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Hospital Medicine
Concise perspectives and commentary on the latest literature and guidelines relevant to hospital medicine from generalists, specialists, and practicing hospitalists.
Should Patients Be Fed Orally After Upper GI Surgery?
- General Medicine
- Summary and Comment
- Subscription required
No difference was noted in postoperative complications with enteral-tube or oral feeding.
- By Thomas L. Schwenk, MD
- May 8, 2008
- Covering Ann Surg 2008 May
Hydroxyurea for Sickle Cell Disease: Coming of Age
- Oncology and Hematology
- Summary and Comment
- Subscription required
HU is effective but underused in U.S. patients with SCD.
- By David Green, MD, PhD
- May 6, 2008
- Covering Ann Intern Med 2008 May 5
Carbapenem-Resistant Enterobacter Infections
- Infectious Diseases
- Summary and Comment
- Subscription required
Patients with imipenem-resistant Enterobacter infections were more likely than those with imipenem-susceptible Enterobacter infections to have multiple invasive devices and to die in-hospital.
- By Lynn L. Estes, PharmD
- May 7, 2008
- Covering Antimicrob Agents Chemother 2008 Apr
Corticosteroids in Children with Bacterial Meningitis: The Debate Continues
- Pediatrics and Adolescent Medicine
- Summary and Comment
- Free
A retrospective study finds no effect of corticosteroids on overall mortality in children with bacterial meningitis — morbidity was not evaluated.
- By Peggy Sue Weintrub, MD
- May 6, 2008
- Covering JAMA 2008 May 7
Evaluation of New Fever in Critically Ill Adults: Updated Guidelines
- Infectious Diseases
- Clinical Practice Guideline Watch
- Subscription required
This document updates recommendations published in 1998 by the Society of Critical Care Medicine and the Infectious Diseases Society of America.
- By Thomas Glück, MD
- May 7, 2008
- Covering Crit Care Med 2008 Apr
Gastroprotection in NSAID Users
- Gastroenterology
- Summary and Comment
- Subscription required
Which is best for reducing the risk of upper GI complications in NSAID users — misoprostol, PPIs, or COX-2–selective NSAIDs?
- By David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)
- May 9, 2008
- Covering Gastroenterology 2008 Apr
Admitting ED Patients with Possible ACS: Cardiology or Other Services?
- Emergency Medicine
- Summary and Comment
- Subscription required
Use of guideline-recommended therapies was similar whether patients were on cardiology or other services.
- By Richard D. Zane, MD, FAAEM
- May 9, 2008
- Covering Ann Emerg Med 2008 May
Do Disease Management Programs Really Make a Difference in Heart Failure?
- Cardiology
- Summary and Comment
- Subscription required
A randomized trial of three programs of varying intensity did not reveal any significant differences in outcomes.
- By William T. Abraham, MD
- April 23, 2008
- Covering Arch Intern Med 2008 Feb 11
Prasugrel vs. Clopidogrel, Continued . . .
- Cardiology
- Summary and Comment
- Subscription required
A subanalysis of TRITON-TIMI 38 suggests that prasugrel lowers stent thrombosis rates in high-risk ACS patients.
- By Beat J. Meyer, MD
- April 23, 2008
- Covering Lancet 2008 Apr 19
Should We Treat Hypertension in Very Old People?
- General Medicine
- Summary and Comment
- Subscription required
In the HYVET, relatively healthy octogenarians benefited from antihypertensive therapy.
- By Allan S. Brett, MD
- April 17, 2008
- Covering N Engl J Med 2008 Mar 31
Multislice CT for Pulmonary Embolism Makes Leg Ultrasound Unnecessary
- General Medicine
- Summary and Comment
- Subscription required
A simplified diagnostic approach is efficient and less costly than the standard protocol.
- By Bruce Soloway, MD
- May 8, 2008
- Covering Lancet 2008 Apr 19
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.
