Dr. Sydney Burwell, Dean of Harvard Medical School 1956

My students are dismayed when I say to them "Half of what you are taught as medical students will in 10 years have been shown to be wrong.
And the trouble is, none of your teachers know which half."



Wednesday, February 12, 2014

Mixed Bag

UTMB study examines hospital readmission rates after inpatient rehabilitation
Nearly 12 percent of Medicare patients who receive inpatient rehabilitation following discharge from acute-care hospitalization are readmitted to the hospital within 30 days after discharge from the rehabilitation facility according to new research published in the Feb. 12 issue of the Journal of the American Medical Association. Before now, there was a lack of research on the frequency and causes of patients returning to hospital after rehabilitation. Eurekalert!

FDA Advisers: Meta-Analysis Does Not Prove That Naproxen Carries Lower CV Risk
Data from a meta-analysis suggesting that naproxen carries lower cardiovascular risk than other nonsteroidal anti-inflammatory drugs are not reliable, FDA advisers concluded on Tuesday. Consequently, they voted that naproxen should not get a new label based on those data, Reuters reports.

The meta-analysis, published in the Lancet in 2013, found that coxibs or diclofenac conferred increased risk for major vascular events, and ibuprofen showed increased risk for coronary events, relative to placebo. Meanwhile, no such risk increases were seen with naproxen.  Journal Watch

Cocaine may increase stroke risk within 24 hours of use
Cocaine greatly increases ischemic stroke risk in young adults within 24 hours of use, according to research presented at the American Stroke Association's International Stroke Conference 2014. Eurekalert!

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