Seniors age 65 years and older can experience a significant reduction in mortality risk when treated with the antiviral drug oseltamivir during influenza hospitalizations, even if they were not vaccinated for flu, according to research involving 8,135 influenza patients that was published in Open Forum Infectious Diseases. Patients who were given oseltamivir had an 18% lower risk of 30-day mortality (hazard ratio [HR], 0.82; 95% confidence interval [CI], 0.69 to 0.98). The overall mortality ratio …
A patient who had been hospitalized with a human case of severe avian influenza (H5N1) in the United States has died, according to the Louisiana Department of Health. The patient was over the age of 65 and was also reported to have underlying medical conditions. No additional H5N1 cases nor evidence of person-to-person transmission was reported. The patient contracted H5N1 after exposure to wild birds. As of January 7, 2025, there were 66 human cases …
The final respiratory illness data for the last week of 2024 (ending December 28) show that influenza is trending ahead of both COVID-19 and respiratory syncytial virus among children and adults, according to the Centers for Disease Control and Prevention, with a hospitalization rate of 4.3 per 100,000. Flu’s positivity rate was up 18.7% over the previous week, and the overall percentage of emergency department visits with a discharge diagnosis of influenza was 5.2%—compared to …
The effectiveness of the seasonal influenza vaccine for kids was more than 55% during the respiratory virus seasons from November 2015 to April 2020, according to a study in JAMA Network Open. The 15,728 US children ages 6 months to 17 years who were studied realized protection against emergency department (ED) visits or hospitalization with at least 1 dose of the vaccine. No difference in estimated effectiveness was observed based on varying levels of flu …
Jump to: January 15, 19(4): 1-61 February 15, 19(5): 1-57 March 15, 19(6): 1-59 April 15, 19(7): 1-57 May 15, 19(8): 1-61 June 15, 19(9): 1-61 January 15, 2025, Vol 19, No. 4, Pages 1-61 Letter from the Editor-in-Chief (PDF) Managing Health Data Obsessive Disorder Presentation in Urgent Care Joshua Russell, MD, MSc, FACEP, FCUCM JUCM. 2025;19(4):1-2. Urgent Interactions (PDF) JUCM. 2025;19(4):7. From the UCA CEO (PDF) …
Urgent Message: Chronic cough has a distinct differential diagnosis in different age groups. A cough lasting longer than 4 weeks in children and adolescents should prompt revision of the differential diagnosis to reduce delays in diagnosing serious etiologies. Daniel Moscato, MS, PA-C; Joshua W. Russell, MD Citation: Moscato D, Russell JW. Uncovering the Unexpected: A Case of Chronic Cough in an Adolescent with an Unusual Etiology. J Urgent Care Med. 2025; 19(4)23-26. Key words: Pediatrics, …
The percentage of emergency department (ED) visits that included influenza testing increased from 2.5% in 2013 to 10.9% in 2022, according to a new data brief from the Centers for Disease Control and Prevention. ED visits for children ages 0–5 years had the highest percentage of tests ordered both in 2013 data (8.6%) and 2022 data (23.1%). Among ED visits by adults, the percentage with an influenza test increased from 1.9% to 9.1% for patients …
The United Kingdom’s Health Security Agency has now contracted with a supplier to purchase more than 5 million doses of human H5N1 avian flu vaccine to prepare the country should an avian flu pandemic occur. The virus has been causing a prolonged global outbreak with new cases emerging in humans recently—although the risk still remains quite low. Poultry and dairy cattle are the most likely animals to experience outbreaks of the virus, and thousands of …
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Three elements determine the level for evaluation and management coding (E/M). “Amount and/or Complexity of Data to be Reviewed and Analyzed” is 1 of them and also the most confusing. Data Reviewed remained a point system after guidelines changed in 2021. As an auditor, I see both undercoding and overcoding in E/M caused by not applying the rules correctly. Let’s start with what tests count toward Data Reviewed. …
In the week ending November 9, 2024, 30%-40% of adults had received 2 of the most recommended vaccines, according to the latest update from the Centers for Disease Control and Prevention (CDC). An estimated 34.7% of adults reported having received a seasonal influenza vaccine, and 39.7% of adults age 75 and older have received a respiratory syncytial virus (RSV) vaccine. Likewise, 31.6% of adults aged 60–74 years at increased risk have received an RSV vaccine. …
