This month’s topics in NHS Eyes on Evidence:
Analysis of data from a large randomised controlled trial suggests that intensive glucose control in critically ill patients is associated with moderate to severe hypoglycaemia, and a higher risk of death.
A large scale trial examines the benefits and effectiveness of telehealth and telecare services in helping patients avoid the need for emergency hospital care.
A cross-sectional study investigating a possible link between harsh physical punishment and mental health disorders reports that reducing physical punishment may help to reduce the prevalence of mental health disorders in the general population. It suggests giving parents information about alternative discipline strategies, such as positive reinforcement.
The QIPP Collection highlights examples of local best practice, demonstrating how NHS organisations have implemented new practices that have both cut costs and improved quality. We highlight a new example:
Chair of the British HIV Association Guidelines Subcommittee, Martin Fisher, talks about the organisation’s experience of the NICE accreditation process.
At its January meeting the NICE Accreditation Advisory Committee accredited 2 guidance programmes.
NICE recently published Evidence Updates on:
- Strategies to prevent unintentional injuries among children and young people aged under 15
- Hyperglycaemia in acute coronary syndromes
- Common mental health disorders
Caring for the Critically Ill Patient
JAMA. Published online October 5, 2011. doi: 10.1001/jama.2011.1471
Referral to an Extracorporeal Membrane Oxygenation Center and Mortality Among Patients With Severe 2009 Influenza A(H1N1)
Context Extracorporeal membrane oxygenation (ECMO) can support gas exchange in patients with severe acute respiratory distress syndrome (ARDS), but its role has remained controversial. ECMO was used to treat patients with ARDS during the 2009 influenza A(H1N1) pandemic.
Objective To compare the hospital mortality of patients with H1N1-related ARDS referred, accepted, and transferred for ECMO with matched patients who were not referred for ECMO.
The authors acknowledge the support of NHS Specialised Services of the UK Department of Health for supporting increased capacity to provide extracorporeal membrane oxygenation (ECMO) for adult patients during the 2009 influenza A(H1N1) pandemic and are indebted to the relevant staff at all of the hospitals participating in the SwiFT study.