Hospital Medicine: Archives

SUMMARY AND COMMENT

Tiotropium Attenuates Symptoms in Moderate COPD but Does Not Slow Progression

• October 27, 2009
• Bruce Soloway, MD
• General Medicine

Tiotropium can be as effective for patients with early-stage COPD as it is for patients with more-severe disease.

• Reviewing:
• Decramer M et al., Lancet 2009 Oct 3; 374:1171 Davies L and Calverley PMA., Lancet 2009 Oct 3; 374:1129

SUMMARY AND COMMENT

Depression Is Bad for Your Heart

• October 26, 2009
• Steven Dubovsky, MD
• Psychiatry

And attaining remission significantly improves mortality risk in patients with acute coronary syndromes.

• Reviewing:
• Glassman AH et al., Arch Gen Psychiatry 2009 Sep; 66:1022

SUMMARY AND COMMENT

Compress the Chest: Better CPR Improves Survival from Out-of-Hospital Cardiac ArrestFree

• October 23, 2009
• Kristi L. Koenig, MD, FACEP
• Emergency Medicine

Implementation of the 2005 AHA CPR guidelines that focus on uninterrupted chest compressions nearly doubled the odds of survival among patients with out-of-hospital cardiac arrest.

• Reviewing:
• Sayre MR et al., Prehosp Emerg Care 2009 Oct-Dec; 13:469

SUMMARY AND COMMENT

Getting Stroke Patients to the Hospital Sooner

• October 23, 2009
• J. Stephen Bohan, MD, MS, FACP, FACEP
• Emergency Medicine

Surprisingly, only women responded to an intervention aimed at recognizing stroke symptoms and calling emergency medical services.

• Reviewing:
• Müller-Nordhorn J et al., Arch Intern Med 2009 Sep 14; 169:1484

SUMMARY AND COMMENT

A Glimmer of Hope for HIV VaccinesFree

• October 22, 2009
• Frances H. Priddy, MD, MPH, and Carlos del Rio, MD
• HIV/AIDS Clinical Care

A large trial has shown that a vaccine can protect against HIV acquisition. The task now is to figure out how to build on this initial success.

• Reviewing:
• Rerks-Ngarm S et al., N Engl J Med 2009 Oct 20 Dolin R., N Engl J Med 2009 Oct 20

SUMMARY AND COMMENT

Effect of Weight Loss on Obstructive Sleep Apnea in People with Type 2 Diabetes

• October 22, 2009
• Jamaluddin Moloo, MD, MPH
• General Medicine

Losing 25 lbs resulted in significantly fewer OSA events in obese patients.

• Reviewing:
• Foster GD et al., Arch Intern Med 2009 Sep 28; 169:1619

SUMMARY AND COMMENT

Aldosterone Antagonists and Heart Failure

• October 21, 2009
• Frederick A. Masoudi, MD, MSPH
• Cardiology

Potholes remain in the road toward adoption of evidence-based guideline recommendations.

• Reviewing:
• Albert NM et al., JAMA 2009 Oct 21; 302:1658

SUMMARY AND COMMENT

Surgical Masks or N95 Respirators for the Flu?Free

• October 21, 2009
• Richard T. Ellison III, MD
• Infectious Diseases

In a randomized trial, surgical masks and N95 respirators provided healthcare workers with comparable protection against influenza.

• Reviewing:
• Loeb M et al., JAMA 2009 Oct 1

SUMMARY AND COMMENT

High Perioperative Oxygen Fraction and SSIs, Revisited

• October 21, 2009
• Richard T. Ellison III, MD
• Infectious Diseases

In a large, randomized, clinical trial, administration of 80% oxygen had no effect on surgical-site infections or pulmonary complications.

• Reviewing:
• Meyhoff CS et al., JAMA 2009 Oct 14; 302:1543

SUMMARY AND COMMENT

Immune Response from Bronchoalveolar Lavage Mononuclear Cells Diagnoses Active TB

• October 21, 2009
• Neil M. Ampel, MD
• Infectious Diseases

ELISpot performed on bronchoalveolar mononuclear cells had a sensitivity of 91% and a specificity of 79% in diagnosing active disease.

• Reviewing:
• Jafari C et al., Am J Respir Crit Care Med 2009 Oct 1; 180:666