Search results for "Biomarkers"
NEWS works better when site-specific or combined with biomarker, studies find
The National Early Warning Score (NEWS) caused alert fatigue and failed to reduce mortality or ICU transfers in one study, but another found it to accurately predict mortality when used with soluble urokinase plasminogen activator receptor testing.
https://acphospitalist.acponline.org/weekly/archives/2018/10/03/3.htm
3 Oct 2018
A collection of individual cases
Hemoglobin SC disease, “cotton fever,” esophageal hemorrhage, and more.
https://acphospitalist.acponline.org/archives/2018/09/brief-case-a-collection-of-individual-cases.htm
15 Sep 2018
Procalcitonin: Promise and pitfalls
Uptake of procalcitonin testing has been slow in U.S. hospitals, but experts say the biomarker could help with antibiotic stewardship efforts.
https://acphospitalist.acponline.org/archives/2018/08/procalcitonin-promise-and-pitfalls.htm
15 Aug 2018
Rapid rule-out algorithm for NSTEMI deemed safe, effective
Using results from high-sensitivity cardiac troponin testing at arrival and at one hour, researchers were able to rule in or out non-ST-segment elevation myocardial infarction (NSTEMI) in the majority of patients, a prospective study found.
https://acphospitalist.acponline.org/weekly/archives/2018/08/01/2.htm
1 Aug 2018
Longer antibiotic therapy in patients with low procalcitonin during COPD exacerbation increased LOS without reducing readmissions
The retrospective study divided patients by whether they received inpatient antibiotics for more or less than a day, and patients in the former group had a length of stay (LOS) of 3.7 days compared to 2.8 days in the latter.*
https://acphospitalist.acponline.org/weekly/archives/2018/07/11/1.htm
11 Jul 2018
Linking severe sepsis and hyperlactatemia
Is it acceptable, in coding for a patient with sepsis, to automatically link lactic acidosis to acute organ dysfunction?
https://acphospitalist.acponline.org/archives/2018/06/coding-corner-severe-sepsis-and-hyperlactatemia.htm
15 Jun 2018
Antibiotics and AKI, stroke rehab, and more
Summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2018/06/recent-research.htm
15 Jun 2018
High d-dimer level on admission for heart failure may indicate higher short-term stroke risk
The study found the optimal d-dimer cutoff value for the risk of ischemic stroke in the hospital or within 30 days was 3.5 µg/mL, and no patients with a d-dimer level under the reference limit of normal had a stroke during follow-up.
https://acphospitalist.acponline.org/weekly/archives/2018/06/13/1.htm
13 Jun 2018
New biomarker for ACS offers better mortality risk prediction than GRACE score
Amyloid-β (1-40) was associated with mortality, even after adjustment for variables including age, sex, diabetes, high-sensitivity cardiac troponin T and C-reactive protein levels, revascularization, and acute coronary syndrome (ACS) type.
https://acphospitalist.acponline.org/weekly/archives/2018/05/23/3.htm
23 May 2018
BNP predicts mortality, even in patients without heart failure
The results suggest that an elevated B-type natriuretic peptide (BNP) level in a patient without heart failure may warrant additional investigation, including assessment of cardiac structure and function, study authors said.
https://acphospitalist.acponline.org/weekly/archives/2018/05/16/1.htm
16 May 2018