Hospital Medicine Virtual Journal Club MinuteSep 04, 2021
HMVJC Minute #33 - Empagliflozin for heart failure and preserved EF: September 4, 2021
A pair of articles from EMPORER-Preserved examines outcomes in HFpEF patients treated with empagliflozin.
HMVJC Minute #32 - Heart rate modulation in heart failure: August 16, 2021
An observational study in Frontiers in Cardiovascular Medicine examines the impact of heart rate reduction in patients with heart failure.
In-hospital Heart Rate Reduction With Beta Blockers and Ivabradine Early After Recovery in Patients With Acute Decompensated Heart Failure Reduces Short-Term Mortality and Rehospitalization | Hospital Medicine Virtual Journal Club
HMVJC Minute #31 - Fluid type for resuscitating ICU patients: August 10, 2021
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
HMVJC Minute #30 - Oral lasix before discharge in heart failure patients: August 5, 2021
A retrospective cohort study published in Cardiology Research questions the need to transition heart failure patients to oral diuretics before discharge.
HMVJC Minute #29 - Anticoagulation in non-ICU COVID-19 patients: August 5, 2021
A randomized trial in the New England Journal compares therapeutic anticoagulation to standard prophylaxis in non-ICU patients with COVID-19.
HMVJC Minute #28 - Paracentesis by a hospitalist procedure service: August 4, 2021
A retrospective cohort study in the Journal of Hospital Medicine looks at timeliness of paracentesis performed by a hospitalist procedure service.
HMVJC Minute #27 - Sliding scale insulin for inpatient diabetes control: July 30, 2021
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.
HMVJC Minute #26 - Association of sodium polystyrene sulfonate with intestinal necrosis: July 30, 2021
A meta-analysis from the Journal of Hospital Medicine highlights the challenges in finding a connection between SPS therapy and intestinal necrosis.
HMVJC Minute #25 - Impact of delaying cholecystectomy after ERCP: July 7, 2021
Delayed cholecystectomy following endoscopic retrograde cholangio-pancreatography is not associated with worse surgical outcomes | Hospital Medicine Virtual Journal Club
HMVJC Minute #24 - Bedside rounding and patient satisfaction: June 28, 2021
A study in the Journal of Patient Experience shows no relationship between physician time at bedside and measures of patient experience.
HMVJC Minute #23 - Pharmacist admission medication reconciliation: June 21, 2021
A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation.
HMVJC Minute #22 - Early discharge and emergency department LOS: June 15, 2021
A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput.
HMVJC Minute #21 - Contrast nephropathy in CKD patients: June 14, 2021
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.
HMVJC Minute #20 - IV Thiamine to prevent ICU delirium: June 12, 2021
A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium.
HMVJC Minute #19 - Admissions for complicated UTI: June 2, 2021
A database review in the American Journal of Infection Control finds a large proportion of low-acuity admissions for complicated urinary tract infection.
Hospital Admission Patterns of Adult Patients with Complicated Urinary Tract Infections Who Present to the Hospital by Disease Acuity and Comorbid Conditions: How Many Admissions are Potentially Avoidable? | Hospital Medicine Virtual Journal Club | Washington University in St. Louis (wustl.edu)
HMVJC Minute #18 - Medications for HFpEF: May 22, 2021
A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction.
HMVJC Minute #17 - Antibiotic course for COPD: May 20, 2021
A study in PLOS One finds a 2-day course of antibiotics non-inferior to a longer course in patients with COPD exacerbation.
HMVJC Minute #16 - Convalescent plasma for COVID-19: May 17, 2021
The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19.
HMVJC Minute #15 - Chest Pain; Admit or Discharge? May 14, 2021
A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department.
HMVJC Minute #14 - Rate vs Rhythm Control in Atrial Fibrillation: May 12, 2021
A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.
HMVJC Minute #13 - Cerebral Venous Sinus Thrombosis after J+J COVID Vaccine: April 30, 2021
US Case Reports of Cerebral Venous Sinus Thrombosis With Thrombocytopenia After Ad26.COV2.S Vaccination, March 2 to April 21, 2021
HMVJC Minute #12 - Haloperidol for ICU delirium: April 16, 2021
A study from Critical Care Medicine suggests that haloperidol may reduce mortality in patients who develop delirium in ICU.
HMVJC Minute # 11 - Anticoagulation for distal DVT: April 12, 2021
A retrospective review finds lower rates of distal DVT extension and recurrence in patients who undergo anticoagulation.
HMVJC Minute #10 - Hospitalization outcomes in deaf patients: April 6, 2021
Deaf non-speaking patients in the Nationwide Inpatient Sample had a longer length of stay and increased mortality relative to hearing patients.
HMVJC Minute #9 - Tofacitinib for COVID-19 pneumonia: April 5, 2021
Adding tofacitinib to standard care in patients with COVID-19 pneumonia was associated with lower mortality in this pre-proof retrospective observational study.
HMVJC Minute #8 - DOACs for stroke prevention in valvular atrial fibrillation: March 29, 2021
An Annals study uses a database to compare warfarin and DOACs in patients with valvular atrial fibrillation.
HMVJC Minute #7 - A shorter antibiotic course for pneumonia: March 28, 2021
A study published in Lancet looks at whether a shorter course of antibiotics is non-inferior for patients with moderate severity community acquired pneumonia.
HMVJC Minute #6 - Hospitalist handoffs and mortality: March 24, 2021
Review of a Medicare database shows no mortality difference in patients admitted toward the end of a hospitalist's block of days versus toward the beginning except for among the sickest patients.
HMVJC Minute #5 - High Sensitivity Troponin for MI Rule Out: March 23, 2021
From the journal Circulation: a pathway for early MI rule out using high-sensitivity troponin leads to fewer admissions, but does not meet non-inferiority criteria.
HMVJC Minute #4 - Albumin infusion for cirrhosis: March 21, 2021
HMVJC Minute #3 - Lefamulin for Community Acquired Pneumonia: March 18, 2021
A new antibiotic may allow outpatient treatment for higher-risk patients with pneumonia.