March 9, 2022
Enhancing the inpatient physical exam
Hospitalists debate the pros and cons of performing routine inpatient exams every day and offer their advice for improving how physical exams are taught and practiced.
Infected femoral closure device after cardiac catheterization
A patient presented with cellulitis at a vascular access site 10 days after undergoing cardiac catheterization.
Nearly half of internal medicine residents report experiencing mistreatment, survey finds
A survey of residents who completed the ACP Internal Medicine In-Training Examination in 2019 found that 48.3% reported experiencing mistreatment and 62.4% reported witnessing mistreatment, most often by patients and their families.
Study finds higher thresholds of troponin I associated with death after cardiac surgery
The troponin level one day after surgery associated with higher risk for death at 30 days was 218 times the upper reference limit (URL) after isolated coronary artery bypass grafting or aortic valve replacement or repair and 499 times the URL after other cardiac surgery.
Benefits of dedicated COVID-19 hospitals, ECMO; air sampling after aerosol-generating procedures
A health system reported outcomes at two hospitals created to treat only COVID-19. Another found that 42.9% of COVID-19 patients who got ECMO died, compared to 89.1% when it wasn't available. A sampling study compared viral particles in the air with different procedures.
About two-thirds of stroke survivors discharged to a SNF with low function died within a year
In a study of Medicare beneficiaries, the lowest-functioning stroke survivors who were discharged to a skilled nursing facility (SNF) had 64% mortality at one year, whereas those discharged to an inpatient rehabilitation facility had 29.6% mortality at one year.