Search results for "Sepsis"


 
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Mortality similar with restrictive vs. liberal fluid strategies for sepsis with hypotension

A multicenter U.S. trial randomized patients with sepsis-induced hypotension to either a strategy prioritizing vasopressors and lower IV fluid volumes or a strategy prioritizing higher volumes of IV fluids before vasopressors for 24 hours after initial treatment.
https://acphospitalist.acponline.org/archives/2023/02/01/free/mortality-similar-with-restrictive-vs-liberal-fluid-strategies-for-sepsis-with-hypotension.htm
1 Feb 2023

Surviving Sepsis Campaign releases updated guidelines for hospitalized adults

Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021

February 1, 2023

ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2023/02/01/

High-dose vitamin C not associated with improved mortality in sepsis

A systematic review and meta-analysis found that while high-dose IV vitamin C was associated with less vasopressor use and better SOFA scores, it did not appear to be linked to significant improvement in short-term mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/4.htm
15 Sep 2021

Debates in sepsis

Experts disagree about use of antibiotics, IV fluids, and quality measures.
https://acphospitalist.acponline.org/archives/2019/01/debates-in-sepsis.htm
15 Jan 2019

Goal-concordant care frequently not provided for sepsis patients, even when documented

In a retrospective study, 60% of patients who had survived sepsis did not have goals of care assessed before hospital discharge, and among those who did, 32% did not receive goal-concordant care.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/3.htm
27 Oct 2021

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

ICU admission associated with worse outcomes in sepsis, better survival in acute respiratory failure

Patients admitted from the ED to the ICU with sepsis had worse survival and longer length of stay than those admitted to the wards, while patients with acute respiratory failure had better survival in the ICU than on a medical ward, a multicenter study found.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/3.htm
8 Dec 2021

Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications

A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021

Encephalopathy in 2023

It can be a challenge to distinguish between delirium and acute encephalopathy, and both encephalopathy and delirium should be documented for correct coding.
https://acphospitalist.acponline.org/archives/2023/01/11/encephalopathy-in-2023.htm
11 Jan 2023

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