Search results for "Heart Failure"
Adding up adverse events
Patient safety experts talk about the latest data and what hospitalists can do to improve them.
https://acphospitalist.acponline.org/archives/2023/06/07/adding-up-adverse-events.htm
7 Jun 2023
Rapid uptitration of oral therapies after hospitalization was safe, effective across LVEF categories
A high-intensity care strategy after discharge was associated with a reduced risk of death and heart failure readmission at 180 days, regardless of left ventricular ejection fraction (LVEF), a prespecified analysis of a randomized trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/rapid-uptitration-of-oral-therapies-after-hospitalization-was-safe-effective-across-lvef-categories.htm
31 May 2023
New tools in nephrology
An expert reviewed his preferences among the latest therapies for hyponatremia and hyperkalemia.
https://acphospitalist.acponline.org/archives/2023/05/17/new-tools-in-nephrology.htm
17 May 2023
Natriuresis good indicator of decongestion in acute decompensated HF, trial of acetazolamide shows
Patients with decompensated heart failure (HF) who were randomized to acetazolamide had higher urine sodium concentrations (UNa) than those on placebo, and every 10-mmol/L increase in UNa was associated with a lower risk of all-cause death or HF readmission, a prespecified analysis found.
https://acphospitalist.acponline.org/archives/2023/05/17/natriuresis-good-indicator-of-decongestion-in-acute-decompensated-hf-trial-of-acetazolamide-shows.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
Higher ACS mortality in women vs. men may be related to acute heart failure
A retrospective study of 87,812 patients with acute coronary syndrome (ACS) found that those with acute heart failure were more likely to die and that women were more likely to present with acute heart failure than men.
https://acphospitalist.acponline.org/archives/2023/05/03/higher-acs-mortality-in-women-vs-men-may-be-related-to-acute-heart-failure.htm
3 May 2023
New algorithm may help with medication optimization in patients with reduced ejection fraction
An algorithm based on the American College of Cardiology/American Heart Association guidelines for heart failure with reduced ejection fraction was validated against clinical trial data and accurately determined which patients were eligible for guideline-recommended medical therapy and dose titration.
https://acphospitalist.acponline.org/archives/2023/04/19/new-algorithm-may-help-with-medication-optimization-in-patients-with-reduced-ejection-fraction.htm
19 Apr 2023
No benefit found from high-dose steroids, RAS inhibitors in latest COVID-19 trials
Multiple new studies tested renin-angiotensin system (RAS) inhibitors in inpatients with COVID-19, while the latest report from the RECOVERY trial found higher mortality in patients on no or regular oxygen who received high-dose corticosteroids compared to usual care.
https://acphospitalist.acponline.org/archives/2023/04/19/free/no-benefit-found-from-high-dose-steroids-ras-inhibitors-in-latest-covid-19-trials.htm
19 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
Simple steps for sounder sleep
New protocols for blood pressure checks and clot prophylaxis allowed patients to get better sleep at one hospital.
https://acphospitalist.acponline.org/archives/2023/03/22/simple-steps-for-sounder-sleep.htm
22 Mar 2023