November 2, 2022
Owning OUD in the hospital
Less than 15% of patients with opioid use disorder (OUD) receive treatment with buprenorphine or methadone during hospitalization. New recommendations for hospitalists aim to change that.
Documenting opioid disorders
There are 11 different DSM-5 clinical criteria for opioid-related disorders, and severity is determined by the number of diagnostic criteria applicable to each patient.
Most U.S. patients hospitalized with severe monkeypox had HIV infection
Of 57 adult patients who were hospitalized with severe manifestations of monkeypox during the current outbreak, 82% had HIV infection, 30% received ICU-level care, and 21% died, according to a recent CDC report. All had dermatologic manifestations.
Lower oxygen saturation target for ventilated patients didn't affect time on ventilation
An ED and ICU at one medical center tested oxygen saturation targets of 90%, 94%, and 98% in mechanically ventilated patients and found no difference in days free of ventilation or 28-day mortality.
Selective digestive tract decontamination assessed in ventilated ICU patients
A systematic review found that mechanically ventilated ICU patients had lower in-hospital mortality rates with selective digestive tract decontamination versus standard care or placebo, while a trial found improvement in rates of positive blood cultures and antibiotic-resistant organisms, but not mortality, with the intervention.
Nine factors associated with risk of cardiac arrest after STEMI in new analysis
In-hospital cardiac arrest occurred in 2.2% of patients hospitalized for ST-segment elevation myocardial infarction (STEMI) and was less likely in those who received beta-blockers, ticagrelor, or primary percutaneous coronary intervention, an observational Chinese study found.