This large multi-center cohort derived and validated a model to predict the risk of an adverse drug reaction (ADR) among hospitalized patients > age 65. They found the strongest predictors were previous ADR and number of medications, followed by liver disease, renal disease, 4+ conditions, or heart failure. Those prescribed 5 or more drugs had about double the risk of an ADR, and those prescribed more than 8 drugs had about a 4 fold risk of an ADR. The overall AUC of the model was 0.70. Poly-pharmacy in hospitalized elderly patients substantially increases the risk of an ADR (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 […]