Search results for "Pulmonary Embolism"
Aspirin noninferior to LMWH for prophylaxis after traumatic fractures, trial finds
All-cause mortality at 90 days was similar in hospitalized patients randomized to aspirin versus low-molecular-weight heparin (LMWH), and rates of deep venous thrombosis and pulmonary embolism were also low in both groups.
https://acphospitalist.acponline.org/archives/2023/01/25/aspirin-noninferior-to-lmwh-for-prophylaxis-after-traumatic-fractures-trial-finds.htm
25 Jan 2023
Pseudo-Wellens syndrome with Takotsubo cardiomyopathy
A patient was transferred for evaluation for non-ST-segment elevation myocardial infarction.
https://acphospitalist.acponline.org/archives/2023/01/18/free/brief-case-pseudo-wellens-syndrome-with-takotsubo-cardiomyopathy.htm
18 Jan 2023
Harm during hospitalization more common in patients with developmental disability
Hospitalized patients with intellectual disability, chromosomal abnormalities, pervasive developmental disorders, and congenital malformation syndrome had a 2.7-fold higher risk of an avoidable patient safety incident than those without developmental disability, according to an analysis in England.
https://acphospitalist.acponline.org/archives/2022/10/12/harm-during-hospitalization-more-common-in-patients-with-developmental-disability.htm
12 Oct 2022
Pneumocystis pneumonia in an HIV-negative patient
A patient with primary hyperparathyroidism, rheumatoid arthritis, and inclusion-body myositis presented with fatigue, nausea, and vomiting.
https://acphospitalist.acponline.org/archives/2022/06/15/free/brief-case-pneumocystis-pneumonia-in-an-hiv-negative-patient.htm
15 Jun 2022
Risk for DVT, PE, bleeding after COVID-19, but low long-term VTE recurrence risk
One study found increased risk for deep venous thrombosis (DVT) for up to three months after COVID-19, pulmonary embolism (PE) for up to six months, and bleeding for up to two months, while another showed low rates of venous thromboembolism (VTE) recurrence in the year after infection.
https://acphospitalist.acponline.org/archives/2022/04/13/free/risk-for-dvt-pe-bleeding-seen-after-covid-19-long-term-risk-for-vte-recurrence-may-be-low.htm
13 Apr 2022
Negative trials of prone positioning, antiplatelet therapy for COVID-19
Telling inpatients to lay on their stomachs did not significantly improve outcomes, one study found, while others offered some mixed results on the effects of aspirin and P2Y12 inhibitors. Additional research showed that a commonly used triage score doesn't work for COVID-19 and that hospitalists' worry about catching the virus impaired their well-being.
https://acphospitalist.acponline.org/archives/2022/03/30/free/negative-trials-of-prone-positioning-antiplatelet-therapy-for-covid-19.htm
30 Mar 2022
DOACs better than heparin for periop thromboprophylaxis, review finds
The systematic review and network meta-analysis found lower rates of symptomatic venous thromboembolism in surgical patients given direct oral anticoagulants (DOACs) versus the standard dose of low-molecular-weight heparin, without a significant increase in bleeding.
https://acphospitalist.acponline.org/archives/2022/03/16/doacs-better-than-heparin-for-periop-thromboprophylaxis.htm
16 Mar 2022
Diagnosing pulmonary embolism
Experts offer advice on how to apply the wide variety of available validated scores and algorithms, but also clinical judgment, to find pulmonary embolisms without excessive testing.
https://acphospitalist.acponline.org/archives/2022/02/23/free/diagnosing-pulmonary-embolism.htm
23 Feb 2022
Pulmonary embolism
For optimal documentation, coding, and reimbursement, the location or type of pulmonary embolism needs to be clearly identified.
https://acphospitalist.acponline.org/archives/2022/02/23/coding-corner-pulmonary-embolism.htm
23 Feb 2022
Two studies offer insight on using age, d-dimer, algorithms for diagnosing PE
For patients with suspected pulmonary embolism (PE), a meta-analysis found that pretest probability-dependent d-dimer thresholds were the most efficient strategy, while a trial found that the YEARS rule with an age-adjusted d-dimer cutoff was noninferior to a conventional strategy.
https://acphospitalist.acponline.org/weekly/archives/2021/12/15/1.htm
15 Dec 2021