Hospital Medicine Virtual Journal Club Minute

Hospital Medicine Virtual Journal Club Minute

One article. One minute. 100% evidence based. From the Washington University Hospital Medicine Virtual Journal Club https://journalclub.wustl.edu/

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September 4, 2021 59 sec
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A randomized trial from JAMA compares outcomes between a balanced electrolyte solution and normal saline for fluid resuscitation in ICU patients.

Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial | Hospital Medicine Virtual Journal Club

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A retrospective cohort study published in Cardiology Research questions the need to transition heart failure patients to oral diuretics before discharge.

Trial of Oral Diuretics Prior to Discharge Is Not Associated With Improved Outcomes in Decompensated Heart Failure | Hospital Medicine Virtual Journal Club

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A randomized trial in the New England Journal compares therapeutic anticoagulation to standard prophylaxis in non-ICU patients with COVID-19.

Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19 | Hospital Medicine Virtual Journal Club

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A retrospective cohort study in the Journal of Hospital Medicine looks at timeliness of paracentesis performed by a hospitalist procedure service.

Impact of a Hospitalist-Run Procedure Service on Time to Paracentesis and Length of Stay | Hospital Medicine Virtual Journal Club

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A database review published in the Journal of Hospital Medicine finds a role for sliding scale insulin monotherapy for some admitted patients with type 2 diabetes.

Inpatient Glycemic Control With Sliding Scale Insulin in Noncritical Patients With Type 2 Diabetes: Who Can Slide?

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A meta-analysis from the Journal of Hospital Medicine highlights the challenges in finding a connection between SPS therapy and intestinal necrosis. 

Risk of Intestinal Necrosis With Sodium Polystyrene Sulfonate: A Systematic Review and Meta-analysis

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A study in Surgical Endoscopy finds some benefits to delaying gallbladder surgery, at the expense of increased readmissions. Delayed cholecystectomy following endoscopic retrograde cholangio-pancreatography is not associated with worse surgical outcomes | Hospital Medicine Virtual Journal Club
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A study in the Journal of Patient Experience shows no relationship between physician time at bedside and measures of patient experience.

Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician-Patient Agreement, and Patient Experience | Hospital Medicine Virtual Journal Club 

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A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation.

Clinical and economic impact of medication reconciliation by designated ward pharmacists in a hospitalist-managed acute medical unit | Hospital Medicine Virtual Journal Club

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A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput.

Morning Discharges and Patient Length of Stay in Inpatient General Internal Medicine | Hospital Medicine Virtual Journal Club 

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A study in the Western Journal of Emergency Medicine finds a low incidence of clinically significant outcomes in chronic kidney disease patients who undergo emergent contrast CT. 

Acute Kidney Injury After CT in Emergency Patients with Chronic Kidney Disease: A Propensity Score-matched Analysis | Hospital Medicine Virtual Journal Club

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A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium.

Effect of thiamine supplementation in critically ill patients: A systematic review and meta-analysis | Hospital Medicine Virtual Journal Club

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A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction.

Beta-blockers and inhibitors of the renin-angiotensin aldosterone system for chronic heart failure with preserved ejection fraction

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A study in PLOS One finds a 2-day course of antibiotics non-inferior to a longer course in patients with COPD exacerbation.

https://journalclub.wustl.edu/2021/05/20/2-day-versus-c-reactive-protein-guided-antibiotherapy-with-levofloxacin-in-acute-copd-exacerbation-a-randomized-controlled-trial/

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The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19.

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial | Hospital Medicine Virtual Journal Club 

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A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department.

Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?

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A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.  

Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study

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