ACP Hospitalist

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.

By Jennifer Kearney-Strouse

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.

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.

By Jennifer Kearney-Strouse

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.

Quiz | August 27, 2025

Take a quiz about the Aug. 20 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.

Q&A | August 20, 2025

Diagnose dizziness

A hospitalist encourages his peers to brush up on their bedside skills for dizzy inpatients.

By Gianna Melillo

Success Story | August 20, 2025

A new pneumonia score

Internal medicine physicians built a score that predicted mortality risk better than the CURB-65.

Dalbavancin similar to standard care for complicated S. aureus bacteremia

Patients with complicated Staphylococcus aureus bacteremia who were randomized to two doses of dalbavancin had similar outcomes at 70 days compared with those who received four to eight weeks of standard IV therapy, a multicenter trial found.

By Gianna Melillo

Atrial natriuretic peptide levels may help predict readmission risk in HF

Hospitalized patients with heart failure (HF) with preserved ejection fraction who had atrial natriuretic peptide levels above 113 pg/mL at discharge were more likely to be rehospitalized within one year than those with lower levels, according to a study in Japan.

By Gianna Melillo

Continuing immunosuppressive drugs when sick didn't change risk of serious infection

Patients with rheumatoid arthritis, psoriatic arthritis, or axial spondyloarthritis who were randomized to continue their medications when they got any kind of infection had similar outcomes as those who stopped the medications while they were sick, a Dutch trial found.

Postdischarge intervention for sepsis patients had mixed results, trial finds

A sepsis transition and recovery intervention did not reduce a primary composite outcome of readmission or mortality within 90 days, but results of the seven-hospital trial did suggest that mortality may have been decreased at the cost of more readmissions.

Feature Story | August 13, 2025

Putting the ‘AI’ in academic internal medicine

Medical educators and their institutions have to work to keep pace with student and trainee use of artificial intelligence (AI), experts say.