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Hospital Medicine
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
SUMMARY AND COMMENT
"Proning" Benefits Patients with Severe ARDSFree
- June 13, 2013
- Patricia Kritek, MD
- General Medicine
Acute respiratory distress syndrome–associated 28-day mortality was halved in patients who spent most of the day face down.
- Reviewing:
- Guérin C et al. N Engl J Med 2013 Jun 6; 368:2159
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Upper Gastrointestinal Bleeding from Tumors
Although responsible for only a small proportion of UGIB episodes, tumor-associated bleeding can cause substantial blood loss — often necessitating transfusion — and presents particular treatment challenges.
- Reviewing:
- Sheibani S et al. Aliment Pharmacol Ther 2013 May 28
SUMMARY AND COMMENT
Comorbid Illness and Nonvariceal Upper Gastrointestinal BleedingFree
In a large case-control study, nongastrointestinal comorbidity was an independent risk factor for UGIB, with a greater contribution than other known risk factors.
- Reviewing:
- Crooks CJ et al. Gastroenterology 2013 Jun; 144:1384
SUMMARY AND COMMENT
Long-Term Benefits and Risks of Methotrexate in Crohn DiseaseFree
- June 14, 2013
- Douglas K. Rex, MD
- Gastroenterology
In patients previously treated with thiopurine, risk for adverse reaction was low with methotrexate monotherapy, but so was the rate of sustained response.
- Reviewing:
- Seinen ML et al. Clin Gastroenterol Hepatol 2013 Jun; 11:667
SUMMARY AND COMMENT
Emergency Physicians Vary in How Many Patients They Admit
- June 14, 2013
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
This study reveals that physicians working in the same system behave very differently.
- Reviewing:
- Abualenain J et al. Ann Emerg Med 2013 Jun; 61:638
SUMMARY AND COMMENT
Capnography Useful in Identifying Patients with Diabetic Ketoacidosis
- June 14, 2013
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
In this study, end tidal CO2 values >24.5 mm Hg excluded DKA in most hyperglycemic patients.
- Reviewing:
- Soleimanpour H et al. West J Emerg Med 2013
SUMMARY AND COMMENT
Prophylactic Lidocaine After Resuscitation: What's Old Is New AgainFree
- June 14, 2013
- Kristi L. Koenig, MD, FACEP, FIFEM
- Emergency Medicine
Recurrent cardiac arrest from ventricular fibrillation/ventricular tachycardia was less likely in patients who received lidocaine.
- Reviewing:
- Kudenchuk PJ et al. Resuscitation 2013 Jun 3
SUMMARY AND COMMENT
Preventing Venous Thromboembolism After Hip ReplacementFree
- June 11, 2013
- David Green, MD, PhD
- Oncology and Hematology
Aspirin is noninferior to low-molecular-weight heparin for extended VTE prophylaxis.
- Reviewing:
- Anderson DR et al. Ann Intern Med 2013 Jun 4; 158:800
SUMMARY AND COMMENT
Venous Thromboembolism in PregnancyFree
- June 11, 2013
- David Green, MD, PhD
- Oncology and Hematology
The effect of risk factors is greater postpartum than antepartum.
- Reviewing:
- Sultan AA et al. Blood 2013 May 9; 121:3953
SUMMARY AND COMMENT
Atorvastatin, Rosuvastatin, and Simvastatin Are Associated with Excess Risk for DiabetesFree
- June 11, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Using low doses of these drugs might mitigate the risk. CME
- Reviewing:
- Carter AA et al. BMJ 2013 May 23; 346:f2610
SUMMARY AND COMMENT
Selective Digestive Decontamination Promotes Resistance
- June 5, 2013
- Thomas Glück, MD
- Infectious Diseases
Use of colistin and tobramycin for selective digestive decontamination was temporally associated with a significant rise in gram-negative bacteria resistant to these agents.
- Reviewing:
- Halaby T et al. Antimicrob Agents Chemother 2013 Apr 29
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.
