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

Writing (and working) at night

One hospital's nocturnist service teamed up to develop projects, posters, and papers for publication.

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

Adding P2Y12 inhibitor to heparin offered no benefit in non-critically ill COVID-19 inpatients

An open-label randomized trial at 60 hospitals in four countries found no increase in organ support-free days in patients who received a therapeutic dose of heparin plus a P2Y12 inhibitor versus heparin alone.

Balanced electrolyte solution didn't improve outcomes in ICU patients

A randomized trial in Australia and New Zealand found similar rates of 90-day mortality and new renal replacement therapy whether ICU patients were given a balanced multi-electrolyte solution (Plasma-Lyte 148) or saline.

Use of monitored injection site associated with less hospital and ED use

An analysis of an unsanctioned safe consumption site found that patients who used it were 27% less likely to visit the ED and 32% less likely to be hospitalized than those who did not.

Ward-based program for elderly inpatients associated with improved delirium, but no improvement in other outcomes

A pragmatic cluster randomized trial at four Australian hospitals found that “Eat Walk Engage” did not reduce length of stay or overall hospital-associated complications compared to usual inpatient care.

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Top Story | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

How COVID-19 changed end-of-life care

Hospitalists have had to find new strategies during the pandemic in order to provide optimal care, including company and comfort, to dying inpatients and their families.

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Hypercalcemia after silicone injections

A patient presented with nausea, loss of appetite, and weight loss of approximately 20 pounds. Lab tests revealed hypercalcemia.

Clinical decision support tool reduced nighttime vital checks but not delirium

The tool used real-time patient data and a trained prediction algorithm to notify the hospitalist if the patient had a high likelihood of nighttime vital sign measurements within reference ranges.

New antipsychotic prescriptions in hospitalized heart failure patients often continued after discharge to SNF

A retrospective cohort study of mostly male veterans found that 10.8% received a new antipsychotic prescription during index hospitalization for heart failure, 21.5% of which were continued after discharge to a skilled nursing facility (SNF).

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

NIH guidelines on anticoagulation in COVID-19; research on statin use, omicron variant

The NIH updated its guidelines to address anticoagulation in COVID-19 inpatients, treatment with atorvastatin did not appear to improve outcomes in the ICU, and several studies looked at characteristics of omicron.

Vitamin C monotherapy did not reduce mortality in patients with septic shock

A double-blind, randomized controlled trial of 124 ICU patients with septic shock found that while 28-day mortality was lower in those who received IV vitamin C versus placebo, the absolute risk reduction did not reach statistical significance.


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