Publications by authors named "Michael C Sauer"
Article Synopsis
- Veterans face higher rates of chronic pain and opioid prescriptions, prompting organizations like the CDC and DoD to recommend naloxone for at-risk patients.
- An interprofessional team implemented a project at a VA clinic to increase naloxone coprescriptions by utilizing the Opioid Therapy Risk Report to identify eligible patients.
- The initiative successfully raised naloxone coprescription rates from 42% to 82% over a year, showcasing the effectiveness of provider notifications for high-risk patients.
Introduction: Heart failure (HF) presents a significant health challenge, with intravenous (IV) iron therapy considered a potential treatment avenue.
Method: We assessed IV iron therapy's efficacy in HF patients with concurrent iron deficiency versus standard of care. Primary outcomes included the composite of HF hospitalizations or cardiovascular-related mortality, HF hospitalizations, and all-cause, HF, and cardiovascular mortality rates.
Anxiety and depression symptoms among patients with long COVID: a retrospective cohort study.
Eur Arch Psychiatry Clin Neurosci
December 2024
Patients suffering from post-acute sequelae of COVID-19 (PASC) have a higher prevalence of anxiety and depression than the general population. The long-term trajectory of these sequelae is still unfolding. To assess the burden of anxiety and depression among patients presenting to the University of Iowa Hospitals and Clinics (UIHC) post-COVID-19 clinic, we analyzed how patient factors influenced Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scores.
View Article and Find Full Text PDFBackground: Valvular strands seen on echocardiography carry a wide differential diagnosis and may not always have a clear etiology despite taking clinical context into account. The decision of whether to provide anticoagulation for these lesions can be challenging. .
View Article and Find Full Text PDFHypothermia as an Adjunctive Therapy in Cardiogenic Shock: A Systematic Review and Meta-Analysis.
Ther Hypothermia Temp Manag
December 2023
Article Synopsis
- Therapeutic hypothermia (TH) was analyzed for its effectiveness in improving outcomes for patients experiencing cardiogenic shock (CS) after cardiac arrest, with a total of 7 studies examined.
- The study found that TH did not significantly reduce in-hospital, short-term, or mid-term mortality rates compared to standard care (SOC) and showed only a slight improvement in cardiac function.
- Additionally, TH was associated with potential risks, including higher incidents of infection and bleeding, and did not shorten ICU stays or mechanical ventilation time, suggesting a need for larger studies to explore these findings further.
Major depression (MD) is prevalent in patients with heart failure (HF) and contributes to increased risk of hospitalization and mortality. The implementation of cognitive behavioral therapy (CBT) has become a key strategy for treating HF patients' depression. We performed a comprehensive literature search for studies that evaluated the efficacy of adjunctive CBT compared to the standard of care (SOC) in HF patients with MD.
View Article and Find Full Text PDFBackground: Coronary artery abnormalities in Kawasaki disease (KD) are assessed using echocardiographic z-scores. We hypothesized that changing the coronary artery (CA) z-score model would alter diagnosis and management of children with KD.
Methods: In this retrospective single-center study of children treated for KD (9/2007-1/2020), we collected echocardiographic measurements for the left anterior descending (LAD), right (RCA), and left main (LMCA) coronary arteries during 3 illness phases and calculated Boston and Pediatric Heart Network (PHN) z-scores.