Search results for "Hospice"
Sepsis and other inpatient emergencies
An intensivist offered hot tips for hospitalists during a precourse at Internal Medicine Meeting 2024.
https://acphospitalist.acponline.org/archives/2024/04/24/sepsis-and-other-inpatient-emergencies.htm
24 Apr 2024
Advanced dementia and respiratory failure
A case highlights the importance of addressing prognosis before making care decisions.
https://acphospitalist.acponline.org/archives/2024/01/31/free/advanced-dementia-and-respiratory-failure.htm
31 Jan 2024
CAD testing associated with improved outcomes in new-onset heart failure
A retrospective cohort study found that risk for heart failure readmission or all-cause mortality was lower in patients hospitalized with new-onset heart failure who underwent coronary artery disease (CAD) testing within 90 days.
https://acphospitalist.acponline.org/archives/2024/01/31/cad-testing-associated-with-improved-outcomes-in-new-onset-heart-failure.htm
31 Jan 2024
Palliative care consults by default did not affect inpatient length of stay
Implementation of a default, opt-out palliative care consultation intervention for older hospital patients with advanced chronic illnesses did increase consult rates from 16.6% to 43.9% and significantly increased odds of discharge to hospice.
https://acphospitalist.acponline.org/archives/2024/01/24/palliative-care-consults-by-default-did-not-affect-inpatient-length-of-stay.htm
24 Jan 2024
About 10% of home hospitalizations for HF require escalation of care
Median length of home hospital stay more than doubled when patients who were hospitalized at home for acute decompensated heart failure (HF) required transfer to an ED or medical inpatient unit, a retrospective study found.
https://acphospitalist.acponline.org/archives/2023/12/13/about-10percent-of-home-hospitalizations-for-hf-require-escalation-of-care.htm
13 Dec 2023
Community paramedics treating heart failure
Cardiologists and paramedics collaborated to keep some patients out of the hospital.
https://acphospitalist.acponline.org/archives/2023/09/20/community-paramedics-treating-heart-failure.htm
20 Sep 2023
Septic shock outcomes better in patients who got hydrocortisone plus fludrocortisone
A retrospective analysis of patients hospitalized with septic shock and receiving norepinephrine found that 47.2% of those who began hydrocortisone and fludrocortisone simultaneously died in the hospital or were discharged to hospice, compared to 50.8% of those treated with hydrocortisone alone.
https://acphospitalist.acponline.org/archives/2023/04/05/septic-shock-outcomes-better-in-patients-who-got-hydrocortisone-plus-fludrocortisone.htm
5 Apr 2023
Talking about heart failure
Patients with heart failure often have a hard time wrapping their heads around it. Hospitalists can do a lot to improve communication and education during hospitalization.
https://acphospitalist.acponline.org/archives/2022/08/24/talking-about-heart-failure.htm
24 Aug 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
Growing an HM division
Hospitalist leaders at some facilities have moved their groups out from under the umbrella of general internal medicine to launch divisions of hospital medicine, in what they see as an evolutionary step for the field.
https://acphospitalist.acponline.org/archives/2022/07/13/free/growing-an-hm-division.htm
13 Jul 2022