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Preventable emergency visits

Katherine Anne Comtois, Amanda H Kerbrat, Christopher R DeCou, David C Atkins, Justine J Majeres, Justin C Baker, Richard K Ries
Importance: Accessible and cost-effective interventions for suicidality are needed to address high rates of suicidal behavior among military service members. Caring Contacts are brief periodic messages that express unconditional care and concern and have been previously shown to prevent suicide deaths, attempts, ideation, and hospitalizations. Objective: To test the effectiveness of augmenting standard military health care with Caring Contacts delivered via text message to reduce suicidal thoughts and behaviors over 12 months...
February 13, 2019: JAMA Psychiatry
Ya P Sandakov, A V Kochubey
The analysis of deficiencies of organization of dispensary observation detected by the original study permitted to develop corresponding eradication measures within the framework of natural experiment. The experiment was implemented on the basis of the clinical diagnostic Center № 3 of the Moscow Health Care Department. The evaluation of measures was carried out by means of comparing criteria of efficiency of dispensary work prior and after implementation of mentioned measures. At the 18th month of measures implementation decreasing of average number of emergency hospitalization, average number of visits for acute care, percentage of patients mentioning exacerbation was established...
November 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Jeffrey Cheng, Congwen Zhao, Hui-Jie Lee
OBJECTIVE: Quantify the rates influenza vaccination and RSV prophylaxis for children with airway stenosis and/or other disorders and assess impact on resource utilization. METHODS: This was a retrospective study with data extracted from Duke Enterprise Data Unified Content Explorer (DEDUCE) between January 1, 2006 and December 1, 2017. Children aged 18 years and younger with at least one diagnosis code for airway stenosis and/or disorders were included. The index date was defined as the first date of airway stenosis/disorders diagnosis...
February 6, 2019: International Journal of Pediatric Otorhinolaryngology
Roman Povolotskiy, Pavly Youssef, Rachel Kaye, Boris Paskhover
OBJECTIVES: "Young adulthood" is a term used to define individuals falling within the 18- to 22-year-old age range. Injuries account for more than a third of emergency department visits in this population. A particular area of concern is accidents that lead to injuries of the facial bones because they can have long-term functional, aesthetic, and psychosocial impacts. As many as 30 million young adults participate in some sort of sport in the United States per year, and facial injuries from these activities are not uncommon and thus require further exploration...
February 8, 2019: Annals of Otology, Rhinology, and Laryngology
Jamie Sullivan, Vira Pravosud, David M Mannino, Keith Siegel, Radmila Choate, Tracie Sullivan
Background: Chronic obstructive pulmonary disease (COPD) remains a leading cause of disability and death in the United States. The "COPD in the United States" project gathered data about the impact of COPD to highlight variability across states and provide a single point of access to data for state decision makers, the public health community and advocates. This report provides a summary of COPD-related morbidity and mortality in the United States and individual states during 2014-2015 (some metrics contain data from other years)...
October 12, 2018: Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation
David I Zimmer, Ross McCauley, Varun Konanki, Joseph Dynako, Nuha Zackariya, Faadil Shariff, Joseph Miller, Sophia Binz, Mark Walsh
Background. Chronic cannabis use has become prevalent with decriminalization, medical prescription, and recreational legalization in numerous US states. With this increasing incidence of chronic cannabis use a new clinical syndrome has become apparent in emergency departments and hospitals across the country, termed Cannabinoid Hyperemesis (CH). CH has been described as cyclical vomiting and abdominal pain in the setting of chronic cannabis use, which is often temporarily relieved by hot showers. CH presents a diagnostic challenge to clinicians who do not have a high clinical suspicion for the syndrome and can result in high costs and resource utilization for hospitals and patients...
2019: Journal of Addiction
Sabrina E Noel, Sandra P Arevalo, Noereem Z Mena, Kelsey Mangano, Martha Velez, Bess Dawson-Hughes, Katherine L Tucker
Few studies have examined knowledge and perceptions of osteoporosis among Caribbean Latino adults. Confusion regarding the term osteoporosis was noted. Doctors were viewed as trusted sources of health information, although descriptions of a paradoxical relationship emerged. This study can be used to inform culturally tailored interventions for osteoporosis prevention. PURPOSE: The overall goal of this study was to assess knowledge, attitudes, and beliefs of bone health and osteoporosis among Caribbean Latino adults aged > 50 years...
February 4, 2019: Archives of Osteoporosis
A O Mocumbi, D C Langa, S Chicumbe, A E Schumacher, W K Al-Delaimy
BACKGROUND: As Mozambique faces a double burden of diseases, with a rise of Non Communicable Diseases (NCD) superimposed to uncontrolled communicable diseases (CD), routine disease surveillance system does not include NCD. The objectives of our study were to i) upgrade of the current surveillance system by adapting the data collection tools to NCD; ii) describe the occurrence and profile of selected NCD using these data collection tools. METHODS: Workshops were implemented in a first referral urban hospital of Mozambique to train clinical staff, administrative workers and nurses on NCD surveillance, as well as select conditions to be prioritized...
February 4, 2019: BMC Public Health
Husam Abdel-Qadir, Paaladinesh Thavendiranathan, Peter C Austin, Douglas S Lee, Eitan Amir, Jack V Tu, Kinwah Fung, Geoffrey M Anderson
Background: Data are limited regarding the risk of heart failure (HF) requiring hospital-based care after early stage breast cancer (EBC) and its relationship to other types of cardiovascular disease (CVD). Methods: We conducted a population-based, retrospective cohort study of EBC patients (diagnosed April 1, 2005-March 31, 2015) matched 1:3 on birth-year to cancer-free control subjects. We identified hospitalizations and emergency department visits for CVD through March 31, 2017...
January 31, 2019: Journal of the National Cancer Institute
S Majori, D Gazzani, J Paiano, B Carobolante, A Sannino, S Ferrari, L Antolini, I Aprili, M Zanon
BACKGROUND: Panic Attacks (PAs) and Panic Disorder (PD) represent a heavy burden not only because of the difficulty in distinguishing them from other pathologies and in treating them appropriately but also because of their impact on public health worldwide. In Europe, PD constitutes one of the five most common mental disorders adversely affecting quality of life. STUDY DESIGN: The aim of this study is to evaluate the period prevalence of visits to the Emergency Departments of the University Hospital of Verona (North East of Italy) over the period between 2012-2016 because of symptoms of PAs or PD in order to quantify the burden of the disorder...
March 2019: Annali di Igiene: Medicina Preventiva e di Comunità
Joseph J Palamar, Caroline Rutherford, Katherine M Keyes
BACKGROUND: Use of synthetic cathinones, commonly referred to as "bath salts", has been associated with tens of thousands of emergency department visits in the US; however, few national studies have estimated prevalence of use and we know very little about use among adolescents. In this study we estimate prevalence and correlates of use of "Flakka" (alpha-PVP), a highly-potent "bath salt" associated with at least 80 deaths in the US. METHODS: We analyzed data from the 2016/2017 Monitoring the Future study, which surveyed a nationally representative sample of high school seniors in the US (n = 3786)...
January 22, 2019: Drug and Alcohol Dependence
Stephanie D Nofal, Thomas J Peto, Bipin Adhikari, Rupam Tripura, James Callery, Thanh Mai Bui, Lorenz von Seidlein, Christopher Pell
BACKGROUND: Despite decreases in incidence and related mortality, malaria remains a major public health challenge in the Greater Mekong Sub-region (GMS). The emergence of artemisinin resistance threatens these gains and has prompted efforts to accelerate elimination in the region. In the GMS, transmission now clusters in hotspots along international borders and among high-risk populations, including forest-goers. To eliminate malaria in the region, interventions must target such hard-to-reach populations...
February 1, 2019: Malaria Journal
Bruce Wallace, Flora Pagan, Bernadette Bernie Pauly
BACKGROUND: Drug-related overdoses were declared a public health emergency in British Columbia, Canada in April, 2016 facilitating the scale-up of responses including rapid sanctioning and implementation of overdose prevention sites (OPSs). OPSs are a health service providing supervised injection and immediate overdose response. In BC, OPSs were operational within weeks of sanctioning. In the first year of operation over 20 OPSs were established with approximately 550,000 visits and no overdose deaths at any site...
January 28, 2019: International Journal on Drug Policy
S Alghnam, T M Bell, L J Cook, F Alqahtani, R Castillo
OBJECTIVE: The objective of this study was to examine the association between childhood injury and health outcomes among survivors and their mothers using a national survey in the United States (US). STUDY DESIGN: This was a longitudinal analysis of a nationally representative sample. METHODS: Secondary analysis of the 1997-2013 Medical Expenditure Panel Survey (MEPS) was performed. Children (aged 2-18 years) with or without injuries were followed up for two years...
January 29, 2019: Public Health
Scott Hartman, Elizabeth Brown, Elizabeth Loomis, Holly Ann Russell
Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. Evaluation of a child with acute gastroenteritis should include a recent history of fluid intake and output. Significant dehydration is unlikely if parents report no decrease in oral intake or urine output and no vomiting. The physical examination is the best way to evaluate hydration status...
February 1, 2019: American Family Physician
Kana R Jat, Joseph L Mathew
BACKGROUND: Acute bronchiolitis is one of the most frequent causes of emergency department visits and hospitalisation in children. There is no specific treatment for bronchiolitis except for supportive treatment, which includes ensuring adequate hydration and oxygen supplementation. Continuous positive airway pressure (CPAP) aims to widen the lungs' peripheral airways, enabling deflation of overdistended lungs in bronchiolitis. Increased airway pressure also prevents the collapse of poorly supported peripheral small airways during expiration...
January 31, 2019: Cochrane Database of Systematic Reviews
Kyle E Embertson, Diann M Krywko, Eric R Bunch
Nephrolithiasis is a common pathology encountered in the primary care and emergency department (ED) setting. In 2009 alone, there were over one million ED visits related to nephrolithiasis Higa et al. (2017) [1]. Emergent treatment options range from non-invasive pain control and patient education to lithotripsy and other invasive urologic procedures depending on stone location and related pathology. Urethral calculi are estimated to represent 0.3% of all urinary stone diseases Verit et al. (2006) [2]. There are very few case reports documenting distal urethral stone removal in the ED...
January 25, 2019: American Journal of Emergency Medicine
Rowena Ivers, Brad Jackson, Trish Levett, Kyla Wallace, Scott Winch
OBJECTIVE: To evaluate the acceptability of a cancer care team based at an Australian Aboriginal medical service in supporting patients' cancer journeys and to assess improvements in access to cancer care. DESIGN: The cancer care team consisted of an Australian Aboriginal health worker, counsellor and enrolled nurse employed for 2 days a week, supported by a general practitioner. The cancer care team supported patients from prediagnosis while investigations were being undertaken, at diagnosis and through treatment, such as surgery, chemotherapy and radiotherapy, and follow-up, including to palliative care and grief support where these were required...
January 29, 2019: Australian Journal of Rural Health
David M Levine, Bruce E Landon, Jeffrey A Linder
Importance: The US health care system is typically organized around hospitals and specialty care. The value of primary care remains unclear and debated. Objective: To determine whether an association exists between receipt of primary care and high-value services, low-value services, and patient experience. Design, Setting, and Participants: This is a nationally representative analysis of noninstitutionalized US adults 18 years or older who participated in the Medical Expenditure Panel Survey...
January 28, 2019: JAMA Internal Medicine
Kavinder Sahota, Carole Bennett
OBJECTIVE: This practice improvement project evaluated the cost of health care services utilized by patients with comorbid mental and physical chronic conditions who were psychiatrically hospitalized but transported for health care services of physical symptoms that developed during their psychiatric hospitalization. METHOD: A retrospective review of invoices to a regional psychiatric hospital for non-psychiatric health services utilized by inpatients revealed high costs of emergency room (ER) visits from July 2016 to June 2017...
January 28, 2019: Journal of the American Psychiatric Nurses Association
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