Search results for "Clinical Care"
New algorithm may help with medication optimization in patients with reduced ejection fraction
An algorithm based on the American College of Cardiology/American Heart Association guidelines for heart failure with reduced ejection fraction was validated against clinical trial data and accurately determined which patients were eligible for guideline-recommended medical therapy and dose titration.
https://acphospitalist.acponline.org/archives/2023/04/19/new-algorithm-may-help-with-medication-optimization-in-patients-with-reduced-ejection-fraction.htm
19 Apr 2023
Hospital medicine still has few programs with substantial research funding, training
While federal funding for hospitalist research and publication of the results increased from 2010 to 2019, most program leaders reported receiving less than $500,000 of funding and only 14% indicated they had a research fellowship or similar training program, a recent small survey found.
https://acphospitalist.acponline.org/archives/2023/04/12/hospital-medicine-still-has-few-programs-with-substantial-research-funding-training.htm
12 Apr 2023
High CMV viral load linked to increased mortality in hospitalized patients with HIV
Even with treatment, mortality rates differed significantly by cytomegalovirus (CMV) viral load, from 6% in patients with a viral load below the lower limit of quantification to 22% in those with a viral load of 10,000 IU/mL or greater, according to a Chinese study with 182-day follow-up.
https://acphospitalist.acponline.org/archives/2022/11/23/high-cmv-viral-load-linked-to-increased-mortality-in-hospitalized-patients-with-hiv.htm
23 Nov 2022
Teams that don't burn out
Supporting consistent hospital medicine teams may be a key to preventing burnout, according to a researcher studying physician and nurse perspectives.
https://acphospitalist.acponline.org/archives/2022/09/28/teams-that-dont-burn-out.htm
28 Sep 2022
Study finds racial disparities in hospitalization of patients presenting to ED with ACS
The proportion of patients who were discharged home from the ED with a diagnostic code of acute coronary syndrome (ACS) was 12% among Black patients, 6% among White patients, 9% among Hispanic patients, and 9% among Asian/Pacific Islander patients.
https://acphospitalist.acponline.org/archives/2022/09/28/study-finds-racial-disparities-in-hospitalization-of-patients-presenting-to-ed-with-acs.htm
28 Sep 2022
Hospitalist turnover costs less than previously estimated based on other specialties
While it may be easier to transition between jobs in hospital medicine, the lack of frictional costs could also allow exploitative departments to cycle through physicians, said the authors of a new simulation study.
https://acphospitalist.acponline.org/archives/2022/08/31/hospitalist-turnover-costs-less-than-previously-estimated-based-on-other-specialties.htm
31 Aug 2022
Having more hospitalists linked to better care value
Hospitals that employed more hospitalists had better scores in the CMS Hospital Inpatient Value-Based Purchasing Program overall and in the Patient Experience and Efficiency domains, a cross-sectional study found.
https://acphospitalist.acponline.org/archives/2022/06/29/having-more-hospitalists-linked-to-better-care-value.htm
29 Jun 2022
Two risk scores most accurately predict outcomes after lower GI bleeding
The Oakland score performed best for predicting safe discharge, major bleeding, and transfusion, while the Strate score performed best for hemostasis, according to a recent review and meta-analysis that assessed four scores.
https://acphospitalist.acponline.org/archives/2022/06/08/two-risk-scores-most-accurately-predict-outcomes-after-lower-gi-bleeding.htm
8 Jun 2022
An app for delirium
An app, which is now available for free download, enabled nursing assistants, nurses, and hospitalists to screen elderly inpatients for delirium in about a minute.
https://acphospitalist.acponline.org/archives/2022/03/30/an-app-for-delirium.htm
30 Mar 2022
Diagnosing pulmonary embolism
Experts offer advice on how to apply the wide variety of available validated scores and algorithms, but also clinical judgment, to find pulmonary embolisms without excessive testing.
https://acphospitalist.acponline.org/archives/2022/02/23/free/diagnosing-pulmonary-embolism.htm
23 Feb 2022