Search results for "Acute kidney injury"
Catheters and other plumbing problems
A urologist offered his tips for hospitalists on catheter placement and additional urological issues in a recent lecture.
https://acphospitalist.acponline.org/archives/2022/10/05/catheters-and-other-plumbing-problems.htm
5 Oct 2022
Do documentation improvement queries help?
Learn why you get so many queries these days and share your thoughts on them in a reader poll.
https://acphospitalist.acponline.org/archives/2022/09/07/free/do-documentation-improvement-queries-help.htm
7 Sep 2022
New studies find no benefit to vitamin C or fluid restriction in sepsis
One international trial found higher 28-day mortality in ICU patients randomized to a vitamin C infusion compared to placebo, while another showed that 90-day mortality rates were similar when septic shock patients were treated with a standard or restrictive IV fluid strategy.
https://acphospitalist.acponline.org/archives/2022/06/22/free/new-studies-find-no-benefit-to-vitamin-c-or-fluid-restriction-in-sepsis.htm
22 Jun 2022
Pneumocystis pneumonia in an HIV-negative patient
A patient with primary hyperparathyroidism, rheumatoid arthritis, and inclusion-body myositis presented with fatigue, nausea, and vomiting.
https://acphospitalist.acponline.org/archives/2022/06/15/free/brief-case-pneumocystis-pneumonia-in-an-hiv-negative-patient.htm
15 Jun 2022
When your patient is on dialysis
A nephrologist ran down the initial steps hospitalists should take after admitting a long-term dialysis patient during a lecture at Internal Medicine Meeting 2022.
https://acphospitalist.acponline.org/archives/2022/05/11/when-your-patient-is-on-dialysis.htm
11 May 2022
OPAT has similar safety, lower costs versus inpatient antibiotic therapy
Patients receiving outpatient parenteral antimicrobial therapy (OPAT) after hospitalization for bacterial infection had 90-day adverse event rates of 35.6% compared to 39.0% in those who stayed in the hospital for parenteral antimicrobial therapy, a retrospective Canadian study found.
https://acphospitalist.acponline.org/archives/2022/04/27/opat-has-similar-safety-lower-costs-versus-inpatient-antibiotic-therapy.htm
27 Apr 2022
Patient deterioration alerts didn't improve mortality or length of stay in trials
According to a new systematic review, pre-post studies have found benefits from using health information technology for early detection of inpatient deterioration, but randomized controlled trials have shown no significant changes from such interventions.
https://acphospitalist.acponline.org/archives/2022/04/20/patient-deterioration-alerts-didnt-improve-mortality-or-length-of-stay-in-trials.htm
20 Apr 2022
Metformin during hospitalization associated with improved outcomes in type 2 diabetes and sepsis
In a retrospective cohort study in Pennsylvania, adults with type 2 diabetes and sepsis who were exposed to metformin during hospitalization had lower 90-day mortality and better kidney outcomes than those who were not.
https://acphospitalist.acponline.org/archives/2022/02/16/metformin-during-hospitalization-associated-with-improved-outcomes-in-type-2-diabetes-and-sepsis.htm
16 Feb 2022
Balanced electrolyte solution didn't improve outcomes in ICU patients
A randomized trial in Australia and New Zealand found similar rates of 90-day mortality and new renal replacement therapy whether ICU patients were given a balanced multi-electrolyte solution (Plasma-Lyte 148) or saline.
https://acphospitalist.acponline.org/archives/2022/01/19/balanced-electrolyte-solution-didnt-improve-outcomes-in-icu-patients.htm
19 Jan 2022
Intravenous fluid management
A hypothetical case highlights the many reasons to provide IV fluid.
https://acphospitalist.acponline.org/archives/2021/11/expert-analysis-iv-fluids.htm
15 Nov 2021