Craving continuity
Discontinuity in hospital care is harming patients, learners, and physicians, say three physicians who seek change.
Brief Case | September 3, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Bartonella quintana endocarditis presenting as heart failure
A patient with a recent history of drinking one liter of vodka daily presented with fatigue and rash.
H. pylori screening following myocardial infarction does not reduce upper GI bleeding risk
Helicobacter pylori screening was associated with a lower risk of upper gastrointestinal (GI) bleeding in patients with acute myocardial infarction who had moderate to severe anemia or kidney failure, suggesting that certain high-risk subgroups might benefit from targeted testing, the authors of a Swedish trial observed.
Older adults rarely counseled about perioperative neurocognitive disorders
Only 7% of patients ages 65 years and older who were surveyed before elective surgery said a clinician discussed risk for perioperative neurocognitive disorders with them, and no patients reported receiving educational materials, a recent study found.
Age at first HF hospitalization varies by race, ethnicity
Average age at first heart failure (HF) hospitalization was 73.6 years in non-Hispanic White patients, compared to 70.6 years in Asian patients, 60.1 years in non-Hispanic Black patients, and 65.4 years in Hispanic patients, a registry study found.
Studies report on programs to increase OUD treatment in hospitals
A California program supported prescription of medications for opioid use disorder (OUD) in EDs, while a Colorado intervention provided training and order sets for inpatient clinicians to treat OUD.
Take a quiz about the Aug. 27 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.
Hot times
Rising temperatures and new guidelines make heat stroke a hot topic for hospitalists.
Newman's Notions | August 27, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
The aquatic hospitalist
As with swimming, the trick of being a hospitalist is learning not to drown.
Oral antibiotics may be suitable for more complex patients with infective endocarditis
Treatment success was similar in patients who received IV antibiotics only for infective endocarditis and those who switched to oral antibiotics, including those with valvular abscess, right-sided heart involvement, or IV drug use, a French cohort study found.
Risk score predicts contrast-associated AKI before CT
The prediction model for acute kidney injury (AKI) includes reduced estimated glomerular filtration rate, acute heart failure, hypotension, anemia, and receipt of nephrotoxic antibiotics.
Lateral positioning reduced hypoxemia in sedated patients, Chinese trial finds
In a trial that randomized patients to supine or lateral positioning after anesthesia, only 5.4% of the latter group developed hypoxemia in the subsequent 10 minutes, compared to 15.0% of the former. The laterally positioned patients also required fewer airway rescue interventions and had shorter length of stay in the postanesthesia care unit.
Remote patient monitoring offered by almost half of U.S. hospitals in 2022
Availability of remote patient monitoring for postdischarge or chronic care rose substantially from 2018 to 2022, but disparities in access persisted, with rural and nonteaching hospitals being less likely to offer the technology.
Diagnose dizziness
A hospitalist encourages his peers to brush up on their bedside skills for dizzy inpatients.
Deadline approaching for special issue of ACP Hospitalist
This year's theme is memorable inpatient encounters. Submit your essay by Sept. 22.
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