Search results for "Diagnosis"
Use of CT pulmonary angiography for suspected PE rose from 2015 to 2019
The findings of a retrospective analysis suggest that the development and validation of clinical decision rules for diagnosing pulmonary embolism (PE) didn't affect use of CT pulmonary angiography in European EDs, according to the authors.
https://acphospitalist.acponline.org/archives/2023/05/24/use-of-ct-pulmonary-angiography-for-suspected-pe-rose-from-2015-to-2019.htm
24 May 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
ACP advises on improving transitions of care
The authors of a recent College policy paper talked about how patients can be handed off more safely.
https://acphospitalist.acponline.org/archives/2023/05/10/acp-advises-on-improving-transitions-of-care.htm
10 May 2023
Recommendations on preventing surgical-site infections updated
The latest recommendations from the Society for Healthcare Epidemiology of America lowered the recommended postoperative target glucose level from less than 180 mg/dL to between 110 and 150 mg/dL, among other changes.
https://acphospitalist.acponline.org/archives/2023/05/10/recommendations-on-preventing-surgical-site-infections-updated.htm
10 May 2023
Pearls on diabetes meds in periop care
Learn when to stop and start glucagon-like peptide-1 agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose cotransporter-2 inhibitors.
https://acphospitalist.acponline.org/archives/2023/05/03/pearls-on-diabetes-meds-in-periop-care.htm
3 May 2023
Comparison of multiple blood cultures can accurately identify CLABSI, review finds
Differential time to positivity between central-line and peripheral cultures was both sensitive and specific for diagnosing central line-associated bloodstream infections (CLABSIs), although it worked less well when Staphylococcus aureus or Candida was present.
https://acphospitalist.acponline.org/archives/2023/04/26/comparison-of-multiple-blood-cultures-can-accurately-identify-clabsi-review-finds.htm
26 Apr 2023
Antibiotic regimens differ in associated risk of AKI in critically ill patients
Vancomycin and piperacillin/tazobactam were associated with a higher risk of acute kidney injury (AKI) than either vancomycin and cefepime or vancomycin and meropenem in ICU patients, particularly at longer durations and in those with normal kidney function on admission.
https://acphospitalist.acponline.org/archives/2023/04/19/antibiotic-regimens-differ-in-associated-risk-of-aki-in-critically-ill-patients.htm
19 Apr 2023
Open up to open notes
An expert at CONVERGE offered tips on ensuring that patient access to test results and notes is beneficial to care.
https://acphospitalist.acponline.org/archives/2023/04/05/open-up-to-open-notes.htm
5 Apr 2023
Rapidly progressive cerebral edema in cryptococcal meningitis
A patient previously diagnosed with an upper respiratory infection presented with fever, headache, and confusion.
https://acphospitalist.acponline.org/archives/2023/03/29/free/rapidly-progressive-cerebral-edema-in-cryptococcal-meningitis.htm
29 Mar 2023
Inpatient oral penicillin challenge more likely in certain low-risk patients
An inpatient penicillin allergy program showed that patients were more likely to proceed from assessment to oral challenge if they had a low-risk phenotype, had an indication for beta-lactam antibiotic therapy, and were medically stable.
https://acphospitalist.acponline.org/archives/2023/03/29/inpatient-oral-penicillin-challenge-more-likely-in-certain-low-risk-patients.htm
29 Mar 2023