Search results for "Pulmonary disease"
Inappropriate CAP diagnosis common in hospitalized adults
A prospective cohort study of 48 hospitals in Michigan found that 12% of patients hospitalized with community-acquired pneumonia (CAP) appeared to have been diagnosed incorrectly and that of these, 87.6% received a full course of antibiotics.
https://acphospitalist.acponline.org/archives/2024/03/27/inappropriate-cap-diagnosis-common-in-hospitalized-adults.htm
27 Mar 2024
Clarifying criteria for acute respiratory failure
The diagnosis of acute respiratory failure is one of those most commonly denied by payers, so understanding the current documentation criteria is crucial.
https://acphospitalist.acponline.org/archives/2024/03/27/clarifying-criteria-for-acute-respiratory-failure.htm
27 Mar 2024
RSV, other viruses associated with severe respiratory disease, length of stay in adult inpatients
Hospital patients with respiratory syncytial virus (RSV), human metapneumovirus, or parainfluenza virus were more likely to require noninvasive or invasive ventilation than general medicine patients who did not test positive for any of those viruses, a national study found.
https://acphospitalist.acponline.org/archives/2024/03/20/rsv-other-viruses-associated-with-severe-respiratory-disease-length-of-stay-in-adult-inpatients.htm
20 Mar 2024
Knowing when AI is wrong
Physicians need to learn the explanations behind artificial intelligence (AI) answers, say the authors of a study in which hospitalists had lower diagnostic accuracy when working with biased AI.
https://acphospitalist.acponline.org/archives/2024/03/13/knowing-when-ai-is-wrong.htm
13 Mar 2024
Palliative care consults by default did not affect inpatient length of stay
Implementation of a default, opt-out palliative care consultation intervention for older hospital patients with advanced chronic illnesses did increase consult rates from 16.6% to 43.9% and significantly increased odds of discharge to hospice.
https://acphospitalist.acponline.org/archives/2024/01/24/palliative-care-consults-by-default-did-not-affect-inpatient-length-of-stay.htm
24 Jan 2024
Gabapentinoids associated with severe COPD exacerbations
Severe exacerbations of chronic obstructive pulmonary disease (COPD) were more common in patients taking gabapentinoids for epilepsy, neuropathic pain, or other chronic pain than in matched nonusers, a Canadian cohort study found.
https://acphospitalist.acponline.org/archives/2024/01/17/gabapentinoids-associated-with-severe-copd-exacerbations.htm
17 Jan 2024
Study of Medicare claims finds good outcomes with hospital at home
Only 6.2% of Medicare fee-for-service patients who were hospitalized at home had to be escalated to another setting and 0.5% died during the admission, according to an analysis of 2022 to 2023 claims data. Their 30-day readmission rate was 15.6%.
https://acphospitalist.acponline.org/archives/2024/01/10/study-of-medicare-claims-finds-good-outcomes-with-hospital-at-home.htm
10 Jan 2024
Review offers guidance on selecting medications for COPD
Researchers suggest ways for clinicians to assess cognitive function, manual dexterity/strength, and peak inspiratory flow before choosing an inhaled medication delivery system for patients with chronic obstructive pulmonary disease (COPD).
https://acphospitalist.acponline.org/archives/2023/11/22/review-offers-guidance-on-selecting-medications-for-copd.htm
22 Nov 2023
ED visits after discharge to SNF cost Medicare $24 million in 2019
Sixteen percent of Medicare patients who were discharged to a skilled nursing facility (SNF) came back to the ED within two weeks, and a quarter of those visits resulted in discharge back to the SNF the same day.
https://acphospitalist.acponline.org/archives/2023/11/01/ed-visits-after-discharge-to-snf-cost-medicare-24-million-in-2019.htm
1 Nov 2023
Costs for pneumonia hospitalization vary by comorbidity, care practices
Patients with chronic obstructive pulmonary disease (COPD) and/or heart failure on top of pneumonia have higher hospitalization costs, one study found, while another found that higher-cost hospitals didn't have better mortality rates among their pneumonia patients.
https://acphospitalist.acponline.org/archives/2023/10/18/costs-for-pneumonia-hospitalization-vary-by-comorbidity-care-practices.htm
18 Oct 2023