BMJ : British medical journal
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To evaluate the association between experience in the management of acute pulmonary embolism, reflected by hospital case volume, and mortality. ⋯ In patients with acute symptomatic pulmonary embolism, admission to high volume hospitals was associated with significant reductions in adjusted pulmonary embolism related mortality at 30 days. These findings could have implications for management strategies.
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Meta Analysis
Diagnosis of elevated intracranial pressure in critically ill adults: systematic review and meta-analysis.
To summarise and compare the accuracy of physical examination, computed tomography (CT), sonography of the optic nerve sheath diameter (ONSD), and transcranial Doppler pulsatility index (TCD-PI) for the diagnosis of elevated intracranial pressure (ICP) in critically ill patients. ⋯ PROSPERO CRD42018105642.
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Observational Study
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.
To determine whether 30 day mortality, 30 day readmissions, and inpatient spending vary according to whether physicians were exposed to work hour reforms during their residency. ⋯ Exposure of internists to work hour reforms during their residency was not associated with post-training differences in patient mortality, readmissions, or costs of care.