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Pulmonary embolism detected in about 6% of patients with COPD hospitalized with acute respiratory symptoms

In a study of 740 patients with chronic obstructive pulmonary disease (COPD) hospitalized with acutely worsening respiratory symptoms at seven French hospitals, 5.9% had pulmonary embolism detected within 48 hours of admission using the revised Geneva score.
https://acphospitalist.acponline.org/weekly/archives/2021/01/13/4.htm
13 Jan 2021

August 2008

ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2008/08/

Tele-ICU care linked to improved outcomes for nighttime ICU admissions

Among patients admitted to ICUs from 7 p.m. to 7 a.m., risk-adjusted mortality was 10.8% before tele-ICU implementation versus 7.0% afterward, while no difference was seen among patients admitted during the day.
https://acphospitalist.acponline.org/weekly/archives/2020/11/04/5.htm
4 Nov 2020

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

Knowledge of ECMO appears better in those taught by simulation

A small randomized trial of clinicians learning about extracorporeal membrane oxygenation (ECMO) found that exam scores were higher among those assigned to simulation versus interactive mobile instruction or experiential learning.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/4.htm
3 Nov 2021

Patient-reported behavioral, economic factors predict mortality after cardiac hospitalization

Patients who reported being unemployed, retired, or unable to work due to disability at discharge from a cardiovascular hospitalization were significantly more likely to die during three-year follow up, a single-center study found.
https://acphospitalist.acponline.org/archives/2024/04/10/patient-reported-behavioral-economic-factors-predict-mortality-after-cardiac-hospitalization.htm
10 Apr 2024

An academic time crunch

Academic hospitalists discuss how to find time for education and research as the clinical workload keeps growing.
https://acphospitalist.acponline.org/archives/2024/01/10/free/an-academic-time-crunch.htm
10 Jan 2024

Early cardioversion for newly diagnosed nonvalvular afib may lower mortality

Only 14.9% of patients received early cardioversion in the international registry study, which also found no major difference in outcomes by whether patients received direct-current cardioversion or pharmacological cardioversion.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/2.htm
3 Nov 2021

Beyond the ‘golf course conversation’

Hospitalists need to think harder about sponsorship to promote diversity and equity, said the authors of a recent study.
https://acphospitalist.acponline.org/archives/2024/01/17/beyond-the-golf-course-conversation.htm
17 Jan 2024

Active strategy to diagnose PE in COPD inpatients did not improve outcomes

A Spanish trial found that using d-dimer testing and, if positive, a CT pulmonary angiogram to diagnose pulmonary embolism (PE) did not affect risk of death, clot, or readmission in patients hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD).
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/3.htm
20 Oct 2021

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