Here are healthcare safety issues that have appeared in the news and medical journals throughout the last 60 days or so:
The American College of Chest Physicians issued new recommendations published in Chest indicating that oral anticoagulants including Apixaban, Edoxaban, Rivaroxaban, or Dabigatran are now the preferred agents for long-term anticoagulation in patients. The exceptions include patients who are pregnant, who have cancer or who have severe renal insufficiency.
In an article published in the New England Journal of Medicine, authors recommended that pregnant women scheduled to deliver between the 34th to 36th weeks of gestation by cesarean section receive a first course of antenatal corticosteroids to reduce the risk of adverse respiratory events in newborns.
In an article published in the Journal of Pediatric Orthopedics, the authors recommended an MRI to investigate the possibility of adjacent infections in pediatric patients suffering from septic arthritis. A threefold increase of an adjacent infection was present in patients with three or more of the following risk factors: age older than 4 years; symptoms longer than three days, C-reactive protein (CRP) greater than 13.8 mg/dL; platelets less than 314,000/microL; and absolute neutrophil count higher than 8600/microL.
An article published in the Annals of Internal Medicine demonstrated that acupuncture is not effective in the treatment of hot flashes associated with menopause, although it may have a placebo effect.
The United States Preventative Task Force concluded that there is insufficient evidence to assess the balance of benefits and harms of screening for Autism Spectrum Disorder in young children between 18 and 30 months when no concerns about autism have been raised by caregivers.
A randomized trial published in the New England Journal of Medicine concluded that inducing labor in women 35 years or older to reduce the risk of stillbirth does not increase the risk of cesarean delivery or negatively impact maternal or fetal outcomes.
An article published in the New England Journal of Medicine concluded that Betamethasone administered to women at risk for late preterm delivery reduces the rate of neonatal respiratory complications.
The Pediatric Endocrine Society Drugs and Therapeutics Committee published new guidelines related to the monitoring of children who take oral corticosteroids for possible adrenal insufficiency in JAMA Pediatrics.
The Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition published new nutritional guidelines for critically ill adults in the Journal of Parenteral Nutrition.