Hospital Medicine

Patients treated by PCP in hospital have longer stay, lower mortality

Patients treated by PCP in hospital have longer stay, lower mortality

Patients treated by PCPs vs hospitalists can have lengthier hospital stays and lower 30-day mortality rates.

Pharmacomechanical thrombolysis does not reduce post-thrombotic syndrome in DVT

Pharmacomechanical thrombolysis does not reduce post-thrombotic syndrome in DVT

The addition of pharmacomechanical thrombolysis does not reduce the risk of post-thrombotic syndrome among patients with acute proximal deep vein thrombosis.

Healthcare system fires 50 employees for refusing influenza vaccination

Healthcare system fires 50 employees for refusing influenza vaccination

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A Minnesota-based hospital chain fires about 50 employees for refusal to receive the influenza vaccine.

Direct oral anticoagulants vs warfarin for bleeding risk in VTE

Direct oral anticoagulants vs warfarin for bleeding risk in VTE

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Compared with warfarin, treatment with DOACs was not associated with an increased risk of major bleeding or all-cause mortality within the first 90 days.

Postoperative mortality lower among patients treated by female surgeons

Postoperative mortality lower among patients treated by female surgeons

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Fewer patients treated by female surgeons died, were readmitted to the hospital, or had complications within 30 days of surgery.

Longer hospital stay linked to low health literacy

Longer hospital stay linked to low health literacy

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Low health literacy is associated with a longer hospital length of stay in general medicine patients.

Longer anesthesia duration linked to increased surgical complications

Longer anesthesia duration linked to increased surgical complications

Among patients undergoing microvascular reconstruction of the head and neck, increased anesthesia duration is associated with higher rates of complications.

Non-vitamin K oral anticoagulants with other medications increase bleeding risk in A-Fib

Non-vitamin K oral anticoagulants with other medications increase bleeding risk in A-Fib

The researchers found that concurrent use of amiodarone, fluconazole, rifampin, and phenytoin was associated with increased risk of major bleeding compared with the use of NOACs alone.

Increased cancer risk found in rheumatoid arthritis patients with VTE

Increased cancer risk found in rheumatoid arthritis patients with VTE

VTE and cancer are the result of inflammation and immunological dysfunctions associated with RA.

Venous thromboembolism risk strongly linked to height in men and women

Venous thromboembolism risk strongly linked to height in men and women

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Researchers found a strong association between VTE and height using sibling pair analysis.

Weekend hospital admissions linked to higher mortality rate

Weekend hospital admissions linked to higher mortality rate

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Patients admitted to the ER during weekends as opposed to weekdays have a higher mortality rate.

AAP: Physicians provide little information on firearm injury prevention

AAP: Physicians provide little information on firearm injury prevention

The biggest predictors of clinicians providing firearm safety counseling were feeling that the information could help reduce pediatric injuries.

Many avoidable emergency department visits include mental health and dental conditions

Many avoidable emergency department visits include mental health and dental conditions

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A significant number of avoidable visits to the emergency department are related to mental health and dental conditions.

Please stop filming me: Smartphones in the emergency department

Please stop filming me: Smartphones in the emergency department

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A hospital policy to prevent video recording in the emergency department helps to prevent patients from recording clinicians without their permission.

About 5% of patients with unprovoked VTE develop occult cancer

About 5% of patients with unprovoked VTE develop occult cancer

Researchers observed a linear increase in cancer prevalence with age, with a 7-fold higher prevalence in patients older than 50 years of age.

Comparing anticoagulants to prevent venous thromboembolism after hip and knee arthroplasty

Comparing anticoagulants to prevent venous thromboembolism after hip and knee arthroplasty

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Fondaparinux and rivaroxaban were associated with increased risk of major bleeding in patients who underwent total hip or knee arthroplasty.

Forty percent of hospitalized patients report breakdowns in care

Forty percent of hospitalized patients report breakdowns in care

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Hospital patients reported breakdowns in care, which included information exchange, medications, delays in admission, team communication, providers' manner, and discharge.

Increased mortality for percutaneous coronary intervention at safety-net hospitals

Increased mortality for percutaneous coronary intervention at safety-net hospitals

Risk-adjusted in-hospital mortality is significantly increased at safety-net hospitals for patients undergoing percutaneous coronary intervention.

Less than 10% of women present to the ER after hysterectomy for benign disease

Less than 10% of women present to the ER after hysterectomy for benign disease

Risk factors for emergency department visits include younger age, higher parity, Medicare or self-pay insurance, and postoperative pain.

New data show aspirin safe for heart failure patients

New data show aspirin safe for heart failure patients

Data from a clinical trial show that patients taking daily aspirin were not at heightened risk of being hospitalized for heart failure.

WHO updates Essential Medicines List, recommendations for antibiotics

WHO updates Essential Medicines List, recommendations for antibiotics

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The update includes 30 new medicines for adults and 25 for children and groups antibiotics into 3 distinct categories.

Effects of the obesity paradox: VTE risk in atrial fibrillation

Effects of the obesity paradox: VTE risk in atrial fibrillation

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Researchers found a paradoxical increase in thromboembolism risk in low-weight patients with atrial fibrillation and VTE who were treated with direct oral anticoagulants.

Adverse events common in hospitalized patients taking antibiotics

Adverse events common in hospitalized patients taking antibiotics

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Many adverse events could be avoidable with more judicious use of antibiotics.

Idarucizumab reverses anticoagulant effect of dabigatran in emergency situations

Idarucizumab reverses anticoagulant effect of dabigatran in emergency situations

Researchers found that idarucizumab is effective for dabigatran reversal among patients with uncontrolled bleeding and who are undergoing urgent surgery.

Heart failure hospitalization rate declining in the United States

Heart failure hospitalization rate declining in the United States

There were 526.86 hospital admissions for every 100,000 people in 2002, compared with 364.66 per 100,000 in 2013.

Hospital revisits after discharge from observation increase among elderly

Hospital revisits after discharge from observation increase among elderly

Increases were observed in repeat observation stays and any hospital revisit for seniors between 2006 and 2011.

NPs improve care coordination for high-risk complex care patients post-discharge

NPs improve care coordination for high-risk complex care patients post-discharge

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Post-discharge care from hospital to community coordinated by an NP in high-risk complex care patients reduced hospital readmission rates.

NPs have favorable view of retail health clinics

NPs have favorable view of retail health clinics

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A survey found that 77.4% of NPs reported that the care provided in retail health clinics was in accordance with evidence-based guidelines.

Rivaroxaban decreased VTE rate in high-risk orthopedic joint surgery patients

Rivaroxaban decreased VTE rate in high-risk orthopedic joint surgery patients

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Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.

Patients routinely overcharged in US emergency departments

Patients routinely overcharged in US emergency departments

Researchers say that minorities and uninsured patients are the most affected.

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