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Annals for Hospitalists - March 2024
Ann Intern Med. 2024 Mar;177(3):eAWHO202403190. doi: 10.7326/AWHO202403190.NO ABSTRACTPMID:38498887 | DOI:10.7326/AWHO202403190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - March 18, 2024 Category: Internal Medicine Authors: David A Fried Source Type: research

Getting Another Degree While Working … Or Not?
The monthly(-ish) #JHMChat on X, formerly Twitter, is a time to discuss interesting articles in the Journal of Hospital Medicine [The Hospitalist’s sister publication], meet new people, and learn from each other. Our chat this past November was based on this article by Drs. Jennifer Spicer and Samuel Lai about deciding to get a degree while working, and it did not disappoint. We had Dr. Spicer, who received another degree while working, as our guest expert. Among our participants who finished secondary degrees, those actively obtaining their secondary degree, and those who have chosen not to pursue an additional degr...
Source: The Hospitalist - March 12, 2024 Category: Hospital Management Authors: Lisa Casinger Tags: Career Education Source Type: research

Acute Colonic Diverticulitis
This article provides an evidence-based, clinically relevant overview of the epidemiology, diagnosis, and treatment of acute diverticulitis.PMID:38466995 | DOI:10.7326/AITC202403190 (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - March 11, 2024 Category: Internal Medicine Authors: Sarah A Gunby Lisa L Strate Source Type: research

Pediatrician perspectives on barriers and facilitators to discharge instruction comprehension and adherence for parents of children with medical complexity
AbstractBackgroundHigh rates of posthospitalization errors are observed in children with medical complexity (CMC). Poor parent comprehension of and adherence to complex discharge instructions can contribute to errors. Pediatrician views on common barriers and facilitators to parent comprehension and adherence are understudied.ObjectiveTo examine pediatrician perspectives on barriers and facilitators experienced by parents in comprehension of and adherence to inpatient discharge instructions for CMC.Design, Settings, and ParticipantsWe conducted a qualitative, descriptive study of attending pediatricians (n = 20) caring...
Source: Journal of Hospital Medicine - March 6, 2024 Category: Hospital Management Authors: Alexander F. Glick, H. Shonna Yin, Benjamin Silva, Avani C. Modi, Vincent Huynh, Emily J. Goodwin, Jonathan S. Farkas, Julia S. Turock, Hannah S. Famiglietti, Victoria V. Dickson Tags: ORIGINAL RESEARCH Source Type: research

Hospitalists outside the hospital: Preparing for new settings of care delivery
(Source: Journal of Hospital Medicine)
Source: Journal of Hospital Medicine - March 5, 2024 Category: Hospital Management Authors: Timothy J. Judson, Christopher A. Longhurst, Sarah F. Horman Tags: PERSPECTIVES IN HOSPITAL MEDICINE Source Type: research

A Clinician ’ s Romance with Uncertainty
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 answer. Out on the wards, there was a thrill in the chase. I was exhilarated by those opportunities to solve the mysterious fever; ensnared by the curious constellation of symptoms. Although I did feel the twinges of vulnerability that accompany any new relationship, I always took solace in the safety nets that stripped me of ultimate accountability for the patient mysteries I couldn’t solve. These safety nets also allowed me t...
Source: The Hospitalist - March 4, 2024 Category: Hospital Management Authors: Lisa Casinger Tags: Essay Source Type: research

Time to Rethink AF Treatment: Prolonged Benefits of Cryoballoon Ablation
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 antiarrhythmic therapy? Background: Atrial fibrillation can progress from a paroxysmal to a persistent form due to electrical and structural remodeling of the heart. The Early Aggressive Invasive Intervention for Atrial Fibrillation (Early-AF) trial concluded that initial treatment of symptomatic, paroxysmal AF with cryoballoon ablation resulted in lower recurrence of arrhythmias compared to antiarrhythmic drug therapy alone during ...
Source: The Hospitalist - March 1, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Cardiology In the Literature Source Type: research

Longer-term Outcomes in Critically Ill Patients with COVID-19 in the REMAP-CAP Trial
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 COVID-19 focus on short-term outcomes such as 28-day mortality or organ failure. Trials evaluating longer-term outcomes of therapeutic interventions are needed. Study design: Randomized adaptive-platform trial Setting: International multicenter trial (197 sites in 14 countries) Synopsis: 4,869 critically ill patients were enrolled from March 2020 through June 2021. Patients were randomized to one of six treatment arms (immune modula...
Source: The Hospitalist - March 1, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: COVID-19 In the Literature Source Type: research