Search results for "From ACP Hospitalist"
Aggressive fluid strategy didn't avert progression to severe pancreatitis
The randomized trial was stopped early due to lack of benefit and significantly higher risk of fluid overload in patients receiving an aggressive fluid resuscitation strategy compared to those getting moderate resuscitation.
https://gastroenterology.acponline.org/archives/2022/09/23/6.htm
23 Sep 2022
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
https://gastroenterology.acponline.org/archives/2022/08/26/8.htm
26 Aug 2022
A click to improve cirrhosis care
An electronic alert increased use of rifaximin in patients with cirrhosis who were taking lactulose and were admitted with hepatic encephalopathy.
https://gastroenterology.acponline.org/archives/2022/06/24/7.htm
24 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://gastroenterology.acponline.org/archives/2022/06/24/6.htm
24 Jun 2022
Manage meds to treat GI bleeding before, after endoscopy
Care of inpatients with GI bleeding is complicated and multidisciplinary, but hospitalists can contribute by starting and stopping the right drugs, according to conference coverage from Internal Medicine Meeting 2022.
https://gastroenterology.acponline.org/archives/2022/05/27/6.htm
27 May 2022
Computerized clinical decision support may help reduce unnecessary C. diff testing
A two-year cohort study of nine academic and six community hospitals in the U.S. found that testing for Clostridioides difficile decreased when the electronic health record stopped a clinician from proceeding with a test order if the patient had already been tested or had recently received laxatives.
https://gastroenterology.acponline.org/archives/2022/02/25/7.htm
25 Feb 2022
Immediate catheter drainage not superior to delayed in infected necrotizing pancreatitis
A trial found that catheter drainage within 24 hours was associated with similar complications but a greater number of interventions compared to drainage that was delayed until the development of walled-off necrosis.
https://gastroenterology.acponline.org/archives/2021/10/22/6.htm
22 Oct 2021
Problem of PPIs complicated by COVID-19
While recent studies have suggested that physicians should be careful when using proton-pump inhibitors (PPIs) in patients hospitalized with COVID-19, none have shown a causal relationship between PPIs and COVID-19 infection or severity.
https://gastroenterology.acponline.org/archives/2021/04/23/7.htm
23 Apr 2021
Studies examine impact of hospital policies on C. difficile infection rates
While one study found that participation in an antibiotic stewardship program from the Agency for Healthcare Research and Quality led to reductions in hospital-onset Clostridioides difficile infection rates, a simulation study found that visitor contact precautions may not be as helpful.
https://gastroenterology.acponline.org/archives/2021/03/26/7.htm
26 Mar 2021
PPIs started for stress ulcer prophylaxis in critically ill patients often continued after ICU, hospital discharge
A study at one U.S. academic medical center found that nearly half of patients who started proton-pump inhibitors (PPIs) in the ICU without an indication for outpatient use continued them after transfer to the floor, and 27% continued them after discharge.
https://gastroenterology.acponline.org/archives/2020/12/18/7.htm
18 Dec 2020