{"id":37130,"date":"2013-06-17T15:13:31","date_gmt":"2013-06-17T19:13:31","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=voices&p=37130"},"modified":"2013-06-17T15:13:31","modified_gmt":"2013-06-17T19:13:31","slug":"selections-from-richard-lehmans-literature-review-june-17th","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2013\/06\/17\/selections-from-richard-lehmans-literature-review-june-17th\/","title":{"rendered":"Selections from Richard Lehman\u2019s Literature Review: June 17th"},"content":{"rendered":"

CardioExchange is pleased to reprint selections from Dr. Richard Lehman\u2019s\u00a0weekly journal review blog<\/a>\u00a0at\u00a0BMJ.com<\/a>. Selected summaries are relevant to our audience, but we encourage members to engage with the\u00a0entire blog<\/a>.<\/em><\/p>\n

BMJ\u00a0 15 June 2013\u00a0 Vol 346<\/strong><\/p>\n

Associations Between the Organization of Stroke Services, Process of Care, and Mortality in England:<\/strong> Stroke care improvement programmes in the UK seem to work, just as stroke centres did when they were first set up. A prospective cohort study<\/a> examines the figures and looks for the contribution made by each element of improved care. Once again we get this wretched word bundle, and Bundle 4 is defined as: \u201cpatient given antiplatelet therapy where appropriate and had adequate fluid and nutrition for first 72 hours.\u201d Why on earth bundle together adequate food and fluid with antiplatelet therapy? Anyway, this bundle makes the most difference: it is perhaps a marker for units where the nurses have enough time to make sure the patients are fed and watered.<\/p>\n

JAMA Intern Med\u00a0 10 June 2013 Vol 173<\/strong><\/p>\n

Waste and Harm in the Treatment of Mild Hypertension (pg. 956):<\/strong>\u00a0 It\u2019s great to see Iona Heath featured<\/a> in a viewpoint on waste and harm in the treatment of mild hypertension in a leading US journal. It is taking so long for the entrenched models of thinking about cardiovascular risk factors to give way to a patient centred view of risk and benefit.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

This week’s topics include a stroke care improvement program in England and waste and harm in the treatment of mild hypertension.<\/p>\n","protected":false},"author":475,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1846,1097,1845],"class_list":["post-37130","post","type-post","status-publish","format-standard","hentry","category-general","tag-mild-hypertension","tag-reducing-waste","tag-stroke-care"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/37130","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\/475"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=37130"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/37130\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=37130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=37130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=37130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}