Baron with a patient photo courtesy of Cindy Forrer
Newman's Notions | July 17, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Baron

A miniature horse can have a large impact.

Guidelines on diagnosing complicated intra-abdominal infections updated

The Infectious Diseases Society of America offered recommendations on initial imaging and cultures for suspected appendicitis, cholecystitis, cholangitis, diverticulitis, and intra-abdominal abscesses.

Earlier norepinephrine for septic shock appears safe, possibly beneficial, review finds

Although earlier administration of norepinephrine in patients with septic shock was not associated with a significant reduction in overall mortality, it was linked with reduced incidence of pulmonary edema, a review and meta-analysis of 12 studies found.

Intensive uptitration of guideline-directed medications improved HF outcomes at 90 days

Decongestion and related markers were better in acute heart failure (HF) patients randomized to early and rapid uptitration of neurohormonal blockade during and after hospitalization versus those who got usual care, a post hoc analysis found.

Coronavirus | July 17, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Nosocomial COVID-19 infection, even with omicron variant, increased mortality

Patients who caught SARS-CoV-2 in the hospital early in the pandemic had double the risk of death during hospitalization as matched inpatient controls without COVID-19; those who caught later variants had a lower, but still significant, increase in risk of inpatient mortality.

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Take a quiz about the July 10 issue!

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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Quality and inequalities in sepsis measurement

CMS plans to start paying for performance on SEP-1. Sepsis quality experts have concerns and suggestions.

Image by Getty Images

Pneumonia specificity

For reimbursement, pneumonia types are classified as complex or simple, and identifying the specific cause of pneumonia whenever possible is crucial for correct coding.

ED volume not the cause of recent hospital capacity issues, study of Medicare data finds

ED visits by fee-for-service Medicare beneficiaries remained below 2019 levels in 2022, but length of stay for associated admissions was longer and discharges to postacute care were less common, according to an analysis of pre- to postpandemic hospital occupancy.

AHA offers guidance on palliative pharmacotherapy for cardiovascular disease

A scientific statement from the American Heart Association (AHA) calls for use of guideline-directed and evidence-based palliative therapies in end-stage heart failure, pulmonary arterial hypertension, coronary heart disease, and other cardiac conditions.

New model risk-adjusts sepsis patients for better mortality measurement

The model includes 13 physiologic variables, two physiologic interactions, and 16 demographic and chronic health variables, the most significant being age, metastatic solid tumor, temperature, altered mental status, and platelet count, and could be used to assess sepsis care, researchers said.

Coronavirus | July 10, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Discharge timing model identifies risk for readmission, death after COVID-19

Risk of death or readmission within 30 days was higher in patients with fever within 72 hours of discharge; tachypnea, tachycardia, or lack of improvement in oxygen requirement in the last 24 hours; and lymphopenia or thrombocytopenia at the time of discharge.

Bye-bye, CLABSI. Hello, HOB.

Experts explain the CDC's new quality metric, hospital-onset bacteremia and fungemia (HOB), which will look more broadly at health care-associated infections.

Graphic by Getty Images

'Fall-Free Fridays'

Weekly rounds with a catchy name helped one hospital reduce patient falls.


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