In this observational trial of patients with community acquired pneumonia (CAP) admitted to the ICU within 3 days of admission, researchers compared mortality and length of stay (LOS) in those directly admitted to the ICU (from the ED) versus those with delayed ICU admission (from another unit). After propensity score adjustment, they found the delayed ICU group had a higher 28 day mortality (OR 2.07, CI 1.12-3.85) and longer median LOS (13 vs 7 days). Delays in ICU transfer in CAP patients can result in longer LOS and higher mortality (abstract). Better risk stratification tools may help guide which patients would benefit from early ICU transfer.
by Deepak Asudani, MD, MPH, FHM Whether it is the prompt and expeditious international collaboration to develop an Ebola vaccine, or tardy but promising development of the first anti parasitic malarial vaccine or the fascinating technology utilizing synthetic DNA for vaccine development against MERS, these developments promise to highlight significant strides in vaccine development for […]
Economists describe preferences in two ways: revealed and stated. Say, for example, I asked you to implement a penalty program for your team with the goal of decreasing the number of occasions members did not clean their hands after a patient encounter. Because you know bad hands equal bad outcomes, you’re apt to offer up […]
by Eric Howell, MD, SFHM “Tell me what you know about antibiotics.” That’s the discussion I start with hospitalized patients all the time, right after they ask me to prescribe antibiotics for their simple cough, or other viral-like illness. And, from their perspective, asking for antibiotics makes sense. After all, antibiotics have been the physician’s […]