Shows
Hospital Medicine Virtual Journal Club MinuteHMVJC Minute #33 - Empagliflozin for heart failure and preserved EF: September 4, 2021A pair of articles from EMPORER-Preserved examines outcomes in HFpEF patients treated with empagliflozin.
Empagliflozin in Heart Failure with a Preserved Ejection Fraction | Hospital Medicine Virtual Journal Club
Effect of Empagliflozin on Worsening Heart Failure Events in Patients with Heart Failure and a Preserved Ejection Fraction: The EMPEROR-Preserved Trial | Hospital Medicine Virtual Journal Club2021-09-0400 min
Hospital Medicine Virtual Journal Club MinuteHMVJC Minute #32 - Heart rate modulation in heart failure: August 16, 2021An observational study in Frontiers in Cardiovascular Medicine examines the impact of heart rate reduction in patients with heart failure.
In-hospital Heart Rate Reduction With Beta Blockers and Ivabradine Early After Recovery in Patients With Acute Decompensated Heart Failure Reduces Short-Term Mortality and Rehospitalization | Hospital Medicine Virtual Journal Club2021-08-2400 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #31 - Fluid type for resuscitating ICU patients: August 10, 2021A randomized trial from JAMA compares outcomes between a balanced electrolyte solution and normal saline for fluid resuscitation in ICU patients.
Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial | Hospital Medicine Virtual Journal Club2021-08-1800 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #30 - Oral lasix before discharge in heart failure patients: August 5, 2021A retrospective cohort study published in Cardiology Research questions the need to transition heart failure patients to oral diuretics before discharge.
Trial of Oral Diuretics Prior to Discharge Is Not Associated With Improved Outcomes in Decompensated Heart Failure | Hospital Medicine Virtual Journal Club2021-08-1601 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #29 - Anticoagulation in non-ICU COVID-19 patients: August 5, 2021A randomized trial in the New England Journal compares therapeutic anticoagulation to standard prophylaxis in non-ICU patients with COVID-19.
Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19 | Hospital Medicine Virtual Journal Club2021-08-1300 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #28 - Paracentesis by a hospitalist procedure service: August 4, 2021A retrospective cohort study in the Journal of Hospital Medicine looks at timeliness of paracentesis performed by a hospitalist procedure service.
Impact of a Hospitalist-Run Procedure Service on Time to Paracentesis and Length of Stay | Hospital Medicine Virtual Journal Club2021-08-1101 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #27 - Sliding scale insulin for inpatient diabetes control: July 30, 2021A database review published in the Journal of Hospital Medicine finds a role for sliding scale insulin monotherapy for some admitted patients with type 2 diabetes.
Inpatient Glycemic Control With Sliding Scale Insulin in Noncritical Patients With Type 2 Diabetes: Who Can Slide?2021-08-0900 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #26 - Association of sodium polystyrene sulfonate with intestinal necrosis: July 30, 2021A meta-analysis from the Journal of Hospital Medicine highlights the challenges in finding a connection between SPS therapy and intestinal necrosis.
Risk of Intestinal Necrosis With Sodium Polystyrene Sulfonate: A Systematic Review and Meta-analysis2021-08-0700 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #25 - Impact of delaying cholecystectomy after ERCP: July 7, 2021An study in Surgical Endoscopy finds some benefits to delaying gallbladder surgery, at the expense of increased readmissions.
Delayed cholecystectomy following endoscopic retrograde cholangio-pancreatography is not associated with worse surgical outcomes | Hospital Medicine Virtual Journal Club2021-07-1601 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #24 - Bedside rounding and patient satisfaction: June 28, 2021A study in the Journal of Patient Experience shows no relationship between physician time at bedside and measures of patient experience.
Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician-Patient Agreement, and Patient Experience | Hospital Medicine Virtual Journal Club 2021-07-1000 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #23 - Pharmacist admission medication reconciliation: June 21, 2021A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation.
Clinical and economic impact of medication reconciliation by designated ward pharmacists in a hospitalist-managed acute medical unit | Hospital Medicine Virtual Journal Club2021-07-0401 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #22 - Early discharge and emergency department LOS: June 15, 2021A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput.
Morning Discharges and Patient Length of Stay in Inpatient General Internal Medicine | Hospital Medicine Virtual Journal Club 2021-06-2400 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #21 - Contrast nephropathy in CKD patients: June 14, 2021A study in the Western Journal of Emergency Medicine finds a low incidence of clinically significant outcomes in chronic kidney disease patients who undergo emergent contrast CT.
Acute Kidney Injury After CT in Emergency Patients with Chronic Kidney Disease: A Propensity Score-matched Analysis | Hospital Medicine Virtual Journal Club2021-06-2201 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #20 - IV Thiamine to prevent ICU delirium: June 12, 2021A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium.
Effect of thiamine supplementation in critically ill patients: A systematic review and meta-analysis | Hospital Medicine Virtual Journal Club2021-06-1501 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #19 - Admissions for complicated UTI: June 2, 2021A database review in the American Journal of Infection Control finds a large proportion of low-acuity admissions for complicated urinary tract infection.
Hospital Admission Patterns of Adult Patients with Complicated Urinary Tract Infections Who Present to the Hospital by Disease Acuity and Comorbid Conditions: How Many Admissions are Potentially Avoidable? | Hospital Medicine Virtual Journal Club | Washington University in St. Louis (wustl.edu)2021-06-1100 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #18 - Medications for HFpEF: May 22, 2021A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction.
Beta-blockers and inhibitors of the renin-angiotensin aldosterone system for chronic heart failure with preserved ejection fraction2021-06-0100 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #17 - Antibiotic course for COPD: May 20, 2021A study in PLOS One finds a 2-day course of antibiotics non-inferior to a longer course in patients with COPD exacerbation.
https://journalclub.wustl.edu/2021/05/20/2-day-versus-c-reactive-protein-guided-antibiotherapy-with-levofloxacin-in-acute-copd-exacerbation-a-randomized-controlled-trial/2021-05-2500 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #16 - Convalescent plasma for COVID-19: May 17, 2021The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19.
Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial | Hospital Medicine Virtual Journal Club 2021-05-2100 min
Hospital Medicine Virtual Journal Club MinuteHMVJC Minute #15 - Chest Pain; Admit or Discharge? May 14, 2021A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department.
Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?2021-05-2000 min
Hospital Medicine Virtual Journal Club MinuteHMVJC Minute #14 - Rate vs Rhythm Control in Atrial Fibrillation: May 12, 2021A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.
Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study2021-05-1701 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #13 - Cerebral Venous Sinus Thrombosis after J+J COVID Vaccine: April 30, 2021An article in JAMA describes the first 12 cases of CVST and thrombocytopenia after receiving the Johnson and Johnson COVID vaccine.
US Case Reports of Cerebral Venous Sinus Thrombosis With Thrombocytopenia After Ad26.COV2.S Vaccination, March 2 to April 21, 20212021-05-0101 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #12 - Haloperidol for ICU delirium: April 16, 2021A study from Critical Care Medicine suggests that haloperidol may reduce mortality in patients who develop delirium in ICU.
Association Between Incident Delirium Treatment With Haloperidol and Mortality in Critically Ill Adults 2021-04-1701 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute # 11 - Anticoagulation for distal DVT: April 12, 2021A retrospective review finds lower rates of distal DVT extension and recurrence in patients who undergo anticoagulation.
Calf Vein Thrombosis Outcomes Comparing Anticoagulation and Serial Ultrasound Imaging Management Strategies2021-04-1501 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #10 - Hospitalization outcomes in deaf patients: April 6, 2021Deaf non-speaking patients in the Nationwide Inpatient Sample had a longer length of stay and increased mortality relative to hearing patients.
A Nationwide Study Examining Deafness Among Hospitalized Adults2021-04-0901 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #9 - Tofacitinib for COVID-19 pneumonia: April 5, 2021Adding tofacitinib to standard care in patients with COVID-19 pneumonia was associated with lower mortality in this pre-proof retrospective observational study.
Anti-Inflammatory treatment of COVID-19 pneumonia with tofacitinib alone or in combination with dexamethasone2021-04-0601 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #8 - DOACs for stroke prevention in valvular atrial fibrillation: March 29, 2021An Annals study uses a database to compare warfarin and DOACs in patients with valvular atrial fibrillation.
Effectiveness and Safety of Direct Oral Anticoagulants Versus Warfarin in Patients With Valvular Atrial Fibrillation : A Population-Based Cohort Study2021-04-0201 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #7 - A shorter antibiotic course for pneumonia: March 28, 2021A study published in Lancet looks at whether a shorter course of antibiotics is non-inferior for patients with moderate severity community acquired pneumonia.
Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care wards (PTC)2021-03-2900 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #6 - Hospitalist handoffs and mortality: March 24, 2021Review of a Medicare database shows no mortality difference in patients admitted toward the end of a hospitalist's block of days versus toward the beginning except for among the sickest patients.
Assessment of Care Handoffs Among Hospitalist Physicians and 30-Day Mortality in Hospitalized Medicare Beneficiaries 2021-03-2501 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #5 - High Sensitivity Troponin for MI Rule Out: March 23, 2021From the journal Circulation: a pathway for early MI rule out using high-sensitivity troponin leads to fewer admissions, but does not meet non-inferiority criteria.
High-Sensitivity Cardiac Troponin on Presentation to Rule Out Myocardial Infarction 2021-03-2401 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #4 - Albumin infusion for cirrhosis: March 21, 2021Albumin infusion had no benefit when given empirically to patients with cirrhosis.
A Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis2021-03-2201 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #3 - Lefamulin for Community Acquired Pneumonia: March 18, 2021A new antibiotic may allow outpatient treatment for higher-risk patients with pneumonia.
Oral 5-Day Lefamulin for Outpatient Management of Community-Acquired Bacterial Pneumonia: Post-hoc Analysis of the Lefamulin Evaluation Against Pneumonia (LEAP) 2 Trial2021-03-2100 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #2 - Phenobarbital for Alcohol Withdrawal Syndrome: March 17, 2021Alternative treatment for alcohol withdrawal syndrome may reduce length of stay:
Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study 2021-03-2100 minHospital Medicine Virtual Journal Club MinuteHMVJC Minute #1 - COVID Vaccine: March 16, 2021A trial finds one of the major COVID vaccines ineffective against a circulating strain.
Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant2021-03-2100 min