(Press-News.org) WASHINGTON (July 13,2015) - The American College of Cardiology's National Cardiovascular Data Registry was the source of data for research published in the first half of 2015, including a study that examines public reporting and PCI outcomes as well as research that showed implantable cardioverter-defibrillators are underutilized in older patients.
Is There a Link Between Public Reporting and PCI Outcomes?
Patients who underwent percutaneous coronary intervention (PCI) in states with mandated public reporting of outcomes had similar predicted risks but significantly lower observed risks of death during hospitalization and six months after PCI, according to a study based on data from the ACC's CathPCI Registry and published on March 14 in The American Journal of Cardiology. Researchers used the registry to evaluate the relationship between mandatory public reporting and patient selection for PCI by identifying differences in patient characteristics, cardiac status, and indications for PCI in states with and without mandatory public reporting. They also evaluated the relationship between reporting and quality of care, as measured by care processes - and compared predicted and actual in-hospital mortality and other outcomes in patients who underwent PCI in states with and without mandatory public reporting. Read more: http://www.acc.org/latest-in-cardiology/articles/2015/05/27/11/45/is-there-a-link-between-public-reporting-and-pci-outcomes?w_nav=LC
Study Addresses Appropriateness of ICD Implantation
Implantable cardioverter-defibrillators (ICDs) are effective in decreasing mortality in patients at high risk for sudden cardiac arrest. However, previous studies have reported that 20 percent of ICDs for primary prevention do not meet current criteria. A new study presented on May 14 at Heart Rhythm 2015 finds that the majority of ICD patients meet trial-based criteria, while many of those that do not meet trial-based criteria may have clinical circumstance to warrant one. Researchers, led by Daniel W. Kasier, M.D., and Mintu P. Turakhia, M.D., M.S., FACC, from the Stanford University School of Medicine, examined data from the ACC's ICD Registry. All patients who underwent first-time ICD or cardiac resynchronization therapy defibrillator implantation for a primary prevention indication between January 2006 and December 2008 were included. Read more: http://www.acc.org/latest-in-cardiology/articles/2015/05/14/13/06/study-addresses-appropriateness-of-icd-implantation?w_nav=LC
NCDR Study Examines Age and Sex Predictors of Complications Among Patients Receiving ICDs
Women with left ventricle systolic dysfunction who received an implantable cardioverter-defibrillator had a lower risk of death and hospitalization than men but a higher risk for procedure-related complications, according to a study published June 2 in the Journal of the American Heart Association. Overall, older patients were at higher risk for death and heart failure-related hospitalizations but not for all-cause hospitalizations. Age and sex differences did not vary by the severity of heart failure symptoms or etiology of systolic dysfunction. Data for the study came from two sources: information on ICD eligibility, clinical characteristics, and provider details were collected from the ACC's ICD Registry, while information on outcomes, including procedure-related complications, hospitalization, and death, came from the Cardiovascular Research Network Virtual Data Warehouse. Records were gathered from treatment that occurred between January 2006 and December 2010. Read more: http://www.acc.org/latest-in-cardiology/articles/2015/07/07/14/02/ncdr-study-examines-age-and-sex-predictors-of-complications-among-patients-receiving-icds?w_nav=LC
NCDR Study Show ICD Use Underutilized in Older Patients
Following a myocardial infarction, only 1 in 10 patients age 65 or older with an ejection fraction of 35 percent or less had an implantable cardioverter-defibrillator inserted within one year, and on average, patients who received an ICD had a significantly lower mortality rate than those who did not - 15.3 vs. 26.4 events per 100 patient-years, according to a study published June 23 in the Journal of the American Medical Association. Using data from the ACC's ACTION Registry-GWTG linked with Medicare data, researchers assessed records from 10,318 patients at 242 hospitals between January 2007 and September 2010. The median age of patients was 78, and the majority (75 percent) underwent in-hospital revascularization. Researchers found younger, male patients who had prior coronary artery bypass graft procedures, larger infarcts, in-hospital cardiogenic shock, and cardiology follow-up within two weeks after hospital discharge were more likely to have ICD implantation within one year of a heart myocardial infarction. Older patients, women, and patients with end-stage renal disease were less likely to receive an ICD. Read more: http://www.acc.org/latest-in-cardiology/articles/2015/06/23/16/18/ncdr-study-shows-icd-use-underutilized-in-older-patients?w_nav=LC
NCDR data was also used in studies previously highlighted during this time period. Those studies include:
Institutional Factors Play Role in Cardiac Rehab Referral Rates After Angioplasty
Read more: http://www.acc.org/about-acc/press-releases/2015/05/11/14/05/institutional-factors-play-role-in-cardiac-rehab-referral-rates-after-angioplasty?w_nav=S
Study Finds Wide Variation in Carotid Artery Stenting Outcomes
Read more: http://www.acc.org/about-acc/press-releases/2015/05/18/14/03/study-finds-wide-variation-in-carotid-artery-stenting-outcomes?w_nav=S
American College of Cardiology Registry Aims to Improve Cardiovascular Care in India
Read more: http://www.acc.org/about-acc/press-releases/2015/05/20/14/06/american-college-of-cardiology-registry-aims-to-improve-cardiovascular-care-in-india?w_nav=S
INFORMATION:
The American College of Cardiology is a 49,000-member medical society that is the professional home for the entire cardiovascular care team. The mission of the College is to transform cardiovascular care and improve heart health. The ACC leads in the formation of health policy, standards and guidelines. The College operates national registries to measure and improve care, provides professional medical education, promotes cardiovascular research and bestows credentials on cardiovascular specialists who meet stringent qualifications. For more information, visit acc.org.
July 13, 2015 -Children with inflammatory bowel disease (IBD) who are doing well on specific biological medications should not be switched to recently approved "biosimilar" products, concludes an expert consensus statement of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). The statement appears in the Journal of Pediatric Gastroenterology and Nutrition, the official journal of the European Society of Paediatric Gatroenterology, Hepatology and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology and ...
The world's rarest ape has an increased chance of survival after a team led by international conservation charity the Zoological Society of London (ZSL) found a new family group of Hainan gibbons (Nomascus hainanus).
Until last month, it was thought that there were just 25 Hainan gibbons living in three social groups on an island off the Chinese mainland.
The discovery of a new fourth group, a mating pair with a young baby, sighted within Bawangling National Nature Reserve, Hainan Province, increases the known population by almost 12%.
The discovery of this fourth ...
Numerous long-term randomized controlled trials (RCTs) have been conducted to investigate the long-term, factor concentrate-based treatment of patients with severe haemophilia A or B, despite the rareness of the diseases and the lack of incentives for pharmaceutical companies. These RCTs include three studies comparing prophylactic versus on-demand treatment (i.e. treatment initiated only in the event of bleeding). For patients with haemophilia A, both hints and an indication of an added benefit of prophylactic versus on-demand treatment can be inferred from these studies, ...
Children consume more low-nutrition, high-calorie food such as cookies and candy after observing seemingly overweight cartoon characters, according to a first-of-its-kind study led by the University of Colorado Boulder.
The results of the new study, involving Colorado State University and published online in the Journal of Consumer Psychology, show that kids are responsive to the apparent bodyweight of cartoon characters like the aptly named Grimace, a rotund, milkshake-loving creature created by McDonald's restaurant in the 1970s.
Children tend to perceive ovoid, or ...
Immune cells that creep across blood vessels trigger potentially fatal bleeding in platelet-deficient mice, according to a report published in The Journal of Experimental Medicine. If the same is true in humans, blocking the passage of these cells could prevent dangerous complications in patients undergoing transplants or chemotherapy.
Bone marrow transplantation and chemotherapy are known to deplete blood-clotting cells called platelets, resulting in potentially fatal bleeding (hemorrhage) in some patients. Previous studies showed that inflammation was required for bleeding ...
BOSTON (July 13, 2015)--Physicians in their medical residency training programs often focus on scientific reasoning and research evidence in their efforts to provide medical care. While appropriate, this focus may overshadow subtle and indirect communication that reveals important information about the patient's experience with their illness that will help the physician provide better care. A new study by researchers at Tufts University School of Medicine and Boston College presents the results of a strategy to train medical residents to reflect on interactions with patients ...
James Cook University scientists have helped invent a clever technique to tell black leopards apart - a trick that may end up saving their skins.
Scientists from JCU in Australia and others have been studying the leopards on the Malay Peninsula - where almost all of the big cats are jet black.
Experts have no idea why the leopards are black and, until recently, could not tell them apart, hindering research and conservation efforts.
But researchers have now devised a simple method to solve the problem by manipulating the mechanism of automatic cameras.
"Most automatic ...
Scientists have found that strains of the wheat pathogen causing severe yellow rust epidemics in Europe have their origin in the centre of diversity in the Himalayan region. This disease can have a great impact on wheat production in Europe, including organic crop production in Denmark.
Wheat is the most widely cultivated food crop in the world. However, the global production of wheat is under constant threat from devastating fungal diseases. The ever more frequent and severe large-scale epidemics caused by these fungi pose a severe threat to global food security.
Scientists ...
A new study has found that cancer survivors' options for adoption may be limited by adoption agencies' policies. Published early online in CANCER, a peer-reviewed journal of the American Cancer Society, the study also indicates that a training program for oncology healthcare providers can help them provide valuable information to patients who are making decisions about fertility and adoption.
Because cancer and the therapies used to treat it can leave some patients infertile, many young cancer survivors may turn to adoption when hoping to start--or add to--a family. Adoption ...
ANN ARBOR, Mich. -- Few people today would dare call President Richard Nixon a radical liberal. But 44 years ago, he proposed a health plan that went far beyond what today's Affordable Care Act includes. After the first plan failed, he did it again three years later.
And just like today's heated rhetoric from opponents of the ACA, also called "Obamacare" after the president who introduced it, Nixon's plans were met with inflamed opposition from the other party.
In a new article in the journal Pediatrics, a team from the Child Health Evaluation and Research Unit at ...
