In this multicenter study of a large contemporary population of predominantly low- to intermediate-risk stable outpatients with symptoms suggestive of CAD, women and men differed substantially in their clinical presentation, diagnostic evaluation, and noninvasive testing results. Women had a higher prevalence of traditional cardiac risk factors, but they were more likely to be characterized as low risk by providers and existing risk scores. In addition, women were more likely to be referred for imaging stress tests compared with men, particularly nuclear stress testing, but they were less likely to have a positive test. Finally, predictors of test positivity differed between the sexes. To our knowledge, this is the largest contemporary description of sex-based differences in presentation, evaluation, and noninvasive testing results in a large, stable outpatient population evaluated for symptoms of suspected CAD.. A number of previous studies have compared differences in demographics, risk factor ...
Music has long been known to reduce anxiety, minimize the need for sedatives, and make patients feel more at ease. The purpose of the study was to evaluate the effect of music in elderly outpatients u
In the first reported randomized trial of cardiac monitoring after cryptogenic stroke, we have established the safety and feasibility of randomizing patients to outpatient cardiac monitoring or usual follow-up. However, patients wore monitors for only 64% of the assigned time. This may be because of the inconvenience of devices with multiple leads, particularly for patients with functional limitations. Our results indicate that the tolerability of outpatient monitoring must be carefully considered when devising strategies to rule out AF as a cause of stroke.. The low rate of AF detected in our monitoring group differs from most published studies of similar monitoring techniques after stroke.4-6 This may be because of chance, because our pilot study aimed to establish feasibility and lacked power to examine clinical outcomes, which is apparent in the wide confidence interval around our AF detection rate (0%-17%) and was exacerbated by imperfect compliance with monitoring. The low AF rate also may ...
Who We Are: Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology--to provide better care for our patients and allow our providers to operate at the highest level. Our Mission: We are dedicated to improving our patients health by providing safe, high-quality care in a compassionate and cost-effective manner. Our Vision: To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.. ...
Predicting frequency of suicide attempts of adolescent outpatients at Weskoppies Hospital using clinical and demographic characteristics.
Our results are robust because the two independent regression models minimised risk of finding significant variables by chance and because we used unbiased ejection fraction values and a clinically relevant study population for screening. We would probably have identified more variables with a higher significance if we had studied more patients and used a more reproducible measurement of ejection fraction than echocardiography. The algorithm will probably identify fewer false positives results if applied to a hospital outpatient population, where the prevalence of systolic dysfunction is higher. This screening method needs to be compared with other screening methods in a prospective randomised controlled trial with different samples of patients; the trial should incorporate a health economic evaluation. Other screening methods could be simplified echocardiography,22 computerised heart auscultation, or new biochemical markers.. Congestive heart failure and left ventricular systolic dysfunction ...
BACKGROUND: Systematic screening for depression has been recommended for patients who have medical conditions like cancer. The 9-item Patient Health Questionnaire (PHQ-9) is becoming widely used, but its diagnostic accuracy has not yet been tested in a cancer patient population. In this article, the authors report on the performance of the PHQ-9 as a screening instrument for major depressive disorder (MDD) in patients with cancer. METHODS: Data obtained from a depression screening service for patients who were attending clinics of a Regional Cancer Centre in Edinburgh, United Kingdom were used. Patients had completed both the PHQ-9 and a 2-stage procedure to identify cases of MDD. Performance of the PHQ-9 in identifying cases of MDD was determined using receiver operating characteristic (ROC) analysis. RESULTS: Data were available on 4264 patients. When scored as a continuous measure, the PHQ-9 performed well with an area under the ROC curve of 0.94 (95% confidence interval [CI], 0.93-0.95). A cutoff
The prevalence of penicillin-nonsusceptible pneumococci is sharply divided between France (43%) and Germany (7%). These differences may be explained on different levels: antibiotic- prescribing practices for respiratory tract infections; patient-demand factors and health-belief differences; social determinants, including differing child-care practices; and differences in regulatory practices. Understanding these determinants is crucial for the success of possible interventions. Finally, we emphasize the overarching importance of a sociocultural approach to preventing antibiotic resistance in the community.
4. Blood Transfusions - Patients receiving blood and/or blood products in Ambulatory Care are closely monitored during and after transfusions and discharged in the same day. 5. Specialty Clinics are offered by six physicians to include treatment for kidney/urinary tract, respiratory system, wounds, ophthalmology, and neurology. Oncology and Infusion Unit Ambulatory Care has an outpatient oncology and infusion unit with five patient care areas staffed by RNs. Our nurses provide outpatient care for chemotherapy patients, as well as other patients receiving medication or blood by IV infusion. Our goal is to provide compassionate holistic care. In Oncology, we provide not only chemotherapy, but we monitor lab results, flush ports, give injections and dressing changes. The nurse works closely with the patient and their oncologist, some as far away as St. Louis, to provide the best care possible and with the convenience of being close to home. Outpatient Chemotherapy by registered nurses in an ...
An event is identified as: LGS feature in the correct setting; CGM values ,= 65 mg/dL continuously with starting time between 10pm - 8am; No evidence of patient intervention during the first 20 minutes when CGM value was ,= 65 mg/dL; The rate of change before reaching sensor glucose value of ,= 65 mg/dL was ,= 5 mg/dl/minutes; If the time between two successive events was less than 30 minutes, they will be combined as one event; An evaluable event is defined as any event with CGM value ,= 65 mg/dL of greater than 20 minutes and the LGS feature is on the correct setting; Event AUC analysis was performed based on logarithm of AUC data ...
Background: There are limited clinical outcome markers in non CF bronchiectasis (NCFBx). Lung clearance index (LCI) provides an assessment of peripheral airway function, and is a sensitive measure in cystic fibrosis. We assessed the reproducibility and responsiveness of LCI in stable and exacerbating NCFBx patients. Methods: 25 stable outpatients and 27 exacerbating inpatients were recruited and underwent LCI and lung function on 2 separate occasions. Exacerbating patients were tested at the beginning and end of 10 days IV antibiotics (IVABx). All exacerbating patients improved clinically and were discharged. Data is presented as median (range) and comparisons made using Mann Whitney U and Wilcoxon Signed Rank tests. Results: LCI was reproducible between visits in stable patients (Intraclass Correlation Coeff 0.915 (95% CI 0.76,0.97, p=0.001, n=19)).There was no significant difference (p=0.81, n=23) in LCI between stable (11.3(6.9-22.8)) and exacerbating (12.6(6.9-19.7)) patients, or between ...
Here we are, about 4 weeks after her lung cancer diagnosis and today she finished the last day of the second round of chemo! This time, she took all 3 days worth of chemo as an outpatient at the Cancer Center, which conveniently is only about a mile from our house. As I said a week ago at our last update, she was really feeling well. Now that the second round has been loaded into her, were expecting a few days of nausea and tiredness headed our way. Fortunately they also give her nausea medicine in an IV before the chemo, and other than a touch of queasiness this morning it has controlled it well ...
A childhood cancer patient receives transfusions of red cells and platelets as an outpatient at BC Childrens Hospital in Vancouver.
Addesi D, Maio R, Smirne N, Laganà V, Altomari N, Puccio G, Colao R, Cupidi C, Perticone F, Bruni AC. Prevalence of Delirium in a Population of Elderly Outpatients with Dementia: A Retrospective Study ...
The AAFP has joined the CDC, the Pew Charitable Trusts and 11 other national health groups to promote judicious outpatient antibiotic use to reduce antibiotic resistance.
For evaluating the safety of pediatric anesthesia in an outpatient setting, 100 cases were selected by covenient sampling method in Mofid children hospital. Informations about postoperative complications (during 24h) were gathered by telephone interview. Most of patients were in the 1-4years age group(55%), 4-8years, 1 month to 1 year, above 8years and ...
Background:Outpatient parenteral antibiotic therapy (OPAT) programmes have become prevalent over the past 2 decades. From the US perspective, these programmes have been shown to reduce healthcare...
Domestic violence (DV) against women is a serious problem with its negative effects on all family members and the society. Women exposed to DV not only have physical but also psychological damage. This study investigates prevalence of DV and its relations with some descriptive and clinical features in a psychiatric outpatient population in Turkey. A total of 277 female outpatients were included in the study. After a semistructured clinical interview, they were assessed by sociodemographic data form, DV questionnaire, Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Dissociative Experiences Scale (DES), and Somatoform Dissociation Questionnaire (SDQ ...
Objectives Reliable data about antibiotic utilization in the large pharmaceutical market of the worlds most populous country, the Peoples Republic of China, are in short supply. Although many primary studies have investigated the use of antibiotics in China, most of the relevant studies were published in the Chinese language. This systematic review aims to summarize reported percentages of outpatient encounters resulting in the prescription of antibiotics in China. Methods We systematically searched and reviewed studies of antibiotic prescribing patterns in China, published in Chinese or English between 2000 and August 2012. The study quality was assessed and the overall percentage of outpatient encounters resulting in the prescription of antibiotics was calculated using random-effects meta-analysis. Subgroup analyses were conducted to investigate heterogeneity across studies. Results We included 57 eligible studies (with a total of 556 435 outpatient encounters). The overall percentage of ...
Introduction: Pericardial disease (PD) can be associated with significant morbidity and mortality. It is not clear how common PD is in the cardiac outpatient population.. Hypothesis: PD syndromes are underrepresented in a large tertiary referral medical center.. Objective: To determine the prevalence of PD syndromes in the cardiology outpatient clinics (COC) at the Cleveland Clinic.. Methods: Cardiology outpatients with PD were identified using ICD 9 billing codes from January 1st 2007 through December 31st 2007. PD syndromes were classified based on the 2004 European Society of Cardiology PD Guidelines.. Results: A total of 30,383 patients (51,542 total visits) seen at COC were evaluated. Of these, 306 patients (390 total visits) were identified as having PD (50.5% men, mean age 56±17 years). Prevalence of PD in our COC patient population was 1% (306/30,383). Small to large pericardial effusions comprise the majority 70% (215/306) of PD seen at the COC. Of these, 19.5% (42/215) developed ...
The study population will consist of male or female outpatients at least 50 years of age with mild to moderate disease severity (MMSE 12 to 24 inclusive) according to UKPDS and DSM IV TR criteria (for PDD patients) and the third report of the DLB consortium (for DLB patients) and who have a knowledgeable and reliable caregiver to accompany the patient to all clinic visits during the course of the study ...
BACKGROUND: Fatigue is associated with cancer and its treatment but we know little about how many and which patients suffer fatigue of clinical severity. We aimed to determine the prevalence of clinically relevant fatigue (CRF) and its associations in outpatients with various cancer diagnoses. PATIENTS AND METHODS: A survey of outpatients with colorectal, breast, gynaecological, genitourinary, sarcoma, melanoma and miscellaneous tumours at a regional cancer centre. Patients completed the European Organisation for Research and Treatment of Cancer (EORTC) fatigue subscale and the Hospital Anxiety and Depression Scale (HADS). These self-report data were linked to demographic and clinical variables. Data were available on 2867 outpatients. RESULTS: The prevalence of CRF (EORTC fatigue subscale | or =40) was 32% (95% confidence interval 31-34%). The variables independently associated with CRF were primary cancer site, having disease present, type of cancer treatment and emotional distress (total HADS score |
Previous research, using multiple data sources, documented declines in antibiotic use among children beginning in the 1990s.20-23 Data from the 3 health plans studied here previously revealed that the rate of decrease in antibiotic use had slowed in the several years before 2009-2010.24 To our surprise, inclusion of more recent data (2010-2011 to 2013-2014) from the same health plans showed a period of marked decline after this relative plateau for most age groups. In general, the second period of substantial decline started between 2008-2009 and 2011-2012, depending on age and health plan. In aggregate, this has resulted in overall declines across all 3 health plans from 2000-2001 to 2013-2014 of 40% to 50% among children ,6 years old, who have the highest rates of antibiotic use of any age group. Declines in the range of 20% to 40% were observed in older children and adolescents.. This is good news from the perspective of all those concerned about antibiotic resistance. It is reasonable to ...
Cardiovascular disease (CVD) is a leading cause of mortality and morbidity in the developed world [1]. Indeed, while many patients are surviving and living with CVD, substantial health risks continue following cardiac events and procedures. The standard of in-patient cardiac care in clinical practice guidelines in many countries [2-5] consists of referral to cardiac rehabilitation (CR) and facilitation of post-discharge primary care provider (PCP) follow-up. Certainly, shared care [6] is particularly important to support risk reduction in the period following cardiac hospitalization, to minimize this risk of recurrent or adverse events. For instance, Ahmed et al. [7] showed that following cardiac hospitalization, shared care between generalists and cardiac specialists resulted in significantly improved left ventricular function evaluation, increased prescription rates for ACE-inhibitors, and lower odds of 90-day readmission (OR = 0.54) for heart failure patients when compared to patients treated ...
The Adult Outpatient Services of the Community Psychiatry Program at the Johns Hopkins Bayview Medical Center provides mental health treatment for persons 18 years of age or older.
The Zio Patch (iRhythm Technologies, Inc., San Francisco, CA) is a recording device that provides continuous single-lead ECG data for up to 14 days (Mittal et al, 2011). The Zio Patch uses a patch that is placed on the left pectoral region. The patch does not require patient activation. However, a button on the patch can be pressed by the patient to mark a symptomatic episode. At the end of the recording period, the patient mails back the recorder in a prepaid envolope to a central monitoring station (Mittal et al, 2011). A report is provided to the ordering physician within a few days. The manufacturer states that it is indicated for use in patients who may be asymptomatic or who may suffer from transient symptoms (e.g., anxiety, dizziness, fatigue, light-headedness, palpitations, pre-syncope, shortness of breath, and syncope). The Zio ECG Utilization Service (ZEUS) system is a comprehensive system that processes and analyzes received ECG data captured by long-duration, single-lead, continuous ...
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TY - JOUR. T1 - Incidence and predictors of vancomycin-associated nephrotoxicity. AU - Mohd, Hamzah. AU - Kheir, Fayez. AU - Kong, Lan. AU - Du, Ping. AU - Farag, Hosam. AU - Mohamad, Ahmad. AU - Zurlo, John J.. PY - 2014/6. Y1 - 2014/6. N2 - Objectives: Earlier studies reported a low incidence of vancomycinassociated nephrotoxicity (VAN); however, recent studies have reported higher incidences exceeding 30%. Predictors of nephrotoxicity are not well defined. In this study we aimed to better estimate the incidence and evaluate predictors of VANin a cohort of patients predominated by long treatment courses. Methods: We conducted a retrospective study on patients treated with vancomycin while in the hospital and who were observed closely through the Outpatient Parenteral Antibiotic Therapy program. Nephrotoxicity was defined as an increase in the serum creatinine level of 0.5 mg/dL or 50% from baseline on at least two consecutive readings while taking vancomycin. We compared the patients who ...
Background. It is unclear if CD4 cell counts at HIV diagnosis have improved over a 10-year period of expanded HIV testing in the USA. Methods. We studied HOPS participants diagnosed with HIV infection ≤6 months prior to entry into care during 2000-2009. We assessed the correlates of CD4 count ...
Nutritional status has been demonstrated to be a major factor for predicting survival in COPD independently of lung function 4-7. The present study is original with respect to the characteristics of patients and the nutritional approach. First, this study specifically addressed stable outpatients with chronic hypoxaemia (apart from neuromuscular diseases), requiring LTOT or/and HMV. According to these criteria, the present study addressed not only COPD patients but patients with respiratory failure of various aetiologies including neuromuscular patients even if they were younger and suffered from intrinsic neuromuscular disease. Secondly, this study provided the first multiparameter nutritional approach of malnutrition in such hypoxaemic patients. Finally, these data made it possible to assess the relationship between nutrition and disability. This study was further characterised, by the number of patients and their stability attested by the length of home respiratory care and the absence of ...
MedChi Career Center Headquarters: Physicians/Surgeons, , Longview, Washington , Physician - Internal Medicine, Outpatient at PeaceHealth
I care for pulmonary outpatients at FF Thompson Hospital in Canandaigua, and inpatients at FF Thompson Hospital, Strong Memorial Hospital, and Highland Hospital. I have clinical expertise in the fields of asthma, COPD, sarcoidosis, interstitial lung disease, and tuberculosis, but as a general pulmonologist, I welcome patients with all types of pulmonary disease. I have experience in procedures including bronchoscopy, endobronchial ultrasound, thoracentesis, and procedures required to care for the critically ill patient. ...
Research Design and Methods -Twenty-one elderly outpatients (mean age 70 yr) were treated for 8 wk, after being dose-titrated to achieve a fasting plasma glucose (FPG) concentration of , 7.8 mM with glyburide or glipizide in a randomized crossover trial. FPG and postprandial plasma glucose, serum C-peptide, and HbA1c levels were measured. In 13 patients, self-monitoring of blood glucose (SMBG) with a memory meter was performed seven times per week.. ...
TY - JOUR. T1 - Symptom monitoring with patient-reported outcomes during routine cancer treatment. T2 - A randomized controlled trial. AU - Basch, Ethan. AU - Deal, Allison M.. AU - Kris, Mark G.. AU - Scher, Howard I.. AU - Hudis, Clifford A.. AU - Sabbatini, Paul. AU - Rogak, Lauren. AU - Bennett, Antonia V.. AU - Dueck, Amylou. AU - Atkinson, Thomas M.. AU - Chou, Joanne F.. AU - Dulko, Dorothy. AU - Sit, Laura. AU - Barz, Allison. AU - Novotny, Paul. AU - Fruscione, Michael. AU - Sloan, Jeff A. AU - Schrag, Deborah. PY - 2016/2/20. Y1 - 2016/2/20. N2 - Purpose There is growing interest to enhance symptom monitoring during routine cancer care using patientreported outcomes, but evidence of impact on clinical outcomes is limited. Methods We randomly assigned patients receiving routine outpatient chemotherapy for advanced solid tumors at Memorial Sloan Kettering Cancer Center to report 12 common symptoms via tablet computers or to receive usual care consisting of symptom monitoring at the ...
The new photos show him looking painfully frail and weak, with his jeans and dark top hanging loosely on his six-feet-two-inches, frail body, the Daily Mail reported. The pictures were not yet available online, but Jobss weight is said to have dropped from a pre-cancer 175 pounds to 130 pounds now, according to the National Enquirer. His thinning hair was a sign of the effects of chemotherapy used to treat the disease. The photos, which were taken Feb 8, showed Jobs going for breakfast with his wife Laurene Powell before heading to the Stanford Cancer Centre in California. Jerome Spunberg, a doctor, said: Mr. Jobs is most likely getting outpatient chemotherapy at Stanford because the cancer has recurred. Gabe Mirkin, a physician with 40 years experience, said: He is terminal. What you are seeing is extreme muscle wasting from calorie deprivation, most likely caused by cancer. He has no muscle left in his buttocks, which is the last place to go. He definitely appears to be in the terminal ...
This cluster randomized clinical trial evaluates the effect of a communication quality-improvement intervention on a goal-concordant care and peacefulness at th
Acumen 2.0 presents a significant upgrade of Acumens current health IT products to help nephrologists be successful in this changing era of healthcare. Systems interoperability, data sharing and care coordination are increasingly important for population health management efforts, especially for patients under risk-based care models, including the nearly 20 percent of Fresenius Medical Cares dialysis patients that are expected to be under some form of risk-based care by the end of 2017.. About Fresenius Medical Care North America. Fresenius Medical Care North America is the premier health care company focused on providing the highest quality care to people with renal and other chronic conditions. Through its industry-leading network of dialysis facilities, outpatient cardiac and vascular labs, and urgent care centers, as well as the countrys largest practice of hospitalist and post-acute providers, Fresenius Medical Care provides coordinated health care services at pivotal care points for ...
Outpatient Cardiac Rehab at OchsnerAccording to the American Heart Association, fewer than 20% of all eligible patients nationwide participate in a cardiac
Elsevier , the global information analytics business specializing in science and health, and the American Medical Association (AMA) today announced that they will co-develop
... Is A Vascular Surgeon At New Victoria Hospital, Kingston Upon Thames, London, Surrey. To Book An Appointment Call Outpatients On 020 8949 9020
Imaging Services - Oviedo Medical Center offers a full range of inpatient and outpatient diagnostic imaging services in a comfortable, convenient setting.
Were in a transition in primary care training. There are physician educators who hold tight to the inpatient (hospital) experience and argue that that is where residents learn the best. There are others who claim theres not enough outpatient (clinic, primary care) training and that physicians are being discouraged from primary care because of the lack of experience and poor training in that area: they end up taking jobs in the hospital because thats where theyre comfortable working at the end of training. There are those who say that residents who train primarily in hospitals have an "illness bias" or tend to think patients are sicker than they are and go down the route of medicalizing the normal. There are those who think that with too much emphasis on outpatient training you end up with physicians who have a "wellness bias" and have trouble recognizing when someone is really sick and needs to be hospitalized for more intensive care. There are those who advocate for training that prepares ...
The clink-clink of chains along the corridor of area 354 is indicative of the approach of a prisoner. A prisoner is approaching and I am on outpatient...
Introduction. The use of outpatient parenteral antimicrobial therapy (OPAT) as a treatment strategy with the aim of de-hospitalizing patients has been growing since its advent during the 1970s.1 OPAT has become a safe and standardized practice for patients presenting with various infections who require long-term parenteral antimicrobial therapy. International consensus guidelines have determined that OPAT can be performed in physicians offices, clinics, specialized infusion centers or in patients homes.2,3. Patients should be selected for this type of treatment by physicians who are familiar with the infectious conditions that will be treated. They should also be evaluated by nurses who have experience in implementing and managing long-term venous access, and by social workers who will decide whether patients present social, economic and cultural conditions that allow them to be safely treated this way. If patient evaluation and selection are performed adequately, OPAT is acknowledged to be ...
Intravenous literature: Dryden, M., Saeed, K., Townsend, R., Winnard, C., Bourne, S., Parker, N., Coia, J., Jones, B., Lawson, W., Wade, P., Howard, P. and Marshall, S. (2012) Antibiotic stewardship and early discharge from hospital: impact of a structured approach to antimicrobial management. The Journal of Antimicrobial Chemotherapy. 67(9), p.2289-96.. Abstract:. OBJECTIVES: To assess the impact of an infection team review of patients receiving antibiotics in six hospitals across the UK and to establish the suitability of these patients for continued care in the community.. METHODS: An evaluation audit tool was used to assess all patients on antibiotic treatment on acute wards on a given day. Clinical and antibiotic use data were collected by an infection team (doctor, nurse and antibiotic pharmacist). Assessments were made of the requirement for continuing antibiotic treatment, route and duration [including intravenous (iv)/oral switch]and of the suitability of the patients for discharge from ...
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TY - JOUR. T1 - Molecular epidemiology and antibiotic resistance of Enterobacter spp. from three distinct populations in Grampian, UK. AU - Wagenlehner, F. M.. AU - MacKenzie, Fiona. AU - Forbes, Kenneth James. AU - Gould, Ian M. PY - 2002. Y1 - 2002. N2 - The distribution of Enterobacter spp. within the population of Aberdeen Royal Infirmary was compared with the outpatient population with regard to molecular epidemiology and antibiotic resistance. Enterobacter spp. from 60 patients and one environmental site were characterised as ITU, non ITU and outpatients isolates. Thirty-five percent were blood culture isolates. Cefotaxime resistant strains in the hospital were frequent. Cefotaxime (64%) sensitive isolates were inducible for hyperproduction of Bush group I P-lactamase. Isolates were further investigated by PFGE. Isolates (27%) were clonally related and typed in four clusters. Consecutive isolates were studied in selected patients showing minor genomic changes. One environmental isolate ...
Background. The lean weight index (LWI) is a new body composition measure recently described by our group that indicates better the fat-free mass content, as compared with other anthropometric measures such as body mass index (BMI). BMI reflects both fat and lean mass, and therefore, it is not the ideal body composition index for assessing obesity. This in part may be responsible for the apparently paradoxical protective effect of a high BMI (sometimes interpreted as "protective obesity") in reducing the risk of long-term death in some chronic diseases. We aimed to assess both BMI and LWI as predictors of long-term death in stable outpatients with cerebrovascular disease (CVD).Methods. We analyzed 582 Latin American outpatients with CVD (56.7% men, mean age 68.9 years), pertaining to the Reduction of Atherothrombosis for Continued Health (REACH) registry. LWI [LWI = BMI / waist-to-height ratio (WHtR)] and BMI were included in adjusted multivariate analyses on 4-year all-cause mortality. A LWI 30 ...
Background: Oral antiplatelet (AP) therapy is broadly supported as preventive therapy for patients with established atherosclerotic vascular disease; however, emerging evidence for specific agents show heterogeneous outcomes by symptomatic vascular bed. Patterns of use may vary by symptomatic territory.. Methods: We examined patterns of AP use at baseline in 26,449 stable outpatients randomized in the TRA 2° P-TIMI 50 trial including 17,779 with history of myocardial infarction (MI), 4,883 with history of ischemic stroke (CVD), and 3,787 with peripheral artery disease (PAD).. Results: Overall 24,734 (94%) of patients were on aspirin (ASA). In the MI cohort 17448 (98%) were treated with aspirin and the majority (76%) were treated with dual AP therapy with aspirin and a thienopyridine (DAPT) (fig). Within the CVD group overall AP use was frequent (98%) with the majority on monotherapy (70%) with either ASA (54%) or thienopyrdine (16%) (fig). Of those on multi-agent therapy (28%) the combination ...
Outpatient Chemotherapy Measure. This measure aims to assess the care provided to cancer patients and encourage quality improvement efforts to reduce the number of potentially avoidable inpatient admissions and emergency department visits among cancer patients receiving chemotherapy in a hospital outpatient setting. CMS hopes that measuring avoidable admissions and emergency visits for such patients will provide hospitals with an incentive to improve quality of care by taking steps to prevent and better manage side effects and complications from chemotherapy treatment. The measure, which would be effective for the 2020 calendar year and subsequent years, would capture and report data from both hospital admissions and emergency department visits for symptoms that are potentially preventable through high-quality outpatient care ...