What I Learnt Today : Clinical Edition
Clinical Learning
16th March
Randomized Trial of Bulb Syringes for Ear- wax: Impact on Health Service Utilization
http://www.annfammed.org/cgi/reprint/9/2/110.pdf CONCLUSION For patients who have not already tried bulb syringes, self-irrigation using a bulb syringe significantly reduces subsequent demand for ear irriga- tion by health professionals. Advocating the initial use of bulb syringes could reduce demand for ear irrigation in family practice clinics.
14th March
Mortality and HbA1c Currie www.thelancet.com Vol 375 February 6, 2010
Survival as a function of HbA1c in people with type 2 diabetes: a retrospective cohort study
Craig J Currie, John R Peters, Aodán Tynan, Marc Evans, Robert J Heine, Oswaldo L Bracco, Tony Zagar, Chris D Poole
"Interpretation Low and high mean HbA1c values were associated with increased all-cause mortality and cardiac events.
If confirmed, diabetes guidelines might need revision to include a minimum HbA1c value."
Comments from Chris Mitchell
Looking at adjusted hazard ratios for all-cause mortality for patients on either Insulin or oral hypoglycaemics on page 485 for real world general practice patients it looks to me like are targets need revision up
