November 5, 2025
Chronic kidney disease
Many special considerations apply to coding of chronic kidney disease stages, including the need for a stable creatinine level to determine the patient's baseline.
Two new studies provide potentially practice-changing evidence in shock care
One trial found that basing septic shock resuscitation on capillary refill time was noninferior to usual care, while another found similar mortality in shock patients whether or not they were randomized to automatically receive an arterial catheter within four hours.
New version of the SOFA score developed, validated
The Sequential Organ Failure Assessment (SOFA)-2 score includes the same six organ domains but realigns the scoring within domains and addresses advances in medical care since the original score was developed.
Hospitalist handoffs often suboptimal for patients with limited English proficiency
To improve them, a research team recommended using a standardized tool that incorporates language needs, health literacy, cultural context, and family involvement.
Patient census but not days on service linked with hospitalist decision fatigue
The odds of a decision fatigue event were 1.58 times greater with a patient census above 13 patients, according to a study of 43 hospitalists caring for 2,081 patients.
Take a quiz about the Oct. 29 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.