Hospital Medicine News Archive
Findings based on comparison to general anesthesia for knee and hip arthroplasty
Can the length of time after hospital discharge influence readmission preventability among general medicine patients?
Per-person diabetes-attributable costs ranged from 374 in New Mexico to 1,610 in Washington, D.C.
Implementing an electronic consult system for specialty requests in safety-net health systems is associated with improved specialty care access but creates new challenges for primary care practitioners.
The FDA advisory committee voted 12-2 in favor of recommending the approval of Nuplazid.
Switching back to branded drugs is more likely in generic drug than authorized generic drugs.
The adjusted analysis also demonstrated that the code stroke system was associated with a decreased risk for post-stroke epilepsy within 5 years of stroke.
Aside from age, other high mortality factors included left ventricular dysfunction, atrial fibrillation, COPD, and diabetes.
Compared with standard oxygen therapy, high-flow treatments were better for infants with bronchiolotis.
The US opioid crisis is negatively affecting children, and the rate of hospitalization and pediatric intensive care unit admission for pediatric opioid ingestions is increasing.
A clinical prediction tool successfully forecasts subarachnoid hemorrhage management from ruptured intracranial aneurysms.
Duration, more than dosage, may increase the risk of misuse in opioid naïve patients.
Patients treated by PCPs vs hospitalists can have lengthier hospital stays and lower 30-day mortality rates.
The addition of pharmacomechanical thrombolysis does not reduce the risk of post-thrombotic syndrome among patients with acute proximal deep vein thrombosis.
A Minnesota-based hospital chain fires about 50 employees for refusal to receive the influenza vaccine.
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.
Fewer patients treated by female surgeons died, were readmitted to the hospital, or had complications within 30 days of surgery.
Low health literacy is associated with a longer hospital length of stay in general medicine patients.
Among patients undergoing microvascular reconstruction of the head and neck, increased anesthesia duration is associated with higher rates of complications.
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.
VTE and cancer are the result of inflammation and immunological dysfunctions associated with RA.
Researchers found a strong association between VTE and height using sibling pair analysis.
Patients admitted to the ER during weekends as opposed to weekdays have a higher mortality rate.
The biggest predictors of clinicians providing firearm safety counseling were feeling that the information could help reduce pediatric injuries.
A significant number of avoidable visits to the emergency department are related to mental health and dental conditions.
Researchers observed a linear increase in cancer prevalence with age, with a 7-fold higher prevalence in patients older than 50 years of age.
Fondaparinux and rivaroxaban were associated with increased risk of major bleeding in patients who underwent total hip or knee arthroplasty.
Hospital patients reported breakdowns in care, which included information exchange, medications, delays in admission, team communication, providers' manner, and discharge.
Risk-adjusted in-hospital mortality is significantly increased at safety-net hospitals for patients undergoing percutaneous coronary intervention.
Risk factors for emergency department visits include younger age, higher parity, Medicare or self-pay insurance, and postoperative pain.
Data from a clinical trial show that patients taking daily aspirin were not at heightened risk of being hospitalized for heart failure.
The update includes 30 new medicines for adults and 25 for children and groups antibiotics into 3 distinct categories.
Researchers found a paradoxical increase in thromboembolism risk in low-weight patients with atrial fibrillation and VTE who were treated with direct oral anticoagulants.
Many adverse events could be avoidable with more judicious use of antibiotics.
Researchers found that idarucizumab is effective for dabigatran reversal among patients with uncontrolled bleeding and who are undergoing urgent surgery.
There were 526.86 hospital admissions for every 100,000 people in 2002, compared with 364.66 per 100,000 in 2013.
Increases were observed in repeat observation stays and any hospital revisit for seniors between 2006 and 2011.
Post-discharge care from hospital to community coordinated by an NP in high-risk complex care patients reduced hospital readmission rates.
A survey found that 77.4% of NPs reported that the care provided in retail health clinics was in accordance with evidence-based guidelines.
Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.
Researchers say that minorities and uninsured patients are the most affected.
The therapy may be cost-effective for patients with a predicted 1-year VTE risk of 17.5% or more.
Patients treated by older physicians have higher mortality than those cared for by younger physicians
Researchers found that patients treated by older physicians had higher 30-day mortality than those cared for by younger physicians, despite similar patient characteristics.
Results showed that mean induction times, analyzed in 170 patients, were 12.87 days in the HIV-infected patients and 11.19 days in the HIV-uninfected patients.
Surgical pulmonary embolectomy for peripheral distribution of thrombus demonstrated positive outcomes in patients with either CPE or PPE.
A 53-year-old woman presents to the emergency room for right upper extremity deep vein thrombosis after rib resection and subclavian vein stent placement.
Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism
Approximately 1 in 5 American adults use corticosteroids in the short term, which is associated with an increased risk for sepsis, venous thromboembolism, and fracture.
Implementation of a combined ID re-entry intervention and distinct naming convention greatly reduced the risk.
The ACGME announces that residency programs can increase shift hours for first-year residents from 16 to 24 hours.
Symptomatic high-concentration peroxide exposures had a high incidence of associated embolic events.
More than 10,000 Medicare beneficiaries die each year within 7 days of being discharged from emergency departments.
Researchers observed a somewhat lower mortality among patients treated by international graduates.
Researchers sought to determine the risk of venous thromboembolism associated with use of testosterone treatment.
The reduction in thromboembolism was attenuated after accounting for competing death events.
Although the overall use of antibiotics in US hospitals is unchanged, use of broad spectrum agents has increased significantly.
Nearly 17% of patients exhibiting one unstable vital sign at hospital discharge were readmitted or died within 30 days.
Hospital mortality rates do not improve in institutions that frequently use ICU care for patients.
For patients hospitalized with COPD, mortality and length of stay have decreased while financial burden has increased.
New guidelines for the treatment and management of aspergillosis have been published by the Infectious Diseases Society of America.
After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.
Almost one-quarter of patients admitted to the STICU short term are there for <4 hours of ventilator management.
Clinicians in hospital settings need strategies in place to safely provide opioid pain relief to hospitalized patients.
Since 2002, the number of hospitalizations due to opioid abuse and dependence has increased by 72%.
Triage practices in EDs are essential to providing patient care.
Visited patients were also more likely to access community health services.
Administering steroids to pregnant women likely to give birth before 37 weeks can reduce infants' risk of respiratory complications.
After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.
About 5% of medication administrations during the perioperative period include errors or adverse drug events.
The introduction of pneumococcal conjugate and rotavirus vaccines has helped to reduce hospitalizations from respiratory infections and diarrhea.
The majority of hospitalists agree that routine dyspnea severity assessment would improve patient care.
Health insurance companies should considering paying PCP for inpatient consulting services.
HIV patients undergoing ART often die from non-AIDS infections and cardiovascular disease.
Experts reached a consensus on the top five unnecessary medical treatments and tests for newborns.
Care coordination can help hospital patients transition from inpatient to outpatient-only care.
Monitoring kidney function in hospitalized patients can help prevent acute kidney injury.
Health 360 is designed to be applied by an interprofessional collaborative care team and facilitated by nurse practitioners.
Quitting smoking improved spinal cord injury quality of life.
Adults hospitalized with pneumonia benefit from the addition of corticosteroids to antibiotic treatment.
Post-discharge phone calls have the potential to improve compliance with and understanding of hospital discharge instructions.
C. difficile costs as much as $4.8 billion in estimated extra health care costs per year.
Many of the drug shortages were of broad-spectrum antibiotics.
Units with more nursing hours per patient-day had a 0.42 decrease in the rate of bloodstream infections.
New recommendations are designed to prevent caregivers from accidentally measuring out 10 times the prescribed dose.
Within one year of being discharged from the hospital for heart failure, 67.4% of patients enrolled in the study were readmitted to the hospital and 35.8% died.
Decreases were seen in central-line associated bloodstream infections and surgical-site infections.
There was no difference overall in the incidence with different statins, but high-dose atorvastatin was associated with increased hospitalization.
Opioids such as morphine and oxycodone were drugs most often involved in potentially dangerous drug interactions.
Hospitals that implemented a formalized antibiotic stewardship program saw an overall reduction in antibiotic use.
Fall-prevention advice may help reduce the risk of injuries at home amongst toddlers.
The American College of Emergency Physicians has issued another list of five tests and procedures that should be questioned before use.
Compared with paper towels, jet air and warm air dryers in public restrooms had higher bacteria levels.
Though 94% of those mistakes didn't require medical treatment, 25 led to deaths and about 1,900 critical care admissions.
Fatal anaphylaxis caused by medications, food, and unspecified allergens was significantly associated with race and older age.
Of the patients, 79.5% received antibiotics to treat infections, and 19.0% received them to reduce the risk of infection during surgeries.
Compared with HIV-negative patients, study participants with HIV infection had significantly higher rates of complications.
Compared with electrodiagnostic testing, ultrasound was more accurate in diagnosing carpal tunnel syndrome.
New York Law School publishes an update on the state of medical malpractice information in the United States.
Greater use of broad-spectrum antibiotics, increased transmission from long-term acute care facilities associated with increases in carbapenem-resistant Enterobacteriaceae.
Better care coordination may help reduce patient complications and length of stay.
Introducing a single full-time orthopedic trained PA in the hospital setting benefited patients undergoing total knee arthroplasty.