Hospital Medicine News Archive
Reduced morbidity associated with a minimum hospital volume threshold of 6 cases/year.
Elderly, those living 10 miles from facility, those with lower SES less likely to receive pulmonary rehab.
Higher likelihood of readmission, developing abscess; more follow-up needed in year after admission.
Findings among Medicaid, state employee health insurance programs in 2009 to 2017.
Publicly available online ratings of emergency departments and urgent care centers provide important insights for health systems.
Risk of hospitalization up for Hispanic patients with lower scores on Ambulatory Care Experiences Survey.
Agreement between formalized triage assessment and simple clinical assessment was poor.
One in 77 US children reportedly had heart conditions in 2016, with special needs in 60%.
Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes.
Twenty-four percent of adults aged 65 years who undergo intubation in ED are discharged home.
Ten to 14 days after being hung, curtains show increased MRSA positivity.
Emergency department computed tomography rates for children with minor head trauma were not affected by parent decision aid use.
Even after return to pre-EMR efficiency, more time spent on documentation, less on patient interaction.
Authors recommend professional interpreter when practical if patient has limited English proficiency.
Wide ranges of sleep quality and quantity with use of actigraphy among critically ill patients in ICU.
Diagnostic error is the most common cause of medical errors that patients report.
Incidence of major bleeding low with rivaroxaban, but clot risk not lower.
Increase in asthma hospital visits with increasing ambient particulate matter in San Luis Valley.
Include enhancing recognition of potential errors, increasing teamwork, patient-centeredness.
The authors searched for randomized placebo-controlled trials (December 1, 2008 to November 24, 2017) involving 3 pharmacologic classes of antidiabetic medications to compare the effects of these agents on the risk of hospitalization for HF in T2DM patients.
One-time nurse-led call does not lower reutilization of urgent care services after pediatric discharge.
Patient discharge directly home from intensive care compared with discharge from a hospital ward was not associated with increased healthcare resource use or mortality.
First bronchoscopic lung volume reduction using endobronchial valve performed at Temple University.
Score in clinical performance in the simulated ICU setting equal for PAs, medical residents.
Variation in skilled nursing facility, hospital care up in Medicare Advantage vs traditional Medicare.
And, 30-day functional outcomes similar with supraglottic airway device or tracheal intubation.
The number of patients prescribed opioids and visiting an emergency department or requiring hospitalization decreased from 2009 to 2015.
Black survivors of in-hospital cardiac arrest have lower survival at 1, 3, 5 years vs whites.
A person's unwillingness to become an organ donor may be explained by a significant information deficit, mistrust for the medical establishment, or a moral opposition to killing.
Lumpectomy, radiotherapy tied to reduction in breast cancer mortality vs lumpectomy, mastectomy.
Five evidence-based recommendations list tests, procedures that doctors, patients should question.
In high-volume centers, patients with liver metastases from colorectal cancer may often be eligible for minimally invasive liver surgery via laparoscopy, thereby reducing potential morbidity risks associated with open surgery.
Early vs late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older.
However, completing individual bundle elements in that timeframe does not reduce pediatric mortality.
Monitoring non-fatal overdose events from EMS data may aid in developing emergency response.
Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas.
But in past 3 decades, decrease in late mortality seen among those who underwent BMT in childhood.
The Belmont Report provides an appropriate framework for living donor organ transplantation.
Poorer quality sleep for children, parents attributed to high levels of noise.
An increase in guideline-recommended preventive services may be associated with a decrease in patient utilization of each suggested service, which may have a negative impact on patient life expectancy or quality of life.
Employees should undergo detailed background checks; practices should have zero-tolerance for theft.
Gap in earnings between self-employed and employed health care professionals also decreased.
Pelvic exam doesn't add to history for diagnosis of STIs in young females with suspected cervicitis, PID.
These data show that ASD may arise from an early neurobiological difference in response to rewarding social stimuli, which could result in reduced social motivation.
While all blood types are needed, type O negative and positive are especially crucial.
Commission makes 6 recommendations to meet 2030 goals for non-communicable diseases
Two devices designed to create arteriovenous fistula in patients with CKD in need of hemodialysis
Association says medical students, residents should undergo training with evaluative feedback.
Use of an intensive management program for high-risk patients is associated with greater receipt of outpatient care with no increase in total costs.
AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages.
A literature review revealed that the use of care navigators in conjunction with follow-up telephone calls from nursing staff improved transition of care and readmission rates in patients with congestive heart failure.
Hospitalist NPs are key to successfully implementing Society of Hospital Medicine guidelines for preoperative testing and management.
Incidental abnormalities are most frequently observed in computed tomography colonoscopy, computed tomography of the chest, and cardiac magnetic resonance imaging.
More major bleeding seen at maximal activated clotting time greater than 290 seconds.
Percutaneous ablation compared with partial, radical nephrectomy for 4,310 patients aged 66 years
Findings based on examination of 30-day postoperative period in large cohort
Double lung transplantation appears to offer superior survival outcomes to single lung transplantation in patients with interstitial pulmonary fibrosis who are younger than 70 years.
From 2006 and 2016, smallest increase seen in high Sociodemographic Index countries.
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.