Latest Hospital & Healthcare News

In-Hospital Quality Outcomes for Hepatocellular Carcinoma with Gastrointestinal Hemorrhage

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By: James Pitt  Dec. 19, 2018

Gastrointestinal hemorrhage contributed to 3% of hospitalizations and 2.35% of in-hospital deaths among patients with hepatocellular carcinoma as a primary or secondary diagnosis, according to a Dexur analysis of 2013-2017 Medicare claims data.

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Sepsis Involved in 22% of In-Hospital Deaths in Hepatocellular Carcinoma Patients

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By: James Pitt  Nov. 28, 2018

Sepsis is a major killer of hepatocellular carcinoma patients. In the last five years, 22% of in-hospital deaths among Medicare inpatients with HCC involved severe sepsis.

The percentage of HCC deaths that involve severe sepsis appears to exceed the percentage of overall cancer deaths that involve severe sepsis. According to Williams et. al (2004), 8.5% of cancer deaths overall involve severe sepsis.

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Hepatocellular Carcinoma Key Statistics, Risks & Treatment Options

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By: James Pitt  Nov. 21, 2018

Key Statistics on Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common liver cancer.

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How Much Should You Pay for Health Insurance?

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By: James Pitt  Nov. 16, 2018

Open enrollment is from November 1 to December 15. If you don't already have health insurance for next year lined up, the best time to enroll is right now. Many plans are available at good values. If you forget to get health insurance, you may need to pay a tax penalty.

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Doppler Ultrasound Devices Like Deltex CardioQ Could Help Address Excess Length of Stay in Bowel Surgery Patients With Major Complications

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By: James Pitt  Oct. 22, 2018

In goal-directed fluid therapy (GDT or GDFT), physicians use hemodynamic variables such as stroke volume (the amount of fluid the heart moves with each beat) to estimate the amount of fluid in circulation. Physicians provide fluid as needed to keep these hemodynamics variables near target values.

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Mortality Rates in Aortic Valve Replacement: Are Rapid-Deployment Valves like LivaNova Perceval Cost-Effective?

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By: James Pitt  Oct. 15, 2018

Heart valve replacement is a competitive field, with many competing options. A recently developed category is rapid deployment valves, which do not require suturing. This allows for much faster implantation. Payors class these valves as experimental, under ICD-10 procedure codes like X2RF032 for open-approach implantation, rather than under the ICD-10 codes like 02RF08Z that conventional heart valves are assigned.

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Catheter Ablation Could Potentially Save $1,725 Per Hospitalization in Paroxysmal AFib Without Complications

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By: James Pitt  Oct. 08, 2018

Atrial fibrillation, the most common arrhythmia, is a condition in which the heart's upper chambers contract rapidly and irregularly. Twenty years ago, Haïssaguerre et. al discovered that pulmonary veins can spontaneously trigger AFib, and isolating pulmonary veins from each other with radiofrequency catheter ablation can correct it.

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Stent Thrombosis and Bleeding Highest within 30 Days of Procedure; Cobra PzF Stent Shows Promise as Means to Address

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By: James Pitt  Sep. 06, 2018

In Dexur's national data, there were about 150,000 Percutaneous Cardiovascular Procedures With Coronary Artery Stent each year from 2013-2016 in Medicare-eligible inpatients. Stents are a diverse and fast-moving market. The most common devices are bare-metal or drug-eluting, but innovations like CeloNova's polymer-coated Cobra PzF stent may have advantages for patients at high risk of bleeding. This advantage comes indirectly, through reducing the risk of stent thrombosis.

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Ultrafiltration Devices such as Aquadex May Help Address LOS in Congestive Heart Failure Patients

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By: James Pitt  Aug. 28, 2018

Congestive heart failure (CHF) occurs when fluid builds up around the heart and interferes with its normal activity. An extremely common diagnosis, CHF affects about 5.7 million people, and is generally treated with diuretics.

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69,000 Transcatheter Aortic Valve Replacements from 2013-2017; 60,000 Used Zooplastic Tissue

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By: James Pitt  Aug. 27, 2018

Transcatheter aortic valve replacement (TAVR, aka TAVI or PAVR) is a procedure to replace the valve between the largest blood vessel and the heart. In this procedure, a replacement valve is passed along through a blood vessel to the heart. This allows surgeons to replace the valve in patients who would face too many risks in open-heart surgery.

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