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Antipsychotic medications not effective in ICU patients with delirium

A systematic review and meta-analysis found no improvements in delirium- or coma-free days, mortality, duration of mechanical ventilation, or ICU or hospital length of stay in critically ill patients with delirium who received antipsychotics versus those who did not.
https://acphospitalist.acponline.org/archives/2024/03/27/antipsychotic-medications-not-effective-in-icu-patients-with-delirium.htm
27 Mar 2024

Diagnose, address cognitive impairment in heart failure patients, society says

A new scientific statement from the Heart Failure Society of America advises clinicians to be alert to clues such as difficulty with money or running out of medicine, among other recommendations.
https://acphospitalist.acponline.org/archives/2024/03/20/diagnose-address-cognitive-impairment-in-heart-failure-patients-society-says.htm
20 Mar 2024

Melatonin does not improve delirium in older inpatients

No significant differences in Memorial Delirium Assessment Scale scores were seen between patients randomized to 5 mg of melatonin nightly or placebo, a small trial found.
https://acphospitalist.acponline.org/archives/2024/03/13/melatonin-does-not-improve-delirium-in-older-inpatients.htm
13 Mar 2024

Tackling ED boarding

Hospitalists can take ownership to reduce risks for patients, especially elderly ones.
https://acphospitalist.acponline.org/archives/2024/02/21/tackling-ed-boarding.htm
21 Feb 2024

High stakes: Considerations about cannabis

More Americans are taking cannabis, complicating inpatient care. Understanding patients' use patterns and history is key to mitigating risks during a hospital stay.
https://acphospitalist.acponline.org/archives/2024/02/07/free/high-stakes-considerations-about-cannabis.htm
7 Feb 2024

Advanced dementia and respiratory failure

A case highlights the importance of addressing prognosis before making care decisions.
https://acphospitalist.acponline.org/archives/2024/01/31/free/advanced-dementia-and-respiratory-failure.htm
31 Jan 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

Alcohol use disorders

There are 11 different clinical criteria for alcohol use disorder and three classifications of severity under the DSM-5.
https://acphospitalist.acponline.org/archives/2023/11/08/alcohol-use-disorders.htm
8 Nov 2023

Machine learning system dramatically reduced alerts compared to bedside monitors

A machine learning system trained to predict ICU patients' risk of respiratory failure or hemodynamic instability offered 50 times fewer alerts than a telemedicine system that analyzed trends from bedside biomedical monitors.
https://acphospitalist.acponline.org/archives/2023/11/08/machine-learning-system-dramatically-reduced-alerts-compared-to-bedside-monitors.htm
8 Nov 2023

Problems with grateful patient programs

ACP, researchers, and physicians highlight concerns with the ethics of hospital fundraising.
https://acphospitalist.acponline.org/archives/2023/10/25/problems-with-grateful-patient-programs.htm
25 Oct 2023

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