Search results for "Acute kidney injury"
Babesiosis
An older patient with multiple comorbidities presented with headaches, fevers, myalgias, arthralgias, and some loss of balance.
https://acphospitalist.acponline.org/archives/2023/12/20/free/babesiosis.htm
20 Dec 2023
Analysis finds no association between IV contrast and kidney impairment
A Canadian study found that IV contrast was not associated with dialysis, death, or mean change in estimated glomerular filtration rate over six months in adults undergoing CT pulmonary angiography in the ED.
https://acphospitalist.acponline.org/weekly/archives/2021/04/14/3.htm
14 Apr 2021
Adding vancomycin to cefazolin didn't reduce infections among arthroplasty patients
Cefazolin plus vancomycin did not lead to lower surgical-site infection rates compared with cefazolin plus placebo in patients getting knee, hip, or shoulder replacement surgery, a randomized trial in Australia found.
https://acphospitalist.acponline.org/archives/2023/10/25/free/adding-vancomycin-to-cefazolin-didnt-reduce-infections-among-arthroplasty-patients.htm
25 Oct 2023
March issue online and in the mail
This issue looks at hospital care at home, social determinants of health, acute kidney injury, and more.
https://acphospitalist.acponline.org/weekly/archives/2020/03/11/5.htm
11 Mar 2020
Intensity of renal replacement associated with mechanical ventilation duration
A post hoc analysis of a randomized trial found that critically ill patients with acute kidney injury were less likely to be successfully extubated and had fewer ventilator-free days if they received more intensive versus less intensive renal replacement therapy.
https://acphospitalist.acponline.org/weekly/archives/2020/06/03/5.htm
3 Jun 2020
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
Neither rate nor type of fluid resuscitation affected outcomes in ICU patients, trial finds
A balanced solution was compared to a 0.9% saline solution in a large trial in Brazilian ICUs that also randomized the same patients to undergo fluid challenges at rates of either 333 mL/h or 999 mL/h.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/2.htm
18 Aug 2021
COVID-19 and obesity, AKI, DKA, antibiotics, symptom checkers, hospital prep
Acute kidney injury (AKI) and diabetic ketoacidosis (DKA) were worse with COVID-19, antibiotics were overused, and an online symptom checker didn't triage safely, but most hospitals had enough ICU beds and preprocedural COVID-19 testing showed that vaccinations reduced asymptomatic infections.
https://acphospitalist.acponline.org/weekly/archives/2021/03/17/1.htm
17 Mar 2021
No association between contrast use and AKI seen in critically ill patients with normal kidney function
Acute kidney injury (AKI) was significantly associated with clinical factors, such as sepsis, metabolic disorders, and severity of illness, but not the use of IV contrast, according to a propensity-matched analysis of ICU patients.
https://acphospitalist.acponline.org/weekly/archives/2019/11/06/3.htm
6 Nov 2019
Debates in sepsis
Experts disagree about use of antibiotics, IV fluids, and quality measures.
https://acphospitalist.acponline.org/archives/2019/01/debates-in-sepsis.htm
15 Jan 2019