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Cerebrovascular disease

When a patient is admitted for a cerebrovascular accident (CVA), both the CVA and any resulting hemiplegia are coded.

In-hospital MRA initiation beneficial for HF patients with reduced ejection fraction

Patients with heart failure (HF) with reduced ejection fraction had better outcomes if they started a mineralocorticoid receptor antagonist (MRA) therapy during hospitalization, irrespective of renal function, but MRAs did not improve outcomes in patients with mildly reduced or preserved ejection fraction and worsening renal function, a retrospective study found.

Studies highlight risk of rehospitalization among patients who've experienced violence

A hospital-based violence intervention program did not succeed in reducing reinjury rates at one year, a pilot study reported, while another study showed that hospitalized patients who reported intimate partner violence stayed longer and came back more often than those not reporting violence.

No benefit to immunocompromised CAP patients from empiric broad-spectrum antibiotics

Patients who were moderately immunocompromised and hospitalized with community-acquired pneumonia (CAP) without risk factors for resistance had no change in mortality and higher risk of readmission if they received empiric broad-spectrum therapy, a target trial emulation found.

Risk scores, POCUS could be used in place of radiology for many with AKI, study finds

A Canadian study of patients admitted with acute kidney injury (AKI) found that 19.5% of low-risk patients got an ultrasound from a radiologist, as did 17.7% of high-risk patients. Only 8.2% of AKI patients underwent point-of-care ultrasound (POCUS) on presentation.

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Take a quiz about the July 9 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.

Photo courtesy of Dr Redelmeier

Simpler ICU-to-ward transfers

A new mnemonic could help when you're trying to decide about accepting a patient from the ICU.

Photo courtesy of Dr Matta
Perspectives | July 9, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Tips on talking about the end of life

Be honest, ask questions, and offer something.

More older patients staying longer in EDs

The proportion of older U.S. patients with an ED stay of more than eight hours increased from 12% in 2017 to 20% in 2024, research shows.

Algorithm helped identify patients suitable for hospital at home care

An algorithm that uses electronic health record data reduced the number of patients needed to screen to enroll one in hospital at home from 62 to 12, according to a new study from a 10-hospital system.

Covert cerebrovascular disease associated with risk for falls requiring medical care

Older patients with covert cerebrovascular disease on CT or MRI were more likely to have a subsequent first fall requiring medical attention, a cohort study found.

Special Issue | July 9, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Next special issue of ACP Hospitalist open for submissions

This year's theme is memorable inpatient encounters. Submit your essay by Sept. 22.

Rise of GLP-1s reaches hospital care

The recent surge in popularity of glucagon-like peptide-1 (GLP-1) receptor agonists has required hospitalists to know about side effects and inpatient management of the drugs.

Image by Adobe Stock
Newman's Notions | July 2, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Smokey

A patient's chest X-ray made him unforgettable.


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