Analyzing academic nocturnists
Nocturnists have become increasingly common in academic hospital medicine, but there's been surprisingly little study of their role, an author of a recent review explains.
Success Story | March 26, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Give patients a rest
Brainstorming with frontline staff helped one hospital provide quieter nights for its patients.
AHA offers advice on blood culture-negative endocarditis
A new scientific statement from the American Heart Association (AHA) highlighted the potential of novel diagnostic tools to offer advances in care.
Nudging physicians about communication with ICU patients did not reduce LOS
A reminder to discuss treatment alternatives was associated with increased hospice use and less time to comfort-focused care but no changes in hospital length of stay (LOS) in a trial among ICU patients with chronic serious illness at 10 U.S. hospitals.
Secure messaging drives increases in EHR use, attention switching
On average, hospital clinicians spent a median of 250.5 minutes per day in the electronic health record (EHR), and those in the 75th percentile of secure messaging volume spent 25.5 more minutes per day in the EHR compared to those in the 25th percentile.
‘Broken heart syndrome’ poses risk of readmission comparable to myocardial infarction
Patients who have been treated for takotsubo syndrome are at higher risk of subsequent hospitalization, especially for cardiovascular conditions but also for stroke, gastrointestinal, and neurological conditions, a retrospective Scottish study found.
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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.
Dealing with devices
Preoperative assessment can involve an increasingly long list of medical devices. Learn what to do with them.
Controversies in perioperative care
An anesthesiologist weighs in on whether to give carbohydrates before surgery and gabapentin after.
Research Summaries | March 19, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Awake prone positioning reduces intubation, mortality in COVID-19, review finds
Being prone for at least 10 hours per day during the first three days of hospitalization was associated with a significant improvement in survival without intubation for patients with COVID-19 and respiratory failure, according to a new meta-analysis.
Cardio society's consensus statement offers guidance on cardiogenic shock
A new statement from the American College of Cardiology includes a proposed road map for the first 24 hours of cardiogenic shock evaluation and management, as well as a mnemonic for initial diagnosis.
Limited evidence supports continuing buprenorphine for acute pain in patients with OUD
Available evidence supports the current best practice of continuing buprenorphine during episodes of acute pain for people with opioid use disorder (OUD) already prescribed this medication, a systematic review of 115 studies concluded.
New guideline covers platelet, plasma transfusions in critically ill adults
The American College of Chest Physicians set thresholds for platelet transfusions in critically ill patients with thrombocytopenia with and without active bleeding, as well as offering guidance on prophylactic transfusions of platelets and fresh frozen plasma for common procedures in critical care.
Starting small
An infectious disease physician and epidemiologist explains why it's often OK to start with narrower-spectrum antibiotics and escalate as needed, based on a recent study.
First rapid-acting insulin biosimilar approved
The FDA approved a biosimilar to rapid-acting insulin aspart, among other recent actions.
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