July 16, 2025
Strokes after surgery
Research suggests that perioperative strokes may be on the rise. Experts discuss how to keep an eye on the issue.
Cerebrovascular disease
When a patient is admitted for a cerebrovascular accident (CVA), both the CVA and any resulting hemiplegia are coded.
In-hospital MRA initiation beneficial for HF patients with reduced ejection fraction
Patients with heart failure (HF) with reduced ejection fraction had better outcomes if they started a mineralocorticoid receptor antagonist (MRA) therapy during hospitalization, irrespective of renal function, but MRAs did not improve outcomes in patients with mildly reduced or preserved ejection fraction and worsening renal function, a retrospective study found.
Studies highlight risk of rehospitalization among patients who've experienced violence
A hospital-based violence intervention program did not succeed in reducing reinjury rates at one year, a pilot study reported, while another study showed that hospitalized patients who reported intimate partner violence stayed longer and came back more often than those not reporting violence.
No benefit to immunocompromised CAP patients from empiric broad-spectrum antibiotics
Patients who were moderately immunocompromised and hospitalized with community-acquired pneumonia (CAP) without risk factors for resistance had no change in mortality and higher risk of readmission if they received empiric broad-spectrum therapy, a target trial emulation found.
Risk scores, POCUS could be used in place of radiology for many with AKI, study finds
A Canadian study of patients admitted with acute kidney injury (AKI) found that 19.5% of low-risk patients got an ultrasound from a radiologist, as did 17.7% of high-risk patients. Only 8.2% of AKI patients underwent point-of-care ultrasound (POCUS) on presentation.
Take a quiz about the July 9 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.