January 25, 2023

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.
Tocilizumab approved for COVID-19
The FDA gave full approval to tocilizumab for adults with COVID-19 who are receiving systemic corticosteroids and require supplemental oxygen, noninvasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation, among other actions.
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.
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.
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.
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.