Search results for "Research Summaries"
AHA statement addresses management of systemic stroke complications
Fever, pneumonia, oral health problems, urinary tract infection, venous thromboembolism, breathing disorders, and gastrointestinal and renal issues were among the complications covered by new advice from the American Heart Association (AHA).
https://acphospitalist.acponline.org/archives/2024/12/11/aha-statement-addresses-management-of-systemic-stroke-complications.htm
11 Dec 2024
As-needed blood pressure medication associated with acute kidney injury
Hypertensive patients who received as-needed blood pressure drugs, particularly IV ones, during a medical hospitalization had higher rates of acute kidney injury than those who didn't get as-needed meds, a retrospective Veterans Affairs study found.
https://acphospitalist.acponline.org/archives/2024/12/11/as-needed-blood-pressure-medication-associated-with-acute-kidney-injury.htm
11 Dec 2024
Oseltamivir on day of admission associated with improved flu outcomes
A prospective, observational analysis of 840 influenza-positive patients in U.S. hospitals in the 2022 to 2023 season found that only about half got oseltamivir on the day of admission, and they had significantly lower risk of death or ICU admission than those who got the drug later or not at all.
https://acphospitalist.acponline.org/archives/2024/12/11/oseltamivir-on-day-of-admission-associated-with-improved-flu-outcomes.htm
11 Dec 2024
AGS advises on making treatment decisions for unrepresented older adults
A position statement from the American Geriatrics Society (AGS) includes policy recommendations and clinical advice for older patients who lack decisional capacity to provide informed consent for a specific medical treatment, who have no advance directive and lack capacity to create one, and who have no surrogate decision-maker.
https://acphospitalist.acponline.org/archives/2024/12/11/ags-advises-on-making-treatment-decisions-for-unrepresented-older-adults.htm
11 Dec 2024
Neutrophil percentage key to identifying bacteremia in medical inpatients, study finds
The importance of white blood cell response, especially neutrophil percentage, to detecting bacteremia was shown by a retrospective study that calculated interval likelihood ratios for bacteremia based on a complete blood count with differential.
https://acphospitalist.acponline.org/archives/2024/10/30/neutrophil-percentage-key-to-identifying-bacteremia-in-medical-inpatients-study-finds.htm
30 Oct 2024
Functional impairments predict readmissions among older patients
Measures including hand grip strength, Short Physical Performance Battery scores, gait speed, low mobility, and the Timed Up-and-Go Test, used either before or during admission, identified those at higher risk for readmission within 90 days, according to a systematic review.
https://acphospitalist.acponline.org/archives/2024/11/13/functional-impairments-predict-readmissions-among-older-patients.htm
13 Nov 2024
Over one-third of surgical inpatients experience adverse events, study suggests
Nearly two in five patients who underwent surgery at one of 11 hospitals in Massachusetts in 2018 experienced adverse events, 60% of which were considered potentially preventable.
https://acphospitalist.acponline.org/archives/2024/11/20/over-one-third-of-surgical-inpatients-experience-adverse-events-study-suggests.htm
20 Nov 2024
Personalized care recommendations for AKI response didn't improve outcomes
Individualized recommendations from a kidney action team did not reduce risk of acute kidney injury (AKI) progression, dialysis, or mortality among hospitalized patients who developed AKI, according to results of a randomized trial in seven U.S. hospitals.
https://acphospitalist.acponline.org/archives/2024/11/06/personalized-care-recommendations-for-aki-response-didnt-improve-outcomes.htm
6 Nov 2024
December 11, 2024
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2024/12/11/
Albumin linked with worse outcomes in sepsis patients with kidney impairment
Patients with sepsis and kidney impairment who received albumin within 24 hours of admission were more than twice as likely to need renal replacement therapy compared with similar patients who did not receive albumin during hospitalization, according to a retrospective study.
https://acphospitalist.acponline.org/archives/2024/10/23/albumin-linked-with-worse-outcomes-in-sepsis-patients-with-kidney-impairment.htm
23 Oct 2024