Alvaro Carrascal’s Post

Another major study (published yesterday) adds to the growing body of literature showing patients have better outcomes when cared for by female, rather than male, physicians. This study looked at data from almost 800,000 patients and found both male and female patients cared for by hospitalists were less likely to die or be readmitted to the hospital within 30 days if they were cared for by female physicians. The benefit was greater for female than male patients, and in particular for the sickest female patients. One thing I appreciated about this study was their acknowledgement, both in the introduction and the discussion, that part of the reason for this difference may be medical gaslighting. Female patients’ symptoms are more likely to be dismissed or taken less seriously, especially by male physicians, and this can have significant, sometimes even catastrophic consequences. For example, 27 year-old Katie Doyle went to the hospital with shortness of breath and a rapid heart rate and was sent home with a diagnosis of anxiety. She had a cardiac arrest 3 days later at home due to a massive pulmonary embolism which had been missed (they hadn’t even tested for it). There are a lot of other potential explanations, which I’ve discussed before, including female physicians spending more time with patients, being more likely to follow guidelines, being more likely to consult other physicians, etc. So these findings are not in a vacuum. They are grounded in decades of data showing how female physicians practice medicine differently, and the patterns have remained largely unchanged. #healthcare #patientoutcomes #medicalmisogyny https://lnkd.in/gcS37Huz

Fascinating work! Hospital mortality is lower for patients cared for by female physicians. The difference for female patients is greater than for males. The reasons are difficult to determine, but perhaps female physicians are more likely to listen to female patients and not to dismiss their complaints. They may also pay more attention to detail. Interesting that your life may depend on the gender of your hospitalist. More study on this topic would be very interesting.

🔬 Patients have lower mortality and readmission rates with female physicians? A recent study in the Annals of Internal Medicine looked at how the gender of doctors affects patients' outcomes in hospitals. The study found that patients have lower mortality and readmission rates with female physicians, with female patients benefiting more from their care than male patients. This research highlights the importance of gender diversity in healthcare and its tangible impact on patient outcomes. 👩⚕️📊 Read the full study here: https://lnkd.in/g4fc9sPd #HealthResearch #DoctorDiversity #BetterCare

Still a lot of work to be done in the stroke world to provide standardized care. Here are a few things that are either free or will generate revenue for your hospital so no reason not to implement. 1. Implement BEFAST instead of FAST 2. Call in Stroke Alerts from the Field (Use Pulsara) 3. Get rid of call centers/paging systems in your response (Use Sevaro OneCall ) 4. Implement Teleneurology (Sevaro responds within 45 seconds) 5. Switch to TNK Rajiv Narula, MD, Ruchir Shah, Michael M. Chen, Swati Laroia Coon, Rebecca Toney, MBA, HCM, BSN, RN, SCRN, Sam K. Saha, Lisa “LJ” Jones, CPCS, CPMSM, PESC, Bethany Brandt, RN, BSN, SCRN, Lauren Voltz

Did you know? The SMART study is the largest prospective non-invasive prenatal non-invasive testing (#NIPT) study, enrolling more than 20,000 patients at 21 medical centers globally. Learn how #Natera's SNP-based NIPT Panorama can help inform healthcare decisions. View the key findings and study summary here. https://ow.ly/h78A50Q74iK #22q

Previous studies had shown treatment by female physicians leads to improved communication, better rapport and greater agreement in advice provided for female patients, but such studies were inconclusive for male patients. In a new study, published in the Annals of Internal Medicine, the mortality rate for female patients was 8.15% when treated by female physicians versus 8.38% when the physician was male. Differences were particularly noticeable among more sick female patients. What does this mean? According to Nick Thomas, “Taken together, these findings suggest that treatment by female physicians may have a beneficial impact on female patients (especially severely ill female patients) but not necessarily on male patients." Check out this article from Fierce Healthcare and let me know what you think. #Healthcare #Communication #Patients #Physicians

"A recent systematic review of 45 studies from nine countries, including the United States, the United Kingdom, Australia and Canada, demonstrated that patients from culturally or linguistically diverse (CALD) backgrounds are at a higher risk of having a patient safety incident in primary, secondary and community settings. Patients from culturally or linguistically diverse backgrounds are at a higher risk of having a patient safety incident in primary, secondary and community settings. (Monkey Business Images / Shutterstock) For this community, incidents commonly include being given incorrect medications or doses, surgical complications, and hospital-acquired infections. The higher rate of patient safety incidents has been further reported in our medical record review of patients in Australian cancer services across New South Wales and Victoria. Patient safety incidents were identified in 25% of records of CALD patients compared with around 10% in the general population." https://lnkd.in/gM3NP-Ty

Less pain, lower costs. New findings presented at #AUA24 highlight the advantages of ESWL over URS! A recent study by the Pediatric KIDney Stone (PKIDS) Care Improvement Network — which examined 1200 stone treatments across 30 medical centers, found that ESWL led to less severe post-operative symptoms one week post-op, as compared to URS*. In another randomized study involving 461 patients, ESWL was shown to be more cost-effective than URS, with no significant differences in treatment outcomes**. #Urologists, will these insights influence your approach to stone management? Sources: *https://bit.ly/4bFWBPi **https://bit.ly/3K5Y5Gw

The first RCT to compare two boluses of norepinephrine in management of “severe” hypotension in more than 160 patients. https://lnkd.in/d3r3GTJr

🚨The first randomized trial of medical #AI 🤖💻⬇️☠️ reduced mortality! - ‼️AI-enabled #ECG identifies high-risk hospital patients, reducing 90-day mortality: 3.6% vs. 4.3% (HR = 0.83, 95% CI = 0.70–0.99) - Study➡️15,965 patients, 39 physicians, multisite trial - Intervention➡️AI reports + alerts to physicians on high-risk mortality - ‼️Greatest benefits for patients with high-risk ECGs: mortality reduction (HR = 0.69, 95% CI = 0.53–0.90) - ‼️High-risk patients received more intensive care; cardiac death significantly lower: 0.2% vs. 2.4% (HR = 0.07, 95% CI = 0.01–0.56) - ClinicalTrials.gov : NCT05118035 https://lnkd.in/dw29XcPE Nature Portfolio #DoesAISavesLives?