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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.
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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.
