September 6, 2023

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Guidelines on resistant gram-negatives

Hospitalists are some of the best antibiotic stewards, according to the lead author of recent guidance that aims to help them manage tricky infections.

A coding case study

A patient with sepsis provides a lesson in selecting and ordering diagnoses for documentation and coding.

HM gaining ground as IM career choice, even among primary care track residents

Surveys of third-year internal medicine (IM) residents in 2019 to 2021 found that 9.4% were planning a career in general internal medicine, 15.1% in hospital medicine (HM), and 67.9% in a subspecialty, a significant increase in interest in HM compared to a decade earlier.

Haloperidol, atypical antipsychotics carry similar risks for older patients after surgery

Low to moderate doses of haloperidol, olanzapine, quetiapine, or risperidone didn't differ in risk of inpatient mortality, arrhythmia, pneumonia, and stroke or transient ischemic attack, according to a retrospective study of postoperative patients ages 65 years and older.

Switching to newer oral anticoagulant didn't benefit frail older patients with afib

A randomized trial that switched some frail atrial fibrillation patients from vitamin K antagonists (VKAs) to non-vitamin K oral anticoagulants found that such patients had more bleeding and no decrease in thromboembolic events compared to those who stayed on a VKA.

Study analyzes sex differences worldwide in patients hospitalized for heart failure

Data from 44 countries in REPORT-HF found that in all geographic regions women in the hospital with heart failure were less likely to receive diagnostic tests or guideline-directed care than men.