Widely used triage method overestimates severity of a quarter of emergency department patients
A Kaiser Permanente study looking at the application of the Emergency Severity Index — a method commonly used to triage emergency department patients — found some imprecision, suggesting there may be an opportunity for the ESI to be updated.
Early antibiotics for sepsis supported in new study
A large multi-hospital analysis found that early antibiotics in sepsis patients resulted in improved health outcomes for them without posing unintended consequences for others, such as expanding overall antibiotic use or worsening antibiotic resistance.
Many patients with blood clots can go home from ER
A decision support tool implemented in Kaiser Permanente Northern California emergency departments in 2016 has continued to help physicians safely discharge patients with an acute pulmonary embolism to their homes without harmful effects, a new study shows.
Teen suicidal thoughts and behaviors during pandemic vary by gender, diagnosis
The number of teens being seen at Kaiser Permanente Northern California emergency departments (ED) for suicidal thoughts and behaviors did not increase significantly during the COVID-19 pandemic, though specific groups of teens may have sought care at higher rates during late 2020.
The findings were reported Sept. 1 in JAMA Psychiatry.
Most stroke patients with severe symptoms could seemingly be treated at a primary stroke center
Even if emergency personnel were able to use the best stroke assessment tool available, most patients taken directly by ambulance to a comprehensive stroke center could have been treated at a primary stroke center instead, a new Kaiser Permanente study suggests.
Large decrease in hospitalized heart attack patients seen during COVID-19 pandemic
New research by Kaiser Permanente shows the weekly number of patients admitted to Kaiser Permanente Northern California hospitals with acute myocardial infarction (heart attacks) fell to nearly half of what would be expected after the onset of the COVID-19 pandemic.
Population-level estimates show wide age range of adults hospitalized with COVID-19
A JAMA study, using data on patients hospitalized in March from all 21 Kaiser Permanente Northern California hospitals, is one of the first U.S. studies to look at overall hospitalization admissions of COVID-19 patients.
Emergency physicians can use clinical experience to accurately predict whether a child has appendicitis
A new study shows high success rates for experienced emergency physicians who use the sum of their clinical expertise to make an initial prediction about whether a child has appendicitis — especially in low-risk cases.
Clinical tool accurately predicts children’s appendicitis risk in Kaiser Permanente emergency rooms
Erring on the side of caution, emergency physicians tend to order CT scans to evaluate appendicitis in children, “but research shows that we weren’t necessarily catching more appendicitis,” Dr. Cotton said. “CT scans are costly and expose children to ionizing radiation that can increase the risk of cancer. At the same time, emergency physicians do not want to miss an important diagnosis like appendicitis.”
Kaiser Permanente “Tele-triage” of Chest Pain Safely Reduces Emergency Room Visits
A new Kaiser Permanente study led by Dana Sax, MD, published today in the December issue of the journal Health Affairs, found that “tele-triage” of patients with chest pain over the phone can safely and effectively direct people to the right place for receiving care.