Search results for "Diagnostic testing"
Two-thirds of patients admitted for pneumonia received excess antibiotic therapy
Antibiotics prescribed at discharge accounted for 93.2% of excess days of therapy in the multihospital study, highlighting “an urgent and unmet need for discharge stewardship,” the authors wrote.
https://acphospitalist.acponline.org/weekly/archives/2019/07/10/1.htm
10 Jul 2019
Costs for pneumonia hospitalization vary by comorbidity, care practices
Patients with chronic obstructive pulmonary disease (COPD) and/or heart failure on top of pneumonia have higher hospitalization costs, one study found, while another found that higher-cost hospitals didn't have better mortality rates among their pneumonia patients.
https://acphospitalist.acponline.org/archives/2023/10/18/costs-for-pneumonia-hospitalization-vary-by-comorbidity-care-practices.htm
18 Oct 2023
Clinical practice guideline for acute gout recommends corticosteroids, NSAIDs, low-dose colchicine
For diagnosis, a separate guideline recommended that physicians use synovial fluid analysis when clinical judgment indicates that diagnostic testing is necessary in patients with possible gout.
https://acphospitalist.acponline.org/weekly/archives/2016/11/02/4.htm
2 Nov 2016
Combating clots in COVID-19
Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021
Many patients seen in ED for syncope diagnosed with other condition after admission
Mortality rates and costs were higher for patients hospitalized and discharged with a primary diagnosis other than syncope compared to patients hospitalized and discharged with a diagnosis of syncope or discharged from the ED.
https://acphospitalist.acponline.org/weekly/archives/2017/11/08/3.htm
8 Nov 2017
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
Noninvasive cardiac testing in the ED leads to increased lengths of stay with no clinical improvement
The study of patients who presented to EDs with chest pain but had negative biomarkers and a nonischemic electrocardiogram found that 88% underwent coronary computed tomographic angiography or stress testing.
https://acphospitalist.acponline.org/weekly/archives/2017/11/22/2.htm
22 Nov 2017
Study analyzes sex differences worldwide in patients hospitalized for heart failure
Data from 44 countries in REPORT-HF found that in all geographic regions women in the hospital with heart failure were less likely to receive diagnostic tests or guideline-directed care than men.
https://acphospitalist.acponline.org/archives/2023/09/06/study-analyzes-sex-differences-worldwide-in-patients-hospitalized-for-heart-failure.htm
6 Sep 2023
CT may reduce need for coronary angiography in patients with suspected CAD
A randomized trial in Germany assigned 340 patients with suspected CAD and atypical angina or chest pain to receive CT, followed by coronary angiography if results were positive for obstructive CAD, or immediate coronary angiography.
https://acphospitalist.acponline.org/weekly/archives/2016/11/02/3.htm
2 Nov 2016
COVID-19 and antibiotics: Less is more
Experts urge clinicians to remember stewardship amid the pandemic.
https://acphospitalist.acponline.org/archives/2020/12/covid-19-and-antibiotics-less-is-more.htm
15 Dec 2020