Photos courtesy of Dr Moriates left and Dr Silverstein right graphic from Getty Images
Q&A | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Slashing superfluous labs

Experts offer their advice on getting over your love of daily labs to help patients and reduce costs.

Image from Adobe Stock

Paying for hospital care at home

Traditional hospital-at-home models include costs for care, medications, and labs but do not cover the capital expenses that diagnosis-related group payments typically support.

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

Mortality similar with restrictive vs. liberal fluid strategies for sepsis with hypotension

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.

Early mobilization significantly reduced cognitive impairment in ICU patients, trial finds

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.

Adults hospitalized with RSV had worse outcomes than those with influenza

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.

Overdose risk may be highest in week after hospital discharge for patients on long-term opioids

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.

Image by Adobe Stock
Business of Medicine | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Tough times for hospital finances

After a rough year, execs are looking for ways to get out of the red in 2023. They offered ideas on how hospitalists can help.

Photo courtesy of Dr Goldman

Physicians working fewer hours

Physicians, especially dads, are working less per week, while hours worked by advanced practice practitioners are rising steeply, a study found.

Aspirin noninferior to LMWH for prophylaxis after traumatic fractures, trial finds

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.

High-Value Care | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Most daily blood draws were collected during traditional sleep hours

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.

New recommendations from think tank address moral stress among hospital clinicians

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.

Similar odds of recurrence with 10 vs. 14 days of antibiotics for complicated UTI with bacteremia

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.

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

Pseudo-Wellens syndrome with Takotsubo cardiomyopathy

A patient was transferred for evaluation for non-ST-segment elevation myocardial infarction.

Image by Getty Images
Infectious Diseases | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Hospitalists can help eliminate HCV

Hospitals are the latest frontier in global efforts to diagnose and treat hepatitis C virus (HCV).


Clinical Newsletters

ACP Intenist Weekly

An electronic newsletter that covers the latest news in internal medicine, delivered directly to your inbox each Tuesday.

January 31, 2023   

ACP Diabetes Monthly

An electronic newsletter that focuses on news specific to diabetes, delivered directly to your inbox once per month.

January 13, 2023   

ACP Gastroenterology Monthly

An electronic newsletter that focuses on news specific to gastroenterology and hepatology, delivered directly to your inbox once per month.

January 27, 2023