Search results for "researchers"
Pushing back on physical restraints
Pause before ordering restraints and definitely don't forget that a patient has been placed in them, says a researcher who has found disparities in use among medical inpatients.
https://acphospitalist.acponline.org/archives/2023/07/26/pushing-back-on-physical-restraints.htm
26 Jul 2023
Readmission, mortality rates high for hospitalized HF patients worldwide
A systematic review and meta-analysis found that 13.2% and 35.7% of heart failure (HF) patients were readmitted at 30 days and one year and that 7.6% and 23.3% had died by those respective time points.
https://acphospitalist.acponline.org/archives/2023/07/26/readmission-mortality-rates-high-for-hospitalized-hf-patients-worldwide.htm
26 Jul 2023
Long-term doxycycline may reduce exacerbations for some COPD patients
A randomized trial in the U.K. found that 12 months of doxycycline did not improve chronic obstructive pulmonary disease (COPD) exacerbations overall versus placebo but may have reduced rates in patients with severe disease or lower blood eosinophil counts.
https://acphospitalist.acponline.org/archives/2023/07/26/long-term-doxycycline-may-reduce-exacerbations-for-some-copd-patients.htm
26 Jul 2023
Remote work for hospitalists
Telehospitalist systems provide benefits for both small hospitals and physicians.
https://acphospitalist.acponline.org/archives/2023/07/19/remote-work-for-hospitalists.htm
19 Jul 2023
EHR-based intervention reduced repetition of blood typing and screening
The weekly average rate of duplicate blood type-and-screen tests decreased by 48.7% after a best practice advisory was added to the electronic health record (EHR) in a large health system.
https://acphospitalist.acponline.org/archives/2023/07/19/ehr-based-intervention-reduced-repetition-of-blood-typing-and-screening.htm
19 Jul 2023
Chatbot performance appears similar to residents', medical students' on tests, studies find
Recent studies asked ChatGPT to generate a history of present illness based on an interview script and to take a clinical reasoning exam given to first- and second-year medical students.
https://acphospitalist.acponline.org/archives/2023/07/19/chatbot-performance-appears-similar-to-residents-medical-students-on-tests-studies-find.htm
19 Jul 2023
Co-occurrence of social risk factors linked to hospital use, outcomes in heart failure
A study in Minnesota found that less formal education, more social isolation, and a higher area deprivation index were the factors most strongly associated with hospitalization and that heart failure patients with multiple risk factors were at the highest risk.
https://acphospitalist.acponline.org/archives/2023/07/19/co-occurrence-of-social-risk-factors-linked-to-hospital-use-outcomes-in-heart-failure.htm
19 Jul 2023
A closer look at HAP
Hospital-acquired pneumonia (HAP) is both more dangerous and more complex than previously thought, says the author of a recent study.
https://acphospitalist.acponline.org/archives/2023/07/12/a-closer-look-at-hap.htm
12 Jul 2023
Study finds limited value to procalcitonin in identifying BSI on admission
Among patients with suspected bloodstream infections (BSIs) who had blood cultures and a procalcitonin test on admission, the sensitivity of procalcitonin at a cutoff of 0.5 ng/mL was 68%, and empiric antibiotic therapy use was not meaningfully different with positive or negative results.
https://acphospitalist.acponline.org/archives/2023/07/12/study-finds-limited-value-to-procalcitonin-in-identifying-bsi-on-admission.htm
12 Jul 2023
Acute kidney injury had only small association with worsening of chronic kidney disease
After adjustment for patient characteristics, such as prehospitalization estimated glomerular filtration rate (eGFR) slope and proteinuria, an episode of acute kidney injury in the hospital did not consistently predict subsequent decline in eGFR.
https://acphospitalist.acponline.org/archives/2023/07/12/acute-kidney-injury-had-only-a-small-association-with-worsening-of-chronic-kidney-disease.htm
12 Jul 2023