• 1
    Article

    How should urine electrolytes be ordered and interpreted in acute kidney injury and electrolyte abnormalities?

    January 20, 2017

    There is a lack of clear diagnostic guidelines, so ordering all the urine electrolytes in a “blanket” strategy is a common practice. We will discuss the diagnostic utility of each of the urine electrolytes in a variety of clinical scenarios.

  • Article

    Sneak Peek: Journal of Hospital Medicine

    January 20, 2017

    Background: Frailty, history of dementia (HoD), and acute confusional states (ACS) are common in older patients admitted to hospital. Objective: To study the association of frailty (≥six points in the Clinical Frailty Scale [CFS]), HoD, and ACS with hospital outcomes, controlling for age, gen...

  • 1
    Article

    Fecal transplant efficacy for Clostridium difficile infections

    January 12, 2017

    Clinical question: Is fecal microbiota transplantation (FMT) an efficacious and safe treatment approach for patients with recurrent Clostridium difficile infection (CDI)?

  • Article

    Non–vitamin K antagonist oral anticoagulants for planned atrial fibrillation cardioversions

    January 12, 2017

    Clinical question: How does edoxaban compare with enoxaparin-warfarin in patients with nonvalvular atrial fibrillation undergoing cardioversion?

  • Article

    Blood thinning with bioprosthetic valves

    January 10, 2017

    Blood thinning with bioprosthetic valvesClinical question: Does anticoagulation prevent thromboembolic events in patients undergoing bioprosthetic valve implantation?Background: The main advantage of bioprosthetic valves, compared with mechanical valves, is the avoidance of long-term anticoagula...

  • 1
    Article

    Instability of INRs

    January 9, 2017

    Clinical question: Does an initial stable international normalized ratio (INR) predict long-term stability?

  • 1
    Article

    Inpatient antibiotic use has not declined

    January 9, 2017

    Inpatient antibiotic use has not declinedClinical question: How has inpatient antibiotic use changed in the United States in recent years?[[{"fid":"175130","view_mode":"medstat_image_flush_right","fields":{"format":"medstat_image_flush_right","field_file_image_alt_text[und][0][value]":"","field_...

  • 1
    Article

    Have you Googled yourself lately?

    January 6, 2017

    With a majority of patients relying on physician ratings, hospitalists might consider countermeasures.

  • 1
    Article

    Pulmonary embolism in COPD exacerbations

    January 6, 2017

    Pulmonary embolism in COPD exacerbationsClinical question: How frequent is pulmonary embolism (PE) in patients with unexplained acute chronic obstructive pulmonary disease (COPD) exacerbation?[[{"fid":"175130","view_mode":"medstat_image_flush_right","fields":{"format":"medstat_image_flush_right"...

  • 1
    Article

    Evaluating the qSOF

    January 6, 2017

    Evaluating the qSOFAClinical question: How does the quick Sepsis-Related Organ Failure Assessment (qSOFA) compare with other sepsis scoring tools?[[{"fid":"175130","view_mode":"medstat_image_flush_right","fields":{"format":"medstat_image_flush_right","field_file_image_alt_text[und][0][value]":""...