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Thyroid Hormone Administration Provides No Benefit on Transplant Rate, Graft Survival for Brain-Dead Donor Hearts

A trial randomizing brain-dead donor hearts to levothyroxine administration or saline has returned results challenging conventional wisdom on the topic, with data indicating thyroid hormone administration may provide no significant benefit.
Raj Dhar Washington University School Of Medicine Washington University Neurosurgery Intensive Care Unit Scientific Registry Transplant Recipients

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Remote patient monitoring may improve cardiovascular outcomes in patients with hypertension

1. In this observational study, patients in high remote patient monitoring (RPM) practices had better hypertension outcomes than those at matched low-RPM practices. 2. Patients in high-RPM practices had more primary care physician outpatient visits and total hypertension-related spending. Evidence Rating Level: 2 (Good) Study Rundown: RPM is a healthcare delivery method where clinicians monitor
Minute Medicine Inc Rating Level Confidence Interval Chronic Disease High Blood Pressure Public Health

Vancomycin and cefazolin not superior to cefazolin alone in arthroplasty prophylaxis

1. In this randomized controlled trial, the combination of vancomycin with cefazolin was not superior to surgical antimicrobial prophylaxis with cefazolin alone in patients undergoing arthroplasty. 2. Prophylaxis with vancomycin and cefazolin was associated with an increased risk of hypersensitivity reactions and decreased risk of acute kidney injury (AKI) compared to cefazolin alone. Evidence Rating
United States Minute Medicine Inc Rating Level Australian Surgical Antibiotic Prophylaxis Confidence Interval Acute Kidney Injury

Gantenerumab does not slow cognitive decline in early Alzheimer's

1. In these two randomized parallel-group trials, the use of gantenerumab did not lead to slower cognitive decline over 116 weeks among persons with early symptomatic Alzheimerโ€™s disease compared to placebo. 2. After 116 weeks, gantenerumab was associated with lower amyloid plaque burden than the placebo. Evidence Rating Level: 1 (Excellent) Study Rundown: The accumulation
Minute Medicine Inc Rating Level Early Alzheimer Clinical Dementia Rating Global Score Confidence Interval

Decolonization reduces hospitalization rates in nursing home residents

1. In this randomized controlled trial, universal decolonization with topical antiseptics significantly reduced the risks of hospitalization due to infection among nursing home residents as compared to routine care. 2. The number needed to treat (NNT) was 9.7 to prevent one hospitalization due to infection in the nursing home setting. Evidence Rating Level: 2 (Good)
United States Los Angeles Minute Medicine Inc Rating Level Risk Ratio Confidence Interval

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