This month in Eyes on Evidence
Eyes on Evidence: end of service
The way in which NICE supports awareness of new evidence is changing and, from July 2016, Eyes on Evidence will no longer be produced. This article explains the other routes by which busy professionals can keep up to date.
Perioperative anticoagulation for people with atrial fibrillation
A US randomised controlled trial found that not using ‘bridging’ heparin in people with atrial fibrillation who stopped taking warfarin before elective surgery or an invasive procedure had no adverse effect on the risk of thromboembolism or bleeding.
Nurse-led titration of drug doses in chronic heart failure
A Cochrane review found that in people with chronic heart failure, titration of beta-blockers, angiotensin-converting-enzyme inhibitors and angiotensin-II-receptor antagonists by nurses rather than by doctors was associated with a lower rate of hospital admissions and mortality.
Basic versus advanced life support for medical emergencies
A retrospective cohort study of US data found that people with major trauma or stroke who received basic life support from ambulance crews had better survival than those who received advanced life support.
Ultrasound during pregnancy to identify small-for-gestational-age infants
A UK cohort study found that ultrasound screening of all pregnant women was more effective at identifying small-for-gestational-age infants than clinically targeted screening and, combined with fetal abdominal circumference growth velocity, could determine infants at risk of neonatal morbidity.
Balance training to prevent injuries from falls in older people
A multicentre randomised controlled trial in France found that a 2-year balance training programme reduced the risk of falls that resulted in injury among community-dwelling women aged 75–85 years.
Ongoing effects of child contact arrangements in cases of domestic abuse
A small qualitative study in Scotland identified that child contact arrangements between women who had experienced domestic abuse and the perpetrator were a source of further physical and mental abuse after separation, with negative consequences for the wellbeing of the children.
Evidence summaries from NICE’s Medicines and Prescribing Programme
NICE has recently published summaries on:
- Chronic disease in people with severe mental illness: reducing excess mortality
- Meniere’s disease: betahistine not shown to be superior to placebo
Case studies from the Quality and Productivity collection
We highlight a new example from the Quality and Productivity collection showing how an NHS organisation has implemented new local practices that have both cut costs and improved quality.
- Mechanical thrombectomy for large vessel occlusion stroke
No comments:
Post a Comment