Rural hospitals moving into the future
Technological innovations may offer solutions to the challenges facing rural hospital medicine.
Brief Case | July 24, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Diabetic ketoacidosis in a prediabetic patient on ophthalmic steroids
The patient presented with fatigue, polydipsia, and polyuria after surgery for spontaneous retinal detachment.
Drug-resistant infections increased during pandemic, remained high, CDC reports
Hospital-onset cases of Candida auris increased nearly fivefold from 2019 to 2022, and methicillin-resistant Staphylococcus aureus was the only studied resistant infection that is not elevated above prepandemic levels, a CDC fact sheet said.
ED treat-and-release visits for fall associated with stroke risk
Patients were almost three times as likely to have an ED treat-and-release visit for a fall in the 15 days before an ischemic stroke than in a 15-day control period a year earlier, a case-crossover study using data from 10 U.S. states found.
Occult hypoxemia more common in hospitalized patients with darker skin, review finds
Occult hypoxemia, a pulse oximetry reading higher than the arterial oxygen saturation, was 67% more likely in Black patients and 39% more likely in patients identifying as Asian, Latinx, Indigenous, multiracial, or other race compared with White patients, a review found.
Coadministration of antidepressants, certain opioids linked to adverse events in nursing home patients
Older nursing home patients who received both CYP2D6-metabolized opioids and CYP2D6-inhibiting antidepressants were at higher risk for worsening pain, pain-related hospitalization, pain-related ED visits, and opioid use disorder in a recent study.
Take a quiz about the July 17 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.
Service animals in the hospital
Service animals play a crucial role in the lives of many people with a disability, but uncertainties abound when they're brought into hospitals.
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.
Quality and inequalities in sepsis measurement
CMS plans to start paying for performance on SEP-1. Sepsis quality experts have concerns and suggestions.
Reader submissions needed for next special issue
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