Our top stories of 2025
We're looking back at the ACP Hospitalist articles that attracted the most readers this year.
The evolving story of sodium in heart failure
Traditional practice has been to restrict sodium, but recent research shows some patients may actually benefit from salt supplements.
Hospitalists dip into DKA
Protocols using subcutaneous insulin have brought diabetic ketoacidosis (DKA) into the domain of hospitalists.
On the threshold
Although restricting blood transfusions to patients with lower hemoglobin thresholds has become the rule, there are some important exceptions.
Guide to a guideline
The lead author of the 2024 guideline on perioperative cardiovascular evaluation highlights important changes included in it.
Platelet parsimony
Recommendations on the use of platelets in lumbar puncture, central venous catheter placement, and other procedures have changed. The lead author of new guidelines explains.
Perspectives | August 13, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Academic hospitalists: Time to redefine or fade away
Despite academic hospitalists' contributions to medicine, lack of a clear definition of the role threatens its visibility and sustainability.
Q&A | December 24, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Building bridges to buprenorphine
Teaming substance use navigators with hospital clinicians helped one hospital better tackle substance use disorder.
FreeStyle Libre 3 sensors recalled for inaccurate results
The FDA also announced the first drug approval under its new priority voucher pilot program.
Effects of high-flow oxygen may depend on respiratory effort before extubation
A very small trial compared measures of respiratory effort in the 24 hours after extubation by whether patients were randomized to high-flow nasal oxygen or conventional oxygen therapy and did not find statistically significant differences.
Left atrial enlargement can be identified using POCUS, study reports
Hospitalists trained in point-of-care ultrasound (POCUS) found that left atrial anteroposterior diameter was a more specific and sensitive indicator of left atrial enlargement than visual assessment of the left atrium-to-aorta diameter, although both worked reasonably well.
Multimorbidity linked with poor outcomes in acute heart failure patients, study finds
More than a third of patients hospitalized with acute heart failure had at least one cardiovascular-kidney-metabolic comorbidity, which the study defined as prior myocardial infarction, impaired kidney function, and diabetes.
‘Social admissions' often involve medically complex patients
The “social admissions” pathway at a hospital in Nova Scotia was often used for older adults with cognitive impairment, while younger adults admitted under this pathway frequently had alcohol use disorder and intellectual disabilities, a retrospective study found.
POCUS training gets professional
Point-of-care ultrasound (POCUS) is no longer the Wild West of academic internal medicine, with multiple recent guidance documents issued.
The perks of POCUS
Routine use of cardiopulmonary point-of-care ultrasonography (POCUS) led to a 30.3% reduction in expected length of stay in patients with undifferentiated dyspnea.
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