Obese heart surgery patients need more ICU care, study says | Study: ICU costs for opioid overdoses increase 58% | Study: Kangaroo care does not reduce cerebral oxygenation
August 11, 2017
Critical Care SmartBrief
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Critical Care Update
Obese heart surgery patients need more ICU care, study says
Obese heart surgery patients were more likely to need additional time in the ICU and on mechanical ventilation, compared with patients who were not obese, researchers wrote in The Annals of Thoracic Surgery. Obese patients also were three times more likely to have an ICU readmission and more likely to have longer overall hospital stays.
HealthDay News (8/10) 
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Study: ICU costs for opioid overdoses increase 58%
ICU costs for treating opioid overdose patients increased 58% from 2009 to 2015, and annual deaths almost doubled, according to a study that included 162 academic hospitals. ICU admissions increased 34% over the study period.
STAT (tiered subscription model) (8/11) 
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Advancing Parenteral Nutrition
Fresenius Kabi's expanding U.S. PN portfolio, including an innovative, four oil lipid emulsion for adults and the first and only three-chamber PN bag showcase our commitment to advancing nutrition and patient care. Click here for more information.
Medicine in the News
For millions of Americans, emergency hospital services are 30-plus miles away
For millions of Americans, emergency hospital services are 30-plus miles away
(Justin Sullivan/Getty Images)
Nearly 30 million Americans are an hour or more from trauma care and a new analysis finds 16% of mainland US residents need to travel at least 30 miles to get to the nearest hospital. The number of hospital deserts has grown in recent years as rural hospitals struggle to continue operating, with data from the University of North Carolina's rural health research program showing that 81 rural hospitals have stopped operations since 2010, and another 673 are considered vulnerable.
CNN (8/3) 
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CDC grants worth $201M to boost research, surveillance for infectious diseases
The CDC will award $201 million in grants to aid in the fight against infectious diseases, with $77 million to be shared by state health departments to battle antibiotic resistance threats. The balance of $124 million will be shared by 40 projects dedicated to infectious disease control, including diagnostic testing and increased detection of mosquito-borne, tick-borne and other diseases.
GenomeWeb Daily News (free registration) (8/4) 
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Trends and Technology
Health care industry increasingly adopts cloud-based EHRs
Higher security and lower prices are driving an increase in the adoption of cloud-based EHR systems within the health care sector, experts say. Although cloud-based EHRs have financial and user experience benefits, the market is still small due to some health care organizations' concerns about security of data, cost and the need for strong infrastructure.
Modern Healthcare (tiered subscription model) (8/7) 
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MU incentives spark increase in hospital EHR adoption
The average annual increase in adoption rates for electronic health records systems by hospitals was 3.2% before meaningful use incentives, compared with 14.2% after implementation, according to a study in Health Affairs. Hospitals that were not eligible for MU incentives under the Health Information Technology for Economic and Clinical Health Act increased EHR adoption rates from 0.1% to 3.3% during the study period.
Healthcare Informatics online (8/9) 
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Few men during their lifetime come anywhere near exhausting the resources dwelling within them. There are deep wells of strength that are never used.
Richard Byrd,
naval officer and explorer
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