Search results for "researchers"
Stigmatizing language about OUD common in hospital records, associated with less follow-up
The most common term was “abuse,” which appeared in two-thirds of hospital discharge summaries for patients with opioid use disorder (OUD) who were admitted for infectious complications of injection opioid use.
https://acphospitalist.acponline.org/archives/2023/06/14/stigmatizing-language-about-oud-common-in-hospital-records-associated-with-less-follow-up.htm
14 Jun 2023
Chief resident-led medical procedure service appears safe, successful
Internal medicine chief residents trained and supervised interns in ultrasound-guided procedures during a four-week rotation. Rates of overall procedure success, complications, and major complications were 94%, 2.6%, and 0.6%, respectively, according to analysis from 2011 to 2022.
https://acphospitalist.acponline.org/archives/2023/06/07/chief-resident-led-medical-procedure-service-appears-safe-successful.htm
7 Jun 2023
Supervised walking may benefit hospitalized older adults, trial finds
Rates of discharge to a skilled nursing facility instead of home dropped from about 13% before implementation of the STRIDE (AssiSTed EaRly MobIlity for HospitalizeD VEterans) program to 8% afterward in a randomized trial at eight Veterans Affairs hospitals.
https://acphospitalist.acponline.org/archives/2023/06/07/supervised-walking-may-benefit-hospitalized-older-adults-trial-finds.htm
7 Jun 2023
Intensive treatment may increase adverse events in older adults with elevated blood pressure
Intensive blood pressure treatment in the first 48 hours of hospitalization for a noncardiovascular diagnosis was associated with greater risk of a composite outcome that included cardiac injury, acute kidney injury, and transfer to the ICU.
https://acphospitalist.acponline.org/archives/2023/06/07/intensive-treatment-may-increase-adverse-events-in-older-adults-with-elevated-blood-pressure.htm
7 Jun 2023
Rapid uptitration of oral therapies after hospitalization was safe, effective across LVEF categories
A high-intensity care strategy after discharge was associated with a reduced risk of death and heart failure readmission at 180 days, regardless of left ventricular ejection fraction (LVEF), a prespecified analysis of a randomized trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/rapid-uptitration-of-oral-therapies-after-hospitalization-was-safe-effective-across-lvef-categories.htm
31 May 2023
Automated alert increased documented goals-of-care conversations
Emailing primary hospital team members about their older or seriously ill patients' current code status with suggested language about goals of care had a particularly large effect on whether these conversations occurred with patients of minoritized race or ethnicity, a trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/automated-alert-increased-documented-goals-of-care-conversations.htm
31 May 2023
Replace diagnostic errors with excellence
Five strategies can help hospitalists achieve diagnostic excellence, a researcher says.
https://acphospitalist.acponline.org/archives/2023/05/24/free/replace-diagnostic-errors-with-excellence.htm
24 May 2023
Observation has highest utility, lowest cost of options for primary spontaneous pneumothorax
A review comparing strategies for primary spontaneous pneumothorax found that chest tube and aspiration were more likely to result in resolution of the condition without additional intervention, but patients who underwent observation instead had the shortest length of stay.
https://acphospitalist.acponline.org/archives/2023/05/24/observation-has-highest-utility-lowest-cost-of-options-for-primary-spontaneous-pneumothorax.htm
24 May 2023
Early palliative care did not improve quality of life in cancer surgery patients
The trial randomly assigned participants scheduled for intra-abdominal cancer operations to receive either usual care or an intervention including preoperative consultation with palliative care specialists and postoperative inpatient and outpatient palliative care follow-up for 90 days.
https://acphospitalist.acponline.org/archives/2023/05/24/early-palliative-care-did-not-improve-quality-of-life-in-cancer-surgery-patients.htm
24 May 2023
Higher risk of false-positive HIV test in those testing positive for COVID-19 infection
Hospitalized patients with positive SARS-CoV-2 polymerase chain reaction (PCR) test results were significantly more likely to have a false-positive fourth-generation HIV test than those with negative SARS-CoV-2 PCR test results, a retrospective study found.
https://acphospitalist.acponline.org/archives/2023/05/24/free/higher-risk-of-false-positive-hiv-test-in-those-testing-positive-for-covid-19-infection.htm
24 May 2023