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U.S. Psychiatric Patients Face Long Waits in ERs

Posted 18 Oct 2016 by Drugs.com

MONDAY, Oct. 17, 2016 – People with mental illness often wait long hours – or even days – in an emergency room before receiving the care they need, according to a new poll conducted by the American College of Emergency Physicians (ACEP). One in five ER doctors polled said they've had psychiatric patients who needed hospitalization who had to wait two to five days before being assigned an in-patient bed, the poll found. Two accompanying studies back up the poll results, revealing that patients with a wide array of mental health problems are more likely to wind up stuck in an emergency department for more than 24 hours. "Once the decision to admit is made, it can be nearly impossible to find an in-patient bed for these patients," ACEP President Dr. Rebecca Parker said during a news briefing. Findings from the survey were scheduled to be presented Monday at ACEP's annual meeting in Las ... Read more

Related support groups: Bipolar Disorder, Anxiety and Stress, Schizophrenia, Paranoid Disorder, Agitation, Psychosis, Psychiatric Disorders, Agitated State, Severe Mood Dysregulation, Drug Psychosis, ICU Agitation, Aggressive Behavior

Depression Common After Time Spent in ICU

Posted 17 Aug 2016 by Drugs.com

WEDNESDAY, Aug. 17, 2016 – One-third of former intensive care unit (ICU) patients have depression, a new review finds. Each year, more than 5 million seriously ill patients are admitted to ICUs in the United States. Rates of depression following discharge are far greater for these patients than for the general population, according to the study. "It's very clear that ICU survivors have physical, cognitive and psychological problems that greatly impair their reintegration into society, return to work and being able to take on previous roles in life," said study senior author Dr. Dale Needham, professor of medicine at Johns Hopkins University School of Medicine in Baltimore. "If patients are talking about the ICU being stressful, or they're having unusual memories or feeling down in the dumps, we should take that seriously," Needham said in a university news release. "Health care ... Read more

Related support groups: Depression, Major Depressive Disorder, Dysthymia, Mild Cognitive Impairment, ICU Agitation

Do Hospital ICUs Raise Costs Without Boosting Survival?

Posted 9 Aug 2016 by Drugs.com

TUESDAY, Aug. 9, 2016 – Some patients put into hospital intensive care units tend to undergo more costly and invasive procedures, often without improved outcomes, a new study finds. This is particularly true for those who have diabetic ketoacidosis (high blood sugar), a pulmonary embolism (clot in the lung), heart failure or upper gastrointestinal bleeding. In many cases, these are four common medical conditions that can be treated just as well in a regular hospital ward, the researchers added. "I believe that our findings begin to tell the story of how inappropriate use of ICUs [intensive care units] can be harmful for patients and the health care system," said lead researcher Dr. Dong Chang. He is an assistant professor of medicine at the David Geffen School of Medicine at UCLA. "Overuse of ICUs among patients who can likely be treated in non-ICU settings may lead to inappropriately ... Read more

Related support groups: Heart Failure, Congestive Heart Failure, Pulmonary Embolism, Left Ventricular Dysfunction, ICU Agitation, Diabetic Ketoacidosis (DKA), Upper GI Hemorrhage

Depression Strikes, Stays With Many Caregivers of Critically Ill

Posted 12 May 2016 by Drugs.com

WEDNESDAY, May 11, 2016 – Caregivers for the critically ill often suffer depression that lingers long after their loved one's hospital stay ends, new research suggests. "Caregivers to patients who have spent at least seven days in the ICU [intensive care unit] commonly experience symptoms of depression for the full first year after ICU discharge," said study leader Jill Cameron. She is a researcher at the University of Toronto. "A large portion of them improve over the year, but a [sub] group does not," Cameron said. Surprisingly, the ones who are most depressed "are not necessarily caring for the sickest patients," she added. Her team collected information on 280 caregivers of patients who had been in the ICU for seven days or longer on mechanical ventilation, which helps patients breathe. It is needed for serious medical conditions such as respiratory arrest, lung injury or traumatic ... Read more

Related support groups: Depression, Major Depressive Disorder, Head Injury, Dysthymia, Respiratory Tract Disease, ICU Agitation, Respiratory Distress Syndrome, Depressive Psychosis, Head Injury with Intracranial Hemorrhage, Respiratory Arrest, Head Injury w/ Intracranial Hemorrhage and Loss of Consciousness, Head Injury with Loss of Consciousness

Persistent Critical Illness May Keep Patients From Leaving ICU

Posted 5 May 2016 by Drugs.com

WEDNESDAY, May 4, 2016 – A small group of patients uses one-third of intensive care unit resources, a new study contends. Researchers analyzed data from more than one million ICU patients in Australia and New Zealand, and found that just 5 percent of them accounted for 33 percent of all days that ICU beds got used. These are critically ill patients who go from one health crisis to another and may never get well enough to leave the ICU, according to the study authors. The findings could lead to better care and efforts to find ways to prevent patients from slipping into this situation, which the researchers called persistent critical illness. "We have found that this truly is a separate 'thing' – a state patients transition into where you're there because you're there, stuck in this cascade that we can't get you out of," said study leader Dr. Theodore Iwashyna. He is a University of ... Read more

Related support groups: Infections, Sepsis, Bacteremia, ICU Agitation, Septicemia, Wound Sepsis

No Link Between Anti-Smoking Drugs, Mental Health Issues: Study

Posted 23 Apr 2016 by Drugs.com

FRIDAY, April 22, 2016 – The anti-smoking drugs Chantix (varenicline) and Wellbutrin (bupropion) don't appear to raise the risk of serious mental health disorders such as depression, anxiety and suicidal thoughts, a new study suggests. "Clinical guidelines recommend that the most effective way to give up smoking is smoking cessation medication and counseling. However, smokers do not use these services enough, in part due to concerns that the medications may not be safe," said lead author Dr. Robert Anthenelli, professor of psychiatry at University of California, San Diego. The new study, published April 22 in The Lancet, should help ease those concerns for patients, the researchers said. The study was requested by the U.S. Food and Drug Administration due to concerns about the safety of the drugs used to help people quit smoking. Funding was provided by drug makers Pfizer (which makes ... Read more

Related support groups: Anxiety, Depression, Anxiety and Stress, Wellbutrin, Major Depressive Disorder, Smoking, Social Anxiety Disorder, Bupropion, Chantix, Wellbutrin XL, Schizophrenia, Contrave, Smoking Cessation, Wellbutrin SR, Agitation, Nicotine, Psychosis, Eating Disorder, Psychiatric Disorders, Zyban

Violence May Raise a Woman's Risk for Stroke

Posted 4 Mar 2016 by Drugs.com

THURSDAY, March 4, 2016 – Being a victim of violence may increase a woman's risk of blood vessel disease and possibly stroke, a new study suggests. "Both society and the health care sector need to be aware of the importance of exposure to violence and its impact, not only on social well-being, but also on women's long-term health," said study author Dr. Mario Flores. He is a research assistant at the National Institute of Public Health in Mexico City. The study included 634 healthy women, average age 49, in Mexico who were asked if they had seen or experienced different types of violence or neglect as children or adults. They also underwent medical imaging tests to measure the thickness of the main blood vessels in the neck that carry blood to the brain. Those who had suffered physical violence as adults were 1.5 times more likely to have narrowing of the neck blood vessels than those ... Read more

Related support groups: Ischemic Stroke, Agitation, Transient Ischemic Attack, Agitated State, Ischemic Stroke - Prophylaxis, ICU Agitation, Thromboembolic Stroke Prophylaxis, Intracranial Hemorrhage

Study Sees Possible Link Between Antibiotics and Delirium in Patients

Posted 18 Feb 2016 by Drugs.com

WEDNESDAY, Feb. 17, 2016 – Delirium in hospitalized patients might be linked to common antibiotics more often than once believed, according to new research. Delirium – mental confusion that may be paired with hallucinations and agitation – is often caused by medications. But, antibiotics are not typically the first type of drug suspected, said study lead author Dr. Shamik Bhattacharyya, a neurologist at Brigham and Women's Hospital in Boston. Reviewing case reports going back seven decades on patients given antibiotics who later developed delirium and related issues, the scientists found that nearly half suffered delusions or hallucinations. Seven out of 10 were found to have abnormal electrical activity in the brain. "A key point in the study is that different antibiotics caused different types of confusion," Bhattacharyya said. "The fact that antibiotics can cause confusion has ... Read more

Related support groups: Bactrim, Cipro, Ciprofloxacin, Sulfamethoxazole, Agitation, Psychosis, Bactrim DS, Psychiatric Disorders, Agitated State, Sulfamethoxazole/Trimethoprim, Sulfasalazine, Septra, Sulfadiazine, Neurosis, Ciprodex, SMZ-TMP DS, Septra DS, Sulfatrim, Cotrimoxazole, Drug Psychosis

Families Like Looser ICU Visitation Policies

Posted 4 Jan 2016 by Drugs.com

MONDAY, Jan. 4, 2016 – Many hospitals still restrict who can visit critically ill patients and when. But new survey results suggest that lifting such restrictions can improve family satisfaction and patient well-being. "The term 'visiting hours' is obsolete due to the growing evidence related to the wide-ranging benefits of open access for ICU [intensive-care unit] families," said senior study author Dr. Samuel Brown. He is director of the Center for Humanizing Critical Care at Intermountain Medical Center in Murray, Utah. The study involved 103 family members visiting patients in the intensive care unit and 128 ICU nurses. About half were surveyed before an unrestricted patient visitation policy was implemented at the medical center and half were questioned after. With the new policy, visitors are allowed at all times, if patients agree and are well enough. Previously, visits were ... Read more

Related support groups: Infections, Sepsis, ICU Agitation, Septicemia

Serious Illness Affects Bone Health

Posted 12 Dec 2015 by Drugs.com

FRIDAY, Dec. 11, 2015 – A critical illness can lead to bone loss, a new study finds. The research included 66 seniors who spent at least 24 hours on a breathing machine in an intensive care unit (ICU). One year after their ICU stay, the patients had 1.6 percent less bone density in their lower spines and 1.2 percent less bone density in their thigh bones than would be expected. This bone loss may increase their risk of fractures, according to study author Neil Orford, ICU director at University Hospital Geelong in Australia, and colleagues. The researchers said critical illness may accelerate bone resorption. This is a process that occurs when bone is broken down, and calcium and other minerals are released into the bloodstream. A year after an ICU stay, the patients' resorption had returned to normal, but they were left with lower bone density, the study showed. The impact of this ... Read more

Related support groups: Infections, Bacterial Infection, Osteoporosis, Fracture, bone, Prevention of Osteoporosis, Osteopenia, Viral Infection, ICU Agitation, Osteomalacia, Prevention of Fractures

Research May Help Spot Soldiers at Risk for Workplace Violence

Posted 8 Oct 2015 by Drugs.com

THURSDAY, Oct. 8, 2015 – With a newly developed computer model, researchers were able to successfully predict which 5 percent of U.S. Army soldiers committed more than one-third of all major Army workplace violent crimes over a six-year period. The researchers said that the model could help identify service members who need intensive interventions. Such interventions, they suggested, might help prevent this type of violence. "The fact that the model identifies such a high proportion of violent crimes is especially exciting because the variables used in the model are routinely collected administrative data the Army can use to identify high-risk soldiers without carrying out expensive one-on-one clinical assessments," the study's lead author, Anthony Rosellini, a postdoctoral fellow at Harvard Medical School in Boston, said in a school news release. The researchers used Department of ... Read more

Related support groups: Agitation, Agitated State, ICU Agitation

Drug May Calm Agitation in Alzheimer's Patients

Posted 22 Sep 2015 by Drugs.com

TUESDAY, Sept. 22, 2015 – A drug that combines a cough suppressant with a heart medication might offer a safer option for calming the agitation that commonly affects people with Alzheimer's disease, an early clinical trial suggests. The study, of 220 Alzheimer's patients, found that the drug – called Nuedexta – generally eased agitation symptoms over 10 weeks. And it did not worsen patients' problems with memory, thinking and judgment, researchers reported in the Sept. 22/29 issue of the Journal of the American Medical Association. As Alzheimer's disease progresses, people often go through periods of agitation that can range from restlessness and pacing to aggressive behavior like yelling, fighting and destroying objects. If those issues can be managed without medication, that's always best, said Dr. Sam Gandy, a professor of neurology and psychiatry at Mount Sinai Hospital, in New ... Read more

Related support groups: Bipolar Disorder, Seroquel, Abilify, Schizophrenia, Latuda, Zyprexa, Risperdal, Risperidone, Schizoaffective Disorder, Geodon, Seroquel XR, Saphris, Quetiapine, Alzheimer's Disease, Agitation, Olanzapine, Invega, Agitated State, Clozapine, Aripiprazole

Delirium in Older Surgical Patients Threatens Recovery

Posted 9 Sep 2015 by Drugs.com

WEDNESDAY, Sept. 9, 2015 – Preventing postsurgical delirium in older patients can help ensure a successful recovery, a new study says. Patients with delirium following major surgery are more likely to have worse outcomes, including lower quality of life, disability or even death, the researchers found. "Delirium, which is characterized by a sudden onset of confusion, is a concern for older adults having surgery or who are hospitalized," senior study author Dr. Sharon Inouye, director of the Aging Brain Center at the Institute for Aging Research in Boston and a professor of medicine at Harvard Medical School, said in a Harvard news release. The study involved 566 patients, aged 70 and older, who didn't suffer from dementia or delirium before they underwent major elective surgery. All were hospitalized for at least three days. Following their procedure, the researchers assessed the ... Read more

Related support groups: Dementia, Agitation, Agitated State, Mild Cognitive Impairment, ICU Agitation

ICU Delirium Tied to Higher Death Risk, Study Says

Posted 1 Jun 2015 by Drugs.com

SUNDAY, May 31, 2015 – Intensive care unit patients who develop delirium have a higher risk of death, longer hospital stays and are more likely to have mental impairment after leaving the hospital, a large review finds. Delirium includes confusion, inattention, hallucinations and sometimes agitation. It is more common among the elderly, patients with preexisting mental impairments and the terminally ill, the study authors said. "The concern about ICU delirium is relatively recent; the first landmark ICU studies about it were published in 2001 and since then it is proving to be a very important and challenging matter in health care," study co-author Dr. Jorge Salluh, of the D'Or Institute for Research and Education in Brazil, said in an institute news release. "Delirium can happen due to multiple causes, even if the patient's disease isn't neurological. If you have pneumonia, for ... Read more

Related support groups: Agitation, Agitated State, ICU Agitation

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