Search results for "Acute kidney injury"
AI predictive models shown to be potentially unreliable over time in clinical settings
A simulation study based on ICU data found that using artificial intelligence (AI) to try to improve predictions of acute kidney injury and mortality could actually impair existing models' performance.
https://acphospitalist.acponline.org/archives/2023/10/11/ai-predictive-models-shown-to-be-potentially-unreliable-over-time-in-clinical-settings.htm
11 Oct 2023
Intermittent multidrug IV therapy potentially useful in refractory Mycobacterium abscessus pulmonary disease
In a small study of 36 patients in South Korea, 62% and 12% of those with M. abscessus disease and 80% and 60% of those with M. massiliense disease had at least one negative culture and culture conversion, respectively.
https://acphospitalist.acponline.org/archives/2023/09/13/intermittent-multidrug-iv-therapy-potentially-useful-in-refractory-mycobacterium-abscessus-pulmonary-disease.htm
13 Sep 2023
A coding case study
A patient with sepsis provides a lesson in selecting and ordering diagnoses for documentation and coding.
https://acphospitalist.acponline.org/archives/2023/09/06/a-coding-case-study.htm
6 Sep 2023
Cases from the University of Nevada, Las Vegas
A group of cases involving lytic lesions.
https://acphospitalist.acponline.org/archives/2023/08/09/free/a-group-of-cases-involving-lytic-lesions.htm
9 Aug 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
Cefepime-induced neurotoxicity
An elderly patient presented with confusion three days after a hospitalization for osteomyelitis.
https://acphospitalist.acponline.org/archives/2023/07/12/free/cefepime-induced-neurotoxicity.htm
12 Jul 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
Antibiotic regimens differ in associated risk of AKI in critically ill patients
Vancomycin and piperacillin/tazobactam were associated with a higher risk of acute kidney injury (AKI) than either vancomycin and cefepime or vancomycin and meropenem in ICU patients, particularly at longer durations and in those with normal kidney function on admission.
https://acphospitalist.acponline.org/archives/2023/04/19/antibiotic-regimens-differ-in-associated-risk-of-aki-in-critically-ill-patients.htm
19 Apr 2023
Antimicrobial prophylaxis guidelines often not followed after elective surgery
A retrospective cohort study of 521,091 inpatient surgeries at 825 U.S. hospitals found that vancomycin was the most frequently misused agent and its use was associated with increased rates of acute kidney injury.
https://acphospitalist.acponline.org/archives/2023/02/22/antimicrobial-prophylaxis-guidelines-often-not-followed-after-elective-surgery.htm
22 Feb 2023
Slashing superfluous labs
Experts offer their advice on getting over your love of daily labs to help patients and reduce costs.
https://acphospitalist.acponline.org/archives/2023/02/01/free/slashing-superfluous-labs.htm
1 Feb 2023