Search results for "Biomarkers"
Natriuresis good indicator of decongestion in acute decompensated HF, trial of acetazolamide shows
Patients with decompensated heart failure (HF) who were randomized to acetazolamide had higher urine sodium concentrations (UNa) than those on placebo, and every 10-mmol/L increase in UNa was associated with a lower risk of all-cause death or HF readmission, a prespecified analysis found.
https://acphospitalist.acponline.org/archives/2023/05/17/natriuresis-good-indicator-of-decongestion-in-acute-decompensated-hf-trial-of-acetazolamide-shows.htm
17 May 2023
Similar odds of recurrence with 10 vs. 14 days of antibiotics for complicated UTI with bacteremia
A study of 24 U.S. hospitals also found that in patients with complicated urinary tract infection (UTI) who receive beta-lactams or highly bioavailable oral agents, a seven-day course may be sufficient.
https://acphospitalist.acponline.org/archives/2023/01/25/similar-odds-of-recurrence-with-10-vs-14-days-of-antibiotics-for-complicated-uti-with-bacteremia.htm
25 Jan 2023
New 8-item risk score may help predict ischemic events after ACS treated with PCI
Growth differentiation factor 15 and N-terminal pro–B-type natriuretic peptide were the best predictors of one-year risk of cardiovascular death or myocardial infarction among patients with acute coronary syndrome (ACS) who underwent percutaneous coronary intervention (PCI).
https://acphospitalist.acponline.org/archives/2022/10/26/new-8-item-risk-score-may-help-predict-ischemic-events-after-acs-treated-with-pci.htm
26 Oct 2022
Latest COVID-19 research looks at plasma antigen levels, oral antivirals, HAIs
Studies found that plasma antigen levels of SARS-CoV-2 were associated with severity of illness, molnupiravir and nirmatrelvir-ritonavir improved outcomes in inpatients with mild-to-moderate illness, and small hospitals were hit hard by a pandemic rise in hospital-acquired infections (HAIs).
https://acphospitalist.acponline.org/archives/2022/08/31/free/latest-covid-19-research-looks-at-plasma-antigen-levels-oral-antivirals-hais.htm
31 Aug 2022
The problem with pulse ox
Research has long indicated that pulse oximeters can overestimate oxygen saturation in patients with darker skin, but experts are now trying raise awareness of the problem.
https://acphospitalist.acponline.org/archives/2022/06/29/free/the-problem-with-pulse-ox.htm
29 Jun 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
Cystatin C improves accuracy in calculations of Black patients' kidney function
Equations to estimate glomerular filtration rate more accurately predict risk of kidney failure and mortality in Black patients if they include both creatinine and cystatin C, but not race, according to a new retrospective study.
https://acphospitalist.acponline.org/archives/2022/06/15/cystatin-c-improves-accuracy-in-calculations-of-black-patients-kidney-function.htm
15 Jun 2022
COVID-19 guideline update from NIH, postdischarge anticoagulation, remdesivir effects
The latest news on inpatient COVID-19 care includes some changes to the NIH guidelines for COVID-19 treatment, as well as studies showing that rivaroxaban after discharge reduced clots and remdesivir helped inpatients on no or low-flow oxygen but not those who were sicker.
https://acphospitalist.acponline.org/weekly/archives/2021/12/22/1.htm
22 Dec 2021
Combating clots in COVID-19
Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021
Cardiac societies release guideline on evaluation, diagnosis of chest pain
The recommendations from the American Heart Association and the American College of Cardiology, with support from other societies, provide algorithms for assessing and diagnosing chest pain in adults and offer 10 take-home points, including on use of testing and imaging.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/3.htm
10 Nov 2021