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Success Story | February 5, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Lending an ear

Geriatric patients were eager to use assistive listening devices during hospitalization.

Delaying broad-spectrum antibiotics does not affect outcomes, study finds

Mortality, readmission, and adverse drug events did not differ among inpatients who received delayed broad-spectrum antibiotic therapy versus early broad-spectrum antibiotic therapy.

Women more likely to be hospitalized with TIA, have subsequent hemorrhage

An analysis of readmissions within 90 days of hospitalization for transient ischemic attack (TIA) found that women were less likely to come in with a stroke and more likely to have a hemorrhage, leading the study's authors to suspect overtreatment of TIA mimics.

BMA discharge of Medicare patients with OUD associated with high readmission, mortality rates

The probability of readmission after discharge before medically advised (BMA) was 7.1 percentage points higher than after standard home discharges and 6.0 to 8.9 percentage points higher than after nursing facility discharges, according to a study of Medicare beneficiaries with opioid use disorder (OUD).

Home-based cardiac rehab noninferior to center-based for HF

A trial in Portugal found no significant difference in change in peak oxygen uptake at 12 weeks among 120 patients with heart failure (HF) who were randomly allocated to cardiac rehab at home or at a specified center.

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Thinking harder about heparin

Hospitalists, ED physicians, and interventionalists could benefit from a chat about how they treat pulmonary embolisms.

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Pulmonary embolism and deep venous thrombosis

Acuity and location are crucial for accurate documentation and coding of pulmonary embolism and deep venous thrombosis.

Mobile vegetations pose highest embolism risk in infective endocarditis

Along with echocardiographic findings, younger age and infection with Staphylococcus aureus were associated with higher risk of developing a systemic embolism within 30 days, a registry of infective endocarditis patients showed.

Rules developed by new study help decide when to terminate resuscitation

The five rules for handling in-hospital cardiac arrest were developed and validated in Scandinavian cohorts and are based on variables including unwitnessed arrest, unmonitored arrest, initial rhythm of asystole, and resuscitation duration of at least five or at least 10 minutes.

In-hospital exercise improved physical function in heart failure patients

Patients with acute heart failure without frailty who received a hospital exercise intervention were six times more likely to achieve a clinically significant improvement in six-minute walking distance after two weeks compared with similar control patients, a small trial in Japan found.

Several core functions common to hospitals' discharge-by-noon interventions

Fifteen of 17 studies that tested discharge-by-noon projects found that they increased rates of morning discharge. The successful projects commonly included multidisciplinary participation and a structured communication platform, among other characteristics.

Finding feedback

Hospitalists rarely get unsolicited feedback on their diagnostic acumen, so some are starting to search for it.

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Newman's Notions | January 22, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Unpalette-able

Medicine comes in a rainbow of colors.


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