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Sickle cell drug withdrawn from market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.
Low-risk patients can continue GLP-1 receptor agonists perioperatively, guideline says
Decision making about perioperative use of glucagon-like peptide-1 (GLP-1) receptor agonists should be collaborative and balance patients' metabolic need for the medication with their risk of delayed gastric emptying and aspiration, according to a new multisociety guideline.
New consensus guidance document advises on use of CGM in the hospital
A group of experts reviewed the potential benefits and barriers to continuous glucose monitoring (CGM) in the hospital, as well as summarizing existing guidance and discussing relevant staff training, clinical workflow, and hospital policies.
Personalized care recommendations for AKI response didn't improve outcomes
Individualized recommendations from a kidney action team did not reduce risk of acute kidney injury (AKI) progression, dialysis, or mortality among hospitalized patients who developed AKI, according to results of a randomized trial in seven U.S. hospitals.
Large-bore mechanical thrombectomy improves outcomes for intermediate-risk PE
Patients hospitalized with pulmonary embolism (PE) who received large-bore mechanical thrombectomy instead of catheter-directed thrombolysis were less likely to experience clinical deterioration and require subsequent ICU admission, an industry-funded randomized trial found.
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Sending HM to the stars
Eric Howell, MD, expects hospital medicine (HM) to keep growing and improving care amid challenges including burnout and private equity.
Mythbusting COPD exacerbations
A pulmonologist offered her do's and don'ts for treating chronic obstructive pulmonary disease (COPD).
Early anticoagulation noninferior to delayed after ischemic stroke in patients with afib
No difference in a composite outcome of recurrent ischemic stroke, symptomatic intracranial hemorrhage, unclassifiable stroke, or systemic embolism was seen between patients with atrial fibrillation who received anticoagulation four or fewer days after an ischemic stroke and those who received it between seven and 14 days after, a British trial found.
Many Medicare beneficiaries unable to afford out-of-pocket cost of single hospital stay
Between 34% and 50% of Medicare beneficiaries with incomes that are low, but above Medicaid eligibility, would be unable to cover the $1,600 out-of-pocket cost associated with a hospital stay, research shows.
Neutrophil percentage key to identifying bacteremia in medical inpatients, study finds
The importance of white blood cell response, especially neutrophil percentage, to detecting bacteremia was shown by a retrospective study that calculated interval likelihood ratios for bacteremia based on a complete blood count with differential.
Postsurgery recovery trajectories vary, even after 30 days, VA study finds
Factors including age, frailty, and type of operation could be used to better inform patients about how long it will be—from less than 30 days to never—before they are likely to return home after surgery, according to a study using a cohort from a Veterans Affairs (VA) database.
Have a seat to improve patient care
Eye-level conversations with patients can improve their satisfaction with an encounter and potentially yours, too, a researcher explains.
Brief Case | October 23, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Cases from LSU Health New Orleans
Salicylate toxicity, mucormycosis, and more.
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