Readmission rate after hospital-acquired acute kidney injury
Acute kidney injury (AKI) is associated with a host of adverse outcomes, including increased in-hospital mortality, development or acceleration of chronic kidney disease, and high resource utilization. Koulouridis et al. investigated the association of mild hospital-acquired AKI with short-term hospital readmission in more than 22,000 patients, 3,345 (15%) of whom experienced AKI during their index hospitalization. AKI was associated with a significant 21% increased risk of 30-day readmission, suggesting that these patients should be targeted for more aggressive management of care transitions. American Journal of Kidney Diseases
(2/2015) Share: 
Physical exercise recommendations improve posture in children with cystic fibrosis
Postural changes related to the onset of secondary complications of the musculoskeletal and neuromuscular system in children with cystic fibrosis (CF) have become more frequent and are associated with muscle imbalances. In phase I of this study, children with CF had more postural deviations compared with healthy subjects. In phase II, children with CF who engaged in aerobic exercise and stretching had improved posture, which could prevent the progression of some postural disorders. (Free access is time limited.) The Journal of Pediatrics
(1/2015) Share:
Risk of opioid addition in noncancer pain
Limited research examines the risk of therapeutic opioid addiction (TOA) in patients with chronic noncancer pain. This study examined TOA among 199 patients undergoing chronic opioid therapy at the time of admission to a pain rehabilitation program. It was hypothesized that nonopioid substance use disorders and opioid dosage would predict TOA. Results suggest that patients should be screened for nonopioid substance use disorders prior to prescribing. In the absence of improvement in pain or function, there is a low threshold for addiction screening. The Journal of Pain
(2/2015) Share:
Whole-body vibration effects in the elderly
Does standing on a vibrating platform improve balance and muscle performance in nursing home residents? After a six-week training period (3x/week) of two groups, one on the vibrating platform and one on a stationary platform, it was found that there were no differences between the two groups, but both groups showed improvement in muscle improvement. Neither group showed improvement over the other in number of falls. Six months later, the results were similar. (Free abstract only.) Journal of the American Medical Directors Association
(2/2015) Share:
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| Continuing Medical Education |
Drinking alcohol in middle age linked to higher stroke risk in study
Research published in the journal Stroke found that middle-age adults who drink more than two alcoholic beverages per day were more likely to have a stroke between ages 60 and 75 compared with those who drank less. The study found people who drank, on average, less than half of one alcoholic drink per day had the lowest stroke rate. Consuming more than two drinks per day in middle age was a stronger risk factor for stroke before age 75 than diabetes or hypertension, research showed. Medscape (free registration)
(1/29) Share:
Study: Obese adults who lose weight may have better sleep
University of Pennsylvania researchers reported in Obesity that losing 5% or more of initial body weight may lead to short-term sleep improvements and better mood. The study of obese adults, which used three types of behavioral support interventions to achieve diet and exercise goals, found that one-fifth to one-third of participants lost 5% or more of their starting body weight. Healio (free registration)
(1/28) Share:
Maternal health influences childhood obesity risk
Children with four or five early-life risk factors -- including shortened breast-feeding and maternal obesity and smoking -- were almost four times as likely to become obese and exhibit greater fat mass by age 4 than those who had no risk factors, a study in The American Journal of Clinical Nutrition indicated. "Our findings suggest interventions to prevent obesity need to start earlier, even before conception, and that having a healthy body weight and not smoking at this time could be key," said lead researcher Sian Robinson. The New Zealand Herald/Australian Associated Press
(2/2) Share:
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Group calls for single physician reporting portal
The Medical Group Management Association has called on the CMS to develop a single physician reporting portal for Medicare Part B programs, stating that the use of multiple systems "places a considerable administrative burden on those who have to register, make updates, maintain log in information and perform tasks related to these programs." Health Data Management
(2/3) Share:
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Strenuous running may actually backfire, study says
People who engaged in vigorous jogging had a similar mortality risk as sedentary counterparts, a study in the Journal of the American College of Cardiology says. However, the group that engaged in light to moderate jogging up to three times a week had significantly lower mortality rates. Ottawa Citizen (Ontario)
(2/4) Share:
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To be prepared is half the victory."
-- Miguel de Cervantes, Spanish novelist Share:
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