May 14, 2025
Fighting the trust fall
Patients' trust in health care is down, but there are ways to combat that, including by being a little bit of a rebel.
A system for rounding
The proliferation of deterioration scores can help hospitalists organize their days, an expert explained.
Fixed-rate insulin for DKA tied to shorter length of stay, no change in time to resolution
After a hospital switched from a variable-rate insulin infusion protocol to a fixed-rate one, patients with diabetic ketoacidosis (DKA) had more hypoglycemia within the first 12 hours of treatment but no change in overall hypoglycemia risk, a single-center study found.
Apixaban superior to rivaroxaban, warfarin for preventing VTE recurrence
Patients who were prescribed apixaban after a venous thromboembolism (VTE) had lower rates of VTE recurrence and bleeding than those who took rivaroxaban or warfarin, according to a retrospective cohort study.
Rule using family info effective for finding pre-existing dementia in hospitalized patients
The informant-based Clinical Dementia Rating, administered within 48 hours of admission, had excellent accuracy for detecting dementia and cognitive impairment versus a gold standard diagnosis from blinded experts, according to a small Brazilian study of inpatients ages 65 years and older.
Private equity acquisition of hospitals linked with increased postop mortality risk
Medicare beneficiaries who underwent surgeries at hospitals acquired by private equity had a 42% increased risk of 30-day mortality compared with the preacquisition mortality rate, an analysis found.
Take a quiz about the May 7 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.