Study: Short surgical-trauma ICU stays often for ventilator management | Study: mFI may signal need for ICU care after cancer surgeries | Study: No neurodevelopmental benefit with high-dose rhEPO in preemies
May 20, 2016
Critical Care SmartBrief
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Study: Short surgical-trauma ICU stays often for ventilator management
About 25% of short-stay admissions to a surgical-trauma ICU were for patients who needed brief periods of ventilator management, researchers reported at the American Academy of Physician Assistants annual meeting. Data showed 52% of patients admitted for ventilator management were extubated within four hours and transferred out of the ICU. (5/16) 
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Study: mFI may signal need for ICU care after cancer surgeries
A study found the Modified Frailty Index was a strong predictor of ICU-level complications, unplanned reoperations and overall morbidity for patients having head and neck cancer surgeries. The study in JAMA Otolaryngology -- Head & Neck Surgery found the tool did not predict unplanned readmission or mortality.
Medscape (free registration) (5/19) 
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Other News
Medicine in the News
Surrogate decision-makers, physicians may differ on patient's outlook
Surveys from 229 surrogate decision-makers for ICU patients found that in 53% of cases they expressed at least a 20% difference from a physician's view in rating a patient's prognosis, researchers reported in the Journal of the American Medical Association. Data showed surrogates tended to be more optimistic about the prognosis, while physicians expressed more accurate views.
HealthDay News (5/17) 
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Patient handoffs increase mortality risk, study says
Hospital health professional
(Christopher Furlong/AFP/Getty Images)
End-of-rotation handoffs between teams of hospital interns and residents were linked to 718 additional patient deaths, according to data presented at the annual meeting of the American Thoracic Society. The study, which analyzed 2008 to 2014 data on 230,701 admissions at 10 university-affiliated Veterans Affairs medical centers, found mortality risks increased up to 20% depending on the type of transition.
MedPage Today (free registration) (5/18) 
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Trends and Technology
Helmet ventilation may reduce intubation rates, study says
The intubation rate for patients with acute respiratory distress syndrome who used helmet non-invasive ventilation was 18.2%, compared with 61.5% among those using a face mask, according to a study published in the Journal of the American Medical Association. The study, which was halted early due to its success, also found a higher number of ventilator-free days for patients using helmet NIV.
MedPage Today (free registration) (5/17) 
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IBM, research groups launch OpenZika project for drug development
IBM's World Community Grid is collaborating with scientific teams from Brazil, Rutgers New Jersey Medical School and the University of California at San Diego's Skaggs School of Pharmacy and Pharmaceutical Sciences to identify usable drug candidates to develop antiviral drugs for the treatment of Zika virus infections. The World Community Grid OpenZika project will share the collected data with the research community as well as the public. (5/19) 
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