Search results for "Addiction"
AHA offers guiding principles to treat infective endocarditis in patients who inject drugs
In patients who inject drugs, management of infective endocarditis without addiction treatment “is failing to treat the underlying cause of illness, an ideal that is a principal tenet in all other medical conditions,” the American Heart Association (AHA) said in a scientific statement.
https://acphospitalist.acponline.org/archives/2022/09/07/aha-offers-guiding-principles-to-treat-infective-endocarditis-in-patients-who-inject-drugs.htm
7 Sep 2022
Experts recommend criteria for referring heart failure patients to palliative care
The 25 criteria selected by a group of international experts were divided into six categories: advanced/refractory heart failure, comorbidities, and complications; advanced therapies; hospital utilization; prognosis; symptom burden/distress; and decision making/social support.
https://acphospitalist.acponline.org/archives/2022/07/20/experts-recommend-criteria-for-referring-heart-failure-patients-to-palliative-care.htm
20 Jul 2022
Treating alcohol withdrawal (and its cause)
Hospitalists should not only adequately address acute alcohol withdrawal but also consider working with patients to treat their alcohol use disorder after discharge, experts said.
https://acphospitalist.acponline.org/archives/2022/06/15/treating-alcohol-withdrawal-and-its-cause.htm
15 Jun 2022
Pulse ox less accurate in non-White patients, affects COVID-19 treatment
One study compared measures of oxygen saturation by pulse oximetry and arterial blood in COVID-19 patients by race, finding that overestimates may delay treatment for Black patients. Another study found potential overuse of opioids and benzodiazepines at discharge from COVID-19 hospitalization.
https://acphospitalist.acponline.org/archives/2022/06/08/free/pulse-ox-less-accurate-in-non-white-patients-affects-covid-19-treatment.htm
8 Jun 2022
Learn the art of sickle cell treatment
An expert offered a housestaff-friendly, nursing-friendly, patient-friendly approach to vaso-occlusive crises in the hospital.
https://acphospitalist.acponline.org/archives/2022/05/25/free/learn-the-art-of-sickle-cell-treatment.htm
25 May 2022
Hospitalist-led program improved care for patients with opioid use disorder
Use of evidence-based treatment for opioid use disorder during admission increased significantly from 36% before the project to 57% after its implementation, a single-center study found.
https://acphospitalist.acponline.org/archives/2022/05/18/hospitalist-led-program-improved-care-for-patients-with-opioid-use-disorder.htm
18 May 2022
Functional limitations associated with higher mortality risk after emergency surgery
In an analysis of Medicare patients admitted for emergency general surgery in 1992 through 2013, the presence of chronic conditions or geriatric syndromes at baseline did not predict mortality, but patients who also had functional limitations had higher risk of death after surgery.
https://acphospitalist.acponline.org/archives/2022/05/04/functional-limitations-associated-with-higher-mortality-risk-after-emergency-surgery.htm
4 May 2022
Patients with opioid use disorder twice as likely to get postacute care referral rejection
Inpatients with opioid use disorder were referred to more postacute care facilities but rejected significantly more often than other patients, even after researchers controlled for factors including homelessness and psychiatric disease, a Boston safety-net hospital found.
https://acphospitalist.acponline.org/archives/2022/03/16/free/patients-with-opioid-use-disorder-twice-as-likely-to-get-postacute-care-referral-rejection.htm
16 Mar 2022
Nearly half of internal medicine residents report experiencing mistreatment, survey finds
A survey of residents who completed the ACP Internal Medicine In-Training Examination in 2019 found that 48.3% reported experiencing mistreatment and 62.4% reported witnessing mistreatment, most often by patients and their families.
https://acphospitalist.acponline.org/archives/2022/03/09/nearly-half-of-internal-medicine-residents-reported-experiencing-mistreatment.htm
9 Mar 2022
Addiction medicine consults associated with lower postdischarge mortality
A recent study found that patients referred to an inpatient addiction medicine consultation service had significant reductions in 90-day mortality and seven-day hospital readmissions but a significant increase in 30-day ED visits compared to controls with substance use disorder.
https://acphospitalist.acponline.org/archives/2022/02/02/addiction-medicine-consults-associated-with-lower-postdischarge-mortality.htm
2 Feb 2022