March 5, 2025

Get up to speed on skin failure
Experts' understanding of pressure injuries has changed, and recent thinking highlights the importance of hospitalist involvement.
Pressure injuries
Knowing whether a pressure injury was present on admission is key to documentation.
Updated guidelines advise managing sedation, mobilization, sleep in ICU
The Society of Critical Care Medicine now suggests dexmedetomidine over propofol for sedation and melatonin for improved sleep, among other changes in a focused update.
Studies assess effects of cardiac rehab, PT, OT on later health care use
Patients who participated in at least 12 sessions of cardiac rehabilitation had fewer subsequent hospitalizations, one study found, while another showed that more time in physical (PT) or occupational therapy (OT) during hospitalization didn't reduce postacute care.
Risk score accurately predicts major bleeding risk in COVID-19 patients, study finds
A bleeding risk score had an area under the receiver-operating characteristic curve of 0.84 when predicting major bleeding risk in hospitalized COVID-19 patients 90 days after admission, a study of 3,886 patients in China found.
New guidance issued on acute coronary syndromes
The updated recommendations from the American College of Cardiology, the American Heart Association, and other professional societies focus on management of unstable angina and myocardial infarction.
Take a quiz about the Feb. 26 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.