First statemandated sepsis regulation in the US linked to lower mortality rates

first_imgReviewed by James Ives, M.Psych. (Editor)Jul 17 2019Death rates from sepsis fell faster in New York than expected and faster than in peer states following the introduction of the nation’s first state-mandated sepsis regulation, according to an analysis led by University of Pittsburgh researchers and published today in JAMA. The policy requires all New York hospitals to quickly implement certain protocols when the deadly condition is suspected.The finding is good news for the nearly dozen other states in varying stages of adopting similar policies to reduce deaths from sepsis, the leading cause of death in hospitalized patients. Sepsis is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Rory’s Regulations were issued by the New York State Department of Health in 2013 after 12-year-old Rory Staunton died of undiagnosed sepsis. The regulations require that hospitals in New York follow protocols for sepsis that include giving antibiotics within three hours and intravenous fluids within six hours of hospitalization. The hospitals also are required to regularly train staff in the protocols and to report adherence and clinical outcomes to the state.Kahn and his team analyzed records of more than a million sepsis admissions in 509 hospitals in New York and four control states without a sepsis regulation: Florida, Maryland, Massachusetts and New Jersey. The team looked at dates from two years before Rory’s Regulations were adopted, and two years after.Related StoriesResearchers find lower ER triage scores are linked to delayed antibiotics for sepsis patientsDoctors urge hospitals to reconsider the type of fluids used to treat children with sepsisScientists identify mechanism that makes babies more likely than adults to die from sepsisIn the years before the regulations went into place, 26.3% of the people diagnosed with sepsis in New York died while hospitalized, compared to a rate of 22% in the control states. Following the regulations, New York’s sepsis mortality rate dropped 4.3% to 22%, but the death rate only fell 2.9% to 19.1% in the control states.After accounting for patient and hospital characteristics, as well as pre-existing sepsis trends in the states, New York’s sepsis death rate was 3.2% lower following the regulation than would have been expected, relative to the control states. This comparison was crucial to estimating the improvement and sets this study apart from prior work. Sepsis outcomes are known to improve over time-;a study just looking in New York would not be able to differentiate the effects of the regulations from underlying trends. Because these improvements occurred more quickly in New York compared to other states, the researchers are more confident that the regulations are the source of the improvement.”Sepsis is a tremendous global health burden, so developing proven ways to quickly recognize and treat people who have it is a top public health priority,” said senior author Derek Angus, M.D., M.P.H., professor and chair of Pitt’s Department of Critical Care Medicine and director of Pitt’s Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center. “While every state should consider their specific population and needs when developing regulations, our analysis reveals that policies enforcing evidence-based clinical protocols for the timely recognition and treatment of sepsis saves lives.” Source:Health Sciences at the University of Pittsburgh Rarely in the U.S. do we force hospitals to implement specific clinical protocols. Typically, quality improvement is achieved through financial incentives and public reporting. For the first time, state officials are enshrining in regulations that hospitals must follow certain evidence-based protocols when it comes to sepsis. And our study finds that, at least in New York, it seemed to work.”Lead author Jeremy Kahn, M.D., M.S., professor in the Department of Critical Care Medicine at Pitt’s School of Medicine and the Department of Health Policy and Management at Pitt’s Graduate School of Public Healthlast_img read more

Bringing reality into the world of VR

first_imgHave you ever wondered what it would be like to be inside your favourite video game, movie or even a historical location? Provided by Particle One of the biggest hurdles has been price, and in just the past month, three ‘more affordable’ headsets have been announced to the marketplace.Judging by both the gaming industry’s interest and the hardware options, VR is heading towards the mainstream.”5 years from now, you’re likely to see a lot more VR, and it won’t be such a novelty any more,” Brad says.”The future is for those two [mainstream AAA titles and VR] to come together, either released as a VR version or having a VR option built in.”NOT JUST FOR GAMESWhile the team at Ready Team One are refining their system and working on their next game—a player versus player title—they’re also looking at other areas where this technology can be used.James feels it could be useful for everything from military training to remote site inductions for mining operations.”If you can train people for a dangerous environment—such as an oil rig—in the safety of a gym floor, then I think there’s some really good use cases,” James says.”It could also be used for product visualisation—imagine walking around a home before you’ve even built it to get a real scale of the plan.”James believes these applications are just a handful of an ocean of possibilities for VR.And in another 10 years, who knows where it could lead—maybe heading down to your local VR club to fight a dragon? The experience is really unlike any other. The backpack and equipment all are light and easy to move in. You can signal your teammates with a simple gesture or get instructions over the radio while playing.MAINSTREAMING VRMurdoch University’s Brad Power has been tracking the uptake of VR since it began development over a decade ago.As a lecturer in games art and design, Brad sees the potential the hardware has but still feels it has a while before it’s as mainstream as a gaming console.”For a long time, people assumed the uptake would be really quick,” Brad says. “It’s almost like a separate genre, and people don’t expect games like Assassin’s Creed in VR yet.”Brad sees the current wave of VR introduction mostly coming through console VR such as PlayStation’s VR headset or the Nintendo Switch’s upcoming VR releases.But while these are not complete VR solutions like Ready Player One, they are an affordable introduction to the technology, helping to make it more common. This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. Oculus looks to spur VR spread with Rift price cut Imagine walking around inside a restored Colosseum in Rome or helping Ridley take on the alien as you plan your escape. Or what about jumping on a light cycle for a while in Tron?Virtual reality (VR) has been making leaps and bounds in the past decade, but there’s still a big hurdle the hardware needs to overcome before it goes mainstream—the cable.Most modern VR headsets are limited by their need for a cable to power the hardware, tethering you to a computer if you want to enter the virtual world.Because of this, the terms ‘free roaming’ and ‘virtual reality’ don’t normally go hand in hand.But three WA engineers have come up with their own solution to VR’s cable problem, and it’s not just a prototype—you can try it out most weekends.THE VR ARENAReady Team One started developing their idea of a free-roaming VR environment back in 2017.Having seen a VR setup with limited movement and no body tracking, James Tang, Scott Whiteley and Chris Cheng set about making their own hardware system to make cableless VR a reality.”One of the hardest parts was getting people to understand exactly what we were offering,” James says. “No one in Perth is offering this type of experience we’ve built.”Using off-the-shelf parts, the trio built a custom backpack system to carry all the hardware needed to play VR untethered. This article first appeared on Particle, a science news website based at Scitech, Perth, Australia. Read the original article. It’s a whole new way to play with your friends – and it’s not sitting down. Credit: READY TEAM ONE They programmed a game, First Contact, where you can interact with both the environment and other players, working as a team to face the challenges in front of you—fighting off alien creatures and completing puzzles using your hands.”We wanted to bring in full body tracking,” James says, “so you can move all your fingers and your legs [inside the VR environment].””We want you to be able to fully immerse yourself in the experience.”This is accomplished through a piece of hardware on the front of the headset created by Leap Motion. It uses infrared cameras to track the movement of your hands, letting the software know what they’re doing in real time. Citation: Bringing reality into the world of VR (2019, June 6) retrieved 17 July 2019 from Explore furtherlast_img read more