Hospital Medicine

Increase in Global Cancer Incidence, Drop in Death Rates

Increase in Global Cancer Incidence, Drop in Death Rates

From 2006 and 2016, smallest increase seen in high Sociodemographic Index countries.

Does Political Affiliation Influence Patient Care? An Interview With Anupam B. Jena, MD

Does Political Affiliation Influence Patient Care? An Interview With Anupam B. Jena, MD

To shed further light on the study's implications, MPR interviewed lead author Anupam B. Jena, MD, PhD, Ruth L. Newhouse Associate Professor, Harvard Medical School, Boston, MA.

Prediction tool helps tailor lung cancer screening to patient benefit and preferences

Prediction tool may help physicians better personalize screening discussions with patients.

Regional Anesthesia Tied to Lower Opioid Use in TKA, Hip Arthroplasty

Regional Anesthesia Tied to Lower Opioid Use in TKA, Hip Arthroplasty

Findings based on comparison to general anesthesia for knee and hip arthroplasty

US Nursing Home Costs Due to Diabetes Vary Greatly by State

US Nursing Home Costs Due to Diabetes Vary Greatly by State

Per-person diabetes-attributable costs ranged from 374 in New Mexico to 1,610 in Washington, D.C.

Early Hospital Readmissions More Preventable Than Late Readmissions

Early Hospital Readmissions More Preventable Than Late Readmissions

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Can the length of time after hospital discharge influence readmission preventability among general medicine patients?

eConsult in Primary Care: Clinicians Surveyed About the Pros and Cons

eConsult in Primary Care: Clinicians Surveyed About the Pros and Cons

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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.

Parkinson Drug May Be Linked to Deaths

Parkinson Drug May Be Linked to Deaths

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The FDA advisory committee voted 12-2 in favor of recommending the approval of Nuplazid.

Stat Consult: Parenteral Nutrition Issues

Stat Consult: Parenteral Nutrition Issues

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Some include mechanical complications, central vascular access complications, and compatibility issues.

Sigmoidoscopy reduces colon cancer risk for men, but not women

Sigmoidoscopy was associated with a reduction in the prevalence of colon cancer mortality in men.

Switching from Branded to Authorized Generic Drugs Linked to Lower Switchback Rate

Switching from Branded to Authorized Generic Drugs Linked to Lower Switchback Rate

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Switching back to branded drugs is more likely in generic drug than authorized generic drugs.

Health burden varies significantly by state in the US

In the US Burden of Disease Report, the leading causes of death were ischemic heart disease, lung cancer, chronic obstructive pulmonary disease, Alzheimer's disease, and colorectal cancer while the leading causes of disability were low back pain, major depressive disorder, and diabetes.

Code Stroke System Reduces Post-Stroke Epilepsy Risk in Older Adults

Code Stroke System Reduces Post-Stroke Epilepsy Risk in Older Adults

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.

Aortic valve replacement linked to increased mortality in elderly

Aortic valve replacement linked to increased mortality in elderly

Aside from age, other high mortality factors included left ventricular dysfunction, atrial fibrillation, COPD, and diabetes.

High-Flow Oxygen Treatment Better for Infants with Bronchiolitis Than Standard Therapy

High-Flow Oxygen Treatment Better for Infants with Bronchiolitis Than Standard Therapy

Compared with standard oxygen therapy, high-flow treatments were better for infants with bronchiolotis.

Medicare’s condition-specific readmission measures are poor reflectors of hospital quality

High variability was observed within hospital risk-standardized excess readmission ratios.

Hospitalization, PICU admissions increasing for pediatric opioid ingestions

Hospitalization, PICU admissions increasing for pediatric opioid ingestions

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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.

Administrative costs, provider salaries, and pharmaceutical prices drive higher healthcare spending in the United States

Administrative costs, physician and nurse salaries, and pharmaceutical prices are higher in the U.S. compared to other highly developed countries.

Early dermatology consultation linked to improved diagnostic accuracy and care in cellulitis

Among patients admitted to the hospital for a provisional diagnosis of cellulitis, early dermatologic consultation was associated with improved recognition of pseudo-cellulitis, decreased antibiotic use, and earlier discharge.

Predicting mortality and outcomes after a subarachnoid hemorrhage

Predicting mortality and outcomes after a subarachnoid hemorrhage

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A clinical prediction tool successfully forecasts subarachnoid hemorrhage management from ruptured intracranial aneurysms.

Greater rates of mortality linked to infants at risk for maltreatment

Infants classified as very high risk for substantiated maltreatment had a higher relative risk of overall mortality, death through unintentional and inflicted injury, and sudden unexpected infant death.

Postoperational opioid misuse linked to prescription longevity

Postoperational opioid misuse linked to prescription longevity

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Duration, more than dosage, may increase the risk of misuse in opioid naïve patients.

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.

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