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The benefits of the 23-valent pneumococcal polysaccharide vaccine (PPV23) are controversial.1 Recently, based on the association between pneumonia and acute thrombotic events, it has been suggested that pneumococcal vaccination may protect patients from coronary and/or cerebrovascular attacks....
ImportancePhysicians often perceive as futile intensive care interventions that prolong life without achieving an effect that the patient can appreciate as a benefit. The prevalence and cost of critical care perceived to be futile have not been prospectively quantified.
ObjectiveTo quantify the...
ImportanceInforming patients and providers of the likelihood of survival after in-hospital cardiac arrest (IHCA), neurologically intact or with minimal deficits, may be useful when discussing do-not-attempt-resuscitation orders.
ObjectiveTo develop a simple prearrest point score that can...
ImportanceThe patient-centered medical home is advocated to reduce health care costs and improve the quality of care.
ObjectiveTo evaluate the effects of the pilot program of a multipayer patient-centered medical home on health care utilization and quality.
DesignAn interrupted time series...
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