Notes from Dr. RW

Hospitalist resources and more.

Monday, October 21, 2019

What are the risks for bad outcomes in patients admitted with influenza?

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From a recent study : Highlights A history of OSAS/CSAS, myocardial infarction and BMI greater...
Saturday, October 19, 2019

Extending VTE prophylaxis post hospitalization for medical patients

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This is not currently a recommended practice but it gets revisited from time to time. Here’s the latest systematic review a...
Friday, October 18, 2019

ICU or stepdown for your DKA patient?

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From a recent study : Highlights In some centers, all Diabetic Ketoacidosis (DKA) patients are...

Delirium in hospitalized patients predicts readmission and other forms of increased post hospital utilization

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Report here . This is not surprising, since delirium in the hospital is often a sign of frailty.
Tuesday, August 06, 2019

The cholesterol hypothesis is alive again!

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From a recent paper in JAMA : Key Points Question Is consuming dietary cholesterol or eggs associated with ...
Sunday, August 04, 2019

Check point inhibitor induced colitis

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An emerging entity .
Saturday, August 03, 2019

Which patients post cardiac arrest need to go straight to the cath lab?

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From a recent AHA scientific statement : CAD is a common substrate, and its severity is a potential trigger for OHCA...
Friday, August 02, 2019

Cardiorenal syndrome

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The AHA scientific statement is available as free full text here .
Thursday, August 01, 2019

Rates of cardiac testing prior to hip fracture surgery

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From a recent report : Hip fracture is a common reason for urgent inpatient surgery. In the past few years, several ...
Wednesday, July 31, 2019

Blood stream infections: how long to treat? When is PO sufficient?

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This review in the Journal of Hospital Medicine is an excellent resource.
Tuesday, July 30, 2019

Non invasive ventilation for acute hypoxemic respiratory failure: what’s the latest?

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From a recent systematic review and meta-analysis : Highlights Noninvasive ventilation reduces...
Monday, July 29, 2019

Biomarkers in midlife may predict physical decline years later

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Here is a summary of findings published in Circulation : Clinical Perspective What Is New? Lower...
Sunday, July 28, 2019

Adverse drug reactions in the elderly: a clinical vignette and a reminder of the Beers list

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The free full text article is here . The newly revised Beers list can be accessed here .
Saturday, July 27, 2019

Antiplatelet therapy reduces mortality in sepsis

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From a recent meta-analysis : Highlights Antiplatelet drugs can reduce the mortality rate in p...
Monday, May 06, 2019

Management of acute kidney injury

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From a review in the Journal of Hospital Medicine: Acute kidney injury (AKI) is a common complication in hospitaliz...
Friday, May 03, 2019

A fib ablation vs antiarrhythmic medication

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From a recent study published in JAMA, the CAPTAF trial : Key Points Question Is pulmonary vein isolation m...
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Tuesday, April 23, 2019

Should you get immunoglobulin levels on patients admitted with community acquired pneumonia?

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From a recent study : BACKGROUND: Immunodeficiency is an underrecognized risk factor for infections, such as communi...

Should docusate be removed from your hospital’s formulary?

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According to this article it should.
Saturday, April 20, 2019

Prealbumin testing is not useful in the assessment for malnutrition

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Prealbumin (aka transthyretin) is, like albumin, an acute phase reactant. It is, also like albumin, a negative acute phase reactant bec...
Friday, April 19, 2019

Very low utilization of advance care planning (ACP) CPT codes among hospitalists

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From a recent study : We analyzed advance care planning (ACP) billing for adults aged 65 years or above and who were...
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Robert W Donnell
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