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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
Postoperative RBC Transfusions: More Is Not Better
- January 19, 2012
- Aaron J. Calderon, MD, FACP
- General Medicine
A liberal red blood cell transfusion strategy did not improve outcomes after hip fracture surgery.
- Reviewing:
- Carson JL et al. N Engl J Med 2011 Dec 29; 365:2453
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Preventing Readmissions: Should We Be Looking at the Hospital Exit or the Entrance?
- January 23, 2012
- Grace C. Huang, MD
Regional admission rates for congestive heart failure and pneumonia explain much of the variation in hospital readmission rates.
- Reviewing:
- Epstein AM et al. N Engl J Med 2011 Dec 15; 365:2287
SUMMARY AND COMMENT
Inappropriate Ventilation in Intubated Prehospital Patients on Arrival at the ED
- January 20, 2012
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
In a study at a single emergency department, end-tidal CO2 values revealed inappropriate ventilation in nearly half the patients.
- Reviewing:
- Holmes J et al. Prehosp Emerg Care 2012 Jan 4
SUMMARY AND COMMENT
New and Established Troponin Assays Are Highly Sensitive and Specific for AMIFree
- January 20, 2012
- John A. Marx, MD, FAAEM
- Emergency Medicine
Use of either type of assay can safely exclude or confirm AMI within 3 hours of emergency department admission.
- Reviewing:
- Keller T et al. JAMA 2011 Dec 28; 306:2684
SUMMARY AND COMMENT
The Impact of Hospital Readmission After PCI on Mortality
- January 11, 2012
- Beat J. Meyer, MD
- Cardiology
In a single-center study, readmission within 30 days significantly increased 1-year mortality risk, but the factors associated with readmission may be difficult to address.
- Reviewing:
- Khawaja FJ et al. Arch Intern Med 2011 Nov 28
SUMMARY AND COMMENT
DIDO: The New Frontier in Improving Acute-MI Treatment?
- January 11, 2012
- Howard C. Herrmann, MD
- Cardiology
Patients who require transfer for primary PCI often experience prolonged delays in revascularization.
- Reviewing:
- Herrin J et al. Arch Intern Med 2011 Nov 28; 171:1879
SUMMARY AND COMMENT
Self-Monitoring of Oral Anticoagulation: Safe and Effective
- January 17, 2012
- Bruce Soloway, MD
- General Medicine
This approach has been slow to catch on in the U.S.
- Reviewing:
- Heneghan C et al. Lancet 2011 Dec 1
SUMMARY AND COMMENT
Even Subclinical AF Is Associated with Stroke
- January 18, 2012
- Mark S. Link, MD
- Cardiology
In patients with pacemakers, asymptomatic AF is common and warrants increased vigilance.
- Reviewing:
- Healey JS et al. N Engl J Med 2012 Jan 12; 366:120
MEETING REPORT
Report from the 53rd American Society of Hematology Annual Meeting and Exposition — Part 1: Benign Hematology
- January 17, 2012
- David Green, MD, PhD
- Oncology and Hematology
The latest research in benign hematology
SUMMARY AND COMMENT
Does Venous Thromboembolism Prophylaxis Lower 30-Day Mortality in Medical Inpatients?Free
- January 19, 2012
- Allan S. Brett, MD
- General Medicine
In a randomized trial, enoxaparin failed to do so.
- Reviewing:
- Kakkar AK et al. N Engl J Med 2011 Dec 29; 365:2463
SUMMARY AND COMMENT
Comparing Intensive Care Unit Staffing Models
- January 17, 2012
- Patricia Kritek, MD
- General Medicine
Either intensivist-led or hospitalist-led teams provided good care to most critically ill patients.
- Reviewing:
- Wise KR et al. J Hosp Med 2011 Nov 8
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.
