Brian A. Wells, MD, MS, MPH
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In patients with stable coronary artery disease or low-risk ACS treated with zotarolimus-eluting stents, 3 months of dual antiplatelet therapy was noninferior to 12 months for NACCE, without significantly increasing the risk of stent thrombosis.
http://jama.jamanetwork.com/article.aspx?articleid=1765224
Filed under: Cardiology, EBM | Tagged: antiplatelet, cardiology, stent | Leave a comment »
As of today, the SBUIM.com Blog now uses a plugin which allows authors to add PubMed citations to posts using the PMID with deep integration to the Read by QxMD service. It’s now easier than ever to cite articles and evidence when you’re writing for SBUIM.com! Thanks to Dr. Susan Lane for suggesting adding this feature.
How it works: http://www.qxmd.com/company/support-faq/pmid-citations-with-read
And here’s a sample of what this integration looks like:
[PMID]24129556[/PMID]
Filed under: EBM, Website News | Leave a comment »
A large Danish registry study suggests that dual anticoagulant–antiplatelet therapy is as effective as triple therapy including aspirin.
The main finding from this large observational study is that outcomes with a combination of an anticoagulant and clopidogrel are comparable to those of triple therapy with regard to ischemic endpoints as well as bleeding. Possibly more important are the findings that dual antiplatelet therapy alone was associated with increased rates of ischemic stroke and all-cause mortality, and anticoagulant–aspirin therapy with increased mortality. The findings support the results of a small trial (NEJM JW Cardiol Feb 27 2013) suggesting that the optimal regimen for stent recipients with atrial fibrillation is an anticoagulant plus clopidogrel.
Click here for the full article
Filed under: Cardiology, EBM | Tagged: anticoagulant, atrial fibrillation, CAD, cardiology, coronary artery disease | Leave a comment »
Interested in reducing hospital readmissions? Then these articles may be of interest to you:
Predictive modeling offers the key to understanding which healthcare services most affect utilization, readmissions, and payment, and how to tackle the outliers. These analytics are within the grasp of any healthcare system.
Click here for the full article on predictive modeling
Bumping up nurse staffing levels by three nurse hours per patient day provides a demonstrable and marked reduction in hospital readmissions. But the financial implications of doing so are tricky.
Click here for the full article on adding nurses
Filed under: EBM, Healthcare Administration | Leave a comment »
The below data details it fairly well…
Filed under: EBM, Informatics | Tagged: ebm, health informatics, probability, statistics | Leave a comment »
Here are the slides to a talk I used to give on statistical analysis. Geared towards physician profiling and the analysis of practice patterns, this presentation explained ways of systematically examining practice data; however, the principles involved are just as applicable to clinical research as they are to health care management.
Special thanks to Dr. I. Alan Fein who significantly contributed to producing this presentation.
Filed under: EBM | Tagged: research, statistics | Leave a comment »
Although these findings are observational and require confirmation in a randomized trial, they suggest that achieving ideal systolic blood pressure at the expense of low diastolic BP is not advantageous in adults with chronic kidney disease. While awaiting updated BP recommendations in forthcoming guideline revisions, clinicians should pay close attention to the diastolic pressure when treating systolic hypertension in these patients.
Filed under: CKD, EBM, Nephrology, Primary Care Topics | Tagged: blood pressure, ckd, ebm | Leave a comment »
The Voice of Reason 