- Home>
- Specialties>
- Hospital Medicine
Hospital Medicine
Concise perspectives and commentary on the latest literature and guidelines relevant to hospital medicine from generalists, specialists, and practicing hospitalists.
Sign up now for free weekly e-mail alerts featuring the full text of one article and links to new articles on the most clinically relevant research, new guidelines and top news stories in Hospital Medicine.
Featured Article
SUMMARY AND COMMENT
Septic Shock, Insulin, and Steroids — RevisitedFree
- February 4, 2010
- Allan S. Brett, MD
- General Medicine
Intensive insulin therapy did not lower in-hospital mortality in septic shock patients who received hydrocortisone.
- Reviewing:
- The COIITSS Study Investigators. JAMA 2010 Jan 27; 303:341
Recent Hospital Medicine Articles
SUMMARY AND COMMENT
Cardiovascular Safety of Inhaled Anticholinergic Agents for COPD
- February 2, 2010
- Allan S. Brett, MD
- General Medicine
Two new analyses of tiotropium and ipratropium yield different results.
- Reviewing:
- Celli B et al. Chest 2010 Jan; 137:20
SUMMARY AND COMMENT
Polypectomy and Anticoagulant Therapy
- February 2, 2010
- David Green, MD, PhD
- Oncology and Hematology
Use caution when resuming anticoagulants after procedures.
- Reviewing:
- Witt DM et al. J Thromb Haemost 2009 Dec; 7:1982
SUMMARY AND COMMENT
Adherence to ID Specialists' Recommendations?
- February 3, 2010
- Thomas Glück, MD
- Infectious Diseases
Community-acquired infection, advice on antibiotic nonuse or discontinuation, and recommendations for performing monitoring tests were associated with higher rates of adherence.
- Reviewing:
- Sellier E et al. J Antimicrob Chemother 2010 Jan; 65:156
SUMMARY AND COMMENT
TB Recurrence: Reinfection or Relapse?Free
- February 1, 2010
- Carlos del Rio, MD
- HIV/AIDS Clinical Care
Recurrences after successful TB treatment are more common among HIV-positive than HIV-negative patients, and the reasons are different: About half the recurrences in HIV-positive patients represent reinfection rather than reactivation.
- Reviewing:
- Crampin AC et al. AIDS 2010 Jan 28; 24:417
SUMMARY AND COMMENT
Doxycycline Plus Steroids for COPD Exacerbations
- February 2, 2010
- Allan S. Brett, MD
- General Medicine
Adding doxycycline to steroids helped resolve symptoms at 10 days in a subgroup of COPD patients.
- Reviewing:
- Daniels JMA et al. Am J Respir Crit Care Med 2010 Jan 15; 181:150
SUMMARY AND COMMENT
Population-Based Benefits of Salt Reduction
- February 2, 2010
- Thomas L. Schwenk, MD
- General Medicine
Daily intake of 3 g less per person could lower annual U.S. cardiac-related deaths by as many as 92,000.
- Reviewing:
- Bibbins-Domingo K et al. N Engl J Med 2010 Jan 20
SUMMARY AND COMMENT
Smoking Cessation and Risk for Type 2 Diabetes
- February 4, 2010
- Richard Saitz, MD, MPH, FACP, FASAM
- General Medicine
Excess diabetes risk in quitters is mediated partially by weight gain.
- Reviewing:
- Yeh H-C et al. Ann Intern Med 2010 Jan 5; 152:10
SUMMARY AND COMMENT
Serum Procalcitonin Levels Might Help Guide Antibiotic Use
- February 5, 2010
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Using procalcitonin levels to guide treatment reduced use of antibiotics in critically ill patients.
- Reviewing:
- Bouadma L et al. Lancet 2010 Feb 6; 375:463
SUMMARY AND COMMENT
Catheter Ablation Bests Antiarrhythmic Drugs for Drug-Refractory Paroxysmal AFib
- February 3, 2010
- Mark S. Link, MD
- Cardiology
Radiofrequency pulmonary-vein ablation outperformed drug therapy in limiting AF recurrence and improving quality of life. CME
- Reviewing:
- Wilber DJ et al. for the ThermoCool AF Trial Investigators. JAMA 2010 Jan 27; 303:333
SUMMARY AND COMMENT
Incidence of PE in Trauma Patients on the Rise?
- January 29, 2010
- John A. Marx, MD, FAAEM
- Emergency Medicine
Increased vigilance and availability of higher resolution CT scanners are likely explanations for an apparent increase in incidence.
- Reviewing:
- Menaker J et al. J Trauma 2009 Dec; 67:1244
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.
