Since publication of the NICE-SUGAR trial, this meta-analysis of 26 trials found no overall mortality benefit to tight glucose control in ICU patients. They did find a mortality benefit in the subset of surgical ICU patients (RR 0.63, CI 0.44-0.91). However, the overall risk of hypoglycemia (<40) was markedly higher in tight glucose control group (RR 6, CI 4.5-8.0). Outside of the surgical ICU, tight glucose control appears to do more harm than good (abstract).
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]