Search results for "From ACP Hospitalist"
Low-risk patients can continue GLP-1 receptor agonists perioperatively, guideline says
Decision making about perioperative use of glucagon-like peptide-1 (GLP-1) receptor agonists should be collaborative and balance patients' metabolic need for the medication with their risk of delayed gastric emptying and aspiration, according to a new multisociety guideline.
https://gastroenterology.acponline.org/archives/2024/11/22/8.htm
22 Nov 2024
Hospitalizations, liver transplants linked to alcohol on the rise across age, gender groups
Between 2005 and 2021, liver transplants associated with alcohol-induced liver disease saw a relative increase of more than 2,000% among women younger than 40 years of age in the U.S., and their liver disease hospitalization rate more than doubled, according to data from the National Inpatient Sample.
https://gastroenterology.acponline.org/archives/2024/11/22/7.htm
22 Nov 2024
Clostridioides difficile order set increased appropriateness of testing, study finds
The smart order set, implemented in one health care system, put a hard stop on orders for Clostridioides difficile testing if patients admitted for more than four days had recently received laxatives or been treated or tested for C. difficile.
https://gastroenterology.acponline.org/archives/2024/07/26/6.htm
26 Jul 2024
Most asymptomatic C. difficile carriers in health care settings did not progress to infection
In a study at three U.S. hospitals and affiliated long-term care facilities, most patients who were found to be carriers of Clostridioides difficile had cleared the bacteria on subsequent testing, and only 13.4% were subsequently diagnosed with infection.
https://gastroenterology.acponline.org/archives/2023/03/24/8.htm
24 Mar 2023
Catching C. diff cases, not colonization
Researchers have found innovative ways to improve hospital systems for diagnosing Clostridioides difficile.
https://gastroenterology.acponline.org/archives/2023/08/25/8.htm
25 Aug 2023
Risk for GI events in hospitalized patients similar with newer, older potassium binders
A retrospective study comparing outcomes in U.S. veterans found that risk for intestinal ischemia/thrombosis and a composite outcome of serious GI events was low and did not differ in those who received sodium zirconium cyclosilicate or patiromer and those who received sodium polystyrene sulfonate.
https://gastroenterology.acponline.org/archives/2024/08/23/7.htm
23 Aug 2024
A plan for paracentesis
A new clinic successfully reduced demand for paracentesis in the ED among patients with ascites.
https://gastroenterology.acponline.org/archives/2024/06/28/9.htm
28 Jun 2024
Patients with discordant C. difficile test results had lower mortality with treatment
Patients who were positive for Clostridioides difficile on nucleic acid amplification testing but negative on toxin immunoassay had similar 30-day mortality to those with positive results on both tests, according to a review of observational studies.
https://gastroenterology.acponline.org/archives/2023/09/22/7.htm
22 Sep 2023
Surgery for malignant small bowel obstruction did not reduce 90-day mortality
A comparison in which some patients with malignant small bowel obstruction were randomized and some chose between surgery and nonsurgical management found no difference in mortality between treatments, but surgery was associated with more symptom improvement.
https://gastroenterology.acponline.org/archives/2023/08/25/9.htm
25 Aug 2023
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.
https://gastroenterology.acponline.org/archives/2022/09/23/7.htm
23 Sep 2022