Journal of Urgent Care Medicine

Flu Rates Have Hospital Systems Pushing Patients to Urgent Care

Pardee UNC Health Care in North Carolina and WVU Medicine in West Virginia are among the hospitals and systems advising area residents to make full use of local urgent care centers as flu cases mount, slamming emergency rooms with more visitors than they can handle efficiently. Pardee is pleading with area residents who have flu-like symptoms—or any non–life-threatening complaint—to stay away from the ED and instead visit one of its urgent care facilities. In getting …

New Data Show Annual Flu Shots Have a Cumulative Effect for Seniors

It’s well established (though not accepted by all patients) that getting a flu shot is the best way to reduce risk for influenza infection, and that the need to do so is especially great for older patients. New research out of Spain shows that seniors who get a flu shot every year see a cumulative benefit that helps keep them out of the hospital. The authors of the study, published in the Canadian Medical Association …

2018 Current Procedural Terminology (CPT) Code Changes

There are 314 code changes in the CPT manual for 2018, with 172 new codes, 60 revised codes, and 82 deleted codes. Most of the changes affect surgery procedures, but the updates include several changes that are relevant to urgent care. For your convenience, we have listed these changes in expected relevance to urgent care: Radiology Codes for x-rays of the chest and abdomen have been deleted and replaced with codes based on the number …

Update: CDC Stresses Antiviral Treatment for Flu Patients as Cases Pile Up

As Alabama, Arkansas, Delaware, and New York and other states report higher incidence of flu compared with previous years, the Centers for Disease Control and Prevention reveals that A(H3N2) viruses are predominating this season, and has issued a summary of antiviral drug treatment recommendations. According to the agency, previous seasons in which A(H3N2) viruses were predominant were associated with more hospitalizations and deaths among older adults and young children vs other age groups. Vaccine effectiveness …

With Four Children Dead Already, CDC Warns This Flu Season Could Be Severe

It’s relatively early in the season, but the Centers for Disease Control and Prevention reports that influenza activity is already rising—and several markers are higher than normally seen this early. Four children have already died this season, and four of the CDC’s 10 regions are at or above their regional baselines. Another bad sign: Australia, whose data are often a predictor of flu severity in the U.S., just completed its worst flu season on record. …

Abstracts in Urgent Care – December 2017

GLENN HARNETT, MD Innovative Rapid Tests Show Promise in Influenza Key point: Novel DIAs and rapid NAATs had markedly higher sensitivities for influenza A and B in both children and adults than did traditional RIDTs, with equally high specificities. Citation: Merckx J, Wali R, Schiller I et al. Diagnostic accuracy of novel and traditional rapid tests for influenza infection compared with reverse transcriptase polymerase chain reaction: a systematic review and meta-analysis. Ann Intern Med. 2017;167(6):394-409. …

AFC Will Support Vets and Public Health on Veterans Day

National urgent care operator American Family Care (AFC) is going to offer free flu shots to Americans who have served in the military this Veterans Day (Saturday, November 11). It’s actually taking a page from the military’s own book, as the U.S. armed services was the first body to initiate an influenza vaccination policy back in the 1940s. The Veterans Day effort goes beyond a feel-good publicity campaign, owing to the fact that veterans tend …

New Flu Vaccine Codes—and an Update on Proposed Changes to the E/M Guidelines

Q: Do you have information on the 2017-2018 influenza vaccine codes? A: The American Medical Association (AMA) recently published a list of new and revised vaccine codes on their website (https://www.ama-assn.org/sites/default/files/media-browser/public/cpt/vaccine-long-desc-july-2017.pdf). These codes will be published in the 2018 Current Procedural Terminology (CPT) manual. The two new influenza vaccines on the list are: 90682, “Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use” 90756, …

Abstracts in Urgent Care – November 2017

Brain Study Suggests a Link Between CTE and Football—Even Among Youths Key point: A high proportion of deceased players of American football showed pathological evidence of chronic traumatic encephalopathy, suggesting that CTE may be related to prior participation in football. Citation: Mez J, Daneshvar DH, Kiernan PT, et al. Clinicopathological evaluation of chronic traumatic encephalopathy in players of American football. JAMA. 2017;318(4):360–370. This widely referenced JAMA study presents a convenience sample of 202 deceased players of …

CDC: Offering a Flu Shot Moves More Pregnant Women to Get One

Despite the fact that pregnant women and infants are increased risk for severe, influenza-related illness, nearly half of women approaching childbirth fail to get a flu shot, according to the Centers for Disease Control and Prevention. However, in a recently published study, the CDC also found that simply offering to give a pregnant woman a flu shot increased the rate of coverage from 56% to around 70%. The report is careful to distinguish making a …