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Clarifying criteria for acute respiratory failure

The diagnosis of acute respiratory failure is one of those most commonly denied by payers, so understanding the current documentation criteria is crucial.

High-sensitivity troponin-based pathway safe, effective for chest pain patients without CAD

The American College of Cardiology expert consensus decision pathway for chest pain did not meet the criteria for safety among patients with known coronary artery disease (CAD), according to a study conducted in U.S. EDs.

Inappropriate CAP diagnosis common in hospitalized adults

A prospective cohort study of 48 hospitals in Michigan found that 12% of patients hospitalized with community-acquired pneumonia (CAP) appeared to have been diagnosed incorrectly and that of these, 87.6% received a full course of antibiotics.

Coronavirus | March 27, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Lower oxygen target led to better outcomes in ICU patients with COVID-19

Targeting an arterial pressure of oxygen of 60 mm Hg resulted in more days alive without life support within 90 days but no significant improvement in mortality compared to a target of 90 mm Hg, a trial in critically ill COVID-19 patients found.

Antipsychotic medications not effective in ICU patients with delirium

A systematic review and meta-analysis found no improvements in delirium- or coma-free days, mortality, duration of mechanical ventilation, or ICU or hospital length of stay in critically ill patients with delirium who received antipsychotics versus those who did not.

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Recognize, respond to restrictive eating disorders

Hiding food, exercising discreetly, and manipulating feeding tubes are just a few behaviors hospitalists may have to address.

Illustration by David Rosenman
Newman's Notions | March 20, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Zero-truth medical updates

Catch up on the latest imaginary medical news, from manic mannequins to microleeches.

CDC guideline on opioid prescribing linked with worse sickle cell disease outcomes

Opioid dispensing rates decreased and hospitalizations for pain increased among patients with sickle cell disease following the release of a 2016 CDC guideline on opioid prescribing.

Diagnose, address cognitive impairment in heart failure patients, society says

A new scientific statement from the Heart Failure Society of America advises clinicians to be alert to clues such as difficulty with money or running out of medicine, among other recommendations.

New guideline explains use of advanced imaging in cardiovascular infections

A new multisociety guideline compares radionuclide imaging with fluorine-18 fluorodeoxyglucose positron emission tomography/CT and single photon emission CT/CT leukocyte scintigraphy with echocardiography and cardiac CT for patients with infections.

RSV, other viruses associated with severe respiratory disease, length of stay in adult inpatients

Hospital patients with respiratory syncytial virus (RSV), human metapneumovirus, or parainfluenza virus were more likely to require noninvasive or invasive ventilation than general medicine patients who did not test positive for any of those viruses, a national study found.

Knowing when AI is wrong

Physicians need to learn the explanations behind artificial intelligence (AI) answers, say the authors of a study in which hospitalists had lower diagnostic accuracy when working with biased AI.

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A quick heart failure stay

Heart failure patients who would typically be admitted were treated instead on a short-stay unit in a recent project.


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