Search results for "Research Summaries"
Study finds AI-generated discharge summaries superior to those written by humans
Discharge summaries generated by a large language model at a tertiary care center scored better on nine domains, including comprehensiveness, relevance, and specificity, according to physician reviewers. Those written by humans did use simpler language.
https://acphospitalist.acponline.org/archives/2025/10/08/study-finds-ai-generated-discharge-summaries-superior-to-those-written-by-humans.htm
8 Oct 2025
In-hospital delirium risk varies by race, socioeconomic status
Older hospitalized adults who were Black or Hispanic were more likely to have delirium at admission or to develop it during their hospital stay than White patients, a retrospective analysis of more than 260,000 patients found.
https://acphospitalist.acponline.org/archives/2025/10/08/in-hospital-delirium-risk-varies-by-race-socioeconomic-status.htm
8 Oct 2025
Factors predict patients being infected with C. auris rather than just colonized
Comorbid conditions, invasive devices, and recent procedures were all associated with risk of progressing from Candida auris colonization to infection, a retrospective study of Florida patients found.
https://acphospitalist.acponline.org/archives/2025/10/08/factors-predict-patients-being-infected-with-c-auris-rather-than-just-colonized.htm
8 Oct 2025
Biomarker shows promise for longer-term risk prediction in cardiac ED patients
Growth differentiation factor-15 predicted risk of death or acute myocardial infarction (AMI) within 90 days in patients who were seen in the ED for suspected AMI but did not have an elevated troponin level at the time, an industry-funded study found.
https://acphospitalist.acponline.org/archives/2025/10/08/biomarker-shows-promise-for-longer-term-risk-prediction-in-cardiac-ed-patients.htm
8 Oct 2025
Type 2 MI increasing, linked to worse long-term outcomes than type 1
In an analysis of myocardial infarctions (MIs) in Medicare beneficiaries, the proportion that were type 2 increased from 19.4% in 2018 to 26.8% in 2021. Type 2 MI was associated with lower risk of 30-day mortality but higher rates of longer-term mortality and stroke.
https://acphospitalist.acponline.org/archives/2025/10/01/type-2-mi-increasing-linked-to-worse-long-term-outcomes-than-type-1.htm
1 Oct 2025
SHM provides checklist for assessing POCUS image quality
An expert panel convened by the Society of Hospital Medicine (SHM) chose 215 items across five body systems (heart, lungs/pleura, abdomen, lower-extremity veins, and skin/soft tissue) to help clinicians and educators judge the quality of point-of-care ultrasound (POCUS) images.
https://acphospitalist.acponline.org/archives/2025/10/01/shm-provides-checklist-for-assessing-pocus-image-quality.htm
1 Oct 2025
Review assesses interventions to increase clinical encounter time in the hospital
A meta-analysis found 117 studies of institutional programs to protect or increase clinician time with patients, which overall showed the interventions had positive effects on satisfaction, discharge to home, and length of stay but no effect on readmissions.
https://acphospitalist.acponline.org/archives/2025/10/01/review-assesses-interventions-to-increase-clinical-encounter-time-in-the-hospital.htm
1 Oct 2025
Guidance highlights risk of psychological distress post-MI
A scientific statement from the American Heart Association called on health care professionals to be aware of the high incidence of psychological distress after myocardial infarction (MI) and to watch for signs of depression, anxiety, psychosocial stress, and post-traumatic stress disorder.
https://acphospitalist.acponline.org/archives/2025/10/01/guidance-highlights-risk-of-psychological-distress-post-mi.htm
1 Oct 2025
RRT activation outside the ICU did not improve sepsis survival
Patients who developed sepsis on the general wards had similar in-hospital mortality rates regardless of whether they were transferred to the ICU as a result of rapid response team (RRT) activation or not, a Japanese study found.
https://acphospitalist.acponline.org/archives/2025/09/24/rrt-activation-outside-the-icu-did-not-improve-sepsis-survival.htm
24 Sep 2025
Reversal of subtherapeutic warfarin does not affect ICH outcomes, study finds
Patients with intracranial hemorrhage (ICH) and an international normalized ratio of 1.5 to 1.9 had similar functional outcomes at discharge whether warfarin anticoagulation was reversed or not, according to an analysis of data from Get With The Guidelines–Stroke.
https://acphospitalist.acponline.org/archives/2025/09/24/reversal-of-subtherapeutic-warfarin-does-not-affect-ich-outcomes-study-finds.htm
24 Sep 2025
Incidence of carbapenemase-producing carbapenem-resistant Enterobacterales rose 69% from 2019 to 2023, CDC analysis finds
The study also found an increasing diversity of carbapenemases, which can complicate treatment, as the majority of newly approved antimicrobial agents target specific carbapenemase classes, the authors said.
https://acphospitalist.acponline.org/archives/2025/09/24/incidence-of-carbapenemase-producing-carbapenem-resistant-enterobacterales-rose-69percent-from-2019-to-2023-cdc-analysis-finds.htm
24 Sep 2025
Empirical antifungal treatment linked with reduced IAPA rates in critically ill patients
After 30 days, influenza-associated pulmonary aspergillosis (IAPA) incidence was 7.7% in the treatment group and 20.4% in the nontreatment group, but there were no between-group differences in mortality, a multicenter study found.
https://acphospitalist.acponline.org/archives/2025/09/24/empirical-antifungal-treatment-linked-with-reduced-iapa-rates-in-critically-ill-patients.htm
24 Sep 2025
VA physicians report better work-life balance than private-sector peers, survey shows
A survey of more than 600 physicians found that those working at Veterans Affairs (VA) hospitals reported lower odds of malpractice concerns and medical records issues than their private-sector peers, but rates of burnout between the groups were not significantly different.
https://acphospitalist.acponline.org/archives/2025/09/17/va-physicians-report-better-work-life-balance-than-private-sector-peers-survey-shows.htm
17 Sep 2025
Medicare Advantage driving increases in long hospital stays
Patients on Medicare Advantage being discharged to skilled nursing facilities saw a particularly large increase in their risk of an extended hospital stay, according to the comparison of length of stay under Medicare Advantage versus traditional Medicare in 2017 to 2023.
https://acphospitalist.acponline.org/archives/2025/09/17/medicare-advantage-driving-increases-in-long-hospital-stays.htm
17 Sep 2025
Lower oxygenation targets for acute hypoxemic respiratory failure may worsen pulmonary outcomes
ICU patients had similar cognitive impairment but worse pulmonary diffusion capacity at one-year follow-up if they were assigned a target of 60 mm Hg versus 90 mm Hg for partial pressure of arterial oxygen, a Danish study found.
https://acphospitalist.acponline.org/archives/2025/09/17/lower-oxygenation-targets-for-acute-hypoxemic-respiratory-failure-may-worsen-pulmonary-outcomes.htm
17 Sep 2025
Different pulse oximeters provide different readings on same patients, study finds
Tested on patients using noninvasive ventilation or continuous positive airway pressure during sleep, a transcutaneous oxycapnograph with a probe on an earlobe, a pulse oximeter with a finger probe, and a pulse oximeter with a ring probe provided substantially different results.
https://acphospitalist.acponline.org/archives/2025/09/17/different-pulse-oximeters-provide-different-readings-on-same-patients-study-finds.htm
17 Sep 2025
Ivabradine doesn't reduce risk of MINS
A Polish trial was stopped early because patients who had or were at risk for atherosclerotic disease and were given ivabradine perioperatively had similar risk of myocardial injury after noncardiac surgery (MINS) as those randomized to placebo.
https://acphospitalist.acponline.org/archives/2025/09/10/ivabradine-doesnt-reduce-risk-of-mins.htm
10 Sep 2025
Extended apixaban after provoked VTE reduced recurrence rate
In patients who had venous thromboembolism (VTE) provoked by a transient factor and a risk factor for recurrence, taking apixaban for 12 months led to a symptomatic recurrence rate of 1.3%, compared to 10.0% in those randomized to placebo, an industry-funded trial found.
https://acphospitalist.acponline.org/archives/2025/09/10/extended-apixaban-after-provoked-vte-reduced-recurrence-rate.htm
10 Sep 2025
CNS-active medications increase readmission risk in older patients
For every central nervous system (CNS)-active medication an older patient with comorbidities was prescribed at discharge, their risk of readmission in the year after hospitalization increased by 7%, a European study found.
https://acphospitalist.acponline.org/archives/2025/09/10/cns-active-medications-increase-readmission-risk-in-older-patients.htm
10 Sep 2025
Cardiac problems more common than expected in Mycoplasma pneumoniae
Seventeen percent of hospitalized adults with M. pneumoniae infection had cardiac involvement, most commonly congestive heart failure and arrhythmias, a cohort study in Israel found.
https://acphospitalist.acponline.org/archives/2025/09/10/cardiac-problems-more-common-than-expected-in-mycoplasma-pneumoniae.htm
10 Sep 2025