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Journal Watch condenses summaries of key research across specialties from more than 250 medical journals into concise yet comprehensive articles, incorporating clinical commentary from prominent physician-editors in the field.
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Featured Article
CLINICAL PRACTICE GUIDELINE WATCH
Red Blood Cell Transfusions: Less Is More!Free
- May 14, 2012
- Aaron J. Calderon, MD, FACP
A new guideline recommends a restrictive transfusion strategy for most hospitalized patients.
- Reviewing:
- Carson JL et al. Ann Intern Med 2012 Mar 26
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Antibiotics Are Overprescribed for Acute Bronchitis
- May 11, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Antibiotics were prescribed to too many patients and bronchodilators to too few at two emergency departments in San Diego.
- Reviewing:
- Kroening-Roche JC et al. J Emerg Med 2012 Feb 16
SUMMARY AND COMMENT
Normal White Blood Cell Count Does Not Rule Out BacteremiaFree
- May 11, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Of 289 patients with bacteremia, 52% had normal WBC count and 17% had neither WBC elevation nor fever.
- Reviewing:
- Seigel TA et al. J Emerg Med 2012 Mar; 42:254
SUMMARY AND COMMENT
Long-Term Safety of Biodegradable Coronary Stents
- May 9, 2012
- Howard C. Herrmann, MD
- Cardiology
Excellent 10-year results in the first cohort of poly-l-lactic–acid stent recipients allay one concern, but the clinical role of this device remains unclear.
- Reviewing:
- Nishio S et al. Circulation 2012 Apr 16
SUMMARY AND COMMENT
Hospital Strategies for Decreasing AMI Mortality
- May 9, 2012
- Joel M. Gore, MD
- Cardiology
Five specific organizational practices significantly associated with lower risk-standardized mortality rates
- Reviewing:
- Bradley EH et al. Ann Intern Med 2012 May 1; 156:618
SUMMARY AND COMMENT
Warfarin Ineffective for HF Without Atrial FibrillationFree
- May 9, 2012
- Frederick A. Masoudi, MD, MSPH, FACC, FAHA
- Cardiology
In the WARCEF trial, reduced stroke rates were offset by increased bleeding.
- Reviewing:
- Homma S et al. N Engl J Med 2012 May 2
SUMMARY AND COMMENT
Comparison of Two Formulas for Estimating Glomerular Filtration Rate
- May 10, 2012
- Thomas L. Schwenk, MD
- General Medicine
A new equation was better at predicting 7-year mortality.
- Reviewing:
- Matsushita K et al. JAMA 2012 May 9; 307:1941
SUMMARY AND COMMENT
Genitourinary Trauma with Foley Catheters
- May 10, 2012
- Allan S. Brett, MD
- General Medicine
Infection isn't the only adverse consequence of Foley catheter use.
- Reviewing:
- Leuck A-M et al. J Urol 2012 May; 187:1662
SUMMARY AND COMMENT
Angiotensin-Receptor Blocker Use Is Not Associated with Excess Cancer Risk
- May 10, 2012
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Overall cancer risk was similar in patients exposed to ARBs and those exposed to ACE inhibitors, which are not associated with elevated cancer risk.
- Reviewing:
- Bhaskaran K et al. BMJ 2012 Apr 24; 344:e2697
SUMMARY AND COMMENT
Estimating Mortality After Noncardiac SurgeryFree
- May 10, 2012
- Allan S. Brett, MD
- General Medicine
A new model uses three predictors and a 9-point scoring system.
- Reviewing:
- Glance LG et al. Ann Surg 2012 Apr; 255:696
SUMMARY AND COMMENT
The Factor V Leiden Paradox
- May 1, 2012
- David Green, MD, PhD
- Oncology and Hematology
Data from a systemic review suggest that pulmonary embolism and deep-vein thrombosis do not necessarily have the same etiology.
- Reviewing:
- van Langevelde K et al. Blood 2012 Apr 10
Journal Watch Hospital Medicine discusses authoritative journal articles about wide-reaching topics within Hospital Medicine, including hospital administration, managed care, healthcare cost and quality, and other topics of critical importance to hospitalists.
