Article
Interruptions: Bad for Hospitalists and Their Patients
April 1, 2024
More than 10 years ago this magazine published an article by Winthrop Whitcomb, MD, MHM, a pioneer of hospital medicine and co-founder of the Society of Hospital Medicine, warning of the hazards of...
Article
Getting Another Degree While Working… Or Not?
March 12, 2024
The monthly(-ish) #JHMChat on X, formerly Twitter, is a time to discuss interesting articles in the Journal of Hospital Medicine , meet new people, and learn from each other. Our chat this past...
Article
A Clinician’s Romance with Uncertainty
March 4, 2024
It all started as a fling; harmless, unburdened. My tryst with uncertainty found its roots in those educational conferences where every case started as a mystery and was resolved with a definitive...
Article
Time to Rethink AF Treatment: Prolonged Benefits of Cryoballoon Ablation
March 1, 2024
Clinical question: Does initial therapy with catheter cryoballoon ablation reduce progression to persistent atrial fibrillation (AF) in patients with symptomatic, paroxysmal AF when compared to...
Article
Longer-term Outcomes in Critically Ill Patients with COVID-19 in the REMAP-CAP Trial
March 1, 2024
Clinical question: What is the longer-term (180-day) mortality effect of common therapies on critically ill patients with COVID-19? Background: Most randomized clinical trials for patients with...
Article
Main Causes of Costly Inappropriate Hospital Admissions are Premature Admission and the Potential for Outpatient Management
March 1, 2024
Clinical question: How prevalent and costly are inappropriate hospital admissions and are patients’ intrinsic risk factors (IRFs) or comorbidities associated with inappropriate hospital...
Article
Use of Amiodarone with Apixaban or Rivaroxaban Increases Risk for Bleeding-related Hospitalizations
March 1, 2024
Clinical question: Does the use of amiodarone in patients with atrial fibrillation increase the risk for bleeding-related hospitalizations when used with apixaban or rivaroxaban? Background:...
Article
Initial Aggressive Diuresis in Patients Hospitalized with Acute HF
March 1, 2024
Clinical question: For patients admitted with acute heart failure, is early and aggressive diuresis associated with improved dyspnea without an associated worsening in renal function? Background:...
Article
Periprocedural Management of Patients with AF Receiving a DOAC Undergoing a Digestive Endoscopy
March 1, 2024
Clinical question: How long should patients with atrial fibrillation (AF) on a direct oral anticoagulant (DOAC) hold anticoagulation when undergoing endoscopy? Background: Given limited direct...
Article
DOACs Versus LMWH and Recurrent VTE in Patients with Cancer
March 1, 2024
Clinical question: Are direct oral anticoagulants (DOACs) acceptable compared to low-molecular-weight heparin (LMWH) for preventing venous thromboembolism (VTE) with a safe bleeding risk in cancer...