Introducing The Bookshelf
September 2, 2026
The Hospitalist is debuting a new section on the website called The Bookshelf. If you’re an SHM member who’s published a book, we want to showcase your accomplishment. Send us a cover image...
Article
Apixaban Carries Lower Bleeding Risk Than Rivaroxaban in Acute VTE
- Naveed Choudry, MD, FACP, FHM
September 2, 2026
Clinical Question: In patients with acute venous thromboembolism (VTE), is apixaban associated with a lower risk of clinically relevant bleeding than rivaroxaban? Background: Apixaban and...
Article
Lost in Transition: Teens Falling Through the Cracks After ED Mental Health Visits
September 2, 2026
Clinical Question: Among adolescents with depression or suicidal ideation discharged from the emergency department (ED), what factors are associated with timely primary care follow-up? Background:...
Article
Adding Ticagrelor to Aspirin After CABG for Acute Coronary Syndrome Does Not Improve One- Year Cardiovascular Outcomes and Increases Bleeding Risk
- Raphael Pristoop, MD, FACP
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
- Amanda Magee, DO, FACP, SFHM
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:...