasterners have best proximity, southerners the worst, study finds. Nearly 80 percent of Americans live within two hours by ground or helicopter transport of a verified burn center, but there are significant regional variations in access to these centers, a new study finds.

A verified burn center is one in which the quality of care has been assessed and confirmed by the American Burn Association. More than a half-million burn injuries and about 4,000 burn-related deaths occur each year in the United States, according to the association.

Intensive Dialysis Doesn't Save Lives of the Sickest

October 21, 2009
Study finds no difference when compared to routine dialysis. Giving seriously ill patients high-intensity dialysis is no better at saving lives or speeding recovery than a lower-intensity version of the same treatment, new research shows.

The patients in question were the sickest of the sick; all were in hospital intensive care units (ICUs).

"Approximately half had overwhelming infection, causing multiple body organs to fail.

Stroke Treatment Window May Allow a Bit More Time

October 21, 2009
Drug given within 4.5 hours still benefits patients, study shows. Tissue plasminogen activator (tPA) treatment benefits stroke patients when used up to 4.5 hours after a stroke, according to German researchers who said their findings provide further evidence to increase the tPA treatment window from the current three hours to 4.5 hours.

Heart Failure Treatment Underused

October 20, 2009
Two-thirds of patients in U.S. hospitals fail to get recommended therapy, study finds. A recommended treatment for heart failure is underused in U.S. hospitals, a new study finds.

School Meals Need to Get Healthier

Report

October 20, 2009
New recommendations tackle obesity epidemic in U.S. New guidelines are needed to improve the diets of U.S. school children, finds a new government report that would set maximum calorie counts for school breakfasts and lunches.

U.S. Relaxes Opposition to Medical Marijuana

October 19, 2009
Prosecutors will no longer go after users or suppliers in states that permit use of the drug. The Obama administration has decided it will no longer prosecute medical marijuana users or suppliers, provided they obey the laws of states that allow use of the drug for medicinal purposes.

The new guidelines, which were to be sent in a Justice Department memo to federal prosecutors on Monday, are designed to give priorities to U.S.

Hospital Workers May Trigger Dangerous Outbreaks

October 19, 2009
Study finds employees who see many patients daily may be key players in spreading germs. Hospital workers who see many patients may play a disproportionate role in spreading dangerous hospital-acquired infections, a new study finds.

These so-called peripatetic workers, such as radiologists or physical therapists, visit many patients in the course of a day, said Laura Temime, a researcher at the Conservatoire National des Arts et Metiers in Paris, and lead author of a study published online Oct. 19 in the Proceedings of the National Academy of Sciences.

Race, Insurance May Affect Testing of Kids in ER

October 16, 2009
Study finds more done for youths with chest pain who are white and have private coverage. Black children and kids without private insurance are less likely than white children and those who do have private insurance to be given tests when seen for chest pain at hospital emergency departments, a U.S. study has found.

Scientists Provide First Map of Complete Human Epigenome

October 16, 2009
The information may help accelerate research into diseases and treatments, experts say. Researchers have developed the first detailed map of the human epigenome, gaining greater understanding of the body's genetic makeup.

"In the past, we've been limited to viewing small snippets of the epigenome," Joseph Ecker, professor and director of the Genomic Analysis Laboratory at the Salk Institute for Biological Studies in La Jolla, Calif., and senior author of a new study, said in an institute news release.

Soda Taxes Not Making a Dent in U.S. Waistlines

October 16, 2009
Small increases in cost for sugary drinks haven't slowed obesity epidemic, study finds. Current state taxes and levies on soft drinks are slowing consumption, but not enough to curb the obesity epidemic in the United States, researchers say.

In an analysis of 16 years of data (1990 to 2006) on how various forms of soft drink taxation affected body mass index, researchers found that taxation has only a minor effect on BMI, which is a measurement based on weight and height. For example, a 1 percent tax increase causes a BMI decrease of 0.

For a Healthier Retirement, Work a Little

October 16, 2009
Part-time or temporary work can stave off disease and decline, study finds. The secret to a healthier retirement may be surprising: work.

Retirees who continue to work in some capacity, even part-time, are less likely to experience physical decline and disease, new U.S.

Families Need to Know When Dementia Becomes Terminal

October 14, 2009
Too often, onerous and futile medical interventions are ordered for these end-stage patients, researchers say. Many people see end-stage dementia as affecting only the mind, but a new study shows that the disease's effects are far-reaching and eventually fatal.

The misconception by family members that end-stage dementia is not a terminal condition can have negative consequences for the patient, the researchers say. That's because concerned loved ones often order aggressive, sometimes burdensome interventions such as feeding tubes that will not improve patient outcomes.

As More Cyclists Hit the Road, Serious Injuries Rise

October 14, 2009
Helmet use, investment in bike lanes could protect more riders, researchers say. Bicyclists are facing higher injury rates and longer hospital stays, with both worsening over the past 11 years at a Denver trauma center, according to the results of a study of biking injuries.

Chest injuries rose by 15 percent and abdominal injuries tripled over the last five years, the study authors found. Cyclists themselves appear to be part of the problem: Helmet use did not go up over the study period, and more than 33 percent of 329 injured cyclists had a significant head injury.

Tired Doctors More Prone to Errors

October 13, 2009
Long shifts, little sleep raise complication rate for practicing physicians, study finds. Attending surgeons and obstetricians/gynecologists who get fewer than six hours of sleep between procedures risk increasing the rate of surgical complications, according to Harvard researchers.

A lot of attention has been paid to the long hours that residents and interns work and the increase in medical errors brought on by their fatigue, but the new study found the same problems among practicing physicians.

"Attending surgeons and obstetricians/gynecologists, like resident physicians and nurses, are vulnerable to the effects of fatigue and extended work shifts on performance and patient care," said Dr.

Swine Flu Can Move Quickly to Severe Illness

October 12, 2009
Canadian, Mexican studies suggest U.S. hospitals need to be ready for surge of cases. Canadian and Mexican intensive care units were swamped with patients who rapidly became critically ill with H1N1 flu this past spring and summer, new reports find.

Many of these patients were relatively healthy adolescents and young adults who needed to be treated in an intensive care unit (ICU) within a day or two of being admitted to the hospital, note doctors from both countries. Many patients required mechanical ventilators, say the reports, slated to be published in the Nov.

American Heart Association Guidelines Save Lives

October 09, 2009
Heart attack, heart failure survival better at hospitals given awards for following program. Heart attack and heart failure patients are less likely to die if they're treated in hospitals that have received performance awards from the American Heart Association's Get With The Guidelines (GWTG) quality improvement program, a new study shows.

Researchers analyzed Centers for Medicare and Medicaid Services data on 30-day survival for heart attack and heart failure patients treated at 3,909 hospitals, including 355 that received GWTG performance awards.

The heart failure and heart attack death rates were 11 percent and 16.

Face Masks for Patients May Leak, Spread Germs

October 09, 2009
Health-care workers should take precautions, especially given H1N1 pandemic, experts say. Health-care workers, take note: Hospital patients using positive pressure ventilation masks to help them breathe may be spreading germs every time they exhale, a new study finds.

The masks can leak exhaled air up to one meter from patients receiving treatments, spreading contagious respiratory illness within a hospital, researchers say. This may be of particular concern if the patient has the highly contagious H1N1 swine flu.

Health Care Varies From State to State

October 08, 2009
Where you live really does make a difference, report finds. Want cheaper health care? Consider moving across the state line.

A new report finds that health-care costs, quality and the ability of people to access care vary widely, depending on where you live. And compared with two years ago, the gap is widening in some places.

Long-Term Back Pain Not Inevitable, Study Finds

October 07, 2009
Chances of recovering from chronic discomfort are better than previously thought, research shows. Good news for people with chronic low back pain: About four in 10 will recover within a year, according to a study that challenges the common belief that recovery from this type of pain is unlikely.

The Australian study included about 400 patients who sought treatment for acute low back pain at primary care clinics and had not recovered after 90 days. Acute low back pain was defined as pain that had lasted more than 24 hours but less than two weeks.

Trial Shows Heart Attack Education Makes Little Difference

October 07, 2009
But new study design might change response times, researcher says. A study to tell whether educating heart patients about the symptoms of heart attack would make them respond faster when one happens has produced negative results, but the researchers say a few changes in trial design might make a second look at the issue worthwhile.

The research included 3,522 people with known heart disease in six cities in the United States, Australia and New Zealand. Half were given lessons on the symptoms of a heart attack and what to do when they occurred .

In Health Care Today, It's Electronic All the Way

October 03, 2009
Despite telemedicine advances, doctor-patient relationship remains key, experts say Imagine that you see a new mole and don't like the looks of it so you take a picture of it using your cell phone and e-mail it to your family doctor for an opinion.

Or perhaps you have heart disease and take your blood pressure using a cuff that automatically uploads the data to your cardiologist's computer for review.

Using electronic communications equipment to transmit medical information for consultation or examination .

Fresh Blood Boosts Survival in Trauma Patients

October 02, 2009
Death risk rises when transfused blood is more than 28 days old, study finds. People who've suffered severe trauma and are given a major transfusion of red blood cells that have been stored for a month or longer are twice as likely to die as those who receive fresher red blood cells, U.S. researchers have found.

Swine Flu Tests Could Swamp Diagnostic Labs

October 02, 2009
Might lead to delays in tests for other diseases, experts say. Concerns about a swine flu outbreak this fall are spreading to the nation's diagnostic laboratories, which could see a big surge in their testing workload this fall.

According to several laboratory professionals affiliated with the American Society for Clinical Pathology, a large spike in swine flu screenings could clog a lab system already struggling with a shortage of workers. Such swine flu screenings, they said, could slow down testing for other diseases, potentially putting some patients at risk.

Swine Flu Could Create Hospital Bed Shortage

October 01, 2009
Report finds demand could exceed supply in 15 states. There could be a shortage of hospital beds in 15 states if 35 percent of Americans get sick from the H1N1 (swine) flu virus, and 12 other states could reach or exceed 75 percent of their hospital bed capacity, a study released Thursday shows.

The number of people who could get sick with H1N1 flu in the United States ranges from a high of 12.9 million in California and a low of 186,434 in Wyoming, and the number of people who are hospitalized could range from a high of 168,025 in California to a low of 2,485 in Wyoming, according to the report from the non-profit group Trust for America's Health.

Doctor Visits Are Getting Short Shrift in Tight Economy

September 30, 2009
More than a third of Americans have cut back on medical care, survey finds. Because of recession-related financial problems, 36 percent of Americans have cut back on doctor visits, according to a new survey.

When asked which types of health visits they were reducing, 63 percent of the 1,000 adult respondents cited visits to a dentist, 59 percent said primary care physician visits and 52 percent said eye doctor appointments.

Just 8 percent said they were adhering to their regular health-care schedule.

Cooling Helps Oxygen-Deprived Newborns

September 30, 2009
Study found it lowered risk of neurological problems later. New research shows that lowering the body temperature of oxygen-deprived newborns reduces the risk for neurological problems later.

Unfortunately, the strategy did not reduce the risk of death or severe disability.

Still, the findings, appearing in the Oct.

Surgical Deaths Linked to Handling of Complications

September 30, 2009
Staffing and hospital culture play a role, expert contends. The way that a hospital handles the complications of surgery, not just the rate of those complications, determines the hospital's surgical death rate, a new study has found.

The study, which included more than 84,000 people who had surgery in U.S.

Workplace Wellness Seems to Really Work

September 30, 2009
Investing in employee health reduces medical costs and increases productivity, heart experts say Workplace wellness programs are an effective way to reduce major risk factors for heart disease, such as smoking, obesity, high blood pressure and diabetes, says a new American Heart Association policy statement.

Each year, heart disease costs the United States about $304.6 billion, the association says.

Doctors May Be Able to Predict Domestic Abuse

September 30, 2009
Analysis of electronic medical records holds the key, study finds. It may be possible to use a person's electronic medical records to predict the likelihood of domestic abuse years before it actually occurs, according to U.S. researchers.

Exercise 30 Minutes a Day? Who Knew!

September 29, 2009
Most Americans aren't aware of national recommendations, study finds. Despite 14 years of public education campaigns, only one-third of Americans know about national recommendations for a minimum of 30 minutes of exercise a day, and fewer than half meet that goal, a new study has found.

The lack of awareness is greatest among men, the unemployed and people born in the United States, the researchers said. Their finding came from an analysis of data from 2,381 people who took part in the 2005 Health Information National Trends Survey.

Heart Patients Benefit From At-Home Care, Study Finds

September 28, 2009
Improvements seen in depression, quality of life for those with chronic heart failure. Patients with worsening chronic heart failure may find "hospital-at-home" care is a good alternative to treatment in a traditional hospital, Italian researchers report.

An estimated 5 million North Americans suffer from chronic heart failure, a condition in which the heart struggles to pump blood to the body. In the United States, worsening chronic heart failure is the cause of more than 1 million hospital admissions a year, and patients have a 50 percent risk of readmission within six months of discharge, according to the authors of a study published in the Sept.

FDA Acknowledges Mistakes in Knee-Device Approval

September 25, 2009
Agency says it will review procedure for endorsing medical devices. The U.S. Food and Drug Administration violated procedures last year when it approved a knee repair device even though its own scientists recommended against approval, agency officials said Thursday.

Any Day OK for Heart Bypass Surgery

September 23, 2009
Timing has no effect on outcome, study finds. There's no bad time of the day, week or year to have elective coronary artery bypass surgery, say researchers who analyzed how 18,597 people fared after having the procedure.

The Cleveland Clinic team conducted the study to determine whether working off-hours and long shifts might affect the performance of surgeons and other medical staff. Other studies have shown that lack of sleep, prolonged work hours and natural body-rhythm disturbances reduce the performance of drivers and pilots.

Tired, Stressed Docs Make More Mistakes, Study Finds

September 22, 2009
Experts urge changes throughout medicine to reduce fatigue and distress. Fatigue isn't the only contributor to medical errors among medical residents. A new study finds that financial woes, family concerns and other elements of distress also play a major role in potentially fatal mistakes.

Fatigue and distress among doctors are known causes of medical errors, but Mayo Clinic researchers say that theirs is the first study to show how each contributes to mistakes.

Med Students Posting Unprofessional Messages

Survey

September 22, 2009
Patient privacy was violated in some instances, schools admit. Many U.S. medical schools have had cases of medical students posting unprofessional content online, including incidents where patient confidentiality was violated, according to a new study.

Small Steps May Speed Recovery in ICU Patients

September 22, 2009
Mild exercise beats bed rest, preliminary study finds. Patients in intensive care units often have little chance to move around, putting them at risk of muscle wasting and threatening their prospects of recovery. But new research now suggests that mild physical-therapy exercises could boost their chances of getting better.

"Our ICU patients are telling us that they want to be awake and moving.

Flavored Cigarette Ban Takes Effect

September 22, 2009
New federal law may help deter young smokers, health advocates say. Young people who enjoy a hint of vanilla, berry or chocolate when they light up are about to have their favorite smokes snuffed out. A new federal law banning fruit- and candy-flavored cigarettes takes effect Sept. 22.

Global Cooperation Urged to Control Species-Crossing Disease

September 22, 2009
Goal is to prevent zoonotic infection rather than just track outbreaks, experts say. A better-coordinated global system is needed to improve prevention, detection and responses to outbreaks of infectious diseases that can be transmitted between animals and humans, according to a new report released Tuesday by the U.S. Institute of Medicine and the National Research Council.

Smoking Bans Bring a Drop in Heart Attacks

September 22, 2009
In one Montana city, incidents fell but rose again when restrictions were lifted. Localities that ban smoking in bars, restaurants and other public places witness a quick drop in heart attacks, two new studies show.

The research .

Lower Drinking Age Linked to Later-Life Problems

September 18, 2009
Study finds more alcohol, drug abuse among those who could drink before 21. People who grew up in a place and time when they could legally buy alcohol before age 21 are more likely than others to be alcoholics or have a drug problem, even well into adulthood, new research shows.

"The effect lingers," said study author Dr. Karen Norberg, a research instructor in psychiatry at Washington University in St.

Ulcer Preventative May Raise Pneumonia Risks

September 18, 2009
Trend seen in hospital patients also leads to higher costs, study finds. A popular stomach acid reducer greatly increases the risk of pneumonia in certain critically ill hospital patients, a new study has found.

Researchers at Wake Forest University School of Medicine in North Carolina analyzed the charts of 834 cardiothoracic surgery patients on breathing machines who were given stomach acid reducers to prevent stress ulcers. The patients were given either ranitidine (Zantac) or pantoprazole (Protonix).

Lack of Insurance to Blame for Almost 45,000 Deaths

Study

September 17, 2009
Going without coverage greatly increases mortality, researchers conclude. If you doubt that lack of health insurance can have deadly consequences, consider these new findings: Americans without health insurance are 40 percent more likely to die than those with private insurance.

As many as 44,789 Americans of working age die each year because they lack health insurance, more than the number who die annually from kidney disease.

The study comes at a pivotal moment in history, as Congress considers legislation to expand health insurance coverage.

Childhood Stroke More Common Than Thought

September 17, 2009
Study finds double the incidence reported previously. The incidence of stroke among American children could be two to four times greater than has commonly been estimated, a new study says.

Pediatric strokes are rare; even the new estimate puts its incidence at only 2.4 strokes per 100,000 person-years (person-years represent the number of years children were studied).

Insured Kids With Uninsured Parents Miss Needed Health Care

September 16, 2009
Study finds they're more likely to go without checkups, preventive counseling. Children with health insurance coverage are more likely to miss necessary health-care services if their parents are uninsured, new research shows.

These children are at greater risk of having difficulty seeing a doctor, getting dental care and accessing prescription medications than kids in families where children and parents are insured. They're also less likely to receive counseling on healthy eating, routine exercise, use of a safety or booster seat, and use of seatbelts and bike helmets, the study found.

Blacks Fare Worse After Cardiac Arrest

September 15, 2009
Poor hospital care a big reason why, researchers say. Black patients who suffer cardiac arrest in the hospital are much less likely to survive than white patients, a new study finds.

Most of this disparity appears to result from the hospital in which black patients receive care, although other factors play a role as well, the researchers said.

"We know that survival after having a cardiac arrest in the hospital setting has always been historically low," said lead researcher Dr.

Kidney Injury While Hospitalized May Lead to Future Dialysis

September 15, 2009
An estimated 45% to 70% of these patients die before discharge, study finds. Among patients who encounter serious kidney problems while hospitalized, those who require dialysis are not at increased risk of dying if they are able to recover and leave, but they are more likely to need dialysis on a regular basis in the future, researchers say.

According to the authors of a new study published in the Sept. 16 issue of the Journal of the American Medical Association, kidney injuries are common among adults who receive care in hospitals.

FDA Approves 4 Swine Flu Vaccines

September 15, 2009
Agency expects first batches to be available within a month. The U.S. Food and Drug Administration on Tuesday approved four H1N1 swine flu vaccines, with the first doses expected to be available within four weeks.

Small Businesses Urged to Prepare for Swine Flu

September 14, 2009
Advance planning may help to minimize disruptions, officials say. With cases of H1N1 swine flu continuing to rise, U.S. health officials on Monday urged small businesses to prepare now to keep their shops running if the flu season turns severe.

Report Cards for Hospitals May Be Misleading

September 11, 2009
Ranking by death rates alone doesn't measure severity of cases, researchers say. A new study questions the value of hospital report cards and national rankings when it comes to neurology and neurosurgery.

Researchers with Loyola University Health System in Chicago say the mortality index, a statistic to gauge the number of deaths a facility has in a given area of medical care, may be inflated .

MRSA May Succumb to Honey

September 09, 2009
Anti-microbial benefits of New Zealand variety extend to staph infections, researchers say. Manuka honey, known for its anti-microbial properties, might kill MRSA bacteria.

A new study from the University of Wales Institute-Cardiff suggests that the honey, made solely from flowers found on the New Zealand manuka bush, inhibits several proteins, especially the FabI protein, which is needed for fatty acid biosynthesis. The study was to be presented this week at a meeting in Scotland of the Society for General Microbiology.

U.S. Health Costs Will Continue to Cause Financial Pain

September 09, 2009
Medical services expected to take up more of the American economy in the future, experts say. Spending on health care is growing so fast that it will devour much more of the American economy in the future and take even larger chunks out of personal income, a new study warns.

Even if spending stops growing so much, it will account for more than half of the increases in the salary that Americans will make over the next 75 years, according to researchers at Harvard University and the University of Michigan.

"These projections make the impact of health care spending more dire," the authors of the study wrote in the September/October issue of Health Affairs.

Let Orthopedic Surgery Wait Until Morning When Possible

September 07, 2009
More minor complications seen with 'after-hours' procedures, study finds. 27 percent versus 3 percent, respectively.

"The results of the study suggest that the system is working fairly well and it is not always best to rush a patient to the OR in the middle of the night. Naturally, when the medical condition is emergent and time is a critical factor, immediate surgery should proceed regardless of time of day," Ricci said in the news release.

Fear of Job Loss May Be Worse Than Loss Itself

September 03, 2009
Workers who constantly worried reported poorer health overall, study shows. People who constantly worry about losing their jobs reported poorer physical health and more symptoms of depression than those who'd actually been laid off, a new study shows.

University of Michigan researchers analyzed nationally representative samples of surveys from more than 1,700 adults over age 25 who were asked about their physical and mental health, as well as their feelings about the security of their job.

One group answered the questions in 1986 and again in 1989, while another group answered questions between 1995 and 2005.

Mistrust May Cause People to Put Off Treatment

September 03, 2009
But delaying needed care ends up raising health-care costs, study says. Patients who don't trust the health-care system are more likely to postpone treatment, potentially hurting their own health and raising overall health care costs, a new study suggests.

Researchers surveyed 401 Baltimore residents, the majority of whom were black, about their attitudes toward the health care system, including doctors, hospitals and insurance companies.

The survey found that people who doubted the trustworthiness of the medical care system were more likely to ignore medical advice, neglect to go to follow-up appointments or to fill prescriptions.

Pfizer to Pay Record Fine in Fraud Probe

September 02, 2009
Drug maker was accused of marketing drugs for uses not approved by FDA. In what it calls the largest health-care fraud settlement in U.S. history, the Justice Department said Wednesday that pharmaceutical giant Pfizer Inc.

Sometimes Angioplasty Can Wait

September 01, 2009
Artery-opening procedure can be done up to 21 hours later with milder heart attacks, study shows. Many people who arrive at hospital emergency rooms with chest pains can wait as long as 21 hours for artery-opening angioplasty, even if an electrocardiogram (EKG) shows evidence of a heart attack, a new French study suggests.

There was no significant difference in key measures of heart damage and one-month death rates in the study of 352 people with the mild form of heart attack called non-ST elevation myocardial infarction between those who had immediate angioplasty and those who waited an average of 21 hours for the procedure, according to a report in the Sept. 2 issue of the Journal of the American Medical Association.

Government Best Source for U.S. Hospital Data, Study Finds

September 01, 2009
Magazines that rank facilities don't take all measurements into account. Many hospitals don't make it onto the U.S. News & World Report list of best hospitals for heart disease but still perform well in some measurements regarding heart failure, researchers say.

Get Ready for Gruesome Cigarette Warnings

August 27, 2009
Graphic images of diseased body parts could become the norm on packaging. Would a gruesome picture of a cancer-ravaged mouth with rotting teeth make you think twice about buying a pack of cigarettes?

That's the goal of new federal regulations expected to go into effect within three years. The rules will require tobacco companies to cover at least half of the front and back of packages with graphic .

Newer, Better Tests for Heart Attacks

August 26, 2009
Troponin assays speed diagnosis, studies show. Two new European reports should help doctors decide which tests they choose to use for diagnosing possible heart attacks in emergency room patients, cardiologists say.

Both studies, which appear in the Aug. 27 issue of the New England Journal of Medicine, looked at tests for troponin, a protein released by damaged heart cells.

Good Trauma Program Boosts Patient Survival

August 21, 2009
Novices working under direction of senior surgeons have good results, study shows. A surgeon's experience doesn't affect trauma patients' chances of survival if they're treated within a structured trauma program, according to a new report.

In the study, researchers examined deaths among almost 14,000 trauma patients treated at the Johns Hopkins Hospital in Baltimore over 10 years (1994-2004). This period included years before and after the hospital hired a highly experienced trauma surgeon to serve as trauma program director.

Without Reform, U.S. Health Costs Expected to Rise

August 20, 2009
Average insurance premiums ranged from $11,000 to over $13,500 for U.S. families in 2008, report finds. From 1999 to 2008, family premiums for Americans with employer-sponsored health insurance increased 119 percent and could rise another 94 percent, to an average of $23,842 by 2020, if health-care costs continue to increase at current rates, a report released Thursday shows.

The Commonwealth Fund paper also concluded that national reforms that limit health-care cost increases by 1 percent to 1.5 percent per year would lead to major savings for families and businesses.

Post-Tonsillectomy Codeine May Pose Dangers

August 19, 2009
Pain medication tied to death of small boy after the procedure, report says. Giving codeine to children after a tonsillectomy may be deadly, a new report warns.

The report, in the Aug. 19 issue of the New England Journal of Medicine, follows the death of an otherwise healthy 2-year-old boy who was prescribed codeine to relieve pain from having his tonsils removed.

Hospitals Reduce Heart Attack Deaths

August 18, 2009
Study shows 10-year effort, with major medical advances improved survival rates. A decade-long, government-led effort has reduced the death rate for patients hospitalized for heart attacks and improved the performance of hospitals that deal with these daily emergencies, a nationwide study finds.

Between 1995 and 2006, the in-hospital death rate for Medicare patients treated for heart attacks decreased, from 14.6 percent to 10.

Ibuprofen Rated Best for Pain of Broken Arms

August 18, 2009
Study finds kids don't do as well when given acetaminophen with codeine. For a child with a broken arm, ibuprofen is as effective at treating pain as acetaminophen with codeine, U.S. researchers report.

International Travel Health Guidebook Gets Updated

August 15, 2009
New CDC Yellow Book includes information on medical tourism and exotic destinations. If you are an international traveler, the U.S. government has a guidebook that could save your life.

It's Time for More Moms to Breast-Feed, U.S. Officials Say

August 13, 2009
Experts note rates are too low when benefits are so high. With breast-feeding rates still not at the levels health-care providers and policymakers would like, two U.S. health agencies have decided it's time to take action.

Injections May Benefit Oxygen-Deprived Newborns

August 13, 2009
Hormone treatment improved prognosis in moderate cases, study shows. A new hormone treatment to prevent brain damage in oxygen-deprived newborns shows promise, a study has found.

Currently, immediate cooling is the only way to reduce the risk of brain damage in newborns who suffered oxygen deprivation during delivery. The new method, which can be started as late as two days after birth, involves a two-week course of injections of erythropoietin, a hormone that stimulates red blood cell formation, the researchers explained.

Ventilation After Breathing Tube Removal May Alter Outcomes

August 13, 2009
With chronic respiratory disorders, method cuts death risk, study finds. People with chronic respiratory disorders who receive early non-invasive ventilation after a breathing tube has been removed are less likely to suffer respiratory failure or die, a Spanish study has found.

The study included 106 people on mechanical ventilation. All of them had high levels of carbon dioxide in their blood, a condition known as hypercapnia.

Staph Infection May Follow People Home From Hospital

August 10, 2009
But MRSA transmission did not cause infection among caregivers in study. A French study estimates that more than 12 percent of people discharged from a hospital into home health care are infected with MRSA, or methicillin-resistant Staphylococcus aureus, and about 20 percent of them may transmit the organism to others in their household.

The researchers, Dr. Jean-Christophe Lucet, of Bichat-Claude Bernard Hospital in Paris, and his colleagues, screened 1,501 hospitalized adults for MRSA before they were discharged and found that 191 (12.

Good Planning Paves Way for Kid's Operation

August 08, 2009
Before your child undergoes surgery, follow these helpful tips. To ease the anxiety of a child undergoing surgery, it helps if parents and children are well-prepared, advises the American Society of Anesthesiologists.

"Undergoing surgery can be a source of stress for a person of any age, but when the patient is a child, a whole new layer of sensitivity is added," ASA President Dr. Roger A.

When Kids Are Hospitalized, Parents Fret About Errors

August 07, 2009
Expert describes families as untapped resource in prevention efforts. Many parents worry that their child may be the victim of medical errors while in the hospital, a new study has found.

In a survey of 278 parents of children hospitalized in 2005 at Seattle Children's Hospital, nearly two-thirds reported feeling the need to watch over their child's care to ensure there were no medical errors.

Parents whose first language was not English were most likely to say they needed to be vigilant about their child's care.

Expanding Health Coverage May Not Improve Access

August 07, 2009
Innovations in financing, delivery of care are needed to close gaps, experts say. Even if Congress extends health coverage to the nation's 46 million uninsured Americans, there's no guarantee that everyone will have access to care .

Less Aggressive Care for More Severe Heart Disease

August 05, 2009
Paradox found in guidelines study. A study assessing the treatment of people hospitalized for heart disease has produced a worrisome finding: Those who need intensive care the most are less likely to get it.

The study of 143,999 people hospitalized between 2000 and 2008 found that those with previously diagnosed atherosclerosis .

Screening May Not Lessen Domestic Violence

August 04, 2009
Without effective prevention methods, process doesn't work, study says. Screening for domestic violence in doctors' offices, clinics and hospitals does little to reduce subsequent incidents of violence, Canadian researchers have found.

Their study of 6,743 women, ages 18 to 64, was conducted in 11 emergency departments, 12 family practices and three obstetrics/gynecology clinics. Of the 3,271 women who completed a domestic violence screening questionnaire before seeing their doctor, 347 were found to have been abused.

Response Times Vary for In-Hospital Heart Attacks

July 31, 2009
Uneven results seen when studying defibrillation delays in 200 locations, researchers say. Quick defibrillation can increase the chances of survival for hospital patients who have cardiac arrest, but sometimes the treatment is not quick enough and a new study has found that the delays are not due to overloaded or undereducated staff.

Defibrillation is a process in which an electronic device gives the heart an electric shock. This helps restore normal contraction rhythms in a heart having dangerous arrhythmia or in cardiac arrest.

ER Visits Mostly by Medicare, Medicaid Recipients

July 31, 2009
But government study also shows uninsured accounted for almost 1 out of 5 ER patients. An estimated 50 million, or 42 percent, of the 120 million visits made in 2006 to U.S. hospital emergency departments were billed to the Medicaid and Medicare programs, according to a U.

Muscle Density Linked to Disability

July 30, 2009
Building strength, expert says, might help keep elderly out of hospitals. Exercise programs designed to increase muscle density in the elderly could help reduce rates of disability and hospitalization, new research suggests.

The contention stems from a study of 3,011 healthy U.S.

Heart Surgeon Shortage Predicted

July 28, 2009
Trend toward stenting rather than bypass could be a cause, expert says. Over the next 15 years, there could be a severe shortage of cardiothoracic surgeons at a time when an aging population will probably increase the demand for surgical procedures that fall under their purview, a new study predicts.

The shortage could lead to diminished quality of care and delays in care for people needing heart and lung surgery, according to the study, which was done by the Center for Workforce Studies at the Association of American Medical Colleges.

By 2025, the researchers say, there could be a 46 percent increase in the demand for cardiothoracic surgeons, but a drop of at least 21 percent in the number of available surgeons.

Many Heart Attack Patients Not Referred to Cardiac Rehab

July 27, 2009
Despite benefits, only slightly more than half get it, study shows. Even though cardiac rehabilitation has been shown to guard against future heart trouble once a cardiovascular event has landed someone in the hospital, only 56 percent of these patients are referred for the therapy, a new study finds.

Despite national guidelines that say hospitalized patients with a qualifying cardiovascular disease event should be referred to outpatient cardiac rehabilitation before hospital discharge, the study demonstrates this doesn't happen often enough, the researchers noted.

"Cardiac rehabilitation improves clinical outcomes, but is widely underutilized," said researcher Dr.

Alcohol and Trauma

Blood Test Gets to the Truth

July 24, 2009
Taking samples from accident patients may offer a medical heads-up, study says. Testing the blood-alcohol level of trauma patients could help medical personnel identify those at risk for further complications from drinking issues, a new study says.

People who abuse alcohol often deny doing so, leaving medical personnel in the dark about potentially serious health needs. But even if people withhold this information, a blood test might indicate if they are likely to suffer withdrawal or other health problems during hospitalization, the researchers said.

Lab Test Predicts Acute Kidney Injury in ICU Patients

July 23, 2009
Marker in urine could help spot those with elevated risk, study shows. A new laboratory test can help predict if a person admitted to an intensive care unit is at risk for acute kidney injury, a frequent complication in ICUs, according to a new study.

Many patients admitted to the ICU have some evidence of acute kidney injury, most often a change in their urine output or in the chemical composition of their urine. Unfortunately, not much is known about the syndrome.

Medicare Drug Plan Still Needs Work

July 22, 2009
More are covered, but gaps in coverage and other problems persist, analysis shows. The number of older Americans with access to prescription drug coverage has ballooned since Medicare's Part D program was rolled out almost four years ago, a new analysis finds, yet seniors' ability to pay for needed medications remains a concern due to limitations in coverage and rising drug plan costs.

"Based on nearly four years of experience, the Medicare drug benefit has helped seniors by expanding access to prescription drug coverage and lowering out-of-pocket costs, particularly helping those who previously lacked drug coverage," said Tricia Neuman, director of the Medicare Policy Project at the Henry J. Kaiser Family Foundation, who led the analysis.

Millions in U.S. Can't Afford Health Insurance

July 21, 2009
Obstacles mount when employer-based coverage is not an option, survey finds. Most people in the United States who try to buy an individual health insurance policy on their own never end up getting coverage, often because the premiums are just too expensive, according to a new study.

A report by the Commonwealth Fund, a private foundation that supports independent research on health policy reform, found that roughly three of every four people who tried to buy a policy from the individual health insurance market in the past three years didn't get one. The main reason cited was premium cost.

In New York City, Trans Fat Ban Is Working

July 20, 2009
Success has spawned similar efforts across the U.S., report finds. When the New York City Health Department mandated that city restaurants change their menus to restrict trans fats, known to be a health hazard, the action was greeted with resistance and grumbling.

"There were the usual 'nanny state' comments," said Dr. Lynn Silver, assistant commissioner of the department's Bureau of Chronic Disease Prevention and Control.

Congress Braces for Showdown Over Health-Care Reform

July 17, 2009
Cost, financing remain volatile issues in the drive for bipartisan support. The beginnings of legislation to overhaul the nation's health-care system started to emerge from Capitol Hill this week, raising hope among some health-reform advocates that this may, at long last, be the year that Congress enacts a law to help America's uninsured and make health care more affordable.

"I think we're in a very good position to meet the president's ultimate schedule of getting a good health reform bill to his desk by mid-October," said Ron Pollack, executive director of the consumer advocacy group Families USA, in Washington, D.C.

Stem Cell Decision Opens New Doors, May Spur More Research

July 15, 2009
Some avenues of scientific inquiry remain unfunded, however. The U.S. National Institutes of Health (NIH) announced last week their new guidelines for stem cell research funding, including allowing some previously ineligible stem cell lines to receive federal grants, provided they were obtained in an ethical manner.

Obama Taps Alabama Doctor to Be Surgeon General

July 13, 2009
Dr. Regina Benjamin was first black woman to be on AMA's board. President Barack Obama announced Monday that he has nominated a rural Alabama family physician to be the United States' next surgeon general.

Dr. Regina Benjamin .

Swine Flu Vaccine Taking Longer Than Expected

July 13, 2009
A fully tested shot may not be ready until year's end, WHO says. A fully tested swine flu vaccine may not be available until the end of the year, a vaccine expert at the World Health Organization said Monday.

But countries could use emergency measures to get the vaccines out faster if they decide they are needed, Marie-Paule Kieny, director of WHO's Initiative for Vaccine Research, said during a news conference in London, the Associated Press reported.

The problem: The swine flu viruses being used to develop a vaccine are only producing about half as much "yield" to make vaccines as regular flu viruses.

Study Asserts Need for New Treatments for Delirium

July 09, 2009
Research and therapies are lacking for common condition, expert says. No effective way to prevent or treat delirium in hospital patients has yet been developed, even though the problem causes major health and financial burdens, say U.S. experts who conducted a review of the scientific literature on delirium prevention and treatment.

Swine Flu Summit Focuses on Preparedness

July 09, 2009
U.S. taking steps to handle virus' anticipated return in the fall. The initial scare posed by the sudden emergence of swine flu in April may have passed, but federal officials are warning against complacency and bracing for the virus' expected return in the fall.

On Thursday, Health and Human Services Secretary Kathleen Sebelius, Department of Homeland Security Secretary Janet Napolitano, Education Secretary Arne Duncan and others led an H1N1 swine flu "preparedness summit" at the National Institutes of Health in Bethesda, Md. The summit comes amid reports that the H1N1 virus continues to infect people in the United States and at least 100 other countries.

U.S. Unveils Stricter Food-Safety Standards

July 07, 2009
Measures aimed at reducing salmonella and E. coli outbreaks. In an effort to reduce salmonella, E. coli and other outbreaks of food-borne illness, U.S.

Mixed Marks for Swine Flu Updates

July 07, 2009
Study finds wide variations in Web reports by states and municipalities. State and local health departments in the United States get mixed marks for their use of Web sites to inform the public about the swine flu outbreak, a new study shows.

After the U.S.

Final Rules Broaden Pool for Stem Cell Research

July 07, 2009
Older stem cell lines eligible for U.S. research dollars, NIH says. The U.S. government issued final guidelines Monday describing which embryonic stem cell lines will be eligible for government funding, effectively expanding the universe of stem cells that can be used for research.

Despite More Tests, Some Aren't Getting Results

July 06, 2009
Electronic record-keeping alone isn't the answer, researcher says. More than half of the time, test results revealing abnormalities in the aorta were not included in patients' electronic medical records within three months, new research has found.

Nearly a third of the time, still no record was found three years later.

The findings add to a growing body of research that is raising concerns about communication breakdowns between specialists, emergency room doctors, primary care doctors, nurses and their patients when sharing the results of diagnostic tests.

Living Healthily on Less

July 05, 2009
Even when budgets are tight, experts say, health and fitness need not suffer. Most people are cutting back in these tough economic times, trying to save more and make do with less. But can you cut back when it comes to your health?

As it turns out, experts say you can .

Increasing Alcohol Use Tied to More Hospitalization

July 02, 2009
Although heavy drinkers were affected most, link held for even mild drinking, study finds. The more alcohol men drink, the more time they spend in a hospital, research from the United Kingdom has found.

The study, which involved nearly 6,000 men in Scotland ages 35 to 64, began during the early 1970s. Initially, the men were given a comprehensive health examination and were asked about their alcohol consumption.

CPR Survival Rates for Older People Unchanged

July 01, 2009
Lack of improvement in death rates, experts say, may be because recipients are sicker. Despite efforts to fine-tune the procedure for cardiopulmonary resuscitation, or CPR, the survival rate for older people given CPR has not changed much in recent decades, new research has found.

Just 18 percent of adults older than 65 who received CPR while in the hospital survived long enough to be discharged, according to a new study in the July 2 issue of the New England Journal of Medicine. However, during the study period, from 1992 to 2005, the number of people in this age group who were given CPR before they died jumped 37 percent .

With Medicare Plan, Drug Spending May Be Up

July 01, 2009
Researchers suspect overuse may be to blame, but other costs are down. Older people who signed up for Medicare's prescription drug coverage, called Part D, spent more on drugs after enrolling than they had before but less on other types of medical care, researchers have found.

Their study, in the July 2 issue of the New England Journal of Medicine, also found that spending varied depending on the type of drug coverage participants had before enrolling in Part D.

Although the report was not designed to look at improvements in health, another study on Part D, presented at the AcademyHealth meeting in Chicago, did.

Even After Death, Heart Attack Treatment May Not End

June 30, 2009
Too often, EMS crews feel obliged to bring unresponsive patient to hospital, study finds. Chances of surviving a heart attack that occurs outside of a hospital are slim, but paramedics often take people who have died to a hospital anyway because a variety of factors keep them from following recommended guidelines, a new study finds.

In the United States, paramedics treat almost 300,000 people with cardiac arrest each year. But despite what's portrayed on TV, fewer than 8 percent survive, according to the American Heart Association.

Low Blood Sugar in Hospital Tied to Higher Death Risk for Diabetics

June 29, 2009
Hypoglycemia likely a sign of additional illness, suggest experts. Being a diabetic and having just one episode of low blood sugar during a hospital stay was associated with a significantly increased risk of dying, both in the hospital and up to a year later, new research shows.

In a study that included almost 2,600 people with diabetes who were hospitalized for a variety of ailments, researchers found that low blood sugar (hypoglycemia) occurred in nearly 8 percent of the patients, and that each additional day with a hypoglycemic episode was associated with an 85 percent increase in the risk of death while hospitalized. The study also found a 66 percent increased mortality risk for one year following discharge in patients who'd had hypoglycemia.

Obese Poor Shut Out From Weight-Loss Surgeries

June 25, 2009
Too often, they lack insurance or face roadblocks in getting the procedures, study finds. Despite having one of the highest rates of obesity in America, the poor are less likely to undergo weight loss surgery than obese people who are better off financially, new research shows.

White women with higher incomes and private health insurance were the most likely to have the surgery, according to a study to be presented Wednesday at the American Society for Metabolic & Bariatric Surgery (ASMBS) annual meeting, in Dallas.

Using data from the 2006 Nationwide Inpatient Sample, sponsored by the U.

Experimental Urine Test Spots Appendicitis

June 23, 2009
Holds promise for faster, more accurate diagnoses, researchers say. A new urine test may one day spot appendicitis faster and more accurately than current tests do, researchers report.

Appendicitis is the most common surgical emergency in children, but the diagnosis can be challenging. An incorrect diagnosis can either lead to unnecessary surgery or a ruptured appendix with serious complications.

Obama Signs Tough New Anti-Smoking Law

June 22, 2009
FDA gets the authority to regulate tobacco manufacturing and marketing. President Barack Obama signed into law Monday the nation's toughest anti-smoking law that gives the U.S. Food and Drug Administration unprecedented powers to regulate tobacco products.

Patients Often Not Told About Abnormal Test Results

June 22, 2009
Study finds communication breakdowns at least 7 percent of the time. People who visit their primary care physician for routine blood tests or screenings are often not informed of the results, a new study finds.

The failure of doctors and medical facilities to follow-up and give people test results is "relatively common," the researchers wrote, even when the results are abnormal and potentially troublesome, and affects one of every 14 tests.

"If you're a patient, it's often assumed that no news is good news," acknowledged Dr.

Social Activity Keeps Elders Young, Agile

June 22, 2009
Seniors who don't socialize regularly risk losing motor function, researchers say. Older people who don't socialize much might be increasing their risk for declining motor function and hastening their death, researchers from Rush University Medical Center report.

On the positive side, sociable seniors who keep active physically and mentally tend to stave off the decline in physical ability often associated with aging, the scientists added.

"A broader range of activities in elders, including physical, social and cognitive activities, may slow the rate of age-related decline," said lead researcher Dr.

Knee Replacement Considered a Good Value

June 22, 2009
Study finds it appears cost-effective for those with severe arthritis. Total knee replacement is cost-effective in older adults with advanced osteoarthritis, a new U.S. study shows.

The Nuts and Bolts of Reform Proposals

June 22, 2009
Suggestions range from greater emphasis on preventive care to universal electronic records. U.S. legislators continue to debate the details of what many hope will be the blueprint for a transformation of the nation's health-care system.

Health-Care Reform Could Be Obama's Toughest Challenge

June 22, 2009
But experts say time might be right to succeed where others have failed. President Barack Obama's efforts to reform health care in the United States could prove to be the toughest challenge of his already-ambitious young presidency.

But if Obama can reach that long-elusive goal, it would not only guarantee his legacy but prove to be a watershed in American history, experts say.

"Assuming that President Obama gets real health-care reform, it will be an amazing moment in American history," said Linda Fentiman, an expert in health-care law at Pace Law School in New York City.

Heart Attacks Less Often Fatal Today

June 21, 2009
Improved care and overall better health are credited with improved survival odds. People having a heart attack for the first time are more likely to survive these days than they would have decades ago, researchers have confirmed.

But now doctors are trying to puzzle out why heart attacks have become more survivable .

Pages to Doctors Don't Always Hit the Mark

June 19, 2009
Mistakes can cause treatment delays and jeopardize care, review suggests. Dr. Brian Wong, a physician and lecturer at the University of Toronto, was enjoying a rare Saturday off and not on call when his pager unexpectedly beeped.

"I answered the page, and there was the nurse on the other end quite frustrated because she had been calling repeatedly to try to get in touch with another doctor whose patient was having chest pains," he recalled.

Group B Strep Screening Guidelines Sparing Newborns

June 17, 2009
More expectant moms being checked, treated so babies aren't infected, study finds. Recommendations implemented in 2002 to screen all pregnant women for group B streptococcal disease have largely been successful, a new report shows.

Eighty-five percent of women in the United States are now being screened and, if positive, given appropriate treatment.

"This paper highlights an important public health success story," said study author Melissa K.

People With Huntington's Report Discrimination

June 12, 2009
Businesses, the public, even families are involved, study finds. As if having a family history of an incurable genetic disease isn't worry enough, people with a family history of Huntington's disease report being discriminated against by insurance companies, relatives and in social settings, according to a new study.

Yvonne Bombard and colleagues at the University of British Columbia surveyed 233 people in Canada who were at risk of developing Huntington's disease, a degenerative disorder that leads to involuntary movements, personality changes, psychiatric issues and loss of intellectual functioning.

People with Huntington's disease usually begin to show symptoms in midlife and die 15 to 20 years after diagnosis.

Tobacco Control Bill Heads to White House as Health Groups Cheer

June 12, 2009
Legislation to let FDA regulate tobacco manufacturing and marketing called long overdue. Legislation that gives the U.S. Food and Drug Administration regulatory control over tobacco products headed to the White House Friday for President Obama's signature, as health organizations across the country cheered.

Health Care 'Gap' Continues for Minority, Poor Americans

June 09, 2009
Government report finds they have higher incidence of illness, fewer options for care. Minority and low-income Americans are much more likely to suffer from a chronic, debilitating illness than whites and are far less likely to have the kind of coverage that would ensure quality care, according to a new report issued Tuesday by the U.S. Department of Health and Human Services.

Data Overload May Complicate Insurance Choices

June 05, 2009
Trouble picking plans could be most troublesome for seniors, study finds. The wide array of available Medicare drug-coverage plans increases the risk that senior citizens will make poor choices and needlessly spend hundreds of dollars a year, warns a new study.

A typical senior can choose from about 50 drug plans.

The study included 180 adults, half aged 65 or older, who were asked to examine hypothetical drug plans and select one that they would recommend to a friend.

U.S. Response to Swine Flu Called Good

June 05, 2009
But report said the health-care system would be overburdened if an outbreak were more severe. Although the U.S. response to the ongoing H1N1 swine flu outbreak that surfaced unexpectedly in April has been largely effective, there are shortcomings that must be addressed.

Report Gives U.S. Good Grades for Swine Flu Response

June 04, 2009
But it also said the health-care system would be overburdened if an outbreak were more severe. Although the U.S. response to the ongoing H1N1 swine flu outbreak that surfaced unexpectedly in April has been largely effective, there are shortcomings that must be addressed.

Medical Bills Driving Most Middle-Class Bankruptcies

June 04, 2009
Private insurance isn't covering costs as promised, report's authors say, In 2007, medical problems and expenses contributed to nearly two-thirds of all bankruptcies in the United States, a jump of nearly 50 percent from 2001, new research has found.

Since the data used in the study were collected prior to the current economic downturn, it's likely that the current rate of medical-related bankruptcies is even higher, said the researchers at Harvard Law School, Harvard Medical School and Ohio University.

They randomly surveyed 2,314 bankruptcy filers in early 2007 and found that 77.

Pay-for-Performance Doesn't Shortchange Patients

June 03, 2009
VA study found those with complicated conditions still received high-quality care. A new study on pay-for-performance medical care should reassure patients and the doctors who treat them.

"On the patient side, there is concern that patients whose condition is complex may not get the high-quality care that they need," explained study author Dr. Laura Peterson.

1 in 3 U.S. Kids Lack Nearby Trauma Care

June 01, 2009
Over 17 million are an hour or more away from quality treatment, report finds. One-third of children in the United States live more than an hour away by ground or air transport from a pediatric trauma center, an amount of time that could prove deadly in the event of a serious injury, researchers say.

In the United States, more children aged 1-14 die of injuries than of all other causes. Trauma centers improve the chances of survival for severely injured children, according to the Children's Hospital of Philadelphia team who calculated access to trauma centers among children younger than 15.

Window for Stroke Treatment Opens Wider

May 28, 2009
Clot-busting drug found effective 4.5 hours after symptoms begin. A new analysis showing that a potent clot-dissolving drug can safely be used to treat strokes four-and-a-half hours after symptoms begin has prompted a change in a current recommendation, which set a three-hour deadline for the medication's use.

The review of 1,622 cases of people treated with tissue plasminogen activator (tPA) in four separate studies finds that the benefit in keeping brain cells alive outweighs the risk of brain-damaging bleeding when the drug is given up to 4.5 hours after first symptoms, according to a report in the May 28 online issue of Stroke.

Music May Temper Pain in Preemies

May 28, 2009
Analysis finds benefits, but some question results beyond soothing of infants. Playing music seems to reduce pain and encourage feeding in premature infants, University of Alberta researchers report.

Music is being widely used in neonatal units across North America, but how beneficial it is to the infants remains unclear.

Lead researcher Dr.

Compression Stockings Offer Little Benefit After Stroke

May 28, 2009
Risk of blood clots not affected by their use, new research shows. Compression stockings don't reduce the risk of blood clots in stroke patients, according to a study that urges revision of guidelines on the use of the support hose.

The study included 2,518 immobile patients in Europe and Australia who were admitted to hospital within one week of experiencing an acute stroke. Some patients received routine care plus thigh-length graduated compression stockings, while other received routine care only.

Acid-Suppressing Meds May Boost Pneumonia Risks

May 26, 2009
Routine use in hospitalized patients should be re-evaluated, experts say. Instead of helping them get better faster, giving acid-suppressing medications to many hospital patients actually increases their risk of developing pneumonia while in the hospital, new research suggests.

In critically ill hospital patients, the medications have been shown to prevent serious gastrointestinal problems caused by the physical stress of illness. And, because the potential for benefit seemed clear and the risk of side effects appeared low, use of the drugs also became commonplace in patients who were not in intensive or critical care.

Youth and Driving Don't Always Mix Safely

May 23, 2009
Teens' opinions of their driving prowess pose risks on the road, experts say. Teen drivers are more likely than adults to crash their car, due to their youth and inexperience .

Limiting Work Hours for Medical Residents Could Be Costly

May 20, 2009
And it may not lead to fewer medical errors, researchers suggest. For years, legislators and patient advocates have called for less grueling hours for medical residents to reduce the chances of medical errors.

Now, new research shows that allowing doctors-in-training to work fewer hours and take longer naps during their shifts won't come cheap .

When Chest Pain Requires Quick Action in ER

May 20, 2009
Urgency needed in only one-third of cases, study says. Only one-third of the people who come to a hospital with the intense chest pain that doctors call acute coronary syndrome should be assessed for artery-opening procedures within a few hours, a new Canadian study finds.

The rest are at lower risk for a heart attack and won't be harmed by waiting a day or two, the researchers added.

There is often an issue about whether such assessment and treatment is needed quickly, said Dr.

With Heart Attacks, Fast Treatment Matters

May 20, 2009
The sooner angioplasty is done, the lower the death rate, study finds. People having a heart attack should be given balloon angioplasty without delay once they reach a hospital to reduce their risk of dying, a new study concludes.

Balloon angioplasty, or primary percutaneous intervention, is used to open blocked coronary arteries.

For the study, researchers analyzed data on 43,801 heart attack patients treated at U.

Poor Women Seem to Be Skipping Breast Cancer Drugs

May 18, 2009
Theories vary as to why, but experts say consequence can be severe. In another sign of the challenges facing the health-care industry as it tries to serve the poor, researchers from North Carolina are reporting that nearly four in 10 poor women recovering from breast cancer do not take the drugs recommended to keep their cancer from returning.

Those who do not follow instructions to take these drugs, medications that block hormones, face a higher risk of dying, said study author Dr. Gretchen Kimmick.

Early Exercise Boosts Outcomes for ICU Patients

May 14, 2009
Interrupting sedation for daily physiotherapy led to better post-discharge function, study finds. Interrupting the sedation of critically ill patients in the intensive care unit (ICU) to engage them in brief physical therapy may lead to better outcomes, a new study suggests.

As noted by researchers writing in the May 13 online edition of The Lancet, weakness and neuropsychiatric disease are often complications of the immobilization caused by long-term sedation in the ICU.

The new randomized, controlled trial involved 104 patients who were on mechanical ventilators for less than 72 hours but were expected to continue on ventilation for another 24 hours.

Combo Treatment Eases Wheezing in Babies

May 13, 2009
Epinephrine, dexamethasone reduces hospitalization risk by 35%, study finds. A combination of commonly used medications may ease the symptoms of bronchiolitis .

Most Depressed Teens Don't Get Treatment

May 13, 2009
Lack of insurance often reason why, government report suggests. Nearly one in 10 American adolescents have experienced at least one bout of major depression in the past year, but only about 39 percent of those cases received treatment, a new government report released Wednesday shows.

Conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), the report found that health insurance coverage was a major deciding factor in whether or not treatment occurred. For example, 42.

Organ Donation Policies Vary Among Children's Hospitals

May 12, 2009
More research, better adherence to recommendations needed, study suggests. Children's hospitals have widely varying policies on organ donation after cardiac death (DCD), according to researchers, who asked 124 hospitals in the United States, Puerto Rico and Canada about their policies in 2007 and 2008.

The study authors received responses from 105 hospitals, and found that 72 percent of them had DCD policies, while policies were being developed in 19 percent, and 7 percent did not have and were not developing policies.

Of the 73 hospitals with DCD policies that were analyzed, 61 (84 percent) specified criteria or tests for declaring death, including electrocardiogram (ECG) findings, no pulse, no breathing, and unresponsiveness.

Most Women Struggle With Rising Health Care Costs

May 11, 2009
7 of 10 are uninsured, under-insured or have debt or access problems, study finds. Even before the slowdown in the economy began, women were more likely than men to have trouble meeting rising health-care costs to get the care they need.

So finds a report released Monday by the nonprofit research foundation The Commonwealth Fund.

More than half of women surveyed said they had problems getting care because of cost issues, including skipping a needed medical test, prescription medication or other treatment.

New Paint Shows Germ-Fighting Potential

May 09, 2009
It may thwart hospital 'superbugs,' viruses and mold, scientists say..

Consider TIAs an Emergency, Groups Urge

May 07, 2009
Experts say risk of full-blown stroke is higher than once thought."Mini-strokes" should be treated with the same urgency as a full-blown stroke, urges the American Heart Association/American Stroke Association.

That's because the risk of a major stroke after a warning stroke, known as a transient ischemic attacks (TIA), is higher than previously thought, according to a scientific statement from the groups released Thursday.

"We think a TIA should be treated as an emergency, just like a major stroke," Dr.

Telemedicine Helps Experts Treat Stroke From Afar

May 07, 2009
AHA recommendations aim to improve care in underserved patients. Examining stroke patients via videoconferencing (telemedicine) is as effective as a bedside exam and can increase patient access to stroke specialists, says a scientific statement released Thursday by the American Heart Association.

Stroke patients require rapid assessment in order to determine if they're eligible for time-sensitive treatments such as tissue plasminogen activator (tPA), which can save brain function and reduce stroke-related disability, the AHA explained in a news release.

These patient evaluations often need to be done by stroke and brain imaging specialists, but there are only about four neurologists per 100,000 people in the United States, and not all neurologists specialize in stroke, according to the statement.

Discharge Time After Angioplasty Varies

May 07, 2009
Experts offer guidelines to help determine which patients need more observation. While some heart patients can safely go home after having elective angioplasty (also known as percutaneous coronary intervention, or PCI), others may have to stay in hospital for longer periods of time, says an expert consensus statement released Thursday.

The statement, published by the Society for Cardiovascular Angiography and Interventions (SCAI), notes that changes in reimbursement have put pressure on U.S.

Delirium Episodes Could Hasten Alzheimer's-Linked Decline

May 06, 2009
Extreme confusion is often tied to surgery, anesthesia, experts note. The delirium sometimes experienced by people with Alzheimer's who are hospitalized might accelerate their cognitive decline, a new study shows.

Researchers found that people with Alzheimer's who had an episode of delirium while in the hospital had a rate of cognitive decline that was three times faster than that of those who didn't experience delirium.

"From a clinical standpoint, this study suggests that over 12 months, patients with AD [Alzheimer's disease] who become delirious experience the equivalent of an 18-month decline compared to those who do not experience delirium," the study's authors wrote.

Program Helps Homeless Cut Use of Emergency Services

May 05, 2009
Housing, treatment for chronically ill reduce need for hospital care, study finds. Providing housing and other assistance to homeless adults with chronic illnesses helps reduce their use of hospitals and emergency departments, a U.S. study finds.

U.S. Mental Health Spending Rises, But Many Still Left Out

May 05, 2009
Access to care improves, studies find, but treatment quality lags for elderly, vets. Mental health spending in the United States increased 65 percent in the past decade, and many more Americans are using mental health services, but there's still a big difference between access to care and quality of mental health care received, new research shows.

In a special edition of the May/June issue of Health Affairs focusing on mental health care in the United States, one study found that about half of Americans suffering from mental illness in a given year don't receive treatment, and another 25 percent receive treatment that's not consistent with evidence-based guidelines.

Some patients may receive inappropriate treatments, simply because doctors lack the evidence to make an informed decision about appropriate care, noted Philip Wang, acting deputy director of the National Institute of Mental Health, and colleagues.

Hospital Volume Imperfect Gauge of Cancer Surgery Outcomes

May 04, 2009
Review finds inconsistent results, questions validity of numbers. Looking at the number of cancer surgeries performed at a hospital to determine where patients will receive the best care is a useful, but imperfect, method, say Australian researchers who reviewed 101 studies on hospital case volume and patient outcomes.

The studies included more than 1 million patients with esophageal, gastric, hepatic, pancreatic, colon or rectal cancer.

The review authors found a significant association between hospital case volume and death risk for five of the six cancer types.

More Kids Being Hurt by Falling Furniture

May 04, 2009
Researcher calls for parental diligence and new safety regulations. It was the scariest moment of Charlene Stevenson's life as a mother.

Last March, her 2-year-old son and 4-year-old daughter were playing in her bedroom while she got dressed in the bathroom.

Stevenson heard a crash.

Obese Children More Likely to Suffer Lower Body Injuries

May 02, 2009
Stress on muscle, bone behind severity of damage, longer recovery, study finds. The bones and muscles of the lower body appear to be more vulnerable to injury in obese children than their lighter peers, a new study suggests.

The study analyzed the weight and injuries of kids who visited a children's hospital's emergency department over a three-year period. Sprains, such as to the ankle or leg, were the most common lower body injuries, and sent more than 23,000 children to the emergency department at Cincinnati Children's Hospital Medical Center between 2005 and early 2008.

Critically Ill Patients Lack Vitamin D

April 29, 2009
Almost half of those in ICU had deficient levels, study shows Vitamin D levels are deficient in many critically ill patients, new research shows.

In a small study, Australian researchers found that almost half of people in an intensive care unit were deficient in vitamin D.

"Vitamin D deficiency is likely to be common in seriously ill patients," said study author Dr.

Clinics Less Likely to Refer Heart Patients to Cardiologists

April 28, 2009
Women especially affected if primary care came from community outlet. American heart patients who receive their primary care at a community health clinic are less likely to be referred for a consultation with a cardiologist than patients who receive their primary care at a hospital.

This difference is especially true among women, say researchers who reviewed the electronic medical records of 9,761 adult heart patients who received community clinic-based or hospital-based care between 2000 and 2005.

The overall rates for cardiology consultations were 79.

Computerized Scan Detects Heart Disease

April 28, 2009
And prevents unnecessary testing, hospitalization, study shows. A computerized chest scan successfully singles out those people coming into emergency rooms with chest pains who have serious heart disease, a new study indicates.

Of the 368 people in the study, computed tomography angiography (CTA) was 100 percent effective in identifying the 31 who actually had acute coronary syndrome, according to a report in the April 28 issue of the Journal of the American College of Cardiology. None of the people who were cleared by the scans had a coronary event in the following six months.

High Co-Pays Keeping Chronically Ill From Their Meds

April 27, 2009
Many are waiting years after a diagnosis to fill a first prescription, study finds. Rising co-pays may be keeping Americans with chronic illnesses from get the potentially lifesaving medications they need, a new study finds.

The problem may be symptomatic of rising health care costs in general and, according to Dr. Matthew D.

Medication Errors Could Be Cut

Experts

April 27, 2009
Two reports show promise of computers, pharmacists for proper prescribing. Medication errors and adverse drug reactions cost lives and dollars each year in the United States, but two new reports suggest ways hospitals and pharmacists can work to reduce these mistakes.

Medication errors are one of the most common medical errors, affecting at least 1.5 million people every year and costing the health-care system between $77 billion and $177 billion annually, researchers point out in the April 27 issue of the Archives of Internal Medicine.

Combat Duty Harms Long-Term Health of Vets

April 24, 2009
Though soldiers tend to be healthier, trauma erases the advantage, study finds Those serving in the armed forces tend to be in better health than the general population, but for veterans who experienced combat duty, that initial health advantage is erased.

In fact, aging combat veterans have a poorer quality of life than do non-combat veterans, according to a study that was to be presented Friday at the American Heart Association's 10th Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke, in Washington, D.C.

Coordination Has Led to Quicker Heart Treatment

April 24, 2009
Experts urge establishment of more regional networks. Better coordination between paramedics, emergency room staff and laboratory personnel has led to steady improvements in the time needed to restore blood flow to people having a severe heart attack, new research shows.

The study involved patients who had what's known as an ST elevation myocardial infarction (STEMI), the deadliest type of heart attack. They were treated initially at a major North Carolina medical center or transferred there from other area hospitals.

More Americans Experiencing Gaps in Health Coverage

April 22, 2009
Further erosion of private insurance could boost the ranks of the uninsured The number of Americans going without health insurance for a period of time is greater today than it was two decades ago, a new survey has found.

These gaps in coverage, however, are shorter than they used to be because people are getting insurance through public programs, such as Medicaid.

"The bad news is the continuing reduction of private health insurance," said a co-author of the survey, David Cutler, an applied economics professor at Harvard University and a research associate at the National Bureau of Economic Research, both in Cambridge, Mass.

Medicare Change May Impact Black Kidney Patients

April 23, 2009
Single payment plan for dialysis and meds could put many at disadvantage, study suggests. Black kidney patients may have more difficulty getting dialysis under a new Medicare payment policy, researchers warn.

The Centers for Medicare & Medicaid Services will make a single payment to dialysis units to cover both dialysis and injectable medications. These services were previously reimbursed separately.

Timing May Matter in Organ Donation Decisions

April 22, 2009
Study highlights importance of a gap between bad news and request. Whether a family decides to donate .

Transition From Home to Hospital Rarely Seamless

April 21, 2009
Continuity of care between primary physician and hospital is decreasing, study finds. In an ideal world, your primary-care physician would be the one who directed your health care whether you were home or in the hospital, enhancing your comfort level.

But, in reality, that type of seamless care is on the decline .

Distance No Bar to Kidney Transplants in Remote Areas

April 21, 2009
Finding contradicts belief that process favors people in urban areas. People with kidney failure who live in rural or remote areas are not less likely to get a kidney transplant than people in urban areas, a new study finds.

Researchers analyzed U.S.

Organ Failure, Sedative Use in ICU May Lead to Depression

April 21, 2009
Study examines why people suffer mood disorder after discharge. Two factors that predict depression in people after they've been hospitalized in an intensive care unit have been identified by Johns Hopkins researchers.

Their study involved 160 people who'd been hospitalized with acute lung injury, a respiratory distress syndrome that typically requires invasive interventions, including the use of ventilators. The death rate of people with acute lung injury is about 40 percent.

Bariatric Surgery Centers Don't Deliver Better Outcomes

April 21, 2009
Study finds these units of excellence no better, more costly, than other hospitals. Having bariatric surgery at hospitals designated as centers of excellence doesn't reduce a patient's risk of complications or death, a U.S. study finds.

Doctor-Patient Talks Key to Blacks Getting Cancer Screens

April 20, 2009
Poor communication a major problem in low screening rates but one that can be fixed, study suggests. Poor doctor-patient communication and not having a regular primary-care doctor may be major reasons for low colorectal cancer screening rates among black Americans, a new study suggests.

Researchers surveyed 1,081 blacks, aged 65 to 79, in Baltimore, and found that those who'd been screened for colorectal cancer were more likely to report better overall health status than those who hadn't been screened.

Further analysis revealed that respondents who said their doctor "explains things in a way you understand" were 50 percent more likely to have been screened for colorectal cancer.

Death Certificates Incomplete for Suicide Victims

April 17, 2009
Failing to list mental disorders makes prevention more difficult, study finds. About half of those who commit suicide have been diagnosed with a mental disorder.

But fewer than 10 percent of their death certificates list mental disorder as a contributing factor, a new study shows.

Incomplete death certificates make it more difficult for health-care policymakers to create prevention strategies, said lead researcher Ian Rockett, a professor of epidemiology and associate chairman of the West Virginia University Department of Community Medicine.

Tough Laws, Higher Prices Mean Fewer Kids Smoke

April 17, 2009
Study finds that enforcing existing laws cuts rate by 21 percent American adolescents who live in states that comply with tobacco sales laws are less likely to pick up a smoking habit than are those who live where the laws are not vigorously enforced, a new study has found.

And raising the price of a pack of cigarettes might have an equal, if not greater, effect, the study also showed.

"Efforts to prevent the sale of tobacco to children pay off," said study author Dr.

Mild Flu Season Coming to a Close

April 16, 2009
Outpatient visits, deaths were lower than previous year, CDC says. Confirming earlier reports, U.S. health officials said Thursday that the 2008-09 flu season was one of the milder seasons in recent years.

Awareness of Alternative Therapies May Be Lacking

April 13, 2009
Clinicians who don't know about studies won't use findings, survey suggests. About 25 percent of practicing clinicians in the United States aren't aware of two major federal government-funded clinical trials of complementary and alternative (CAM) therapies, a new survey has found.

The survey, which included 1,561 acupuncturists, naturopaths, internists and rheumatologists, also found that many clinicians aren't fully confident in their ability to interpret research results.

CAM therapies are widely used in the United States, but it's only been in recent years that rigorous studies of the safety and effectiveness of the treatments have been conducted, according to background information in the study.

Stressed Health Care Workers Battle 'Compassion Fatigue'

April 10, 2009
It's an emotional detachment that can have an impact on patients, experts say. A type of emotional burnout called "compassion fatigue" is common among doctors, nurses and other health care workers tending to people with cancer, yet experts say little research has been done on the phenomenon, which can lead to anxiety, cynicism, chronic tiredness, irritability and problem drinking.

Often these health care workers become emotionally detached to protect themselves from the feelings of loss that accompany losing a patient. Some end up leaving their jobs.

How Old Is Too Old to Work?

April 10, 2009
Economic woes add a twist to the age-old question. Debate about the ideal age to retire has been going on for years. But with the U.S.

Flu Strikes a Milder Blow This Season

April 08, 2009
Effective vaccine and more vaccinations among young people helped, experts say. As the flu season winds down, experts say this has been the mildest season in years.

Less severe strains of influenza and a good vaccine match for the strains that were circulating combined to create a milder season this year than last, according to the U.S.

Traveling for Treatment

April 08, 2009
Americans are looking overseas for less-expensive medical care. David Boucher celebrated his 50th birthday this year by jetting to Bangkok for his first colonoscopy.

There he was seen by a California-educated physician and no shortage of nurses, who verified his identity 15 times before the procedure.

To be sure, Boucher had a secondary motive: He is founder and president of Companion Global Healthcare, a subsidiary of Blue Cross Blue Shield of South Carolina that includes in its network 13 hospitals around the world that have been accredited by the Joint Commission International (JCI).

Colon Screenings Don't Follow Guidelines, Study Suggests

April 06, 2009
VA study shows elderly ill men getting same screenings as healthy folks Despite clear guidelines recommending that older people undergo a colonoscopy only if they expect to live at least four more years, a new study reveals that seriously ill elderly men in the United States are being screened for colon cancer on par with healthy people.

The finding specifically reflects the experiences of men seeking care from a U.S.

Plain-Language Guides Detail Insulin Treatments

April 02, 2009
U.S. agency compiles comparison of therapies for both doctors and patients. New "plain language" guides from the federal government spell out the differences between available treatments for type 2 diabetes for patients and doctors alike.

The guides, produced by the Agency for Healthcare Research and Quality (AHRQ), compare and contrast newer premixed insulin analogues to conventional insulin (human insulin). The guides examine cost, side effects and the medication's effectiveness based on a patient's need.

For Some, More Costly Care Is Not by Choice

April 02, 2009
Study finds poorer, less healthy families are sometimes shunted to high-deductible plans. Many low-income American families with sick children are being enrolled in high-deductible health-care plans, a new study has found.

In 2007, about 10 percent of employers offered high-deductible plans, and about 14.8 million adults were enrolled in the plans.

High Rate of Rehospitalizations Costing Billions

April 01, 2009
More than half of discharged Medicare patients are readmitted within a year, study finds. One in five Medicare patients discharged from the hospital is readmitted within 30 days, while half end up back in the hospital within a year, a new study finds.

The groundbreaking research exposes a "frequent, costly and sometimes life-threatening" problem that researchers believe could be prevented through better care coordination. The study appears in the April 2 issue of the New England Journal of Medicine.

An Online Guide to Cope With Recession-Related Stress

April 01, 2009
U.S.-supported site offers advice, referrals to help protect your health. People struggling with emotional turmoil during these uncertain economic times can find help online through a new U.S. government-sponsored guide.

Most Teens Aren't Getting Preventive Health Care

March 30, 2009
Almost two-thirds lacked this type of service within past year, study found. Most American teens don't receive the appropriate amount of preventive health services, even though this type of care can establish good health behaviors and discourage damaging behaviors that can affect teens for the rest of their life, a new study finds.

The University of California, San Francisco, researchers analyzed data gathered from almost 8,500 adolescents, ages 10 to 17, who took part in the Medical Expenditure Survey, a national survey of families and medical providers. The UCSF team focused on several aspects of preventive care for adolescents, including the extent to which they'd received care in the past year, whether they received counseling about various health issues, and whether they had any time alone with their health-care provider.

One in Five Working Adults Said to Lack Health Insurance

March 27, 2009
Experts say job losses pose new problems in era of rising costs. Since Hillary Clinton unsuccessfully led the charge for national health care reform when she was first lady in 1994, about 9 million more Americans .

Third of EMS Stethoscopes Carry MRSA Virus

March 27, 2009
Doctor urges first-responders to clean equipment regularly with alcohol wipes. One in three stethoscopes used by U.S. emergency medical service providers is contaminated with methicillin-resistant Staphylococcus aureus (MRSA) bacteria, a new study suggests.

For All Their Plusses, Pets Pose a Risk for Falls, Too

March 26, 2009
Being pulled by a dog or chasing a cat causes many tumbles, CDC reports. Dogs and cats may be favored companions of many Americans, but they're also apparently the cause of falls that results in thousands of injuries each year.

U.S.

New Guidelines for Treating Heart Failure

March 26, 2009
Criteria include added section on hospital care and advice on drugs most effective in blacks. New guidelines for treatment of heart failure are being issued by the American Heart Association and the American College of Cardiology, with a strong emphasis on management of people hospitalized for the condition and also on the treatment of blacks.

"The most important change is the addition of a new section on hospitalized patients," said Dr. Mariell Jessup, professor of medicine at the University of Pennsylvania and chairwoman of the guidelines writing group.

Few Hospitals Embracing Electronic Health Record Systems

March 25, 2009
Researchers say cost, doctors' reluctance to change are main barriers to adoption. Only a small number of hospitals in the United States have comprehensive electronic health record systems currently in place, a new study finds.

The biggest obstacle to adopting such systems are costs, which can run as high as $20 million to $100 million, plus the reluctance of doctors to change their ways, experts say.

"President Obama, members of Congress and other policymakers have been pushing the notion that we need to have electronic records in hospitals and doctor's offices to make our health-care system work better," said lead researcher Dr.

U.S. Asked to Do More for Kids' Mental Health

March 26, 2009
Report urges new role in coordinating, funding local prevention efforts. A report from private, nonprofit groups calls on the U.S. government to become more involved in protecting and improving the mental health of the nation's youth.

Drug-Coated Sponges May Limit Catheter Infections

March 24, 2009
More than 10% of ICU patients are thought to develop these infections. Adding a sponge soaked in an antibacterial agent to the dressing around the spot where a catheter is inserted appears to reduce the chances that a potentially deadly infection will develop, French researchers report.

People in intensive care units (ICUs) usually require insertion of a central venous catheter. In the United States, about 80,000 catheter-related infections occur each year among ICU patients, including those caused by MRSA bacteria (methicillin-resistant Staphylococcus aureus).

Tight Blood Sugar Control May Raise Risks in the ICU

March 24, 2009
Very ill patients have higher mortality when glucose is too strictly controlled, study finds. People hospitalized in intensive care units, or ICUs, often experience spikes in blood sugar, and current practice is to try to lower these levels.

But a new study found that this strategy might actually boost the person's relative risk of death by 10 percent.

"Intensively lowering blood glucose in critically ill patients is not beneficial and may be harmful," said Dr.

Blacks Wait Longer for Hospital Bed, Study Finds

March 23, 2009
Disparity of up to an hour led to worse outcomes but it can be fixed. Compared to patients of other races, blacks have to wait about one hour longer before being transferred from the emergency department to an inpatient hospital bed, a new study shows.

That delay that may explain some of the worse health outcomes that occur among black patients, researchers say.

Their analysis of 14,516 hospital admissions from emergency departments in 408 U.

Hospital Practices Influence Which Moms Will Breast-Feed

March 20, 2009
Offers of water, formula supplementation cut likelihood new mothers will achieve goals. Hospital practices such as providing formula or water to supplement breast-feeding significantly reduce the number of mothers who breast-feed only, U.S. researchers report.

3 Steps Might Help Stop MRSA's Spread

March 20, 2009
E-monitoring of hand washing, better room cleaning and checks on patient transfers are key, studies find. A high-tech way of monitoring hand washing, a better means of disinfecting rooms and improved tracking of patients as they transfer from one hospital to another could all help prevent the spread of the MRSA "superbug" and other pathogens, researchers report.

Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that's resistant to certain antibiotics. It can cause severe infections for people in hospitals and other health-care facilities, such as nursing homes.

Dearth of Data on Capabilities May Be Hurting ER Care

March 19, 2009
Day-to-day emergencies require coordination similar to trauma system, expert says. Though most Americans live within an hour of an emergency medical facility, chances are it's not one that can save them when time is of the essence, a new study has found.

The study in the Annals of Emergency Medicine reported that when time is a critical issue in a medical crisis, as is the case with a heart attack or stroke, the nearest facility is not always the best to handle the situation. The dispersal of the U.

Admissions for Prescription Painkiller Abuse on Rise

March 17, 2009
Alcohol treatment still heads list but figures decline, report finds. Admissions for treatment of prescription painkiller abuse in the United States have risen dramatically over the past decade, from 1 percent of all substance abuse admissions in 1997 to 5 percent in 2007, according to a government report released Tuesday.

Alcohol was still the leading cause (40 percent) of the 1.8 million substance abuse treatment admissions in 2007, but has declined from 50 percent in 1997, said the Substance Abuse and Mental Health Services Administration report.

UV Lights, Fans May Curb TB Spread in Hospitals

March 17, 2009
Animals exposed to treated air from patient rooms less likely to be infected, study finds. Ultraviolet lights and negative air ionizers may help decrease the spread of tuberculosis in hospitals, researchers suggest.

The scientists conducted tests on guinea pigs exposed to air from patient rooms in a hospital in Lima, Peru, where TB is a common health problem.

The study found that 35 percent of guinea pigs exposed to untreated patient room air developed TB infection, compared to 14 percent of those exposed to air treated with a negative air ionizer and 9.

Tiniest Babies Carry Biggest Costs

March 17, 2009
Businesses urged to help lower health costs and prevent preterm births. One year of medical costs paid by a company's health insurance for a premature baby could cover the medical costs of almost a dozen healthy, full-term babies, a new report from the March of Dimes claims.

Medical costs for healthy, full-term babies during their first year average $4,551, of which about $3,800 is covered by employer heath insurance. But for preterm babies, the cost is almost $50,000, with about $46,000 paid by employer insurance.

Fewer Teens Sniffing Glue, Household Products

March 16, 2009
But report finds perception of dangers from inhalants at lowest point since 1991. More than 17 percent of American adolescents who use drugs started by sniffing common household products such as glue, shoe polish and air fresheners to get high, according to a U.S. government report released Monday.

Child's Food Allergies Take Toll on Family Plans

March 16, 2009
Work schedules, finances and getaway destinations are affected, studies find. Two new reports show that food allergies can be a burden on a family's finances and even its vacation plans.

The studies, expected to be presented in Washington, D.C.

Eye Care Checkups Tied to Insurance Status

March 13, 2009
Those with little or no coverage less likely to have exams, even if they have problems, study finds. Americans with inconsistent health-care coverage, or no health care coverage, are less likely to get regular eye care, even if they have vision problems, according to a new study.

The finding stems from a review of data on almost 290,000 adults who took part in the National Health Interview Survey from 1997 through 2005.

Respondents who said they sought eye care in the previous year included about 58 percent of those with severe visual impairment, 50 percent of those with some visual impairment and 34 percent of those with no visual impairment.

Many Seniors Not Selecting Lowest Cost Medicare Drug Plans

March 13, 2009
Too many choices, confusing options are roadblocks to smartest decision, report says. Most seniors facing the staggering choices of drug plans available through Medicare don't select the plan with the lowest costs, a new report says.

The report found that the more than 50 standalone drug plans in many states should let people pick the best value for their individual medical and financial needs, but most consumers aren't making the smart economic choice.

"The idea that was touted, when it became clear that there would be so many plans available, was that seniors would compare plans and choose the best possible plan given their individual needs and economic circumstances," said Tricia Neuman, the Kaiser Family Foundation's vice president and director of its Medicare Policy Project.

Injected Medication Errors a Major Problem

March 12, 2009
Study found significant amount occurred in ICUs. Mistakes involving injected medications are a major safety problem in intensive care units, a new study reveals.

Researchers monitored errors in 1,328 patients in 113 ICUs in 27 countries over a 24-hour period in January 2007. Two U.

Shootings Linked to Alcohol-to-Go Outlets, Study Finds

March 10, 2009
Tighter controls are urged to help reduce urban violence. The chances of being shot increase when excess drinking occurs near a place that sells alcohol to go, according to a study by University of Pennsylvania researchers.

"Individuals in and around off-premise alcohol outlets were shot as the victims of predatory crimes, possibly because they had heavily consumed and were easier targets or they were shot as the victims of otherwise tractable arguments that became violent, because one or more of the combatants had consumed alcohol," Charles C. Branas, an associate professor of epidemiology at the university and corresponding author of the study, said in a university news release.

Ankle Blood Pressure Test May Spot Hidden Heart Risks

March 10, 2009
2 'unconventional' blood workups might also point out trouble, experts say. Simple but unconventional tests, such as blood pressure measurement taken at the ankle, could spot people with otherwise unsuspected heart risks, new research shows.

Many people who seem to be at low risk of cardiac problems by conventional standards actually have subtle signs of future trouble, noted a team from Brown University in Providence, R.I.

Dying Feel Abandoned by Docs in the End

March 09, 2009
Continuity of care, closure important for dying, families and docs, study finds. When there's no more that can be done for terminally ill patients, and the focus of care turns to keeping them comfortable before death, many feel as if their doctors have abandoned them, new research finds.

But for doctors, the dying and their families, continuing care is helpful for all concerned, and it helps provide a sense of closure for the family and for the doctor.

"The therapeutic part of the doctor-patient relationship extends to the end-of-life, and it's even more important then to honor that relationship," said study author Dr.

Most Insured Adults Worry About Health Care Costs

Poll

March 09, 2009
Many are skipping medical, dental visits because of financial concerns. More than three-quarters of adult Americans who have health insurance say they still worry about paying more for their medical care, and nearly 50 percent say they're "very" or "extremely" worried about the issue, a new Harris Interactive/HealthDay poll shows.

More than half (57 percent) of those polled said they feared losing their health insurance sometime in the future, which may explain another key finding in the poll .

Are Hospital Mobile Phones Dialing Up Superbugs?

March 06, 2009
Turkish study finds 95% of headsets contaminated with bacteria that could infect patients. A new culprit has emerged in the spread of the tough-to-kill "superbug" bacteria and other infections in hospitals .

More Teen Boys Are Using Smokeless Tobacco, Survey Finds

March 05, 2009
But expert warns that it's not a safe alternative to cigarette smoking. Smokeless tobacco use by adolescent boys in the United States increased from 3.4 to 4.4 percent from 2002 to 2007, according to a federal government report released Thursday.

Supreme Court Rejects Limits on Drug-Injury Lawsuits

March 04, 2009
Case involved Vermont musician who lost her arm to anti-nausea drug. In a long-awaited legal decision, the U.S. Supreme Court ruled Wednesday that patients who are injured by a drug can sue the drug's manufacturer for damages, even if the drug has been granted FDA approval.

Doc-Patient Relationship May Be Key to Quality

March 04, 2009
Level of 'connectedness' could help explain disparities in care, experts suggest. The level of personal connection between a patient and doctor affects the quality of care, U.S. researchers have found.

U.S. Diet Needs Heart-Felt Overhaul

March 03, 2009
Doctors urge all levels of society to encourage good eating habits, cut coronary risks. Every level of society must contribute to strategies meant to make it easier for people to eat a heart-healthy diet, according to the American Heart Association.

"Health problems caused by the U.S.

Weekend Admission May Be Riskier for GI Bleeding

March 02, 2009
Studies find higher death rates, longer hospital stays and greater costs. People with gastrointestinal (GI) bleeding admitted to hospitals on weekends are more likely to die than those admitted on weekdays, according to two studies that analyzed U.S. patient data.

Weak Evidence Backs Most Heart Guidelines, Report Finds

February 25, 2009
Experts agree that field needs more rigorous trials to aid doctors. A majority of the guidelines for cardiac care issued by the American Heart Association and the American College of Cardiology are not supported by the kind of gold-standard evidence that doctors respect most, a new study finds.

That conclusion does not come from heretics crying in the wilderness. One author of the report, published in the Journal of the American Medical Association, is Dr.

Recession Scrambling Health Spending in U.S.

February 24, 2009
As more people lose their jobs and health insurance, they're turning to federal programs such as Medicaid, report says. Although millions of Americans have lost their jobs .

Women Less Apt to Get Clot-Buster, Study Finds

February 20, 2009
Some think gender inequality stems from different stroke symptoms in men and women. Gender definitely makes a difference when it comes to stroke, new research shows.

Not only can stroke show itself in slightly different fashion in women than it typically does in men, but women also don't get the gold standard of treatment for stroke as often as men do.

Those are two of several findings on women and stroke that were presented Thursday during a news conference at the International Stroke Conference in San Diego.

Bill Clinton, Health Groups to Tackle Childhood Obesity

February 20, 2009
Public, private coalition hopes to meet weight-linked healthcare needs of 6.2 million kids. In what they called a "landmark agreement," former President Bill Clinton and the American Heart Association announced Thursday the launch of a national initiative on childhood obesity, aimed at getting up to 6 million American kids covered for
routine visits to both primary care physicians and dietitians.

"I think we want the children of America to know, No. 1, that we want them to be healthy, we want them to grow up healthy, and we want them to start now," Clinton told reporters at his foundation's headquarters in New York City.

Few Stroke Patients Get Clot-Busting Drug

February 20, 2009
tPA can reduce disability, but less than 3% of Medicare patients receive it, study shows. A powerful clot-busting drug approved by the U.S. Food and Drug Administration for use in stroke patients in 1996 is still rarely used in Medicare patients, new research shows.

Uninsured Hospital Stays On the Rise

February 19, 2009
Admissions for patients without coverage have jumped a third since 1997, study shows. Between 1997 and 2006, hospital admissions for uninsured Americans rose by 34 percent, from 1.7 million to 2.2 million stays, a new report finds.

Obesity, Lack of Insurance Take Toll on Young Americans

February 19, 2009
CDC annual report on nation's health focuses on those aged 18 to 29. Increased rates of obesity and lack of insurance coverage are among the many health challenges facing young American adults, according to just-released statistics.

A special section on young adults between the ages of 18 and 29 is featured in the annual report on the nation's health from the U.S.

ER Less Likely to Diagnose Stroke in Younger Folks

February 18, 2009
New research finds misdiagnosis risk goes up as age goes down. An 18-year-old boy complaining of numbness at a Detroit emergency room was discharged after health-care professionals determined he was drunk.

A 24-year-old woman with sharp pain in her left eye and loss of feeling in her right arm was told by ER doctors that she had a migraine.

And a 29-year-old man with slurred speech, a facial droop and vertigo was diagnosed with peripheral vertigo during his emergency room visit.

Newborn Screenings Now Required Across U.S.

February 18, 2009
All states mandate at least 21 tests for devastating conditions, report says. Four years ago, only about one in three babies in the United States was born in a state that required newborn to be screened for a host of conditions. But by the end of 2008, all 50 states and the District of Columbia had either laws or rules requiring newborn screening for at least 21 disorders, a new report finds.

"The states have really made outstanding progress in expanding newborn screening programs," said Jennifer Howse, president of the March of Dimes, which issued the report Wednesday.

MRSA Cases Dropping in Hospital ICUs

February 17, 2009
Prevention efforts have led to declines of up to 70 percent, CDC researchers say. Blood infections caused by methicillin-resistant Staphylococcus aureus (MRSA) have dropped significantly in hospital intensive care units, researchers from the U.S. Centers for Disease Control and Prevention report.

Teaching Hospitals' Post-Op Gains Not Extended to Blacks

February 16, 2009
Whites seem to benefit more from improved expertise after surgery, but reasons unclear, study finds. White patients are less likely to die of post-surgery complications at teaching hospitals than at non-teaching hospitals, but that benefit doesn't apply to black patients, a U.S. study.

Many Hospital Patients Can't ID Their Doctors

February 13, 2009
Facilities, especially teaching hospitals, have to do more to promote awareness, study says. Most hospital patients cannot identify .

Report Urges Broader Effort to Stem Emotional Disorders in Youth

February 13, 2009
Mental health tab costs U.S. about $247 billion a year, experts say. Mental, emotional and behavioral problems in young Americans cost the nation about $247 billion a year, says a report that urges the federal government to make preventing these disorders and promoting mental health in young people a priority.

Problems such as depression, anxiety, conduct disorders and substance abuse are about as common among children and adolescents as limb fractures, according to the report released Friday by the National Research Council and Institute of Medicine. In any given year, it notes, about 14 to 20 percent of young people in the United States have a mental, emotional or behavioral disorder.

Tobacco Companies Targeting Teens, Study Says

February 12, 2009
Marketing aims to get them to smoke and choose certain brands, experts note. Tobacco company ads are reaching teenagers and influencing their desire to smoke and what brands they choose, U.S. health officials report.

Study Brings Value of Echocardiography Into Focus

February 12, 2009
The imaging technique leads to better diagnosis, treatment for heart patients. The advanced imaging technique called contrast echocardiography had a significant impact on the diagnosis and treatment of people hospitalized with heart disease, a new study found.

Echocardiography bounces sound waves into the body to get a detailed image of the moving heart. If that image isn't clear enough, it can be improved by injecting a substance, called a contrast agent, that reflects the sound waves better.

Poll Shows Strong Support for Obama Health Care Reforms

February 11, 2009
Majorities approve of initiatives such as Medicare-negotiated drug pricing or a 'national health insurance exchange.' A broad swath of Americans support President Barack Obama's anticipated overhaul of the U.S. health care system, especially such key proposed elements as government negotiation with drug companies to lower drug prices, or some form of a national health insurance exchange, a new Harris Interactive/HealthDay poll finds.

Medicare Faces Challenges Caring for Chronically Ill

February 10, 2009
Initiatives to lower costs, improve service seldom work, study finds. Only a fraction of Medicare pilot programs aimed at cutting costs and improving care for people with chronic illness actually did the job, a new study shows.

That doesn't necessarily mean that ideas like these should be abandoned altogether, however.

Based on the findings, "we should not expect these care coordination efforts to pay for themselves or to save money," said Paul Precht, director for policy and communications at the Medicare Rights Center.

Minority Clinics Tougher on Doctors

February 09, 2009
Physicians face more challenging cases with fewer resources, study suggests. U.S. doctors in clinics that serve primarily minority patients often face challenging workplace conditions, which may affect patient care, a new study finds.

Private Health Care Info Needs Better Safeguards

February 05, 2009
Current government rules are inadequate, new report finds. The privacy of Americans' personal health information isn't adequately protected by existing federal government regulation, according to an Institute of Medicine report.

The Health Insurance Portability and Accountability Act (HIPAA) privacy rule also hinders important health research, the report's authors said. They called on Congress to approve the development of an entirely new approach to protecting personal health information in research, separate from the privacy rule.

Cancer Patients Often Stranded in Health Insurance Nightmares

February 05, 2009
New report details 20 troubling tales, offers advice on how to cope. Last summer, Keith Blessington had just been told that he was eligible for private health insurance to replace his government-funded COBRA coverage when it ran out.

Then, the 55-year-old New Hampshire resident was diagnosed with late-stage stomach cancer, and everything changed.

Although the COBRA coverage paid for most of the cost of his initial surgery, by the time he got out of the hospital having had half his stomach and eight cancerous lymph nodes removed, Blessington found himself ineligible for virtually any private health insurance, because his cancer was now a daunting preexisting condition.

Cancer Survivors Say Costs Keep Them From Care

February 04, 2009
Insured or not, patients forgo medical needs twice as often as others, study finds. Unmanageable health-care costs are forcing millions of insured and uninsured cancer survivors in the United States to go without the medical attention they need, a new analysis reveals.

What's more, the study indicates that Hispanic and African-American cancer survivors are twice as likely as white survivors to forgo crucial care because of financial impediments.

"We're estimating that approximately 2 million cancer survivors do not get the medical care that they need because of concerns about cost," said Kathryn E.

Discharge Plan Cuts Hospital Readmissions, Patient Costs

February 04, 2009
But medication problems persisted in spite of program, study finds. Patients who receive detailed after-hospital care instructions are 30 percent less likely to readmitted to the hospital or to visit the emergency department than uninformed patients who've recently been discharged, according to a U.S. study.

U.S. Flu Season Off to Slow Start

February 03, 2009
Fewer cases so far suggest a mild flu season, officials say. There are far fewer cases of flu in the United States so far this year compared to last year, a sign that the nation may be in for a relatively mild flu season, experts said Tuesday.

But, the experts also said they're keeping a close watch on bacterial infections such as methicillin-resistant Staphylococcus aureus (MRSA). MRSA is resistant to certain antibiotics and can strike flu patients .

Fewer Women Are Having Mammograms

February 03, 2009
CDC reports decline in two-thirds of the country. Mammography use has declined this decade in nearly two-thirds of the states, according to a new study from the U.S. Centers for Disease Control and Prevention.

Medicare Drug Plan 'Doughnut Hole' Could Impact Seniors' Health

February 03, 2009
Lack of coverage can spur cutbacks in necessary prescriptions, study finds American seniors who reach the no-coverage "doughnut hole" in the Medicare Part D drug plan are less likely to use prescription drugs than those with an employer-based plan, a new study finds.

The finding raises concerns about health consequences and increased costs from hospitalizations and doctor visits resulting from this lack of drug coverage, say researchers at the University of Pittsburgh Graduate School of Public Health.

A change in policy that would mandate the coverage of generic drugs in the doughnut hole through a modest increase in initial prescription co-payments could help protect seniors, the team suggested.

Newer Sedative May Reduce Delirium in ICU Patients

February 02, 2009
Dexmedetomidine might become a new standard of care, researcher says The sedative dexmedetomidine (Precedex) reduces the time patients stay on ventilators and results in less delirium than other more commonly used drugs for patients in intensive care units, a new study finds.

For patients in ICUs, delirium is a common side effect of being sedated for an extended period; it can affect as many as 85 percent of ICU patients. Some of these patients can have lingering mental problems when they leave the hospital, problems that may last for as long as six months, experts say.

With Age Comes Greater Risk of Hypothermia

January 31, 2009
Higher temperatures when inside and more layers when outside are advised. Older people often focus their wintertime worries on fears of slipping on the ice, but they ought to be equally concerned about the risks of being too cold, advises the U.S. National Institute on Aging.

Tracking Down a Salmonella Outbreak

January 30, 2009
CDC report details how health officials first spotted, chased down source and spread of tainted peanut product. The salmonella outbreak that has now sickened 529 people began as a blip on U.S. health-monitoring radar.

Outpatient Procedures on Rise, CDC Says

January 30, 2009
Number tripled from 1996 to 2006, to nearly two-thirds of surgeries. More and more surgeries in the United States are being done on an outpatient basis, according to a new report from the Centers for Disease Control and Prevention.

From 1996 to 2006, the number of outpatient surgery visits increased from 20.8 million to 34.

Medical Needs of 6.2 Million U.S. Kids Go Unmet

January 30, 2009
Study says initiatives should target both coverage and access to health care. Children who do not have health insurance and no regular source of health care are the most likely to have unmet medical needs, researchers at the University of Michigan C.S. Mott Children's Hospital report.

Additional Steroid Dose May Help Preemies

January 29, 2009
Fewer babies have complications, without ill effects, study finds. Giving a second dose of steroids to babies still in the womb can reduce their post-birth respiratory problems and does not seem to affect their growth the way multiple courses can, new research shows.

In babies born before 34 weeks, about 43 percent of those given a second dose of steroids in utero had complications, compared with about 63 percent of the babies given a placebo.

"We saw a 31 percent reduction in overall composite neonatal morbidity.

Lung Transplant Outcomes Better at High-Volume Hospitals

January 28, 2009
The more procedures done per year, the higher the survival rate, study finds. Hospitals that perform at least 20 lung transplants a year have the lowest death rates for this complex procedure, according to Johns Hopkins researchers.

They said their findings could serve as a patient safety benchmark or standard for hospitals nationwide.

The researchers analyzed data from the 79 American and Canadian medical centers that perform lung transplants.

Skyrocketing Health-Care Costs Could Double Premiums for Many Americans

January 28, 2009
Report says waste, inefficiencies need to be cut out of system in coming years. Unless health-care reform becomes a reality, most Americans can expect to pay health insurance premiums that will double by 2016, a new report claims.

Left unchecked, the costs of employer-paid health insurance will jump from $11,381 to $24,291 in the next seven years, according to the report, which was released Wednesday by the Public Interest Research Group (PIRG).

And wasteful spending and inefficiencies are what is fueling the trend, the report contends.

'Wired' Hospitals Post Lower Death, Complication Rates

January 27, 2009
But researchers note system chosen needs to match needs, culture of staff. The more "wired" a hospital is, the lower its rate of patient deaths and complications, a new study finds.

Automating hospital information systems also saves centers money, the researchers report.

Although there are many kinks to be worked out, said Devon M.

America's Top Hospitals Cut Patient Death Rate 27%

January 27, 2009
If all centers performed as well, nearly 153,000 lives might be saved annually, report finds..

Acute Respiratory Distress Syndrome as Deadly as Ever

January 23, 2009
Finding contradicts belief that death rate associated with condition has dropped. The death rate for patients with acute respiratory distress syndrome (ARDS) hasn't changed since 1994, according to a study that contradicts the common belief there's been a steady decline in the percentage of ARDS patients who die.

The researchers reviewed studies conducted between 1984 and 2006, and found the death rate for patients with ARDS and related acute lung injury (ALI) is 40 percent to 45 percent, much higher than the suggested benchmark rate of 25 percent to 30 percent.

The findings were published in the first February issue of the American Journal of Respiratory and Critical Care Medicine.

New Brain Hemorrhage Guidelines Stress Quick Action

January 22, 2009
Hospitals with more expertise handling these attacks also boost survival outcomes. Brain hemorrhage patients have better outcomes when they're treated quickly and at hospitals that handle many brain attack emergencies, according to updated guidelines released by the American Heart Association.

Subarachnoid hemorrhage (SAH) occurs when a blood vessel bursts and bleeds into the brain's subarachnoid space .

Nurses Often Left Out of Medical Error Talks

January 22, 2009
Study finds excluding them from discussions impacts patients, families. Nurses want to, and should be, included in the discussion when physicians talk to patients about serious medical mistakes that were made, a new study shows.

The study, published in the January issue of The Joint Commission Journal on Quality and Patient Safety, said nurses play a critical role with the patient and leaving them out of such discussions weakens the disclosure experience for the patient or their family. For example, excluding nurses from disclosure planning sessions can inadvertently make them appear evasive when later questioned by patients or patients' families.

Cleaning Products Up Nurses' Asthma Risk

January 20, 2009
Disinfectants and other chemicals boost their odds of respiratory trouble, study finds. Frequent exposure to hospital cleaning products and disinfectants greatly increases nurses' risk of asthma, according to a U.S. study that included 3,650 Texan health care professionals, including 941 nurses.

Obama Backs Health Care Reform

January 20, 2009
Public concern over cost, availability of care could lead to real change, experts say. President Barack Obama vowed during his campaign to expand access to health insurance and reform health care. Early indications now suggest that, despite an ailing economy .

MRSA Infections Spreading to Kids in Community

January 19, 2009
Antibiotic-resistant bacteria moving beyond hospital setting, study finds. Antibiotic-resistant infections around the head and neck are on the rise among American children, a new report indicates.

The finding suggests that tougher strains of the bacteria Staphylococcus aureus .

Preschool Lunch Doesn't Always Pack Nutritious Punch

January 19, 2009
Study finds meals from home often lack fruits, veggies, whole grains. When parents pack their preschoolers' lunches, they may be sacrificing nutrition by giving the children food they like.

That's one of the conclusions of a new study in the January issue of the Journal of the American Dietetic Association. The study also found that 71 percent of packed lunches didn't have enough fruits and vegetables, and that one in four preschool tots didn't get enough milk with lunch.

Booze Taxes Lower Drinking Rates

January 15, 2009
Price hikes affect wide range of tipplers, study finds. The more alcohol costs, the less people drink it.

That's the conclusion of a new analysis of data from more than 100 studies gauging the impact of higher booze pricing .

Surgeon's Checklist Saves Lives

January 14, 2009
List is being adopted in the U.S. and around the world, researchers say. A simple checklist that ensures everyone in the operating room is on the same page reduces complications and saves lives, researchers report.

The need for improving safety in surgery is vital since there are some 230 million major operations worldwide each year, 60 million of them in the United States. In fact, the average American undergoes nine surgical procedures in their lifetime.

U.S. Flunks on Tobacco Control Report Card

January 13, 2009
Lung Association report says feds and most states neglect preventing tobacco-caused illness. A new report card gives the U.S. government consistently failing grades for not protecting Americans from illnesses caused by tobacco.

Counseling Lacking for Adolescents With Arthritis

January 13, 2009
Study says more programs needed in transition to adult health care. Children with arthritis need more help and information when they approach adulthood to ensure they receive proper health care as adults, a new study shows.

The study, led by Peter Scal of the University of Minnesota, found only about 20 percent of adolescents with arthritis received counseling on issues such as obtaining health insurance after coming of age. This was despite 75 percent of those in the national survey being encouraged to take command of their health-care needs in adulthood.

Diagnostic Approved to Detect C. diff

January 13, 2009
An infection commonly acquired in hospitals The U.S. Food and Drug Administration has approved BD Diagnostics' GeneOhm Cdiff molecular assay, a stool test that rapidly detects infection with Clostridium difficile (C.

Vets Often Forgo Medication When Co-Pays Rise

January 12, 2009
Budget-cutters urged to look elsewhere for cost savings. When the co-payment amount for prescription drugs goes up, veterans tend to stop taking needed medications, a new study has found.

Reporting in the Jan 27. issue of the journal Circulation, University of Pennsylvania researchers found that adherence to medication dropped more than 19 percent among veterans who had to make co-payments when that amount was increased in 2002.

With Depression, Vets Face Higher Suicide Risk

January 12, 2009
Experts urge more attention be paid after hospital discharge. About a third of the veterans treated in Veterans Affairs hospitals suffer from depression, putting them at much greater risk of suicide than non-depressed veterans, University of Michigan researchers report.

But is that risk greater at certain times, and might it be related to their use of antidepressants, the researchers wondered?

Their five-year study of veterans with depression revealed a spike in suicide risk after discharge from a psychiatric hospital and a relatively short-term increase in risk after beginning treatment with an antidepressant. The findings were published in the January issue of the Journal of Affective Disorders.

Certified ER Docs in Short Supply to Meet Future Needs

January 09, 2009
Even in best-case scenario, study says more than a decade needed to achieve goals. The number of board-certified emergency doctors in the United States will likely fall short of hospital emergency department staffing needs in the future, say Massachusetts General Hospital (MGH) researchers.

The scientists suggested that alternative strategies for staffing emergency departments are needed.

"Thousands of emergency departments are not currently staffed by physicians with this type of training," study leader Dr.

Guidelines Unveiled for Treating Clogged Heart Arteries

January 08, 2009
A key deciding factor should be that benefits outweigh risks, experts say. Treating patients with symptoms of clogged arteries could become more effective now that leading U.S. cardiology groups have published guidelines for deciding how best to proceed.

Study of Everest Climbers Questions Oxygen Use

January 07, 2009
Whether low levels would work for ER patients with hypoxia remains unclear. Going to the world's most elevated natural laboratory, Mount Everest, British researchers have found that the established medical rules about the amount of oxygen needed by a body under stress might be wrong.

"Some people can tolerate extremely low levels of oxygen, much lower than we expected," said Dr. Michael P.

Europe Unlikely to Meet Measles Goals

Report

January 07, 2009
Suboptimum vaccination rates cast doubt on ability to eliminate disease by 2010. Hope is fading for the elimination of measles in Europe by 2010, as a new report reveals lower-than-optimal vaccination rates in five countries where outbreaks have occurred in recent years.

Eighty-five percent of the more than 12,000 measles cases reported on the continent during the years 2006 and 2007 occurred in Germany, Italy, Romania, Switzerland and the United Kingdom. The cases mostly involved children who were never or incompletely vaccinated, according to a report published online in The Lancet.

More Than 60,000 Patients Risked Hepatitis Infections

January 06, 2009
Poor infection-control practices to blame, U.S. study finds. Failure to follow basic infection practices placed more than 60,000 U.S. patients at risk for hepatitis B and C, a new U.

Health Care Spending in U.S. Grew at Lowest Rate in a Decade

January 06, 2009
But consumers are still paying more for out-of-pocket expenses, reports say. Due to slower spending on prescription drugs, health-care spending in the United States grew at the lowest rate in a decade in 2007, a new federal report found.

Yet despite the slowdown, most health-care costs continue to rise, with consumers' out-of-pocket expenses having increased 40 percent in the last 10 years, largely due to an aging population and chronic diseases such as high blood pressure and diabetes, a second report found.

Both reports are published in the January-February issue of Health Affairs.

Preventive Use of Antibiotics Cuts ICU Deaths

December 31, 2008
Dutch researchers admit more review is needed on potential antibiotic resistance. Giving people antibiotics before they were admitted to a hospital intensive care unit led to a drop in patient deaths, a new Dutch study found.

The findings should settle a long-running debate on whether the use of antibiotics as a preventive measure for intensive care patients offsets the risk of possible antibiotic resistance, said study author Dr. Anne Marie de Smet, an anesthesiologist-intensivist at University Medical Center Utrecht.

How to Avoid a Holiday Trip to the ER

December 25, 2008
Following basic safety rules should help keep celebrants safe. Each year during the holidays, tens of thousands of Americans have to go to hospital emergency departments for treatment of preventable injuries and illnesses. That includes about 11,000 people with some type of decoration-related injury, said Dr. Nick Jouriles, president of the American College of Emergency Physicians.

Psych Patients With Cost-Sharing Plans Use More Services

December 23, 2008
Study finds enrollees without parity insurance less likely to get timely outpatient care. People whose insurance plans better share the burden of the cost for mental health services use these programs more than those whose plans pick up less of the bill, a new study says.

The findings were based on a study of Medicare patients, some of whose plans provided equal cost-sharing and others whose plans put a greater cost burden on the patients. The patients in the study had recently received psychiatric discharges from facilities.

Circumcision Rates Too Low

December 23, 2008
Study points to 16 states where Medicaid doesn't fund procedure. Thousands of male infants aren't being circumcised each year, because their states don't cover the procedure through Medicaid, new research suggests.

"There's a good case to be made that circumcisions can protect our children," said study author Arleen A. Leibowitz, a professor of public policy at the University of California, Los Angeles.

Take the Holiday to the Hospital

December 23, 2008
Sharing a favorite ritual might ease a friend or family member's stay. If a family member or friend is in the hospital over the holidays, you can help cheer them up by bringing a bit of Christmas from home.

"Being in the hospital, away from family and festivities, can be a bit unnerving and sad for most people," Denice Foose, a chaplain at The Methodist Hospital in Houston, said in a hospital news release. "Anytime you can bring a holiday ritual into a patient's room, whether it's writing Christmas cards or reading from a favorite holiday story, it can make it feel more like home and make it easier on everyone.

Rules Change Could Increase Hospice Use

December 22, 2008
Those who currently want it must give up aggressive treatments, researchers say. More people with life-threatening illnesses would seek hospice care if Medicare and other health insurers dropped the requirement that they give up aggressive treatment of their ailments, a new study finds.

That was especially true of blacks, but the issue was one of money, not race, said Dr. David Casarett, an associate professor of medicine at the University of Pennsylvania and leader of a group reporting the finding in the Dec.

Caregiving May Lengthen Life

December 19, 2008
Taking care of spouse decreases risk of death, study finds. Much has been reported about the stress and burden of caregiving, but a new study suggests there may be a flip side to taking care of someone you love as they age .

Newborn Hospital Deaths Highest for Those Without Insurance

December 17, 2008
And those transferred between facilities also had higher mortality rates, study says. Newborns, especially those lacking insurance, make up the bulk of children who die while in a hospital, new research shows.

The study, published in a recent issue of the Journal of Hospital Medicine, also found that children who were transferred between hospitals died in greater numbers than those who stayed in one hospital.

"As health-care providers and institutions expand their efforts to meet the needs of severely ill children and their families, they need to be aware of the higher mortality rates among the youngest children, those without insurance coverage and those who are transferred from one hospital to another," study co-author Dr.

ICU Nutritional Program Failed to Boost Outcomes

December 16, 2008
Early feeding didn't cut length of stay either, study finds. Providing earlier nutritional support for intensive care unit (ICU) patients didn't reduce their length of stay in the ICU or their risk of death, according to a study by researchers in Australia and New Zealand.

Previous research had suggested that early nutritional support (provided within 24 hours of injury or ICU admission) was important for critically ill patients and reduced their risk of death. However, up to 40 percent of eligible patients remain unfed after 48 hours in the ICU.

Program Aids Hospital Compliance With Stroke Guidelines

December 16, 2008
Goal is to improve use of treatments proven to cut post-illness complications. U.S. hospitals enrolled in a voluntary program to improve stroke patient treatment increased their adherence to national recommendations, according to a five-year study that included 790 hospitals that provided data on 322,847 stroke patients admitted from 2003 to 2007.

Uninsured Face Worse Outcomes After Diverticulitis

December 15, 2008
Delaying care, they may present with more complications, experts say. Patients lacking adequate health insurance are more like to fare poorly after a diagnosis of the painful and sometimes deadly intestinal condition known as diverticulitis, a new study finds.

In fact, insurance status may explain long-observed disparities in outcomes between black and white patients with the ailment, the researchers say.

"Uninsured patients are more likely to present in a more complicated status," meaning that they have delayed seeking treatment, said David C.

Cost of Hospital Cardiac Care on the Rise

December 11, 2008
Overall expenditure is up despite a slowing in the number of cases, report notes. U.S. hospital costs for treating cardiovascular conditions have increased about 40 percent within the last decade, according to the latest federal government numbers.

U.S. May Soon Face Shortage of General Surgeons

December 10, 2008
It means people will wait longer for ER treatment, elective procedures, study says. There could be a shortage of 1,300 general surgeons in the United States in less than two years, and that shortage could increase to 6,000 by 2050, a new Ohio State University study suggests.

General surgeons often perform lifesaving operations on critically injured or seriously ill patients in emergency departments. A shortage of general surgeons means people will have to wait longer for emergency treatment and elective general surgery.

Cancer Deaths Take Heavy Financial Toll

December 10, 2008
One estimate projects the U.S. cost to be $1.472 trillion in 2020. In pure economic terms of productivity lost and the expense of care-giving, cancer deaths cost the United States $232.4 billion in 2000 and will cost $308 billion in 2020, a new report finds.

But another way of measuring that toll includes the human element of years of life lost .

Report Finds Fault With U.S. Health Services for Teens

December 09, 2008
Among recommendations: More coordinated care, better training for providers. Better coordination and care, along with improved training for health care providers, are among the reforms needed to improve the fragmented and poorly designed health services currently available for American teens.

That recommendation is contained in a report, Adolescent Health Services: Missing Opportunities, released Dec. 9 by the National Research Council and the U.

Women's Death Rate Higher From Severe Heart Attack

December 08, 2008
Undertreatment at the hospital may be a contributing cause, study suggests. Women who suffer the most severe form of heart attack are twice as likely as men to die in the hospital, a new study finds.

The study of more than 78,000 people treated for heart attacks at 420 U.S.

Laws Governing Indoor Tanning by Teens Don't Work

December 08, 2008
Study says lax enforcement probably to blame; experts cite risk of skin cancer. Policies enacted by states to restrict and limit indoor tanning by children under 18 aren't working, cancer researchers report.

That's a worrisome trend, because ultraviolet radiation, whether from the sun or indoor tanning facilities, has been linked to skin cancer, the most common malignancy in the United States, with 1 million new cases in 2008.

"Policies have little effect," said study co-author Vilma Cokkinides, the American Cancer Society's strategic director of risk factor surveillance.

Self-Dosing Pain Medication Errors Too Common

Study

December 05, 2008
Review urges tighter controls for intravenous use, standardization of practices. Allowing patients to control their own pain medication intravenously is four times more likely to cause the patient harm than other medications, a new study says.

The report, published in the December issue of The Joint Commission Journal on Quality and Patient Safety, shows that most mistakes involving intravenous patient-controlled analgesia (PCA) resulted from either human error, equipment issues or communication problems that led to the patient receiving the wrong dosage or drug. PCA errors also tended to be more severe .

Traumatic Brain Injuries Linked to Long-Term Health Issues for Iraq Vets

December 04, 2008
Government report notes problems include dementia, aggression, depression. A new report provides evidence linking traumatic brain injury sustained by troops in combat in Iraq and Afghanistan to a variety of long-term health problems including dementia, aggression, depression and symptoms similar to those seen in Parkinson's disease.

But the Institute of Medicine committee charged with developing the report also pointed to a troubling lack of scientific data on such injuries, which are fairly recent in the history of warfare.

Children of U.S. Farmworkers Often Uninsured

December 02, 2008
Problem is worst among migrant, immigrant families, study finds. Children of U.S.

Rapid Response Teams Don't Cut Hospital Heart Attacks, Death Rates

December 02, 2008
Money may be better spent in other areas, experts say. Hospital rapid response teams, created to prevent cardiac arrest and deaths in critically ill patients, do not seem to work, a new study finds.

"Many hospitals have implemented these teams over the past decade," said lead researcher Dr.

Economy Driving Women to Skimp on Health Care

Poll

December 02, 2008
And that can affect whole families, experts point out A faltering economy is taking a toll not only on women's wallets but on their health as well, a new survey finds.

Women are cutting back on health care due to costs, according to a Harris Interactive poll released Tuesday by the National Women's Health Resource Center, part of the U.

Uninsured Likely Organ Donors, But Not Recipients

November 28, 2008
Study suggests that transplant centers aren't catering to those with fewer resources. Americans without health insurance are about 20 times more likely to donate a liver or kidney for transplant than to receive one, a new study says.

The national study by Harvard University researchers found that almost 17 percent of organ donors in 2003 lacked health insurance at the time of hospitalization.

Beware of Toxic Toys This Holiday Season

November 28, 2008
Dangerous chemicals make some playthings unfit for kids, report claims. Plastic fish squirt guns and plastic ponies containing the controversial compounds called phthalates.

Toy cars and toy earrings laced with lead.

CT Scans Can Spot Blocked Arteries

November 26, 2008
But debate continues as to whether they are worth the expense. Expensive, high-tech CT devices that produce 64-slice images of arteries are almost, but not quite, as good as the standard method of detecting and gauging blood vessel blockages, a study finds.

Therefore, "multidetector CT angiography cannot replace conventional coronary angiography at present," concludes a report in the Nov.

A Third of Medicare Clients Unfamiliar With Benefits

November 25, 2008
Findings cut across race, education levels, and could affect quality of health care, study says. How well a person on Medicare understands the program's benefits affects their access to health care, a new study says.

The report, published in the Journal of the American Geriatrics Society, found that a third of the surveyed Medicare beneficiaries from across the United States considered themselves as being unfamiliar or very unfamiliar with their program's benefits.

Fewer than 1 in 10 Nurses Now Smoke

November 24, 2008

That's a steep decline, but the numbers are still troubling, researchers say. Like Americans in general, fewer U.S. nurses are smoking than ever, but the habit's effects on those who do are still devastating, according to a new study.  The UCLA School of Nursing study found that the rate of smoking among nurses has fallen from 33.2 percent in 1976 to 8.4 percent in 2003.

Specialized Stroke Care Improves Outcomes

November 20, 2008

And for those hospitals without dedicated units, telemedicine can bridge gap, study says. Stroke patients treated at community hospitals with specialized stroke care and telemedicine support from major stroke centers are more likely to survive and live independently than patients treated at hospitals without stroke units, a German study finds.

Colorectal Cancer Treatment Costs Vary Widely

November 20, 2008

Chemotherapy figures alone may differ by almost $37,000 per patient, study finds. The cost of treating colorectal cancer can vary by tens of thousands of dollars per patient.

Patient's Race Doesn't Affect Emergency Room Care

November 19, 2008

Trauma treatment similar regardless of ethnicity, U.S. study finds. The care of trauma patients in the United States is roughly the same no matter what the patient's race or ethnicity, a new study finds.

China Documents First Case of Tick-Borne Disease Spread

November 18, 2008

Human-to-human transfer caused by contact with blood, respiratory secretion. The first Chinese case of a tick-borne disease called granulocytic anaplasmosis (HGA), which then led to person-to-person transmission of the disease, is described in a study by researchers at China's National Institute of Communicable Disease Control and Prevention.

Toxic Chemicals Blamed for Gulf War Illness

November 17, 2008

Report also cites drug given to U.S. troops to protect them from nerve gas. Gulf War illness, dismissed by some as a psychosomatic disorder, is a very real illness that affects at least 25 percent of the 700,000 U.S. veterans who took part in the 1991 Gulf War.

Established EU Countries Healthier Than Newcomers

November 17, 2008

Study says quality years could be extended with more elder-care funds. Citizens in the 15 established European Union countries have a longer life expectancy and more healthy life years (HLYs) after the age of 50 than those in the 10 newer EU nations, a new study shows.

IV 'Ice Slurry' Quickly Cools Body for Surgeries

November 14, 2008

Innovative approach could give heart attack victims, other patients more time, developers say.  U.S. government scientists say they have developed a technology that can rapidly send an icy slush directly into the body to cool and to protect specific organs during certain health emergencies.

Enrollment for Medicare Drug Plans Begins Again

November 14, 2008

Changes since last year mean seniors should shop wisely, experts say. With the enrollment period for Medicare's Part D prescription drug coverage program for 2009 kicking off Nov. 15, experts are advising seniors to choose a plan carefully because premiums and covered medications can vary from plan to plan.

Chronically Ill U.S. Patients Often Skip Care Due to Costs

November 13, 2008

Medical errors and wasted time are other common problems, international survey finds. Chronically ill patients in the United States spend more out-of-pocket money, skip needed care, and report more medical errors than patients in seven other industrialized countries, a new survey finds.

With Angioplasty, More Is Better

November 12, 2008

Hospitals that perform the heart procedure more often do better, study finds. Heart attack patients who undergo emergency coronary angioplasty at community hospitals are more likely to survive if they're treated at facilities that do more than 83 such procedures a year, researchers report.

U.S. Gets a 'D' for Preterm Birth Rates

November 12, 2008

March of Dimes says 18 states plus Puerto Rico and District of Columbia get failing grades. When it comes to premature birth rates, the United States rates a "D," and 18 states plus Puerto Rico and the District of Columbia get failing grades.

Heart Failure Accounts for 37% of Medicare Spending

November 12, 2008

Patients with the condition see doctors far more frequently, study finds. Medicare beneficiaries with heart failure have many more doctor visits and take more medications than those without heart failure, researchers are reporting.

Death Rates Higher for Minority Children Awaiting Heart Transplant

November 12, 2008

14% for whites, 19% for blacks, 21% for Hispanics and 27% for others, study says. Minority children waiting for a heart transplant have a higher death rate than white youngsters, say researchers who analyzed eight years of data from the United Network of Organ Sharing.

Homecoming Veterans Often Face Inner Challenge

November 11, 2008

Mental health issues may affect 20% of recent returnees, but help is available. In earlier wars, it was known as shell shock. In later military combat -- Vietnam, the Gulf War, Iraq and Afghanistan -- the emotional scars veterans brought back with them got new names for old problems: post-traumatic stress disorder (PTSD), depression, anxiety, substance abuse.

Speed Not Always of the Essence With Heart Cases in ER

November 10, 2008

Study found some low-risk patients can wait for tests. No one doubts the need to rush to the hospital if someone is having a heart attack or even chest pains, but do doctors and nurses need to keep rushing once the person has been admitted?

Use of Imaging Technology Skyrockets

November 10, 2008

But study questions if MRIs, CT scans are always worth the cost. The use of MRI and CT scanners in the United States has more than doubled since 1995. But that hasn't necessarily resulted in better health care or fewer deaths, according to a study by researchers at Stanford and Harvard universities.

ER Physicians Press for New Cardiac Arrest Strategies

November 07, 2008

More bystander CPR, faster patient-to-doctor time would boost survival rates, survey finds. Ninety percent of U.S. emergency physicians believe that resuscitation practices aren't very effective and support a number of strategies designed to improve resuscitation for people who suffer sudden cardiac arrest, according to a survey released Friday by the American College of Emergency Physicians (ACEP).

'Prescription Switching' Would Make Most Patients Unhappy

November 06, 2008

Substituting cheaper drug for more expensive one should be transparent, experts say. Most prescription drug users would be unhappy if one of their medications was switched to another in the same class without their knowledge or their doctor's approval, a new survey shows.

Sudden Death Risk Highest 30 Days After Heart Attack

November 04, 2008

But mortality rate has declined over past 3 decades, study shows.  The risk of sudden death after a heart attack has improved significantly over the past three decades, but the first 30 days remain a period of great danger, an historical study shows.

New Imaging Identifies Types of Liver Disease

November 01, 2008

Called magnetic resonance elastography, it could eliminate need for biopsies, study finds. A new imaging technology called magnetic resonance elastography (MRE) is highly accurate in identifying liver diseases and can help eliminate the need for liver biopsies, according to Mayo Clinic researchers.

U.S. Hospitals Lag in Patient Satisfaction

October 29, 2008

Pain management, discharge instructions not rated high in survey. Patients in many U.S. hospitals are not satisfied with their care, Harvard researchers report.

Threat From Infectious Diseases Growing

October 29, 2008

Report points to globalization, drug resistance and climate change as culprits. At least 170,000 Americans die each year from infectious diseases, and that number could increase dramatically during a major disease outbreak.

Older Blood Boosts Chances of Infection in Transfusion Patients

October 28, 2008

Study found those who received blood that was 29 days or older faced twice the risk. Hospital patients who receive a transfusion of stored blood that is 29 days or older face double the risk for developing one or more serious infections compared to those who get "fresher" blood, new research indicates.

Sexual Trauma Haunts Many Female Vets

October 28, 2008

Study found 1 in 7 from Iraq, Afghanistan who sought medical care were victims. Shedding light on the challenges facing women in the military, a new study shows that more than one in seven female Iraq and Afghanistan veterans seeking VA medical care reported experiencing sexual trauma during their service.

Medical Debt Sending Many Over Financial Brink

October 28, 2008

Experts say soaring health costs and medical crises fuel many foreclosures, bankruptcies.  Since 1999, Keith and Deborah Krinsky of Magalia, Calif., have seen their health insurance deductible soar from $1,000 to $10,000.

When It Comes to Flu, the More Who Get Vaccine, the Better

October 28, 2008

While not possible to protect all, studies show shots cut deaths, hospital visits. The more people who get the flu vaccine, the better it is for everyone, according to two new studies.

Caring for Aging Loved Ones Can Be a Catch-22

October 27, 2008

Journalist Gail Sheehy's painful passage through U.S. health system echoes that of many caregivers. In her long struggle to care for her gravely ill husband, journalist and Passages author Gail Sheehy recalls one defining moment.

Anti-Drug TV Campaign Didn't Curb Teen Pot Use

Study

October 24, 2008

Researchers suggest increased exposure to government ads brought no added value. Television ads that ran between 1999 and 2004 as part of the U.S. government's "National Youth Anti-Drug Media Campaign" do not appear to have dissuaded teens from smoking marijuana, a new study suggests.

Standard Hepatitis C Treatment Cost-Effective for Prisoners

October 23, 2008

Study finds therapy reduces new infections, cuts outlays. Using the standard drug therapy of pegylated-interferon and ribavirin would be a cost-effective way of treating all U.S. prisoners who have hepatitis C, a new study says.

Speedy Care After Heart Attack Key to Survival

October 23, 2008

Heart association says cooling body, checking arteries lowers risk of further injury. Getting a heart beating again is only the first step in saving a life after a sudden cardiac arrest, a new report shows.

U.S. Urged to Renew the War on Cancer

October 23, 2008

Leadership has to come from White House to offset growing complacency, presidential panel says. America has grown complacent in its war on cancer, so it must redouble its efforts to defeat this often-deadly disease. And the leadership for this campaign must come directly from the White House.

Health Insurance Rules Affect Medical Outcomes

October 22, 2008

Better results came when clot-busting drug was easily available, Canadian study shows. Changing the rules about prescribing a clot-preventing drug made a difference in the lives of heart patients, a new Canadian study finds.

Many Kids Lack Insurance, Despite Having Insured Parents

October 21, 2008

More than 3 million children fall into this category, study suggests. So say researchers who found that more than 3 percent of U.S. children and adolescents are uninsured or underinsured at some point during any given year -- despite having at least one parent with health insurance.

Minorities More Likely to Die in ER

October 20, 2008

Lack of insurance could play a major role, study suggests. Blacks and Hispanics are more likely to die in U.S. emergency rooms after a trauma than white patients are, researchers report.

Delicate Debate Urged Over Withdrawal of Life Support

October 17, 2008

Gradual steps may benefit families but not the patient, and doctors need to communicate that more, study suggests. Almost half of the patients who die in the intensive care units of hospitals do so after a prolonged withdrawal of life support, a process doctors refer to as "stuttering," a new study found.

Disinfectants Can Boost Bacteria's Resistance to Treatment

October 17, 2008

Misuse of chemicals contributes to hospital-acquired infections, study says. Improper use of chemical disinfectants might actually make the bacteria they are trying to kill stronger and more resistant over time, a new report says.

Cancer Screenings for Medicaid Patients Miss Targets

October 14, 2008

Only about half receive recommended tests for colon, breast, cervical disease, study finds. Screening rates for colorectal, breast and cervical cancer among older Medicaid patients are below national objectives, a new study suggests.

Death Rate 70% Lower at Top U.S. Hospitals

October 14, 2008

If all centers performed as well, over 237,000 lives might have been saved, survey finds. The death rate at top-ranked U.S. hospitals is 70 percent lower than at the lowest-ranked hospitals, according to a study that examined 41 million patient records at the nation's approximately 5,000 hospitals over three years.

Lack of Insurance Raises Abused Babies' Death Risk

October 13, 2008

Poorer access to care may all play a role, experts say. Infant victims of abuse whose families don't have private health insurance are almost four times more likely to die, compared with abused babies who are privately insured, a new study finds.

Autumn Sees More Women With Bunion Problems

October 12, 2008

Transition from flip-flops, sandals to traditional shoes may be culprit, specialists say. With the transition from summer to fall, doctors note an increase in bunions among their female patients, according to the American College of Foot and Ankle Surgeons.

Antibiotics May Not Cause Diarrheal Bacteria

October 10, 2008

Since testing is often on those already on drugs, some diagnoses could be wrong, study says. A new study questions the commonly held belief that intestinal Clostridium difficile (C. difficile) infections are always preceded by antibiotic use.

Older Diabetics With Depression Face Higher Death Rate

October 10, 2008

Study suggests poor self-care partly to blame. In a group of Medicare beneficiaries who have diabetes, being depressed was associated with a higher death rate, according to a new study.

Doctors Know Little About Consumer-Directed Health Plans

October 07, 2008

They're not prepared to counsel patients on medical budgeting, study finds. Few doctors are adequately prepared to help patients navigate newer, so-called "consumer-directed" health plans, a new survey finds.

Radio-Frequency Tags Cut Specimen Bottle Errors

October 07, 2008

Used in passports, library cards, they helped reduced mislabeling of tissue specimens. The risk and number of errors during biopsy analysis can be drastically reduced by instituting labeling systems for specimen bottles, a new study says.

Patients Benefit From End-of-Life Discussions With a Doctor

October 07, 2008

Less likely to feel distress, more likely to enjoy better quality of life, study finds. End-of-life discussions between a doctor and a terminally ill patient do not result in more distress for patients. In fact, they result in less aggressive medical interventions and enhanced quality of life in a patient's final days, a major new study found.

Early Mobility Best for ICU Patients

October 07, 2008

Getting out of bed sooner helped quality of life after discharge, study finds. The best medicine for intensive care unit (ICU) patients may be getting them out of bed and moving as soon as they're able, a new report says.

Pneumonia Vaccine Lowers Chances of Heart Attack

October 06, 2008

50% reduction in risk seen 2 years later in Canadian study. Being vaccinated against pneumonia halves the risk of having a heart attack two years later, a new Canadian study finds.

Pediatricians Would Admit Error Only Half the Time

October 06, 2008

Doctors often don't disclose less obvious mistakes, even if they cause harm, study finds. Only about half of U.S. pediatricians surveyed in a new study said they'd disclose a medical error to the family of a child under their care.

Hospital Fixes Cut Opiate Errors in Kids

October 06, 2008

Simple adjustments also save money, since side effects can affect length of stay, study says. Simple changes to hospital procedures can significantly reduce the side effects children suffer while on opiates to relieve pain, a new study reveals.

Minorities With Disabilities Report Poorer Health

October 02, 2008

Overall, 1 in 5 Americans lives with at least one disability, CDC says.  An estimated 43 million Americans -- one in five people -- have some type of disability, according to the U.S. Centers for Disease Control and Prevention.

National Scorecard Ranks Palliative Care Across Country

October 02, 2008

Availability varies widely, and South comes out worst, researchers say. There's a new medical specialty called palliative care, and it's become widespread enough to warrant a new state-by-state report card on its availability and quality.

Report Compares Health-Care Platforms of Presidential Candidates

October 02, 2008

Commonwealth Fund says both want to widen availability of health insurance, but by vastly different means. Both presidential candidates want to make health insurance available to more Americans, but each has proposed a vastly different route to reform, a new report shows.

Program Seeks to Reduce ICU Infections

October 01, 2008

An estimated 250,000 such illnesses occur each year, CDC says. U.S. health officials are giving nearly $3 million to the American Hospital Association to help reduce so-called central line-associated bloodstream infections in hospital intensive care units.

Psychotherapy Works Best Over the Long Term

September 30, 2008

Study finds real benefit to continued treatment, but insurance companies often balk at cost. People with complex mental disorders or personality disorders would benefit from long-term psychodynamic psychotherapy that lasts at least a year or longer, according to new research.

'Superbug' Test Detects MRSA Faster

September 29, 2008

The U.S. Food and Drug Administration has approved a new test that can detect skin infections, including antibiotic-resistant infections such as the so-called "superbug" MRSA, in less than an hour, the test's manufacturer said Monday

Seniors in Poor Areas More Likely to Die After Surgery

September 29, 2008

Study raises questions about disparities in outcomes, but offers no concrete answers. Elderly Americans who live in low-income ZIP codes are more likely to die after surgery than those who live in higher-income ZIP codes, according to new research.

Older Problem Gamblers Face Increased Suicide Risk

September 28, 2008

Over-55 bettors more likely to ask casinos to bar them, fearing self harm if they can't stop. Older problem gamblers who ask to be barred from casinos are three to four times more likely than younger gambling addicts to do so because they're afraid they'll commit suicide if they don't stop betting, according to a new study.

FDA Faulted for Lack of Produce Oversight

September 29, 2008

 As food-safety problems continue to rock the United States, resulting in massive recalls, illness and even death, the federal Food and Drug Administration remains underfunded and understaffed to protect consumers, a new government report concludes.

Patient Harm From Problem 'Handoffs' Is Common

Report

September 26, 2008

Hospital residents say poor transfers of care as serious as medication-related errors. The process of transferring the care of a hospitalized patient from one resident to another tends to cause some amount of harm to the patient, a new study suggests.

Most Medicare Drug Premiums Same or Lower in 2009

September 26, 2008

Open enrollment for Part D begins Nov. 15, so review your plan, agency officials say. In 2009, 97 percent of Medicare beneficiaries will have access to a drug plan with premiums that are the same as this year's or even lower, Medicare officials announced Thursday.

Alert Issued on Use of Blood Thinners

September 24, 2008

Latest warning follows high-profile dosing errors. In the wake of several high-profile medication errors, some of them fatal, involving widely used blood thinners, the Joint Commission has released an alert recommending strategies to reduce these errors.

FDA Goes After Unapproved Eye Washes, Skin Ointments

September 23, 2008

Salt solutions, topicals containing papain face seizure after adverse events reported. The U.S. Food and Drug Administration has warned companies making unapproved eye wash solutions and a widely used but unapproved skin cream to stop making and marketing the products or face enforcement actions.

Acupuncture Eases Breast Cancer Treatment Side Effects

September 22, 2008

Ancient therapy bested antidepressant for relieving hot flashes in study. Lifesaving treatments for breast cancer come at a cost -- many women experience hot flashes, fatigue, night sweats and more.

Medicare's Monthly Premium Won't Rise in 2009

September 19, 2008

But deductible for hospital, hospice care will increase, agency says. Good news for millions of American seniors: Medicare's standard Part B monthly premium in 2009 will remain the same as in 2008, the U.S. Centers for Medicare & Medicaid Services said Friday.

FDA Proposes Regulations for Genetically Engineered Animals

September 19, 2008

Producers must provide safety and efficacy data before market approval.  The prospect of foods and other products from so-called genetically engineered animals moved a step closer to reality Thursday, as U.S. regulators said producers of such animals will have to prove they are safe to eat.

Spanish Speakers Have Difficulty Accessing Health Care in U.S.

September 18, 2008

But poverty and lack of insurance are the real barriers, experts say. Spanish-speaking Hispanics in the United States have difficulty accessing the health-care system, University of North Carolina researchers report.

Medicare Advantage Plans Get Lion's Share of Insurers' Ad Dollars

September 17, 2008

Analysis finds comprehensive packages touted 3 times as often as stand-alone drug offerings. Insurers last year placed three times more ads and spent twice as much money to promote more comprehensive Medicare Advantage plans than they did for stand-alone Medicare drug plans, according to a new study.

Stress Disorder Affects 20% of Intensive Care Patients

September 17, 2008

Prior history of mental health problems, sedative use contribute to risk, study says. About 20 percent of intensive care unit survivors experience symptoms of post-traumatic stress disorder.

Palliative Care Programs Could Boost Hospitals' Bottom Line

September 12, 2008

Better treatment of sickest patients can save more than $300 a day, study says. Taking better care of seriously ill patients can actually save hospitals more than $300 a day, according to a U.S. study.

Special Dyes and Lighting Kill MRSA, Research Shows

September 10, 2008

A new kind of paint that releases titanium dioxide when exposed to fluorescent light and a green dye for wounds that gives off toxic molecules when activated by near-infrared light could both kill the deadly superbug known as MRSA, two new studies claim.

Retail Clinics Attracting Those Without Regular Doctors

September 10, 2008

Users mostly seek preventive care or assistance with easy-to-treat illnesses, study says.  Typical clients of retail health clinics in the United States include patients who don't have regular health care providers and are seeking preventive care or help for easy-to-treat illnesses, says a study by the nonprofit RAND Corporation.

Formula Samples Hinder Breast-Feeding Efforts

September 09, 2008
Despite recommendations from various groups, many hospitals still giving them to new moms.

Colon Cancer Treatments Need Improvements

September 09, 2008
More lymph nodes should be checked, and follow-up care should be more frequent, studies find.

Med School Diversity May Help Whites Care Better for Minorities

September 09, 2008

Findings urge push for broad-based admission policies that reflect ethnic variety. Attending medical schools with high levels of racial and ethnic diversity may better prepare white medical students to care for minority patients, U.S. researchers say.

CDC Campaign Targets MRSA Infections

September 09, 2008

A national campaign to teach parents how to protect kids from skin infections caused by dangerous methicillin-resistant Staphylococcus aureus (MRSA) bacteria was launched this week by the U.S. Centers for Disease Control and Prevention.

Free Drug Samples May End Up Costing More

September 05, 2008

Uninsured patients tend to stay on these more expensive brand name drugs, study found. Doctors who hand out drug companies' free samples to uninsured patients may actually be costing those patients more money over the long term, a new study finds.

FDA Demands Tougher Warnings on Immunosuppressive Drugs

September 04, 2008

Officials want stronger labeling about fungal infection risk. Federal health authorities have asked the manufacturers of four widely used immunosuppressive drugs to bolster safety warnings on the risk of developing opportunistic fungal infections.

Even Kids With Known Allergies Can Be Safely Vaccinated

September 04, 2008

Experts develop sequence of instructions they say could help doctors evaluate risks. Vaccine safety experts say that almost all kids who are allergic to vaccines can receive vaccinations with close monitoring and a set of standard precautions.

Paid Family Leave Program Goes Mostly Unused

September 02, 2008

Study finds only 5% of Californians took benefit of nation's 1st such law, passed in 2004. Few parents with chronically ill kids have made use of California's pioneering paid family leave program, and most of them are not even aware it exists, according to researchers at the Rand Corp.

Direct-to-Consumer Drug Ads Have Little Effect on Sales

Study

September 02, 2008

Industry's $5B a year marketing campaigns may provide less bang for the bucks. The research, published Tuesday in the online British Medical Journal, found that despite the billions that are being spent on direct-to-consumer drug marketing campaigns, the advertising is having a modest effect at best on sales.

Daytime Sleeping Linked to Poor Recovery in Older Patients

September 02, 2008

Study found it predicted outcome months after patient went home. Older patients who sleep during the day while in rehabilitation have less functional recovery, new research shows.

End-of-Life Choices a Complicated Affair

August 29, 2008

Study shows family wishes, doctor preferences often enter into decisions. End-of-life and other critical medical decisions that arise when patients can't make their own choices are often complex affairs, new research shows.

Findings Challenge Tight Glucose Control for Critically Ill Patients

August 26, 2008

Tight glucose control doesn't significantly reduce the risk of in-hospital death among critically ill patients. But, it is associated with an increased risk of hypoglycemia (abnormally low blood sugar), according to a study that challenges the common practice of tight glucose control for this group of patients.

Single Rooms Becoming the Norm in New Hospitals

August 26, 2008

France is doing it. Britain, the Netherlands and Norway are on their way. And hospitals elsewhere should be doing it, too, namely moving toward all single rooms in newly built hospitals, argue the authors of a paper in the Aug. 27 issue of the Journal of the American Medical Association.

Number of Uninsured Americans Drops

August 26, 2008

More children now covered by government-sponsored programs, Census Bureau reports. The number of Americans without health insurance dropped by more than 1 million people in 2007, the first annual decline in seven years, U.S. Census Bureau officials announced Tuesday.

Tobacco Control Program Saved Billions in Health Costs

August 26, 2008

Rapid benefits tied to fact it was directed at adults, not youth, study finds. California's state tobacco program resulted in a 50-to-1 return on investment over 15 years, say researchers from the University of California, San Francisco.

Uninsured Get Less Health Care Than Insured

August 25, 2008

And they spend billions out of pocket for what they do receive, new report shows. Uninsured Americans will spend $30 billion out of pocket for health care, and receive $56 billion in uncompensated care in 2008, new research shows.

One-Third of Schools Built in Air Pollution Danger Zones

August 25, 2008

Unhealthy proximity to major roads is public health concern future planners should address. More than 30 percent of U.S. public schools are within a quarter mile of major highways, which puts them in the "air pollution danger zone," says a University of Cincinnati study.

3.4 Million Seniors Hit Medicare 'Doughnut Hole'

August 21, 2008

In 2007, about 3.4 million Americans enrolled in the Medicare Part D drug plan reached a gap in their prescription coverage known as the "doughnut hole," leading some of them to stop taking prescribed drugs, says a Kaiser Family Foundation study released Thursday.

Tobacco Marketing Promotes Youth Cigarette Use

August 21, 2008
But landmark report also says mass media anti-tobacco campaigns work, too.

Abstinence-Only Programs Fall Short of Teens' Needs

August 21, 2008

It means different things to youngsters, so sex ed should be added to lineup, study says. One reason why abstinence-only programs don't do much to prevent teen sexual activity is because abstinence can mean different things to teens than it does to adults, according to a University of Washington study.

79 Million Americans Struggle to Pay Medical Bills

August 20, 2008

New numbers show the problem is getting worse, not better, even for middle class. Working-age Americans are facing mounting problems when it comes to affording health care, a result of what analysts are calling a "perfect storm" of economic woes.

Compression Stockings Often Incorrectly Used

August 20, 2008

29% of patients had problems with size of devices used to prevent deep vein clots, study finds. Compression stockings are used incorrectly in 29 percent of patients and sized incorrectly in 26 percent of patients, according to U.S. researchers.

Medicare Web Site Confounds Many Seniors

August 19, 2008

Confusing information, complex language makes site hard to use, researchers say. A majority of seniors who visit the Medicare Web site find getting the information they need a frustrating experience, University of Miami researchers report.

Older Patients Less Likely to Be Taken to Trauma Centers

August 18, 2008

Authors of new study say aim is to generate awareness of the problem. Older trauma patients are less likely to be transported to an official trauma center for immediate care than younger patients, a new study found.

Medicare Prescription Drug Premiums to Rise in '09

August 15, 2008

The $28 monthly rate is lower than initially projected, officials said. The average monthly premium for Medicare's prescription drug plan will increase to an estimated $28 in 2009, three dollars more than this year's monthly premium, Medicare officials announced Thursday.

Insurance Matters When It Comes to Kids' Health Care

August 14, 2008
Insured children are 3 times more likely to visit the doctor, study finds.

Safety Triggers, Training Cut Nail Gun Injuries

August 14, 2008
Study urges more regulation of tools responsible for more than 35,000 ER visits yearly.

Many Hispanics Shut Out of U.S. Health Care System

August 13, 2008
Immigration status and health insurance play key roles in access to care, survey finds.

Half of U.S. Adults Lack 20/20 Vision

August 11, 2008

Distance problems, astigmatism becoming more common, study finds. About half of all American adults don't have the 20/20 vision physicians consider optimal because they are nearsighted, farsighted, or have an irregular corneal curve known as astigmatism, a large, new study reports.

U.S. Hospitals Underutilize Proven Heart Failure Therapy

August 11, 2008

They don't use CRT pacing devices as they should or follow published guidelines, study finds. Cardiac resynchronization therapy (CRT) can help heart failure patients' hearts beat more efficiently and effectively, but most U.S. hospitals don't use it as it should be used, a new report finds.

One in 5 Young Men Had Prostate Screen in Past Year

August 11, 2008

Analysis may aid in guiding recommendations on who should get screened and when. One in five men in their 40s has had a prostate-specific antigen (PSA) test in the past year, and young black men are more likely than young white men to have undergone the test, a new analysis shows.

Many Miss Out on Stroke Treatment

August 07, 2008

Less than quarter of victims get to hospital quickly enough to limit damage, study shows. Most people who have strokes don't act quickly enough to get the clot-dissolving treatment that can limit brain damage, a new study finds.

Most Americans Want Health Care Reform

August 07, 2008

Many are frustrated with the inefficiency and cost of the current system, survey finds. The vast majority of Americans are dissatisfied with the U.S. health care system, and 82 percent think it needs to be overhauled, a new survey found.

ER, Doctor Visits Topped 1 Billion in 2006

August 06, 2008

As America grows older, that's an average of 4 a year per person, CDC report says. Americans made about 1.1 billion visits to physician offices and hospital outpatient and emergency departments in 2006, which works out to an average of four visits per person per year, according to statistics released Wednesday by the U.S. Centers for Disease Control and Prevention.

Population-Based Strategy Urged to Cut U.S. Obesity Rate

June 30, 2008

Heart association seeks policy, social changes that boost healthier eating, exercise. Reducing the high rate of obesity in the United States requires a comprehensive, population-based strategy, says a new American Heart Association (AHA) scientific statement.

Spray Cuts Kids' Pain When Getting IVs

June 30, 2008

But it may not be much more effective than placebo, one expert says. A topical spray reduces the pain of placing intravenous (IV) lines in children, Canadian researchers report.

Tomatoes May Not Be Only Source of Salmonella Outbreak

June 28, 2008

As numbers rise, CDC officials wonder if another food might be contributing. Experts at the U.S. Centers for Disease Control and Prevention now say they're no longer sure that the nationwide salmonella outbreak is due to tomatoes alone, or some other food source.

Patients With Medicaid Co-Pay Cut Out Certain Drugs

June 26, 2008
Prescription use dropped about 17% after introduction of policy, Oregon study finds.

24 Million Americans Had Diabetes in 2007

June 24, 2008
57 million more had pre-diabetes, but education drive making inroads, CDC says.

Radio-Wave Devices May Play Havoc With Medical Equipment

June 24, 2008
In lab setting, they caused some machines to turn off, others to malfunction.

Social, Health Care Factors Drive Colon Screen Disparities

June 24, 2008
Economic status, access and language barriers affect who goes for tests, study concludes.

U.S. Hospitals Vary Widely in Caring for Women

June 24, 2008
From birth complications to heart disease, top-rated centers a better choice, health study concludes.

MRSA Rates Tied to Hospital Understaffing

June 24, 2008
In busy units, even basic hand-washing can get lost in rush to treat patients, study says.

Tainted Tomato Toll Now 552

June 21, 2008
U.S. health officials zero in on farms in Mexico, Florida as source of salmonella contamination.

Most Asthmatics Aren't Getting Flu Shot

June 20, 2008
Nearly two-thirds of this high-risk population went without the vaccine, U.S. study shows.

Tainted Tomato Cases Jump to 383 People in 30 States, D.C.

June 19, 2008
U.S. health officials still unsure whether outbreak is over.