Search results for "Research Summaries"
Genotyping may help predict afib risk after stroke
Adding polygenic risk scores for atrial fibrillation to existing clinical risk factors improved prediction of afib risk, a study of U.S. stroke survivors found.
https://acphospitalist.acponline.org/archives/2025/02/12/genotyping-may-help-predict-afib-risk-after-stroke.htm
12 Feb 2025
Hospitalists lack knowledge about handling dysphagia in dementia, survey finds
When hospitalists were asked whether dysphagia diets improve quality of life for patients with dementia, a third agreed, a third disagreed, and a third had no opinion. The surveyed clinicians also did not routinely discuss goals of care for patients with dysphagia and dementia.
https://acphospitalist.acponline.org/archives/2025/02/12/hospitalists-lack-knowledge-about-handling-dysphagia-in-dementia-survey-finds.htm
12 Feb 2025
Thrombectomy fails to provide benefit in stroke with medium, distal occlusions
Patients with ischemic stroke due to medium- or distal-vessel occlusion had similar functional outcomes and mortality with endovascular thrombectomy or usual medical therapy, two new randomized trials found.
https://acphospitalist.acponline.org/archives/2025/02/12/thrombectomy-fails-to-provide-benefit-in-stroke-with-medium-distal-occlusions.htm
12 Feb 2025
U.S. has higher CV hospitalization rate of older adults than Denmark
The cross-sectional comparison of the two high-income countries found that rates of cardiovascular (CV) hospitalizations were higher among low-income adults than among higher-income adults in both places, but much more dramatically so in the U.S. than in Denmark.
https://acphospitalist.acponline.org/archives/2025/02/12/us-has-higher-cv-hospitalization-rate-of-older-adults-than-denmark.htm
12 Feb 2025
Delaying broad-spectrum antibiotics does not affect outcomes, study finds
Mortality, readmission, and adverse drug events did not differ among inpatients who received delayed broad-spectrum antibiotic therapy versus early broad-spectrum antibiotic therapy.
https://acphospitalist.acponline.org/archives/2025/02/05/delaying-broad-spectrum-antibiotics-does-not-affect-outcomes-study-finds.htm
5 Feb 2025
BMA discharge of Medicare patients with OUD associated with high readmission, mortality rates
The probability of readmission after discharge before medically advised (BMA) was 7.1 percentage points higher than after standard home discharges and 6.0 to 8.9 percentage points higher than after nursing facility discharges, according to a study of Medicare beneficiaries with opioid use disorder (OUD).
https://acphospitalist.acponline.org/archives/2025/02/05/bma-discharge-of-medicare-patients-with-oud-associated-with-high-readmission-mortality-rates.htm
5 Feb 2025
Rules developed by new study help decide when to terminate resuscitation
The five rules for handling in-hospital cardiac arrest were developed and validated in Scandinavian cohorts and are based on variables including unwitnessed arrest, unmonitored arrest, initial rhythm of asystole, and resuscitation duration of at least five or at least 10 minutes.
https://acphospitalist.acponline.org/archives/2025/01/29/rules-developed-by-new-study-help-decide-when-to-terminate-resuscitation.htm
29 Jan 2025
Home-based cardiac rehab noninferior to center-based for HF
A trial in Portugal found no significant difference in change in peak oxygen uptake at 12 weeks among 120 patients with heart failure (HF) who were randomly allocated to cardiac rehab at home or at a specified center.
https://acphospitalist.acponline.org/archives/2025/02/05/home-based-cardiac-rehab-noninferior-to-center-based-for-hf.htm
5 Feb 2025
Women more likely to be hospitalized with TIA, have subsequent hemorrhage
An analysis of readmissions within 90 days of hospitalization for transient ischemic attack (TIA) found that women were less likely to come in with a stroke and more likely to have a hemorrhage, leading the study's authors to suspect overtreatment of TIA mimics.
https://acphospitalist.acponline.org/archives/2025/02/05/women-more-likely-to-be-hospitalized-with-tia-have-subsequent-hemorrhage.htm
5 Feb 2025
In-hospital exercise improved physical function in heart failure patients
Patients with acute heart failure without frailty who received a hospital exercise intervention were six times more likely to achieve a clinically significant improvement in six-minute walking distance after two weeks compared with similar control patients, a small trial in Japan found.
https://acphospitalist.acponline.org/archives/2025/01/29/in-hospital-exercise-improved-physical-function-in-heart-failure-patients.htm
29 Jan 2025