(From the February 2019 Issue of MedStat)
Concussion is Associated With a 2x Higher Risk of Suicide
People who suffer a concussion and/or mild traumatic brain injury are twice as likely to commit suicide as people who don’t suffer such head trauma, a meta-analysis of 17 studies shows. The meta-analysis, led by Todd J. Karsies, MD, MPH, a critical care physician at Nationwide Children’s, also found those who suffer concussion and/or mild TBI consistently are at higher risk to attempt suicide and have suicidal ideation compared to the uninjured. Dr. Karsies says providers must consider suicide as a possible outcome of concussion in a small subset of the population. Learn more in this Pediatrics Nationwide article.
Growth Hormone Also Has Metabolic Benefits
In cases of growth hormone deficiency, metabolic abnormalities such as nonalcoholic fatty liver disease, may develop. In his review of adult and pediatric studies, Rohan Henry, MD, MS, an endocrinologist at Nationwide Children’s Hospital, found that growth hormone has metabolic aspects that remain important after linear growth, including improvements to glucose dysregulation, lipid profile and quality of life measures. To set patients up for a healthy life in the future, Dr. Henry says pediatric practitioners should stress patients adhere to their growth hormone regimen. Learn more in this PediatricsOnline article.
Should “Non-High Risk Patients” With Uncomplicated Influenza be Given Antivirals?
The Centers for Disease Control and Prevention clearly recommends that hospitalized, severely ill and high-risk patients with suspected or confirmed influenza should be treated with antivirals. But what about people who don’t fit within these categories? Michael Brady, MD, an infectious disease specialist at Nationwide Children’s Hospital, offers a list of factors that physicians should use in making a judgement. The factors may also provide a basis for talking with parents about a conservative course of action in uncomplicated and low-risk cases. Learn more in this PediatricsOnline article.