August 9, 2023

Photos courtesy of Dr Verma left and Dr Doshi right graphic from Getty Images

Clusters of deterioration

When one patient goes from the ward to the ICU, others are more likely to follow, and researchers are trying to figure out why.

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Cases from the University of Nevada, Las Vegas

A group of cases involving lytic lesions.

Residency applicants stating geographic preferences got more interviews, matches

A new study looked at the effects of the American Association of Medical Colleges allowing applicants to signal program preferences and choose preferred geographic regions on internal medicine categorical and preliminary residents' match process in 2022.

Surgery for malignant small bowel obstruction did not reduce 90-day mortality

A comparison in which some patients with malignant small bowel obstruction were randomized and some chose between surgery and nonsurgical management found no difference in mortality between treatments, but surgery was associated with more symptom improvement.

Time to antibiotics matters for septic shock, not so much for sepsis without shock

Every hour that antibiotics were delayed was associated with higher mortality from septic shock, but patients with sepsis and no shock only had elevated risk of death if their antibiotics were not administered within six hours, according to a new analysis.

Hospital market competition not associated with outcomes of high-risk surgeries

A study compared mortality and readmissions by hospital among Medicare beneficiaries undergoing carotid endarterectomy, mitral valve or open aortic aneurysm repair, lung resection, esophagectomy, pancreatectomy, rectal resection, hip or knee replacement, or bariatric surgery.