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ECRI Cautions Hospitals About Tech Hype

Cheryl Clark, for HealthLeaders Media, February 12, 2014

ECRI recently updated its report to note Medtronic's announcement that an efficacy endpoint was not reached in a "pivotal trial" of the device, a major snag in its approval process.

Some 48% of hypertensive patients whose conditions are inadequately controlled through medication would be a candidates for treatment with Symplicity. It involves the use of a catheter to disrupt a signaling pathway from the kidneys to the central nervous system that contribute to hypertension.

ECRI recently updated its report to note Medtronic's announcement that an efficacy endpoint was not reached in a "pivotal trial" of the device, a major snag in the approval process. The company plans to continue trials of its product for other non-hypertension clinical indications.

3. EDs for the Elderly (GEDIs)
One concept being pitched to hospital executives is special emergency departments tailored for the elderly. These efforts involve a major construction effort that reorganizes floor plans and brings in special equipment such as reclining chairs, padded stretchers, non-skid floors handrails, special lighting and bedside commodes.

"It's easy to say you're going to sequester and equip five ED bays and then call yourself an elder ER, when what you really need to do… is have clinicians that are trained in elder care issues," Maliff says.

"It's not just you putting a marketing sign out that you have a senior ED. You have to have a physician staff, [and] social workers trained around issues of elder care to make it a successful unit," Maliff says.

At Mount Sinai School of Medicine in New York, these structural and systemic changes are called Geriatric Emergency Department Interventions or GEDIs.

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