Designed specifically for critical care physicians, Critical Care SmartBrief is a complimentary twice weekly e-mail newsletter. Compiled from thousands of sources including news sites and blogs, it provides the latest litigation, research and policy news in the critical care community. Visit the archives to access previous issues. Mobile device versions are also available. Read the top stories shared by Critical Care SmartBrief readers.

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 Critical Care SmartBrief

Report lists top ICU diagnoses with most opportunity to reduce LOS
The top ICU diagnoses with the biggest opportunities for reducing length of stay include sepsis with major complications or cormorbidities, cardiac procedures and infectious and parasitic diseases associated with operating room procedures, according to a Premier report. The analysis, which included 786 hospitals in 45 states from 2011 to 2016, found patients at top-performing hospitals spent 24% less time in an ICU. Healthcare Finance News (12/14)

Early post-cardiac arrest hypotension may lower survival in youths
Children with low systolic blood pressure soon after resuscitation for out-of-hospital cardiac arrest had reduced likelihood of survival to discharge, compared with those without early hypotension, while every 10% more hours in hypotension was tied to 20% lower survival odds, according to a study in JAMA Pediatrics. The findings "support the American Heart Association recommendations that parenteral fluids and/or inotropes or vasoactive drugs be used to maintain [a] systolic blood pressure greater than the fifth percentile for age," researchers said. MedPage Today (free registration) (12/11)

Pittsburgh providers to help hospital improve pediatric care
WBOY-TV (Clarksburg, W.Va.) (12/12)

Compromise tax bill would repeal ACA individual mandate
House and Senate negotiators have agreed on a far-reaching rewrite of US tax law, congressional Republicans say. The measure, which both chambers could vote on next week, would reduce the corporate rate to 21% from 35%, would cut the top individual rate to 37% from 39.6% and includes language repealing the Affordable Care Act requirement that individuals purchase health insurance or face a penalty. Reuters (12/14)

Democrats reject House's CHIP extension
Democrats are urging lawmakers to reject a House bill to provide funding for the Children's Health Insurance Program in favor of a more bipartisan solution. In addition to funding CHIP, the bill would shorten the grace period for Affordable Care Act enrollees late on payments, cut funding for the ACA's public health fund and raise premiums on Medicare beneficiaries with more money. The Hill (12/8)

FDA site helps clinicians choose best drugs to treat infections
A new FDA webpage provides updated susceptibility information so clinicians know which bacterial or fungal infections likely will respond to certain drugs. The site is aimed at helping clinicians choose the best treatments and helping prevent the spread of resistant bacteria. Medscape (free registration) (12/14)

Poll finds 83% of physicians have been affected by cyberattack
The American Medical Association and Accenture surveyed about 1,300 US physicians and found that 83% reported experiencing a cybersecurity attack, with phishing and computer viruses cited as the most common causes of cyberattacks. Just over half of respondents said they were very or extremely concerned about their organizations being affected by cyberattacks in the future, and about three-quarters said clinical practice interruption and security of patient records were their top concerns. Health IT Security (12/12)

Video game helps emergency physicians improve triage decisions
HealthDay News (12/13)

A mind troubled by doubt cannot focus on the course to victory.
Phil Armstrong, writer