Article
Diagnostic Stewardship in CAP with Syndromic Molecular Testing
November 1, 2024
Clinical question: Does syndromic polymerase chain reaction (PCR)-based testing of lower respiratory tract samples in patients hospitalized with community-acquired pneumonia (CAP) lead to faster...
Article
Clinical Scenario: Patient Care Through POLST
October 10, 2024
Physician orders for life-sustaining treatment (POLST) forms are crucial tools in ensuring that patient treatment preferences are respected and followed, particularly during medical emergencies. As...
Article
Coding Corner: Spoonful of Sugar
October 1, 2024
A 46-year-old woman is admitted to the hospital with an exacerbation of chronic obstructive pulmonary disease (COPD) requiring intensification of her inhaler regimen, initiation of corticosteroids,...
Article
Hospitalists Use POLST to Initiate Patient Conversations About Care Goals
October 1, 2024
Defining life-sustaining preferences Physician orders for life-sustaining treatment (POLST) is a single-page medical order form, typically printed on bright pink paper, and signed by a physician,...
Article
Precision Medicine in Sepsis Diagnosis
September 3, 2024
Sepsis, a life-threatening syndrome induced by infection, has been a leading cause of hospitalization and death in U.S. healthcare settings and accounts for more hospital admissions and spending than...
Article
Coding Corner: Breathless and Bleeding
August 1, 2024
A 62-year-old man is admitted to the hospital with an exacerbation of chronic obstructive pulmonary disease (COPD) requiring intensification of his inhaler regimen, initiation of IV corticosteroids,...
Article
The STRONG-HF Trial: Evaluating the Safety, Tolerability, and Effectiveness of Up-titrating GDMT in Acute Heart Failure
August 1, 2024
Clinical question: Does rapid up-titration of guideline-directed medical therapies (GDMT) following admission for acute heart failure improve patient outcomes? Background: GDMT provides...
Article
No Difference in Safety or Mortality with Restrictive Versus Liberal Fluid Resuscitation Strategy for Ongoing Resuscitation in ICU Patients with Septic Shock
August 1, 2024
Clinical question: Are there safety or mortality benefits to the use of a more restrictive versus liberal IV fluid strategy for ongoing IV fluid resuscitation in critically ill patients with septic...
Article
Ticagrelor or Prasugrel in Patients with Acute Coronary Syndromes
August 1, 2024
Clinical question: Is the treatment strategy with ticagrelor superior to prasugrel in acute coronary syndrome (ACS) with planned invasive evaluation at one year? Background: Dual antiplatelet...
Article
IV Sodium Thiosulphate for Calciphylaxis of CKD: A Systematic Review and Meta-analysis
August 1, 2024
Clinical question: Does IV sodium thiosulphate improve skin lesions and survival in patients with chronic kidney disease (CKD) experiencing calciphylaxis? Background: Calciphylaxis, also called...