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Sepsis can be classified into hypo- and hyperinflammatory phenotypes, researchers say

About a third of sepsis patients fit a hyperinflammatory phenotype, and they were more likely to benefit from activated protein C than those with a hypoinflammatory phenotype, a new analysis of existing study data found.
https://acphospitalist.acponline.org/archives/2023/08/30/sepsis-can-be-classified-into-hypo-and-hyperinflammatory-phenotypes-researchers-say.htm
30 Aug 2023

Public health researchers look at rise in marijuana-related hospitalizations

Age, gender, and other factors predict risk.
https://acphospitalist.acponline.org/archives/2016/01/conference-coverage-public-health-marijuana.htm
15 Jan 2016

Solo chlorhexidine not as efficacious as many believe, researchers say

Chlorhexidine by itself is not as efficacious for skin antisepsis as many believe, the authors of a systematic review said last week.
https://acphospitalist.acponline.org/weekly/archives/2014/05/07/1.htm
7 May 2014

Dabigatran risks may be greater than people realize, researchers say

The potential risks of dabigatran are not appreciated, particularly where the elderly are concerned, according to a letter written by researchers who tracked bleeding events in patients who took the drug.
https://acphospitalist.acponline.org/weekly/archives/2012/03/07/2.htm
7 Mar 2012

Understanding charity care

Regulators and researchers are taking a look at hospitals' charity care. Physicians might want to, too.
https://acphospitalist.acponline.org/archives/2025/04/30/understanding-charity-care.htm
30 Apr 2025

Invasive group A strep incidence up sharply in the U.S. over last decade

Among those ages 18 to 64 years, incidence of invasive group A Streptococcus infection rose from 3.2 per 100,000 persons in 2013 to 8.7 per 100,000 in 2022, according to new data from CDC researchers.
https://acphospitalist.acponline.org/archives/2025/04/09/invasive-group-a-strep-incidence-up-sharply-in-the-us-over-last-decade.htm
9 Apr 2025

New model risk-adjusts sepsis patients for better mortality measurement

The model includes 13 physiologic variables, two physiologic interactions, and 16 demographic and chronic health variables, the most significant being age, metastatic solid tumor, temperature, altered mental status, and platelet count, and could be used to assess sepsis care, researchers said.
https://acphospitalist.acponline.org/archives/2024/07/10/new-model-risk-adjusts-sepsis-patients-for-better-mortality-measurement.htm
10 Jul 2024

Study finds ECMO patient selection inconsistent, offers lessons for decision makers

Reviewing records of 81 patients considered for venovenous extracorporeal membrane oxygenation (ECMO) at a single center, researchers identified a total of 15 contraindications. All but four contraindications that were invoked to decline one patient were present in a patient determined to be a candidate for ECMO.
https://acphospitalist.acponline.org/archives/2024/03/06/study-finds-ecmo-patient-selection-inconsistent-offers-lessons-for-decision-makers.htm
6 Mar 2024

Could less be more in care transitions?

Interventions to improve the quality of care transitions may work better when they are less complex, say researchers who offer some ideas for future efforts.
https://acphospitalist.acponline.org/archives/2024/01/31/could-less-be-more-in-care-transitions.htm
31 Jan 2024

Review offers guidance on selecting medications for COPD

Researchers suggest ways for clinicians to assess cognitive function, manual dexterity/strength, and peak inspiratory flow before choosing an inhaled medication delivery system for patients with chronic obstructive pulmonary disease (COPD).
https://acphospitalist.acponline.org/archives/2023/11/22/review-offers-guidance-on-selecting-medications-for-copd.htm
22 Nov 2023

Problems with grateful patient programs

ACP, researchers, and physicians highlight concerns with the ethics of hospital fundraising.
https://acphospitalist.acponline.org/archives/2023/10/25/problems-with-grateful-patient-programs.htm
25 Oct 2023

Catching C. diff cases, not colonization

Researchers have found innovative ways to improve hospital systems for diagnosing Clostridioides difficile.
https://acphospitalist.acponline.org/archives/2023/08/16/catching-c-diff-cases-not-colonization.htm
16 Aug 2023

Clusters of deterioration

When one patient goes from the ward to the ICU, others are more likely to follow, and researchers are trying to figure out why.
https://acphospitalist.acponline.org/archives/2023/08/09/clusters-of-deterioration.htm
9 Aug 2023

Written discharge instructions more effective when provided in multiple languages

Researchers at one U.S. academic medical center found that patients had fewer questions about their medications after discharge when written instructions were provided in English, Spanish, and Chinese.
https://acphospitalist.acponline.org/archives/2023/08/02/written-discharge-instructions-more-effective-when-provided-in-multiple-languages.htm
2 Aug 2023

Effort to increase prescribing of NSAIDs showed no effect in trial

Researchers discontinued a hard stop alert that had been added to the admission order set when they found that it didn't increase hospitalists' use of NSAIDs for multimodal pain management.
https://acphospitalist.acponline.org/archives/2023/07/05/effort-to-increase-prescribing-of-nsaids-showed-no-effect-in-trial.htm
5 Jul 2023

Intervening on interruptions

Hospitalists should take steps to mitigate the effects of interruptions on their work, researchers say.
https://acphospitalist.acponline.org/archives/2023/06/28/free/intervening-on-interruptions.htm
28 Jun 2023

Thinking about how you treat

The new field of management reasoning holds potential to improve medical education and practice, researchers say.
https://acphospitalist.acponline.org/archives/2023/06/21/thinking-about-how-you-treat.htm
21 Jun 2023

Algorithms for suspected myocardial infarction perform worse in falling troponin pattern

Researchers compared the performance of the European Society of Cardiology 0/1- and 0/3-hour algorithms by whether patients had stable, falling, or rising patterns of high-sensitivity cardiac troponin I and T.
https://acphospitalist.acponline.org/archives/2023/05/17/algorithms-for-suspected-myocardial-infarction-perform-worse-in-falling-troponin-pattern.htm
17 May 2023

Inpatients often not sure who is in charge of their care

Researchers surveyed 172 hospitalized patients at two U.S. academic hospitals and found that 59% did not know who their primary doctor was and 23% reported sometimes receiving mixed messages.
https://acphospitalist.acponline.org/archives/2023/04/05/inpatients-often-not-sure-who-is-in-charge-of-their-care.htm
5 Apr 2023

Hospital rankings change when Medicare Advantage patients included

When researchers included both Medicare fee-for-service and Medicare Advantage beneficiaries in calculations of CMS performance measures, between 21.6% and 30.2% of hospitals in the top-performing group for readmissions and mortality fell to a lower-performing group.
https://acphospitalist.acponline.org/archives/2023/03/29/hospital-rankings-change-when-medicare-advantage-patients-included.htm
29 Mar 2023

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