Fetal movements and breathing motion were decreased after glucocorticosteroid administration, as evidenced by biophysical profile scores and kick counts. The decrease in the amniotic fluid index observed after glucocorticosteroid administration may have been the result of decreased fetal breathing and, therefore, decreased efflux of alveolar fluid into the amniotic sac.
Background and Objective: To determine the prevalence of aspirin prescribing in patients with known coronary artery disease (CAD) at admission and discharge as well as the changes in the prevalence, both as a function of the patients’ status and the specialty of the treating physician. Methods: This was a retrospective chart review. Patients admitted with a diagnosis of CAD during a 1-year period were studied. Data were collected on aspirin prescribing prior to admission, aspirin prescribed at discharge, age, gender, insurance status, physician type, smoking, hypercholesterolemia, hypertension and diabetes. Results: 1,061 charts were reviewed. After adjustment, there was a significantly higher rate of aspirin prescribing prior to admission for male patients [odds ratio (OR) 1.32, 95% confidence interval (CI) 1.01–1.75] and patients with hypercholesterolemia (OR 1.37, 95% CI 1.05–1.78). At hospital discharge, there was no significant difference with respect to any of the eight variables of interest. For all patients, the prescribing of aspirin was significantly higher at discharge than prior to hospital admission (85 vs. 69%, p < 0.05). Conclusion: In the present sample, aspirin use in patients with known CAD was higher at hospital discharge. Our results indicate an improvement in the care of patients with known CAD, but this is still suboptimal considering the evidence of benefit.
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