Search results for "From ACP Hospitalist"

Results 1 - 10 of about 25 for "From ACP Hospitalist".
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Glycogenic hepatopathy

A 21-year-old man with type 1 diabetes presented to the hospital with nausea, vomiting, and abdominal pain. Physical exam showed hepatosplenomegaly.
23 Sep 2022

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.
23 Sep 2022

Selective digestive tract decontamination assessed in ventilated ICU patients

A systematic review found that mechanically ventilated ICU patients had lower in-hospital mortality rates with selective digestive tract decontamination versus standard care or placebo, while a trial found improvement in rates of positive blood cultures and antibiotic-resistant organisms, but not mortality, with the intervention.
18 Nov 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.
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.
27 May 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.
26 Aug 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.
24 Jun 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.
25 Feb 2022

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.
23 Apr 2021

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.
22 Oct 2021

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