Article
Adding Ticagrelor to Aspirin After CABG for Acute Coronary Syndrome Does Not Improve One- Year Cardiovascular Outcomes and Increases Bleeding Risk
September 2, 2026
Clinical Question: In patients undergoing CABG for acute coronary syndrome, does one year of dual antiplatelet therapy with ticagrelor plus aspirin improve clinical outcomes compared with aspirin...
Article
Targeted Inpatient Correction of Chronic Hyponatremia Does Not Improve Short-Term Clinical Outcomes
September 2, 2026
Clinical Question: Does targeted correction of chronic hyponatremia in hospitalized patients reduce 30-day mortality or rehospitalization compared with routine care? Background: Chronic hyponatremia...
Article
Pleural Effusions Requiring Drainage Are Associated with Lower Survival in Veterans with Cancer, CHF, or Pneumonia
September 2, 2026
Clinical Question: Does the presence of a clinically significant pleural effusion have an impact on survival in patients with an admitting diagnosis of cancer, congestive heart failure (CHF), or...
Article
Discontinuation of ACEIs/ARBs During AKI in Hospitalized Patients Decreases All-Cause Mortality
September 2, 2026
Clinical Question: Does discontinuation of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) during an episode of acute kidney injury (AKI) improve clinical...
Article
Anti-Xa Monitoring During Therapeutic LMWH Use Leads to Frequent Dose Changes Without Clear Evidence of Improved Clinical Outcomes
September 2, 2026
Clinical Question: In patients receiving therapeutic low-molecular-weight heparin (LMWH), does anti-Xa monitoring with subsequent dose adjustment improve bleeding or thrombotic outcomes? Background:...
Article
Daily Fish-Oil Supplementation Reduced Serious Cardiovascular Events in Patients with End-Stage Kidney Disease Who Receive Maintenance Hemodialysis
September 2, 2026
Clinical Question: Does daily supplementation with omega-3 polyunsaturated fatty acids reduce cardiovascular events in patients on maintenance hemodialysis? Background: Cardiovascular disease is the...
Article
IV Iron Administration During Acute Infection Does Not Worsen Outcomes and Is Associated with Improved Survival and Hemoglobin Recovery
September 2, 2026
Clinical Question: In hospitalized adults with iron-deficiency anemia (IDA) and concurrent acute infection, does IV iron administration improve clinical outcomes or worsen the infection? Background:...
Article
Demystifying Performance Measures for Hospitalists: Principles for Attribution
September 2, 2026
In last month’s issue of The Hospitalist, members of SHM’s Performance Measurement and Reporting Committee wrote about attribution challenges. Building on that article, the use of quality...
Article
The Balancing Act of Pain Management
September 2, 2026
Dr. Spaeth Hospitalists continue to grapple with the best multimodal way to control patient pain while maximizing the use of medications and other available choices. “Pain is uniquely...
Article
Should Hospitalists Routinely Perform Bedside Procedures?
September 2, 2026
Why Hospitalists Should Not Routinely Perform Bedside Procedures After six months of critical care rotations during my internal medicine residency, I felt well prepared to perform most of the...