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Success Story | May 22, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

A plan for paracentesis

A hospitalist launched a clinic to provide paracentesis to patients who repeatedly presented to the ED with ascites.

Cefepime associated with lower mortality than pip-tazo in sepsis, retrospective study finds

Among patients with sepsis, a treatment regimen of vancomycin and piperacillin-tazobactam was associated with a 5% increase in 90-day mortality compared with vancomycin plus cefepime, according to one hospital's analysis of a piperacillin-tazobactam shortage period.

Coronavirus | May 22, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

More than 1 in 10 COVID-19 patients got discharge prescription of opioid, benzo, or antipsychotic

COVID-19 patients who were newly prescribed an opioid, benzodiazepine, or antipsychotic upon hospital discharge had a significantly higher risk of rehospitalization or death within 28 days, a single-center study found.

Coronavirus | May 22, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Factors identified to predict risk of type 2 MI in patients hospitalized with COVID-19

Patients who were on antihyperglycemic or anticoagulant medications before admission were less likely to be among the 2.2% of patients who had a type 2 non-ST-segment elevation myocardial infarction (MI) while hospitalized with COVID-19, a retrospective study found.

MRAs significantly reduced mortality, hospitalizations in HF patients with low eGFR

Patients with heart failure (HF) whose estimated glomerular filtration rate (eGFR) dropped below 30 mL/min/1.73 m2 after starting mineralocorticoid receptor antagonists (MRAs) had better outcomes than those on placebo, potentially justifying continuation of MRAs, a 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.

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Med rec for hospitalists and hospitals

An expert explains how to do a good medication reconciliation for a single patient, and how to improve them throughout a whole system.

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New sepsis risk calculator that uses AI approved

The FDA approved an artificial intelligence (AI) program that identifies patients at risk for sepsis and a higher-dose naloxone spray, among other actions.

Thick liquid diet may not improve outcomes in patients with dementia, dysphagia

A cohort study found no difference in hospital mortality and higher risk for respiratory complications in patients with Alzheimer disease and related dementias who received a thick versus thin liquid diet.

Thrombectomy improved outcomes even in stroke patients with a large infarct, trial finds

Stroke patients with a large infarct who underwent endovascular thrombectomy had a median modified Rankin scale score of four and a mortality rate of 36.1% at 90 days, compared to a score of six and a rate of 55.5% with medical therapy alone, a French trial found.

Review synthesizes advice to prevent bloodstream infections from vascular access devices

CMS is considering hospital-onset bacteremia and fungemia prevention, including bloodstream infections that stem from medical devices, as a future focus of quality reporting, according to the authors of a new review.

Decongestion strategies inconsistently applied in U.S. patients hospitalized for heart failure

Estimated weight loss due to inpatient decongestion varied across 31 hospitals, with some patients gaining weight during admission, a cohort study found.

The latest on inpatient glucose control

A diabetes expert explains where glycemic targets should be now and what may be coming next, including continuous glucose monitors.

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Is your patient depressed or just demoralized?

Demoralization is common among inpatients and can be treated with relatively simple interventions, according to a psychiatrist.


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