{"id":34258,"date":"2013-01-18T15:54:23","date_gmt":"2013-01-18T20:54:23","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=voices&#038;p=34258"},"modified":"2013-01-18T17:01:11","modified_gmt":"2013-01-18T22:01:11","slug":"does-some-new-research-cover-old-ground","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2013\/01\/18\/does-some-new-research-cover-old-ground\/","title":{"rendered":"Media Coverage of Research: Does It Sometimes Miss the Point?"},"content":{"rendered":"<p>Sometimes when I see a new study in the media I wonder about the coverage. The media spin often makes it seem that the researchers are studying the obvious. Today I saw a headline in the American College of Cardiology CV News Digest that blared: \u201cPostop Mortality May Be High When CPR is Required.\u201d MedPage Today, Medwire, and Medscape covered this study. I have not read the paper, but fully accept that the conclusion is true. Still, I couldn\u2019t help to wonder about it. Here is the blurb:<\/p>\n<p><strong>Study: Postop Mortality May Be High When CPR Is Required.<\/strong><\/p>\n<p><a href=\"http:\/\/www.medpagetoday.com\/Surgery\/GeneralSurgery\/36885\">MedPage Today\u00a0(1\/18, Smith) reports<\/a>, &#8220;One surgical patient in 203 had a cardiac arrest and needed cardiopulmonary resuscitation (CPR) either during or after surgery, according to analysis of a large 5-year database.&#8221; However, &#8220;fewer than one patient in five who had CPR survived to discharge in 30 days and the risk of death increased as the number of comorbidities rose, according to&#8221; researchers. The investigators found that approximately &#8220;three-quarters of patients who had CPR had a complication, such as sepsis, on or before the day of CPR.&#8221; The research was <a href=\"http:\/\/archsurg.jamanetwork.com\/article.aspx?articleid=1558104#qundefined\">published in <em>JAMA Surgery<\/em><\/a>.<\/p>\n<p><a href=\"http:\/\/www.medwirenews.com\/38\/103116\/Cardiology\/Prevention_opportunity_for_postoperative_cardiac_arrest.html\">MedwireNews (1\/18, McDermid) reports<\/a>\u00a0that &#8220;the most common complications were intubation (in 46.5% of patients), prolonged ventilator use (37.0%), septicemia (33.5%), renal impairment (17.7%), pneumonia (17.3%), and bleeding (16.0%).&#8221;<\/p>\n<p><a href=\"http:\/\/www.medscape.com\/viewarticle\/777827\">Medscape (1\/18, Fox) reports<\/a> that, according to the researchers, &#8220;Complications commonly precede arrest; prevention or aggressive treatment of these complications may potentially prevent CPR and improve outcomes. These data could aid discussions regarding advance directives among surgical patients.&#8221;<\/p>\n<p><strong>Do you encounter studies or coverage that make you wonder: Was that really a research question?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Observing media coverage of a new study, Harlan Krumholz wonders if the spin misses the point of the research.<\/p>\n","protected":false},"author":211,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[956,1091],"class_list":["post-34258","post","type-post","status-publish","format-standard","hentry","category-general","tag-media","tag-research-validity"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/34258","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/211"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=34258"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/34258\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=34258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=34258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=34258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}