Issue - Southern Medical Association

Original Article

Impact of Consultation on Hospital Outcomes and Resource Utilization for Patients with Acute Congestive Heart Failure

Objectives: Consultation is an important tool for acquiring subspecialty support when managing patients with acute congestive heart failure (CHF). The effect of consultation on hospital outcomes and resource utilization in CHF is unknown. The objectives of our study were to determine the effect of consultation on outcomes in CHF and…

Original Article

Association between Weight Change, Health Outcomes, and Mortality in Older Residents in Long-Term Care

Objectives: Despite the numerous health risks associated with being overweight, the effect of weight loss on health and longevity remains controversial, particularly in older adults. We explored the association among weight changes, health outcomes, and mortality in older residents of a skilled nursing facility. Methods: A 6-year retrospective chart review…

Invited Commentary

Commentary on “Impact of Consultation on Hospital Outcomes and Resource Utilization for Patients with Acute Congestive Heart Failure”

The rising cost of health care has been a problem in the United States for decades. As our population ages, healthcare costs continue to rise, becoming increasingly burdensome for our society.

Invited Commentary

Commentary on “Factors Influencing Injury Severity of Bicyclists Involved in Crashes with Motor Vehicles: Bike Lanes, Alcohol, Lighting, Speed, and Helmet Use”

Many of us can remember receiving our first bicycle as a young child. This is the first sense of freedom that many children experience—having basic transportation. Whether it was used to ride across the street, around the block, or across town, at a young age this concept was exhilarating.

Original Article

Rural Religious Leaders’ Perspectives on their Communities’ Health Priorities and Health

Objectives: In traditionally underserved communities, faith-based interventions have been shown to be effective for health promotion. Religious leaders—generally the major partner in such interventions—however, are seldom are consulted about community health priorities and health promotion preferences. These insights are critical to ensure productive partnerships, effective programming, and sustainability. Methods: Mixed-methods…

Original Article

Stroke Hospital Characteristics in the Florida–Puerto Rico Collaboration to Reduce Stroke Disparities Study

Objectives: Although disparities in stroke care and outcomes have been well documented nationally, state-based registries to monitor acute stroke care in Florida (FL) and Puerto Rico (PR) have not been established. The FL-PR Collaboration to Reduce Stroke Disparities (CReSD) was developed to evaluate race-ethnicity and regional disparities in stroke care…

Original Article

Adequately Addressing Pediatric Obesity: Challenges Faced by Primary Care Providers

Objective: To assess the challenges primary care providers encounter when providing counseling for pediatric patients identified as obese. Methods: A survey assessed the current challenges and barriers to the screening and treatment of pediatric obesity for providers in northwest Arkansas who provide care to families. The survey consisted of 15…

Original Article

A Comparison of QTc Intervals in Alcohol Withdrawal Patients Versus Acute Coronary Syndrome Patients

Objectives: Patients with an alcohol use disorder experiencing acute intoxication or withdrawal may be at risk for electrocardiograph (ECG) abnormalities, including prolongation of repolarization (long QTc [corrected QT]) that may contribute to arrhythmias and may be associated with a threefold increase in the likelihood of sudden cardiac events. Patients with…

Original Article

Factors Influencing Injury Severity of Bicyclists Involved in Crashes with Motor Vehicles: Bike Lanes, Alcohol, Lighting, Speed, and Helmet Use

Objectives: In 2014, 726 bicyclists were killed and an additional 50,000 were injured in crashes with motor vehicles. The number of cyclists in the United States is increasing, and as a result there has been a call for more bike lanes. We examined the difference in the severity of injury…

Original Article

Underdiagnosis and Lower Rates of Office Visits for Overweight/Obese Pediatric Patients in Rural Compared with Urban Areas

Objectives: This study compared the number of children enrolled in Medicaid in rural and urban areas of South Carolina with an overweight/obesity diagnosis and the mean rates of office visits with overweight/obesity diagnosed. Methods: Medicaid claims data from 2012 for children in three South Carolina counties, categorized as urban, rural…