A multicenter U.S. trial randomized patients with sepsis-induced hypotension to either a strategy prioritizing vasopressors and lower IV fluid volumes or a strategy prioritizing higher volumes of IV fluids before vasopressors for 24 hours after initial treatment.
Less than a quarter of patients randomized to early occupational and physical therapy while ventilated were cognitively impaired at one year, compared to 43% of those who received usual care, a single-center study found.
Patients with respiratory syncytial virus (RSV) were at higher risk of a long hospital stay and mechanical ventilation versus those with influenza, a prospective study found. The former group also had more pre-existing cardiopulmonary conditions.
During the first seven days after hospital discharge, patients prescribed long-term opioid therapy overdosed on opioids at a rate more than six times higher than in other time periods, a retrospective study in one health system found.
All-cause mortality at 90 days was similar in hospitalized patients randomized to aspirin versus low-molecular-weight heparin (LMWH), and rates of deep venous thrombosis and pulmonary embolism were also low in both groups.
At one U.S. teaching hospital, about 39% of blood draws for adult patients were collected between 4 and 6:59 a.m. from November 2016 through October 2019, although the timing shifted to slightly later during that period.
The Study to Examine Physicians' Pandemic Stress interviewed attendings and fellows who cared for COVID-19 patients in 23 hospitals in New York City and New Orleans and developed 12 recommendations to address their distress.
A study of 24 U.S. hospitals also found that in patients with complicated urinary tract infection (UTI) who receive beta-lactams or highly bioavailable oral agents, a seven-day course may be sufficient.
A patient was transferred for evaluation for non-ST-segment elevation myocardial infarction.