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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

Tackling ED boarding

Hospitalists can take ownership to reduce risks for patients, especially elderly ones.
https://acphospitalist.acponline.org/archives/2024/02/21/tackling-ed-boarding.htm
21 Feb 2024

Machine learning system dramatically reduced alerts compared to bedside monitors

A machine learning system trained to predict ICU patients' risk of respiratory failure or hemodynamic instability offered 50 times fewer alerts than a telemedicine system that analyzed trends from bedside biomedical monitors.
https://acphospitalist.acponline.org/archives/2023/11/08/machine-learning-system-dramatically-reduced-alerts-compared-to-bedside-monitors.htm
8 Nov 2023

Early mobilization significantly reduced cognitive impairment in ICU patients, trial finds

Less than a quarter of patients randomized to early occupational and physical therapy while ventilated were cognitively impaired at one year, compared to 43% of those who received usual care, a single-center study found.
https://acphospitalist.acponline.org/archives/2023/02/01/early-mobilization-significantly-reduced-cognitive-impairment-in-ICU-patients-trial-finds.htm
1 Feb 2023

Why perioperative anaphylaxis is like paella

An expert speaker at the American Academy of Allergy, Asthma, & Immunology 2022 Annual Meeting drew parallels between perioperative anaphylaxis and the Spanish dish, reviewing differential diagnoses, causal agents, and useful labs.
https://acphospitalist.acponline.org/archives/2022/03/23/why-perioperative-anaphylaxis-is-like-paella.htm
23 Mar 2022

Risk for poor outcomes may be higher in previously healthy patients hospitalized for sepsis

While 97.4% of patients hospitalized for community-onset sepsis had preexisting comorbid conditions, those who were healthy before admission had higher short-term mortality rates in a recent study.
https://acphospitalist.acponline.org/archives/2022/01/26/free/risk-for-poor-outcomes-may-be-higher-in-previously-healthy-patients.htm
26 Jan 2022

When less intensity is more caring

Hospitalists can help patients avoid nonbeneficial care with communication and time-limited trials.
https://acphospitalist.acponline.org/archives/2021/07/when-less-intensity-is-more-caring.htm
15 Jul 2021

Invasive mechanical ventilation at end of life may be more common in Asian Americans

Researchers used a 20% random sample of Medicare fee-for-service beneficiaries to compare receipt of invasive mechanical ventilation among Asian American and White patients hospitalized in the last 30 days of life.
https://acphospitalist.acponline.org/weekly/archives/2021/05/05/4.htm
5 May 2021

Training in time-limited trials associated with less use of nonbeneficial ICU treatments

In a pre- and postintervention quality improvement study, physicians at three academic hospitals in California were trained to use time-limited trials of interventions in communication and care planning with families and surrogate decision makers of critically ill ICU patients.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/4.htm
21 Apr 2021

Opioid exposure linked to increased risk of delirium in critically ill adults

A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/5.htm
21 Apr 2021

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