February 5, 2025

Rethinking AMA
Certain steps can help achieve a successful outcome when a patient wants to leave the hospital.
Lending an ear
Geriatric patients were eager to use assistive listening devices during hospitalization.
Delaying broad-spectrum antibiotics does not affect outcomes, study finds
Mortality, readmission, and adverse drug events did not differ among inpatients who received delayed broad-spectrum antibiotic therapy versus early broad-spectrum antibiotic therapy.
Women more likely to be hospitalized with TIA, have subsequent hemorrhage
An analysis of readmissions within 90 days of hospitalization for transient ischemic attack (TIA) found that women were less likely to come in with a stroke and more likely to have a hemorrhage, leading the study's authors to suspect overtreatment of TIA mimics.
BMA discharge of Medicare patients with OUD associated with high readmission, mortality rates
The probability of readmission after discharge before medically advised (BMA) was 7.1 percentage points higher than after standard home discharges and 6.0 to 8.9 percentage points higher than after nursing facility discharges, according to a study of Medicare beneficiaries with opioid use disorder (OUD).
Home-based cardiac rehab noninferior to center-based for HF
A trial in Portugal found no significant difference in change in peak oxygen uptake at 12 weeks among 120 patients with heart failure (HF) who were randomly allocated to cardiac rehab at home or at a specified center.
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