With stroke, there's a common saying that time lost is brain lost. In other words, the more quickly treatment is administered, the better a patient does. Now, new research indicates that the day and time that patients arrive at the hospital may also have an effect on outcomes. Studies released at the International Stroke Conference in February suggest that patients who present with stroke at night and on weekends are more likely to die in the hospital than those who present during the day. In our cover story, we look at the possible reasons for these findings as well as possible solutions, including staffing changes and collaborative care, that could help minimize the differences.
The Society of Hospital Medicine held its annual meeting in San Diego this past April, and we were on hand to cover it. Read our stories on acute coronary syndromes, new rules for CPR, and advice on how to choose a mentor, among other topics. This issue also marks the debut of a new column, FDA Update. Each month, senior writer Jessica Berthold will provide an overview of drug approvals, warnings and other drug regulatory issues to help keep you informed and up-to-date.
Finally, you may have noticed our recent contest announcement in our weekly newsletter, ACP HospitalistWeekly. We're looking for candidates for our first annual Hospitalists of the Year issue—the hospitalists who made the most notable contributions to the field in 2008, whether through cost savings, improved work flow, patient safety, leadership, mentorship or quality improvement. If you know of a colleague who might qualify, fill out our entry form and tell us who and why. All suggestions must be received by July 14, 2008, when our editorial advisory board will pick the winner. Hospitalists of the Year will be profiled in our November 2008 issue.
We look forward to receiving your suggestions!
Editor, ACP Hospitalist