Search results for "researchers"
Systematic review looks at effects of transitional care clinics
Implementation of transitional care clinics for recently hospitalized patients without a primary care clinician appeared to be associated with reductions in ED visits and readmissions, but no change in mortality, compared to usual care, according to a review.
https://acphospitalist.acponline.org/archives/2024/04/24/systematic-review-looks-at-effects-of-transitional-care-clinics.htm
24 Apr 2024
Later appendectomies only slightly more common with oral antibiotics for appendicitis
Patients with uncomplicated acute appendicitis who were randomized to oral antibiotic monotherapy instead of combined IV and oral antibiotics had an increase of less than 2 percentage points in risk of surgery or recurrence at three years, according to a Finnish study.
https://acphospitalist.acponline.org/archives/2024/04/24/later-appendectomies-only-slightly-more-common-with-oral-antibiotics-for-appendicitis.htm
24 Apr 2024
Early minimally invasive surgery may improve outcomes for certain intracerebral hemorrhages
An industry-sponsored trial found that functional outcomes at 180 days were better with minimally invasive hematoma evacuation plus guideline-based medical management than medical management alone, if surgery could be done within 24 hours.
https://acphospitalist.acponline.org/archives/2024/04/17/early-minimally-invasive-surgery-may-improve-outcomes-for-certain-intracerebral-hemorrhages.htm
17 Apr 2024
Current tools insufficient to guide anticoagulation decisions for new-onset AF in sepsis
The most commonly used stroke risk calculator does not predict postsepsis stroke and should not be used to guide decisions about anticoagulation among patients with new-onset atrial fibrillation (AF) and sepsis, a new study concluded.
https://acphospitalist.acponline.org/archives/2024/04/17/current-tools-insufficient-to-guide-anticoagulation-decisions-for-new-onset-af-in-sepsis.htm
17 Apr 2024
Patients with low-risk S. aureus bacteremia may not need routine imaging
In a retrospective cohort study in the Netherlands, relapse-free survival at 90 days was similar in patients with low-risk S. aureus infection who received additional imaging and those who did not.
https://acphospitalist.acponline.org/archives/2024/04/17/patients-with-low-risk-s-aureus-bacteremia-may-not-need-routine-imaging.htm
17 Apr 2024
Patient-reported behavioral, economic factors predict mortality after cardiac hospitalization
Patients who reported being unemployed, retired, or unable to work due to disability at discharge from a cardiovascular hospitalization were significantly more likely to die during three-year follow up, a single-center study found.
https://acphospitalist.acponline.org/archives/2024/04/10/patient-reported-behavioral-economic-factors-predict-mortality-after-cardiac-hospitalization.htm
10 Apr 2024
Two in five HF patients not on guideline-directed medical therapy at discharge
A study of Veterans Affairs hospitals found that 42% of patients hospitalized for heart failure (HF) in 2013 to 2019 were not prescribed all guideline-recommended medications at discharge, and those receiving care at urban hospitals were even less likely to receive the treatments.
https://acphospitalist.acponline.org/archives/2024/04/10/two-in-five-hf-patients-not-on-guideline-directed-medical-therapy-at-discharge.htm
10 Apr 2024
Few guidelines address inpatient blood pressure management
A search of current guidelines did not find any recommended goals for inpatient blood pressure or any recommendations on how to manage asymptomatic moderately elevated blood pressure in the hospital.
https://acphospitalist.acponline.org/archives/2024/04/03/few-guidelines-address-inpatient-blood-pressure-management.htm
3 Apr 2024
Early dapagliflozin initiation in acute heart failure reduced diuretic doses for inpatients
An industry-funded trial found that patients hospitalized with acute heart failure who received early dapagliflozin treatment had no increase in diabetic, renal, or cardiovascular safety events compared with those undergoing usual care.
https://acphospitalist.acponline.org/archives/2024/04/03/early-dapagliflozin-initiation-in-acute-heart-failure-reduced-diuretic-doses-for-inpatients.htm
3 Apr 2024
Delirium in the hospital may have a dose-response association with dementia
Hospitalized patients with delirium had three times the risk for incident dementia over 5.25 years of follow-up versus those without, and each additional delirium episode was associated with a 20% increase in dementia risk, an Australian study found.
https://acphospitalist.acponline.org/archives/2024/04/03/delirium-in-the-hospital-may-have-a-dose-response-association-with-dementia.htm
3 Apr 2024