Go to most any hospital around the country, and chances are there is a concerted effort underway to increase the number of inpatients who receive prophylaxis against venous thromboembolism (VTE). Recent research, however, has called this practice into question by finding that VTE rates aren't lower at hospitals with high prophylaxis rates compared to those with low prophylaxis rates. ACP has advised since 2011 that physicians only use VTE prophylaxis in inpatients after assessing risk for clotting and bleeding. Our cover story looks at the current state of VTE prophylaxis, including how best to do a risk assessment, and the most recent research on appropriate prophylaxis regimens.
In conference coverage, we bring you 2 dispatches from the University of San Francisco's Management of the Hospitalized Patient meeting in October. The first covers the current state of, and future projections about, stroke, including when to give tissue plasminogen activator (tPA) and to whom, as well as the changing role of embolectomy. The second discusses when to use infectious disease (ID) curbside consults, including the most common questions ID specialists are asked—as well as what the usual answers are. Of late, more ID curbsides have been about patients with suspected Ebola. Our feature story addresses the various illnesses that are in the differential for Ebola, as well as how to narrow down the diagnosis quickly.
You may notice some changes in how the magazine looks this issue. ACP Hospitalist is kicking off the new year with fresh design elements to give the magazine a more modern feel. Let us know how you like it! Write to us anytime.
Finally, it is with many mixed emotions that I announce I have accepted a job in another state, and this will be my last issue as editor-in-chief of ACP Hospitalist. I have absolutely loved learning about the fascinating world of hospital medicine, and the challenge of finding content that I hope has been useful to you in your jobs. I wish you all the very best in your careers and lives.
Editor-in-Chief, ACP Hospitalist