Article
Virtual Care Team Increases the Number of Patients with CHF on GDMT During Hospitalization
February 1, 2024
Dr. Pahwa Clinical question: Can a virtual care team increase the number of patients with chronic heart failure (CHF) on goal-directed therapy during hospitalization? Background: Maximizing...
Article
Fewer COPD Exacerbations and Pneumonia Hospitalizations with LABA-LAMA Inhalers Compared to ICS-LABA in COPD
February 1, 2024
Dr. Coursen Clinical question: Is a long-acting beta agonist and long-acting muscarinic antagonist (LABA-LAMA) inhaler combination better than an inhaled corticosteroid and long-acting beta...
Article
No Clear Benefit to the Use of Haloperidol for ICU Delirium
February 1, 2024
Dr. Leventhal Clinical question: Does the use of haloperidol versus placebo for delirium in ICU patients improve mortality and increase the chance of hospital discharge at 90 days? Background:...
Article
Transcatheter Repair of Secondary Mitral Regurgitation Improves Outcomes
February 1, 2024
Dr. Asmar Clinical question: Does transcatheter mitral valve repair of secondary mitral regurgitation improve hospitalization rates and mortality in patients with refractory symptoms despite...
Article
Abatacept and Infliximab May Improve Mortality in Patients Hospitalized with COVID-19 Pneumonia
February 1, 2024
Dr. Rose Clinical question: What immunomodulatory drugs should we use in hospitalized patients with COVID-19 in addition to corticosteroids? Background: Inflammation is a key driver of morbidity...
Article
Risk Stratification of Patients with HF in the ED Coupled with Close Outpatient Follow-up Reduces Mortality and CV Rehospitalization
February 1, 2024
Dr. Latifi Clinical question: In patients presenting to the emergency department (ED) with heart failure (HF) symptoms, are patient outcomes affected by the use of a risk stratification tool to...
Article
Risk for CKD Progression After AKI
February 1, 2024
Dr. Dalal Clinical question: Is acute kidney injury (AKI) associated with subsequent worsening of renal function trajectory in patients with chronic kidney disease (CKD)? Background: Prior...
Article
Debriefings After an Unexpected Hospital Death or Code
February 1, 2024
Hospitalist and palliative-care physician Kencee Graves, MD, FACP, recalls participating on a difficult code-team response while still a new medicine intern at the University of Utah, where she is...
Article
Coding Corner: Billing for Straightforward Pneumonia in a Hospitalized Patient
January 2, 2024
A 64-year-old woman with a history of heart failure with reduced ejection fraction (HFrEF) was admitted to the hospital with decompensated heart failure one day ago. On day two, the patient is still...
Article
How Do You Ethically Integrate a GIP Hospice Service into the Hospital?
January 2, 2024
Case An 86-year-old female with a history of metastatic pancreatic cancer and diabetes was admitted for chest pain and dyspnea and found to have an acute pulmonary embolism. The hospital...