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Sort by: Relevance | Newest | OldestFunctional impairments predict readmissions among older patients
Measures including hand grip strength, Short Physical Performance Battery scores, gait speed, low mobility, and the Timed Up-and-Go Test, used either before or during admission, identified those at higher risk for readmission within 90 days, according to a systematic review.
https://acphospitalist.acponline.org/archives/2024/11/13/functional-impairments-predict-readmissions-among-older-patients.htm
13 Nov 2024
Postop delirium risk, appropriate prevention strategy varies by surgery type
Older patients undergoing noncardiac surgery could be categorized into phenotypes that reflect their delirium risk and highlight potentially effective prevention strategies, from prehabilitation to proactive pain management, a retrospective study found.
https://acphospitalist.acponline.org/archives/2024/11/13/postop-delirium-risk-appropriate-prevention-strategy-varies-by-surgery-type.htm
13 Nov 2024
Midline safe alternative to PICC for OPAT after discharge, retrospective study finds
In patients getting outpatient parenteral antimicrobial therapy (OPAT) for two weeks or less, major complication rates were lower with midline catheters than peripherally inserted central catheters (PICCs). For longer dwell times, complication and failure rates were similar between devices.
https://acphospitalist.acponline.org/archives/2024/11/13/midlines-safe-alternatives-to-piccs-for-opat-after-discharge-retrospective-study-finds.htm
13 Nov 2024
Over one-third of surgical inpatients experience adverse events, study suggests
Nearly two in five patients who underwent surgery at one of 11 hospitals in Massachusetts in 2018 experienced adverse events, 60% of which were considered potentially preventable.
https://acphospitalist.acponline.org/archives/2024/11/20/over-one-third-of-surgical-inpatients-experience-adverse-events-study-suggests.htm
20 Nov 2024
Outcomes similar with hospital-acquired COVID-19 vs. flu, Swiss study finds
A comparison of patients who developed symptomatic omicron-variant COVID-19 or flu during hospitalization found similar case-fatality rates at 6.2% and 6.1%, respectively. ICU admission was required for 2.4% of those with COVID-19 versus 2.6% with influenza.
https://acphospitalist.acponline.org/archives/2024/11/20/free/outcomes-similar-with-hospital-acquired-covid-19-vs-flu-swiss-study-finds.htm
20 Nov 2024
Heart failure admission outcomes similar with hospital at home, traditional inpatient stay
More than 90% of acute heart failure patients who were offered hospital at home care accepted it in place of a brick-and-mortar hospital stay, and 84% of them completed home hospitalization without requiring transfer back to the hospital, a retrospective analysis found.
https://acphospitalist.acponline.org/archives/2024/11/20/heart-failure-admission-outcomes-similar-with-hospital-at-home-traditional-inpatient-stay.htm
20 Nov 2024
Personalized care recommendations for AKI response didn't improve outcomes
Individualized recommendations from a kidney action team did not reduce risk of acute kidney injury (AKI) progression, dialysis, or mortality among hospitalized patients who developed AKI, according to results of a randomized trial in seven U.S. hospitals.
https://acphospitalist.acponline.org/archives/2024/11/06/personalized-care-recommendations-for-aki-response-didnt-improve-outcomes.htm
6 Nov 2024
Hospitalizations, liver transplants linked to alcohol on the rise across age, gender groups
Between 2005 and 2021, liver transplants associated with alcohol-induced liver disease saw a relative increase of more than 2,000% among women younger than 40 years of age in the U.S., and their liver disease hospitalization rate more than doubled, according to data from the National Inpatient Sample.
https://acphospitalist.acponline.org/archives/2024/11/20/hospitalizations-liver-transplants-linked-to-alcohol-on-the-rise-across-age-gender-groups.htm
20 Nov 2024
Neutrophil percentage key to identifying bacteremia in medical inpatients, study finds
The importance of white blood cell response, especially neutrophil percentage, to detecting bacteremia was shown by a retrospective study that calculated interval likelihood ratios for bacteremia based on a complete blood count with differential.
https://acphospitalist.acponline.org/archives/2024/10/30/neutrophil-percentage-key-to-identifying-bacteremia-in-medical-inpatients-study-finds.htm
30 Oct 2024
New consensus guidance document advises on use of CGM in the hospital
A group of experts reviewed the potential benefits and barriers to continuous glucose monitoring (CGM) in the hospital, as well as summarizing existing guidance and discussing relevant staff training, clinical workflow, and hospital policies.
https://acphospitalist.acponline.org/archives/2024/11/06/new-consensus-guidance-document-advises-on-use-of-cgm-in-the-hospital.htm
6 Nov 2024