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Errors in Surgical Procedures Persist
For Chest Pain in the ER, CT Angiography May Be Best
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
Dr. Timothy Wilt, a member of the U.
Study Shows Hospital Report Cards Unlikely to Spur Improvement
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
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?
U.S. Scores a 'D' on Preterm Birth Report Card
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
"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
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
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
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
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
That should not be happening, said Dr. Joseph S.
Ventilation Positions Comparable in Lung Syndrome Patients
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
"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
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
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
"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
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
Deadly Intestinal Infection Spreading Outside Hospitals
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
"The U.S.
Food Stamps Help Stave Off Hunger in Many U.S. Homes
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
Virulent Strain of MRSA Resists Treatment
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
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
Undocumented Hispanics Face Health Care Roadblocks in U.S.
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
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
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
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
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
Heart Failure Treatment Underused
School Meals Need to Get Healthier
Report
U.S. Relaxes Opposition to Medical Marijuana
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
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
Scientists Provide First Map of Complete Human Epigenome
"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
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
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
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
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
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
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
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
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
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
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
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
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
Swine Flu Tests Could Swamp Diagnostic Labs
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
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
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
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
The study, which included more than 84,000 people who had surgery in U.S.
Workplace Wellness Seems to Really Work
Each year, heart disease costs the United States about $304.6 billion, the association says.
Doctors May Be Able to Predict Domestic Abuse
Exercise 30 Minutes a Day? Who Knew!
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
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
Any Day OK for Heart Bypass Surgery
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
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
Small Steps May Speed Recovery in ICU Patients
"Our ICU patients are telling us that they want to be awake and moving.
Flavored Cigarette Ban Takes Effect
Global Cooperation Urged to Control Species-Crossing Disease
Smoking Bans Bring a Drop in Heart Attacks
The research .
Lower Drinking Age Linked to Later-Life Problems
"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
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
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
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
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
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
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
Small Businesses Urged to Prepare for Swine Flu
Report Cards for Hospitals May Be Misleading
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
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
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
"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
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
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
Sometimes Angioplasty Can Wait
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
Get Ready for Gruesome Cigarette Warnings
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
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
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
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
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
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
International Travel Health Guidebook Gets Updated
It's Time for More Moms to Breast-Feed, U.S. Officials Say
Injections May Benefit Oxygen-Deprived Newborns
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
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
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
"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
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
Less Aggressive Care for More Severe Heart Disease
The study of 143,999 people hospitalized between 2000 and 2008 found that those with previously diagnosed atherosclerosis .
Screening May Not Lessen Domestic Violence
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
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
Muscle Density Linked to Disability
The contention stems from a study of 3,011 healthy U.S.
Heart Surgeon Shortage Predicted
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
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
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
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
"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
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
"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
"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
Obama Taps Alabama Doctor to Be Surgeon General
Dr. Regina Benjamin .
Swine Flu Vaccine Taking Longer Than Expected
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
Swine Flu Summit Focuses on Preparedness
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
Mixed Marks for Swine Flu Updates
After the U.S.
Final Rules Broaden Pool for Stem Cell Research
Despite More Tests, Some Aren't Getting Results
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
As it turns out, experts say you can .
Increasing Alcohol Use Tied to More Hospitalization
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
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
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
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
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
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
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
Patients Often Not Told About Abnormal Test Results
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
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
The Nuts and Bolts of Reform Proposals
Health-Care Reform Could Be Obama's Toughest Challenge
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
But now doctors are trying to puzzle out why heart attacks have become more survivable .
Pages to Doctors Don't Always Hit the Mark
"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
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
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
Health Care 'Gap' Continues for Minority, Poor Americans
Data Overload May Complicate Insurance Choices
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
Report Gives U.S. Good Grades for Swine Flu Response
Medical Bills Driving Most Middle-Class Bankruptcies
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
"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
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
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
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
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
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
Limiting Work Hours for Medical Residents Could Be Costly
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
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
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
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
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
Most Depressed Teens Don't Get Treatment
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
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
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
Consider TIAs an Emergency, Groups Urge
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
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
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
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
U.S. Mental Health Spending Rises, But Many Still Left Out
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
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
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
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
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
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
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
The problem may be symptomatic of rising health care costs in general and, according to Dr. Matthew D.
Medication Errors Could Be Cut
Experts
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
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
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
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
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
Transition From Home to Hospital Rarely Seamless
But, in reality, that type of seamless care is on the decline .
Distance No Bar to Kidney Transplants in Remote Areas
Researchers analyzed U.S.
Organ Failure, Sedative Use in ICU May Lead to Depression
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
Doctor-Patient Talks Key to Blacks Getting Cancer Screens
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
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
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
Awareness of Alternative Therapies May Be Lacking
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'
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?
Flu Strikes a Milder Blow This Season
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
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
The finding specifically reflects the experiences of men seeking care from a U.S.
Plain-Language Guides Detail Insulin Treatments
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
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
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
Most Teens Aren't Getting Preventive Health Care
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
Third of EMS Stethoscopes Carry MRSA Virus
For All Their Plusses, Pets Pose a Risk for Falls, Too
U.S.
New Guidelines for Treating Heart Failure
"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
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
Drug-Coated Sponges May Limit Catheter Infections
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
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
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
3 Steps Might Help Stop MRSA's Spread
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
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
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
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
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
Child's Food Allergies Take Toll on Family Plans
The studies, expected to be presented in Washington, D.C.
Eye Care Checkups Tied to Insurance Status
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
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
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
"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
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
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
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?
More Teen Boys Are Using Smokeless Tobacco, Survey Finds
Supreme Court Rejects Limits on Drug-Injury Lawsuits
Doc-Patient Relationship May Be Key to Quality
U.S. Diet Needs Heart-Felt Overhaul
"Health problems caused by the U.S.
Weekend Admission May Be Riskier for GI Bleeding
Weak Evidence Backs Most Heart Guidelines, Report 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.
Women Less Apt to Get Clot-Buster, Study Finds
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
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
Uninsured Hospital Stays On the Rise
Obesity, Lack of Insurance Take Toll on Young Americans
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
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.
"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
Teaching Hospitals' Post-Op Gains Not Extended to Blacks
Many Hospital Patients Can't ID Their Doctors
Report Urges Broader Effort to Stem Emotional Disorders in Youth
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
Study Brings Value of Echocardiography Into Focus
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
Medicare Faces Challenges Caring for Chronically Ill
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
Private Health Care Info Needs Better Safeguards
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
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
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
U.S. Flu Season Off to Slow Start
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
Medicare Drug Plan 'Doughnut Hole' Could Impact Seniors' Health
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
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
Tracking Down a Salmonella Outbreak
Outpatient Procedures on Rise, CDC Says
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
Additional Steroid Dose May Help Preemies
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
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
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
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%
Acute Respiratory Distress Syndrome as Deadly as Ever
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
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
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
Obama Backs Health Care Reform
MRSA Infections Spreading to Kids in Community
The finding suggests that tougher strains of the bacteria Staphylococcus aureus .
Preschool Lunch Doesn't Always Pack Nutritious Punch
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
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
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
Counseling Lacking for Adolescents With Arthritis
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
Vets Often Forgo Medication When Co-Pays Rise
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
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
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
Study of Everest Climbers Questions Oxygen Use
"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
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
Health Care Spending in U.S. Grew at Lowest Rate in a Decade
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
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
Psych Patients With Cost-Sharing Plans Use More Services
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
"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
"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
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
Newborn Hospital Deaths Highest for Those Without Insurance
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
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
Uninsured Face Worse Outcomes After Diverticulitis
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
U.S. May Soon Face Shortage of General Surgeons
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
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
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
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
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
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
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
Rapid Response Teams Don't Cut Hospital Heart Attacks, Death Rates
"Many hospitals have implemented these teams over the past decade," said lead researcher Dr.
Economy Driving Women to Skimp on Health Care
Poll
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
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
Toy cars and toy earrings laced with lead.
CT Scans Can Spot Blocked Arteries
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
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
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
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
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
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
Colon Cancer Treatments Need Improvements
Med School Diversity May Help Whites Care Better for Minorities
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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'
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
Abstinence-Only Programs Fall Short of Teens' Needs
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
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
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
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
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
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
Safety Triggers, Training Cut Nail Gun Injuries
Many Hispanics Shut Out of U.S. Health Care System
Half of U.S. Adults Lack 20/20 Vision
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
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
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
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
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
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
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
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
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
24 Million Americans Had Diabetes in 2007
Radio-Wave Devices May Play Havoc With Medical Equipment
Social, Health Care Factors Drive Colon Screen Disparities
U.S. Hospitals Vary Widely in Caring for Women
MRSA Rates Tied to Hospital Understaffing
Tainted Tomato Toll Now 552
Most Asthmatics Aren't Getting Flu Shot
Tainted Tomato Cases Jump to 383 People in 30 States, D.C.

