Implanting ventricular assist devices might reduce the risk of death in patients with acute myocardial infarction complicated by heart failure or cardiogenic shock, a study published in the Journal of the American College of Cardiology suggests. Outcomes in patients with acute MI who received VAD were similar to outcomes in other patient populations who received VAD, despite being more critically ill before implantation, the researchers wrote.
A report published in Pediatrics found standardization of care for infants with neonatal abstinence syndrome resulted in fewer days of treatment and shortened hospital stays. The study included 223 participating centers, which received interactive webinars, coaching and feedback as well as a quality improvement toolkit and standardized data collection tools.
Population health starts outside of hospitals. Social, environmental, and behavioral factors determine about 60% of a person's health status. To address these social factors, healthcare programs must integrate a community's non-medical data with clinical insights to yield positive results.
The CDC reported on Friday that 197 travelers out of 4,534 who were tested were found to be positive for the Zika virus. The travelers screened from January to March had been to areas where the virus was spreading, and 3,335 of them were pregnant women, of whom 28 were positive for Zika. Beginning in February, the CDC called for testing of asymptomatic pregnant women who travel from areas where Zika is endemic.
A small Canadian study suggested patients may refuse palliative care because they associate it with giving up and waiting to die, researchers reported in the Canadian Medical Association Journal. Views of some patients who received palliative care changed, however, and they began to see it as a way to live fully, despite a terminal diagnosis.
A federal judge recently upheld air ambulance companies' assertions that they are subject to the federal Airline Deregulation Act, which pre-empts state laws, leaving state officials with few options to help consumers control spending. Insurance companies and benefits managers say they cannot determine fair reimbursement rates because air ambulance companies keep actual costs secret.
The CMS on Wednesday delayed the release of a new hospital quality ratings system, just one day before it was to take effect, because of complaints from hospitals and lawmakers. The star-based system intends to streamline various measurements of hospital care into one easily understood metric, but hospitals had concerns over whether the methodology was fair or accurate.