Restoring trust after rough times in residency
The pandemic made many medical trainees less trustful and engaged. A program director talks about how to win them back.
Hypertension
Accurate documentation of hypertensive crisis, urgency, and emergency can have a substantial impact on reimbursement.
Over one-third of surgical inpatients experience adverse events, study suggests
Nearly two in five patients who underwent surgery at one of 11 hospitals in Massachusetts in 2018 experienced adverse events, 60% of which were considered potentially preventable.
Hospitalizations, liver transplants linked to alcohol on the rise across age, gender groups
Between 2005 and 2021, liver transplants associated with alcohol-induced liver disease saw a relative increase of more than 2,000% among women younger than 40 years of age in the U.S., and their liver disease hospitalization rate more than doubled, according to data from the National Inpatient Sample.
Heart failure admission outcomes similar with hospital at home, traditional inpatient stay
More than 90% of acute heart failure patients who were offered hospital at home care accepted it in place of a brick-and-mortar hospital stay, and 84% of them completed home hospitalization without requiring transfer back to the hospital, a retrospective analysis found.
Research Summaries | November 20, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Outcomes similar with hospital-acquired COVID-19 vs. flu, Swiss study finds
A comparison of patients who developed symptomatic omicron-variant COVID-19 or flu during hospitalization found similar case-fatality rates at 6.2% and 6.1%, respectively. ICU admission was required for 2.4% of those with COVID-19 versus 2.6% with influenza.
Take a quiz about the Nov. 13 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.
Hospitalists plus students
Direct care hospitalist teaching services have been on the rise, giving physicians and students more time to interact.
Success Story | November 13, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Procedures for saving the planet
An internal medicine team redesigned their procedure cart and halved the waste produced by bedside procedures.
Midline safe alternative to PICC for OPAT after discharge, retrospective study finds
In patients getting outpatient parenteral antimicrobial therapy (OPAT) for two weeks or less, major complication rates were lower with midline catheters than peripherally inserted central catheters (PICCs). For longer dwell times, complication and failure rates were similar between devices.
Nearly half of deaths among patients hospitalized for flu occur postdischarge
Only 37% of patients who died within 30 days of discharge from an influenza hospitalization had flu listed as a cause of death and this was less likely the longer the time between hospitalization and death, indicating that the link may be underappreciated, according to a recent study.
Postop delirium risk, appropriate prevention strategy varies by surgery type
Older patients undergoing noncardiac surgery could be categorized into phenotypes that reflect their delirium risk and highlight potentially effective prevention strategies, from prehabilitation to proactive pain management, a retrospective study found.
Functional impairments predict readmissions among older patients
Measures including hand grip strength, Short Physical Performance Battery scores, gait speed, low mobility, and the Timed Up-and-Go Test, used either before or during admission, identified those at higher risk for readmission within 90 days, according to a systematic review.
Hospitalists tackle trauma
A geriatric trauma service staffed by hospitalists filled a gap in care for older patients who had been injured.
Sickle cell drug withdrawn from market
The FDA recently announced that voxelotor was being removed from the market, along with several ventilator- and pump-related recalls, among other actions.
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