Search results for "Addiction"
Research on CPAP, HFNO, IVIG, and lung transplants for COVID-19
One study found that continuous positive airway pressure (CPAP) outperformed conventional oxygen, but high-flow nasal oxygen (HFNO) did not. Another found no benefit from hyperimmune IV immunoglobulin (IVIG) in hospitalized patients. Two analyses showed good outcomes from lung transplants in COVID-19 patients.
https://acphospitalist.acponline.org/archives/2022/02/02/free/research-on-cpap-hfno-ivig-and-lung-transplants.htm
2 Feb 2022
Only half of ICU patients with alcohol use disorder received thiamine, despite guidelines
An observational study of ICU patients with alcohol use disorder found that use of thiamine supplementation was 59% for those admitted for alcohol withdrawal, 26% for septic shock, 41% for traumatic brain injury, and 24% for diabetic ketoacidosis.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/4.htm
8 Dec 2021
Surging methamphetamine-related hospitalizations
Methamphetamine's effects on the heart are hitting hospitals, and physicians' help is needed to tackle the rise of this addictive drug.
https://acphospitalist.acponline.org/archives/2021/11/surging-methamphetamine-related-hospitalizations.htm
15 Nov 2021
Few internal medicine residency programs provide clinical opioid-related training
A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/4.htm
10 Nov 2021
Buprenorphine often discontinued around surgery despite risks
A retrospective cohort study of Veterans Affairs patients who were prescribed buprenorphine for the treatment of opioid use disorder in 2018 and hospitalized after major surgery found that about two-thirds experienced a perioperative buprenorphine dose hold.
https://acphospitalist.acponline.org/weekly/archives/2021/09/29/3.htm
29 Sep 2021
Hospitalizations involving alcohol, other substance disorders increased by 57% in recent years
A study of U.S. acute care visits from 2014 to 2018 found that on average, 9.3 million (9.4%) ED visits and 1.4 million (11.9%) hospitalizations per year involved alcohol use disorders or substance use disorders, with rates of both increasing over time.
https://acphospitalist.acponline.org/weekly/archives/2021/09/22/2.htm
22 Sep 2021
Team up to treat opioid addiction
Hospitalists can improve care even without the expertise of an addiction medicine consult service.
https://acphospitalist.acponline.org/archives/2021/09/team-up-to-treat-opioid-addiction.htm
15 Sep 2021
Learning to accept uncertainty in medicine
Physicians with low tolerance of uncertainty were more likely to burn out, a study found.
https://acphospitalist.acponline.org/archives/2021/09/qa-learning-to-accept-uncertainty.htm
15 Sep 2021
Opioids and extreme weather, but also good news
This issue describes how hospitalists teamed up to treat opioid use disorder and the Texas freeze, as well advancements in virtual rounds and point-of-care ultrasound.
https://acphospitalist.acponline.org/archives/2021/09/letter-from-the-editor.htm
15 Sep 2021
Open records come to the wards
Hospitals and physicians are adjusting to the new federal requirement to provide patients full access to their entire medical record, including notes.
https://acphospitalist.acponline.org/archives/2021/07/open-records-come-to-the-wards.htm
15 Jul 2021