June 18, 2025

Fend off pain, delirium, and future fractures
Optimizing hip fracture management can improve outcomes from this common cause of hospitalization, an expert at the American Geriatrics Society's annual meeting explained.
Cases from Main Line Health Lankenau Medical Center
Methemoglobinemia, heart failure, pseudogout, and other diagnoses.
Augmenting protein in enteral nutrition didn't improve outcomes
ICU patients randomized to an enteral formula with 100 g of protein per L had no more days alive and out of the hospital than patients who got a standard formula, a large open-label trial in Australia and New Zealand found.
Conservative oxygen therapy in the ICU does not reduce 90-day mortality, trial finds
In ventilated patients, no differences were seen in mortality or length of stay between patients randomized to a peripheral oxygen saturation target of 90% and those who received usual care, a clinical trial in the United Kingdom found.
Fecal transplant noninferior to vancomycin for first C. diff infection, trial finds
The Clostridioides difficile cure rate was statistically noninferior and numerically higher in patients randomized to fecal microbiota transplantation instead of vancomycin for an initial C. difficile infection, a small open-label trial in Norway found.
Most inpatients not using hospital patient portal, study finds
Fewer than one-third of patients had an active account on the patient portal during hospitalization, and only slightly more than half of those accessed their portal while admitted, a single-center study found.
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