More middle-age men might be living with various cardiovascular risk factors and diseases, but the associated negative effects on cognition could be worse for women of the same age with the same conditions.
Researchers analyzed 726,417 adult visits to three hospital EDs in the Yale-New Haven Health System that occurred from 2013-2018. A total of 7,090 patients were physically restrained. Of this group, 64.8% were male, 28.8% were Black or African American, 71% presented with either Medicare or Medicaid, and 2.3% were homeless. Visits that were higher-acuity, visits later in the day, and visits with behavioral chief concerns also were more likely to include physical restraint.
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.
An analysis of three large simvastatin trials revealed muscle symptoms on simvastatin are common, but true myopathy is rare and can be predicted by evaluating certain risk factors for its development, which can help guide patient management.
Surgeons may be seeing patients who are frail, but those patients may not be recognized as such. Engage in nuanced discussions and shared decision-making with patients. Include information about how even a small operation could lead to death.