Posted On August 28, 2017 By In Abstracts

Abstracts in Urgent Care- September 2017

Finding New Pathways that Protect Head Injury Patients Key point: Using an EEG-based biomarker in adult patients has potential benefit. Citation: Hanley D, Prichep LS, Bazarian J, et al. Emergency department triage of traumatic head injury using a brain electrical activity biomarker: a multisite prospective observational validation trial. Acad Emerg Med. 2017;24(5):617-627. Prior studies estimate that traumatic head injury (TBI) accounts for over 2.5 million ED visits annually in the U.S., also revealing that ED visits for TBI have increased 29% from 2006 to 2010—a time when overall ED visitsRead More
Tracking Antibiotic Prescriptions for Nonbacterial Acute URI Key point: Patients were more likely to receive prescriptions from mid- or late-career physicians and from those with higher daily patient volumes. Citation: Silverman M, et al. Antibiotic prescribing for nonbacterial acute respiratory infections in elderly persons. Ann Intern Med. [Epub ahead of print May 9, 2017] This retrospective analysis of linked administrative health care data was drawn from 8,990 primary care physicians and 185,014 patients who presented with a nonbacterial acute upper respiratory infection (AURI). The study was designed to determine theRead More
New Data Measure Risks with Oral Corticosteroids Key point: Remember—all medications have risks! Citation: Waljee AK, Rogers MA, Lin P, et al. Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study. BMJ. 2017;357:j1415. This cohort study looks at patients with short-term steroid use (<30 days) and potential complications at 30 and 90 days out. Endpoints included fracture, sepsis, and blood clot. This study included 1.5 million patients 18-64 years of age. Over 1/3 used steroids in a 3-year period. TheRead More
Consider Vitamin D Supplementation for Patients Prone to URIs Key point: Vitamin D supplementation was both safe and protective against acute respiratory tract infection. Citation: Martineau AR, Jolliffe DA, Hooper RL, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data. BMJ. 2017;356:i6583. An ounce of prevention would definitely be a good idea when it comes to upper respiratory infection. With the currently limited treatments for the common cold, a chance to prevent them could only benefit patients. This systematic reviewRead More

Posted On March 27, 2017 By In Abstracts

Abstracts in Urgent Care – April 2017

Lessons from Recent Terrorist Attacks Key point: Investment, integration, standardization, and focus on translating military knowledge. Citation: Goralnick E, Van Trimpont F, Carli P. Preparing for the next terrorism attack: lessons from Paris, Brussels, and Boston. JAMA Surg. 2017 Jan 25. [Epub ahead of print] This viewpoint article in JAMA Surgery sheds light on the need for a more global concerted effort to gather and share lessons from recent terrorist attacks such as those that occurred in Nice, Paris, Orlando, and Istanbul. The authors propose that the valuable lessons learnedRead More

Posted On March 1, 2017 By In Abstracts

Abstracts in Urgent Care March 2017

Clindamycin Reduces Resistance to Group A Strep Key point: Another use for clindamycin. Citation: Andreoni F, Zurcher C, Tamutzer A, et al. Clindamycin affects group A streptococcus virulence factors and improves clinical outcome. J Infect Dis. 2017;215(2):269-277. Necrotizing fasciitis is a life-threatening infection not frequently seen in the urgent care center, though it does occur. This article from the Infectious Diseases Society of America discusses the importance of adding clindamycin to the treatment regimen. No good quality evidence was present before this article proving the effect, but it was surmisedRead More

Posted On January 31, 2017 By In Abstracts

Abstracts in Urgent Care February 2017

  Earlier Return to Activities May Benefit Concussed Children Key point: Another (possibly surprising) view on rest after concussion. Citation: Grool AM, Aglipay M, Momoli F. Association between early participation in physical activity following acute concussion and persistent postconcussive symptoms in children and adolescents. JAMA. 2016;316(23):2504-2514. In this prospective, multicenter cohort study, approximately 2,400 children aged 5-18 years with acute concussion diagnosed at nine emergency departments across Canada were evaluated for persistent postconcussive symptoms (PPCS). Each child’s physical activity was rated as none, light aerobic, sports specific, noncontact drills, orRead More

Posted On January 5, 2017 By In Abstracts

Abstracts in Urgent Care – January 2017

How Much Time with the Physician is “Enough” Time? Key point: Length of time with a provider may not be related to patient experience. Citation: Elmore N, Burt J, Abel G, et al. Investigating the relationship between consultation length and patient experience: a cross-sectional study in primary care. Br J Gen Pract. 2016;66(653):e896-e903. This study documented the length of stay for 529 patients who were seen by a primary care physician. Patients were then asked to fill out a survey about their visit to indicate how they perceived the experience. Questions included whether the physician “gaveRead More