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In a study of 1,404 Medicare beneficiaries, heavier patients were more likely to survive the life-threatening infection that can lead to a stay in a hospital’s intensive care unit. The findings, published in the August issue of Critical Care Medicine, raise interesting questions about how obesity impacts the body’s response to infection. The focus of the study was to investigate the association of body mass index to survival, health care use and functional deficiencies following a severe sepsis hospitalization. The last objective was selected because of the value patients place on living and functioning independently. The incidence of sepsis has doubled in the past 15 years leading to an increased focus on research and Medicare spending. These hospitalizations cost more than $16 billion annually, which is roughly 4 times the cost of hospitalizations for heart attacks. The patients who survive often become debilitated during their hospital stay and need to spend time in a rehabilitation facility.

Authors note there are many health benefits to maintaining a normal weight, but the findings suggest that excess weight may cause the body to respond differently to critical illness.
The study was conducted with participants of the Health and Retirement Study, a nationally representative sample of older Americans that is run by the University of Michigan Institute for Social Research on behalf of the National Institute of Aging. Reference: “Obesity and 1-year outcomes in older Americans with severe sepsis,” Critical Care Medicine, August, 2014.
Copyright © 2015 Caroldoey, All trademarks are the property of the respective trademark owners. Edited by Dr R M Beattie BSc MBBS MRCP FRCPCH, Consultant Paediatric Gastroenterologist, Paediatric Medical Unit, Southampton General Hospital, Southampton; and Dr Mike Champion BSc MBBS MRCP FRCPCH, Consultant in Paediatric Inherited Metabolic Disease, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London. A better understanding of this difference may help health care providers improve care for all patients with sepsis and other critical illnesses. You are free to copy, distribute, adapt, transmit, or make commercial use of this work as long as you attribute the University of Michigan Health System as the original creator and include a link to this article.

It includes ample tables, algorithms, and evidence- based references, plus full- color dermatology and infectious disease sections, a formulary, and pocket cards for quick reference. A companion Website will offer the fully searchable text, quarterly drug updates, and an image bank of dermatology and infectious disease photos. Louis to which international legal protection applies.Concise, portable, and user-friendly, The Washington Manual of Pediatrics, 2nd Edition, focuses on the essential information you need to know when caring for children. ?’A® of Pediatrics provides concise rapid- access information to be used while on call, in a critical care setting, in the emergency unit, and in subspecialty outpatient clinics. Organized by organ system, the book outlines established approaches to the diagnosis and treatment of common inpatient pediatric problems.

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