January 24, 2024

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A bone to pick

Osteoporosis is undertreated in fragility fracture patients. Hospitalists have an opportunity to help close that gap.

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The palliative car consult

A conversation with an expert helps a family make a big decision.

Switch to oral antibiotics noninferior for low-risk patients with S. aureus bacteremia

Complication rates were similar in patients with low-risk Staphylococcus aureus bloodstream infection who were switched to oral antibiotics versus continued on IV therapy in a European randomized trial that was stopped early due to low enrollment.

Sedation practices worsened during pandemic among patients without COVID-19

The percentage of mechanically ventilated patients treated with sustained deep sedation following intubation rose during the pandemic and did not improve after its peak, a single-center study found.

Palliative care consults by default did not affect inpatient length of stay

Implementation of a default, opt-out palliative care consultation intervention for older hospital patients with advanced chronic illnesses did increase consult rates from 16.6% to 43.9% and significantly increased odds of discharge to hospice.

Many IM residencies lack policies on lactation, survey finds

In a survey of internal medicine residency programs, only 55.4% of 78 respondents reported that their institution had a policy on lactation and only 22.1% said that their program had its own policy. Most policies did not provide protected time for lactation.