Study finds higher risk from colectomy in older, COPD patients
A study found older patients and those with chronic obstructive pulmonary disease have a higher risk of death from emergency colectomy to treat Clostridium difficile infections, researchers reported at SCCM's 42nd Critical Care Congress. One author said the data could aid clinicians in decision-making, indicating that older patients and those with severe COPD may not be good candidates for the procedure. Medscape (free registration)
Iron supplements don't improve outcomes in study of 150 preemies
Premature babies who were given iron supplements did not fare better in terms of transfusion need, red blood cell counts or mortality than infants who did not receive the supplements, according to findings in the journal Pediatrics. The randomized study involved 150 infants smaller than 3.3 pounds. DailyRx.com
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Insurers push hospitals to reduce nonmedical early births
Some health insurers have stopped paying for early elective deliveries, while UnitedHealthcare is increasing payments to hospitals that reduce their numbers in an effort to avoid NICU stays and the risk of complications. Medicare plans to begin a program in July requiring hospitals to report elective deliveries before 39 weeks and will penalize facilities for high rates beginning in 2015. Kaiser Health News/The Washington Post
Trends and Technology
Raleigh's Rex Hospital uses tool to tie hemodynamic data to EHRs
Rex Hospital has adopted Merge Healthcare's Merge Hemo system to automate and integrate its cardiac catheter records into patients' EHRs. The platform promotes workflow efficiency by compiling patients' hemodynamic data on a single online screen and allowing doctors and technicians to view and update information from any location. Health Tech Zone
It ain't what they call you, it's what you answer to."
--W.C. Fields, American comedian, actor and writer