Recommended in Hospital Medicine

29 million people remain uninsured in the USA
  • The Lancet
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29 million people remain uninsured in the USA

Although the Affordable Care Act improved coverage, economic, gender, and racial inequalities still persists

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  • The Lancet
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Have we addressed income-based disparities in health care?

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  • Clinical Essentials from Clin Pediatr (Phila)
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Pediatric sepsis on the rise in the United States

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  • Clinical Essentials from Shock
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Pneumonia-related ARDS: the significance of coinfection

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  • Clinical Essentials from FDA
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FDA: codeine, tramadol contraindicated in kids

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  • Clinical Essentials from NEJM
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Vasodilator ularitide no home-run hitter in acute HF

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  • Clinical Essentials from J Am Geriatr Soc
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Which specialty best recognizes patients with dementia in need of hospice?

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  • Clinical Essentials from Pediatr Allergy Immunol
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Early antibiotic use doubles risk for childhood asthma

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  • Clinical Essentials from Am J Respir Crit Care Med
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Incremental hourly delays in antibiotic administration in sepsis linked to increased mortality

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Professional Essentials

  • Patients Will Be Asking

Do diet sodas cause dementia?

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  • US Professional News

Strategic use of extenders can boost profit

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  • US Professional News

Study links cannabis laws to fewer drug prescriptions

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  • US Professional News

AMA supports EHR training for medical students

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  • US Professional News

Physician doesn't have to treat cannabis-using patient: court

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  • Patients Will Be Asking

Will birth control affect my quality of life?

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New in Hospital Medicine

  • Clinical Essentials from J Am Coll Cardiol
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LVAD is a bridge to recovery in a surprising number of HF patients

LVAD plus medical therapies can lead to restoration nearly equivalent to healthy controls.

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  • Clinical Essentials from Eur J Clin Microbiol Infect Dis
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Influenza and the protective effect of neuraminidase inhibitors: unproven?

Prior meta-analysis showed a remarkable reduction in mortality, but was criticized for methodology issues.

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Dialysis: dementia and prior catheter dysfunction are under-identified risk factors for catheter-related bloodstream infection | NKF
  • Conference Essentials
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Dialysis: dementia and prior catheter dysfunction are under-identified risk factors for catheter-related bloodstream infection | NKF

The catheter thrombosis rate of 75.7% was significantly higher than the general prevalence of catheter thrombosis of 51% based on the reference cohort.

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Gastrointestinal hemorrhage in patients with acute kidney injury: trend analysis | NKF
  • Conference Essentials
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Gastrointestinal hemorrhage in patients with acute kidney injury: trend analysis | NKF

Although the numbers of discharges increased, total number of discharges not receiving dialysis showed a significant rise over the study period.

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  • Clinical Essentials from BMC Infect Dis
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CRE prevalence rising in community-acquired infections

While uncommon, CRE is increasing in UTI, pneumonia and sepsis

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  • Clinical Essentials from Br J Clin Pharmacol
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Asthma: increased risk for severe pneumonia with inhaled corticosteroids

Findings contradict conclusions of the only other study to offer direct risk assessment.

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  • Clinical Essentials from J Neuromuscul Dis
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Patients with muscular dystrophy may fare better at teaching hospitals

A retrospective study of over 7K patients.

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Acute kidney injury after TAVR: no association with frailty status | NKF
  • Conference Essentials
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Acute kidney injury after TAVR: no association with frailty status | NKF

The Mayo Clinic meta-analysis included eight observational studies with a total of 10,498 patients.

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  • Clinical Essentials from Am J Hosp Palliat Care
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Did you receive palliative care training as a fellow? Did you need it?

Results suggest an unfilled need among cardiology fellows in the US.

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  • Clinical Essentials from J Crit Care
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Sepsis: saving lives with institution-wide education, bundled care, and designated response teams

Improved sepsis care relies on organizational and cultural changes.

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  • Clinical Essentials from J Card Fail
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Early HFpEF seems to be more prevalent in paroxysmal Afib patients

Small studies points to yet another relationship between the two.

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  • Clinical Essentials from Pediatr Infect Dis J
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Pregnancy status, preterm delivery linked to early onset illness risk in very low birthweight infants

Identification of significant risk factors should drive antibiotic stewardship in early onset sepsis.

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  • Clinical Essentials from J Stroke Cerebrovasc Dis
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Stroke: a successful approach for reducing time to thrombolysis

The beneficial effects of thrombolysis are time-dependent.

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  • Clinical Essentials from Eur J Heart Fail
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1 in 4 treated ambulatory HF patients with LVEF <45% have improved systolic function at 1 y

Those who show recovery have better survival outcomes than HFpEF, HFrEF patients.

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