Articles Tagged With: complications
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Outcomes of COVID-19-Associated Acute Myocarditis
In a review of COVID-19-associated acute myocarditis, investigators learned it is a rare complication that can occur without concomitant pneumonia, and frequently presents as cardiogenic shock. With supportive therapy, the short-term mortality rate is low.
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Comparing CT Angiography to Invasive Angiography for Stable Chest Pain Patients
A trial of initial coronary CT angiography vs. invasive angiography revealed outcomes over a median 3.5-year follow-up were similar, but procedure-related complications were more common in the invasive group.
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Sickle Cell Disease During Pregnancy
Sickle cell disease (SCD) is the most commonly inherited autosomal recessive genetic hemoglobinopathy in the United States. People with SCD account for only 0.1% of all deliveries, but approximately 1% of maternal deaths, a 10-fold increased risk.
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Study: IUDs Are as Effective as Tubal Ligation — and Safer
Researchers made an astonishing discovery when comparing the safety and effectiveness of IUDs and tubal ligation: The rates of pregnancy were similar, and IUDs were much safer. Instead of finding pregnancy rates on the order of one in every 1,000 or 10,000 tubal ligation procedures, they found a rate of 2.64 per 100 procedures. For placement of levonorgestrel IUDs the rate was lower — 2.4 per 100 procedures. -
Is the Timing of Interval Postpartum Insertion of Intrauterine Device Associated with the Frequency of Complications?
Having an intrauterine device (IUD) inserted at four to eight weeks postpartum was associated with higher frequency of uterine perforation, but not higher frequency of expulsion, compared to IUD insertion at nine to 36 weeks postpartum. Overall, perforation and expulsion rates were low.
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Neuromuscular Complications of Graft-Versus-Host Disease
Graft-versus-host disease is common in allogeneic bone marrow recipients, but neuromuscular complications are unusual (8%). The most common neuromuscular complication is an immune-mediated myositis that responds to treatment with immunosuppressive therapies.
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Using Procalcitonin to Limit Antibiotic Treatment for Sepsis Reduces Infection-Related Adverse Events
By shortening the duration of antibiotic therapy, a procalcitonin-guided protocol decreased the rate of infection-associated adverse effects, decreased costs, and reduced mortality in patients with sepsis. -
When Urgent Care Center Refers Patient to ED, Reasons Might Be Unclear
Ensure all ED patients experience the best attainable outcomes, and devote extra thought to scenarios in which mistakes are less likely to be forgiven. For patients sent by urgent care centers, be sure to fully understand why the patient is there.
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Surgery Centers Will Serve More Obese Patients, Must Understand Comorbidities, Risk Factors
As more complex procedures can be performed in ambulatory surgery centers, leaders should learn about comorbidities among obese patients and the risk factors associated with performing complicated surgery on this group.
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A Care Path Program Helps with COVID-19 Case Management
A patient-centric care coordination model is needed to help patients with COVID-19 after they are discharged from the hospital.