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Patient-reported behavioral, economic factors predict mortality after cardiac hospitalization

Patients who reported being unemployed, retired, or unable to work due to disability at discharge from a cardiovascular hospitalization were significantly more likely to die during three-year follow up, a single-center study found.
https://acphospitalist.acponline.org/archives/2024/04/10/patient-reported-behavioral-economic-factors-predict-mortality-after-cardiac-hospitalization.htm
10 Apr 2024

Handling class and classes at once

Medical school poses hidden challenges for students from less privileged backgrounds. Experts discuss how to help.
https://acphospitalist.acponline.org/archives/2024/04/03/handling-class-and-classes-at-once.htm
3 Apr 2024

Recognize, respond to restrictive eating disorders

Hiding food, exercising discreetly, and manipulating feeding tubes are just a few behaviors hospitalists may have to address.
https://acphospitalist.acponline.org/archives/2024/03/20/recognize-respond-to-restrictive-eating-disorders.htm
20 Mar 2024

The ACO SNF waiver

Learn how an accountable care organization (ACO) can help get your patient into a skilled nursing facility (SNF).
https://acphospitalist.acponline.org/archives/2024/02/21/free/the-aco-snf-waiver.htm
21 Feb 2024

Get with the latest ARDS guideline

Recent changes to acute respiratory distress syndrome (ARDS) guidance, including some controversy over neuromuscular blockers, are explained by an expert.
https://acphospitalist.acponline.org/archives/2024/02/14/get-with-the-latest-ards-guideline.htm
14 Feb 2024

Updated recommendations on corticosteroids in sepsis, ARDS, CAP

New guidance from the Society of Critical Care Medicine includes conditional recommendations to administer corticosteroids to patients with septic shock or acute respiratory distress syndrome (ARDS), and a strong recommendation for severe community-acquired pneumonia (CAP).
https://acphospitalist.acponline.org/archives/2024/01/31/updated-recommendations-on-corticosteroids-in-sepsis-ards-cap.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

Hospitals with higher proportion of Black patients hit with value-based Medicare penalties

Mortality rates for myocardial infarction and pneumonia were consistently higher at hospitals that treated a high proportion of Black patients, and that didn't change after implementation of Medicare's value-based payment program, a 10-year study found.
https://acphospitalist.acponline.org/archives/2024/01/10/hospitals-with-higher-proportion-of-black-patients-hit-with-value-based-medicare-penalties.htm
10 Jan 2024

Hospitals that steward antibiotics well share common factors

Hospitals where pharmacists reported feeling that they are respected by their hospitalist colleagues and considered valuable team members were less likely to overuse antibiotics, a small survey study of antibiotic stewardship programs found.
https://acphospitalist.acponline.org/archives/2023/12/20/hospitals-that-steward-antibiotics-well-share-common-factors.htm
20 Dec 2023

Conservative airway strategy may improve outcomes in comatose patients with acute poisoning

Patients who were randomized to no intubation unless they met an emergency criterion did better on a composite end point of in-hospital death and length of ICU and hospital stay than those treated under routine practice, a French trial found.
https://acphospitalist.acponline.org/archives/2023/12/06/conservative-airway-strategy-may-improve-outcomes-in-comatose-patients-with-acute-poisoning.htm
6 Dec 2023

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