Evidence Update (May 2015)
For abstracts of the reviews below please click on the titles. There may be a link to the full text in the top right hand corner of the webpage. You may have to log in using your NHS Athens username and password, if you don’t have one go to Register for Athens and register for free.
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There are no new NICE guidelines published this issue.
Practice changing research, sourced from Dynamed
Updated 2015 Apr 27 06:56:00 AM: protocol-based early goal-directed therapy is similar to usual care for mortality in patients with early septic shock (N Engl J Med 2015 Apr 2)
Updated 2015 Apr 26 08:55:00 AM: addition of stent retriever within 6 hours of stroke onset following IV alteplase for stroke with confirmed occlusion of intracranial internal carotid artery and/or first segment of middle cerebral artery reduces disability at 90 days (N Engl J Med 2015 Apr 17 early online)
Updated 2015 Apr 24 03:15:00 PM: perihematomal edema volume growth associated with increased risk of death or dependency at 90 days in patients with intracerebral hemorrhage (Stroke 2015 Apr)
New and Updated Cochrane Systematic Reviews
There are no new Cochrane systematic reviews this issue.
Good Quality Systematic Reviews
12) Coronary computed tomographic angiography for detection of coronary artery disease in patients presenting to the emergency department with chest pain: a meta-analysis of randomised clinical trials
14) Does topical Amethocaine cream increase first-time successful cannulation in children compared with a eutectic mixture of local anaesthetics (EMLA) cream? A systematic review and meta-analysis of randomised controlled trials
Reports/Statistics on UK Emergency Medicine
33) The NHS Confederation has published a series of a case studies relating to urgent care:
Rapid access to 24-hour community-based services - Birmingham Community Healthcare NHS Trust has model of care to enable rapid, 24-hour access to community services to reduce emergency hospital admissions.
Supporting the provision of right care, in the right place, at the right time in the South West - South West Ambulance Service Foundation Trust supported the reduction of unnecessary emergency department admissions by 10 per cent through suitable conveyance to alternative settings.
Delivering joined-up care through a joined-up cabinet: three years on - South Devon and Torbay’s health and care cabinet aims to deliver high-quality, reliable and joined-up health and care that puts people first.
Ambulatory care models reduce unscheduled admissions in Airedale: two years on - Airedale NHS Foundation Trust introduced an ambulatory care unit to support inpatient admission avoidance, where this in the best interests of the patient.
As part of its savings and productivity collection, NICE has published Alcohol return on investment tool. The tool has been developed to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub-national levels. The tool enables the user to evaluate a portfolio of interventions in their geographical area and models the economic returns that can be expected in different payback timescales. The different interventions included in the tool can be mixed and matched to see which intervention portfolio or package provides the best 'value for money', compared with 'no package of interventions' or any other specified package.
The University of Bath Institute for Policy Research has published The cost of binge drinking in the UK. This study focuses on the estimates of the additional cost to the economy generated by binge drinking by examining its effects on accident and emergency admissions, road accidents, arrests and the number of police officers on duty. This estimate is then used to assess the likely effectiveness of policies designed to discourage binge drinking and mitigate its effects and costs. The three potential policy interventions considered are minimum unit pricing, alcohol excise taxes and a higher minimum legal drinking age (MLDA).
NHS Confederation has published a case study Delivering effective treatment to people affected by drug and alcohol misuse in Thanet. The case study describes out a programme of proactive cooperation between Turning Point and other organisations working in the local area. Turning Point's strategy is to focus on the specific challenges faced by each individual, including their family and household circumstances in conjunction with several organisations, including local NHS services, the probation service, housing officers, the police, JobCentre Plus, community mental health services, homeless projects, the carer support group, the local hospital, and staff at the council’s gateway centre. Turning Point shares information, trains staff to refer clients to them, places outreach workers in their premises and attend meetings both bilaterally, and as part of the local authority’s Margate Task Force anti-poverty group.
Latest Journal Table of Contents
42) The Lancet