Navigation Links
Heart attacks/pneumonia falls short of national goals
Date:10/31/2007

Emergency departments across the nation are failing to meet national goals in treating many heart attack and pneumonia patients, according to a study by Johns Hopkins researchers published in the October issue of Academic Emergency Medicine.

In a survey that also found care levels dependent on race, geography and type of health insurance, the investigators studied records of 1,492 heart attack patients and 3,955 pneumonia patients seen at 544 emergency departments between 1998 and 2004 . Results showed only 40 percent ED compliance with recommended aspirin therapy and 17 percent with recommended beta blocker treatment of heart attack patients.

Only 69 percent of patients with pneumonia got recommended antibiotics, and fewer than half (46 percent) had blood oxygen levels assessed as recommended by the American Thoracic Society.

The Joint Commission regulating hospitals and the Centers for Medicare and Medicaid Services say all eligible heart attack and pneumonia patients presenting to EDs should receive aspirin/beta blocker therapy, or antibiotic and oxygen assessment, respectively. If these numbers are applied nationwide, we estimate that as many as 22,000 deaths a year could be prevented in the U.S. if ED caregivers followed practice standards, said Julius Pham, M.D., principal investigator for the study and assistant professor of medicine in the Johns Hopkins departments of Emergency Medicine and Anesthesiology and Critical Care Medicine. More resources should be directed at studying why this is happening and developing strategies to ensure that 100 percent of patients get the recommended treatments.

Also troubling, the Johns Hopkins researchers say, are racial, geographic and financial differences in access to recommended care.

Whites were 40 percent more likely to receive aspirin therapy than non-whites, while people going to EDs in the Northeast were 40 percent more likely to receive aspirin than similar patients in the West.

Patients with private insurance were consistently more likely to receive appropriate treatment, while patients seen in government hospitals, either state or county, were consistently less likely to get the optimum care.

These data suggest that the burden of inappropriate care is borne more by minorities and the poor than by others, says Pham. They also suggest that we still have much work to do to ensure that everyone receives equitable care.

Our findings lend support to the need for meaningful measures of ED performance, such as length of stay and return to ED within 72 hours, and for monitoring to assure improvement, Pham says.


'/>"/>

Contact: Gary Stephenson
gstephenson@jhmi.edu
410-955-5384
Johns Hopkins Medical Institutions
Source:Eurekalert

Related medicine news :

1. One in Three Heart Attack Patients Have No Chest Pains
2. Epileptic Seizures Can Be Duec to Heart Problem
3. Bypass Heart Surgery Performed Without General Anesthesia
4. New CPR Guidelines issued by Heart Association
5. White Cells Count Can Predict Heart Attack Death Risk
6. Vitamins-The answer to Heart Disease?
7. Fight Heart disease and Pain with Meditation
8. Heart disease in the newborn is related to maternal malnutrition
9. New drug to treat Heart Attack and damaged tissue
10. Starvation in pregnant women can cause heart disease to their children
11. Individuals with sleep related breathing disorders more prone to heart disease
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping to ... app. The fitness app plans to fix the two major problems leading the fitness industry ... fits all type program , They don’t eliminate all the reasons people quit ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. ... from injury. Recently, he has implemented orthobiologic procedures as a method for treating ... one of the first doctors to perform the treatment. Orthobiologics are substances that ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys ... peers for this recognition are considered among the top 2 percent of lawyers practicing ... members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the addition ... to their offering. The ... commercial environment for MedImmune to enter. The US ageing population ... to drive considerable growth for effective anti-influenza medications. The introduction ... considerably, but development is still in its infancy. ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, 2016 ... Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, the ... announced today online at www.diabetesscholars.org by the ... diabetes stand in the way of academic and community ... Foundation,s scholarship program since 2012, and continues to advocate ...
(Date:6/23/2016)... June 23, 2016  Guerbet announced today that it ... Supplier Horizon Award . One of 12 ... recognized for its support of Premier members through exceptional ... excellence, and commitment to lower costs. ... recognition of our outstanding customer service from Premier," says ...
Breaking Medicine Technology: