Search results for "Sepsis"
Study of Medicare claims finds good outcomes with hospital at home
Only 6.2% of Medicare fee-for-service patients who were hospitalized at home had to be escalated to another setting and 0.5% died during the admission, according to an analysis of 2022 to 2023 claims data. Their 30-day readmission rate was 15.6%.
https://acphospitalist.acponline.org/archives/2024/01/10/study-of-medicare-claims-finds-good-outcomes-with-hospital-at-home.htm
10 Jan 2024
CDC publishes guidance on testing for flu, COVID-19, RSV
Patients being hospitalized with acute respiratory illness during flu season should be tested with the combined nucleic acid assay for influenza A/B/SARS-CoV-2, if possible, with repeat testing if the SARS-CoV-2 result is negative.
https://acphospitalist.acponline.org/archives/2023/12/20/free/cdc-publishes-guidance-on-testing-for-flu-covid-19-rsv.htm
20 Dec 2023
Spinal epidural abscess
A patient presented with acute-on-chronic lumbosacral back pain and new-onset urinary incontinence.
https://acphospitalist.acponline.org/archives/2023/11/01/free/spinal-epidural-abscess.htm
1 Nov 2023
Latest COVID-19 trials show convalescent plasma worked, vitamin C did not
A trial of high-titer convalescent plasma in COVID-19 patients recently put on mechanical ventilation found an improvement in mortality, while another study showed that IV vitamin C did not help and might have harmed patients.
https://acphospitalist.acponline.org/archives/2023/11/01/free/latest-covid-19-trials-show-convalescent-plasma-worked-vitamin-c-did-not.htm
1 Nov 2023
Position paper calls on CMS to revise plan to pay for sepsis performance
Paying hospitals based on the SEP-1 bundle would divert attention and resources from more effective ways to provide comprehensive sepsis care, said medical groups including the Infectious Diseases Society of America and the Society of Hospital Medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/position-paper-calls-on-cms-to-revise-plan-to-pay-for-sepsis-performance.htm
25 Oct 2023
Adverse effects of antibiotics compared for patients hospitalized with infection
A randomized clinical trial at one academic medical center in the U.S. found that piperacillin-tazobactam and cefepime carried similar risk of acute kidney injury but cefepime was associated with more neurological dysfunction.
https://acphospitalist.acponline.org/archives/2023/10/18/adverse-effects-of-antibiotics-compared-for-patients-hospitalized-with-infection.htm
18 Oct 2023
AI predictive models shown to be potentially unreliable over time in clinical settings
A simulation study based on ICU data found that using artificial intelligence (AI) to try to improve predictions of acute kidney injury and mortality could actually impair existing models' performance.
https://acphospitalist.acponline.org/archives/2023/10/11/ai-predictive-models-shown-to-be-potentially-unreliable-over-time-in-clinical-settings.htm
11 Oct 2023
A coding case study
A patient with sepsis provides a lesson in selecting and ordering diagnoses for documentation and coding.
https://acphospitalist.acponline.org/archives/2023/09/06/a-coding-case-study.htm
6 Sep 2023
Sepsis can be classified into hypo- and hyperinflammatory phenotypes, researchers say
About a third of sepsis patients fit a hyperinflammatory phenotype, and they were more likely to benefit from activated protein C than those with a hypoinflammatory phenotype, a new analysis of existing study data found.
https://acphospitalist.acponline.org/archives/2023/08/30/sepsis-can-be-classified-into-hypo-and-hyperinflammatory-phenotypes-researchers-say.htm
30 Aug 2023
Time to antibiotics matters for septic shock, not so much for sepsis without shock
Every hour that antibiotics were delayed was associated with higher mortality from septic shock, but patients with sepsis and no shock only had elevated risk of death if their antibiotics were not administered within six hours, according to a new analysis.
https://acphospitalist.acponline.org/archives/2023/08/09/time-to-antibiotics-matters-for-septic-shock-not-so-much-for-sepsis-without-shock.htm
9 Aug 2023