Hospital medicine: from the daily briefing
Every daily briefing item tagged hospital medicine, newest first. The weekly roundup is on the hospital medicine page.
- Aspirin fails to prove noninferior to rivaroxaban or warfarin for clot prevention after hip or knee replacement in an 18,883-patient trialEvidence
- Holding ACE inhibitors or ARBs the morning of surgery cuts perioperative hypotension to 31% from 46% in older patientsEvidence
- A machine-learning warning score adds almost nothing over NEWS except in the sickest patients, a 2.08 million-encounter study findsEvidence
- Pharmacist stewardship trial tests deprescribing of anticholinergic and sedative drugs in older inpatientsEvidence
- Early remdesivir in hospitalized immunocompromised patients with COVID-19 is linked to lower in-hospital mortalityEvidence
- HCA Healthcare puts ambient AI in the hands of 10,000 physicians by year's end and an AI nurse handoff tool in 100 hospitalsDeployment
- Phase 2 ROXI-CATH trial tests single infusions of factor XI antibodies to prevent PICC-related thrombosisEvidence
- Micro-hospitals with fewer than 50 beds aim to close rural care gaps, including one in West VirginiaDeployment
- A quarter of Kaiser emergency patients with six common conditions were treated at home, in clinics or in observation instead of a bedEvidence
- Bicarbonate for metabolic acidosis in the ICU shows no clear survival gain but likely fewer dialysis starts, 1,544-patient meta-analysis findsEvidence
- Faster 0/1-hour troponin pathways do not shorten emergency stays or raise discharges vs. 0/3-hour, Lancet meta-analysis of 110,933 visits findsEvidence
- UCHealth says nurses have been slow to adopt its homegrown fall-prediction model, while physicians use ambient notes in most visitsDeployment
- FDA clears Epic's Deterioration Index Version 2, an inpatient decline model hospitals have run inside Epic for yearsRegulation
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Tagged hospital medicine, from the daily briefing
- Aspirin fails to prove noninferior to rivaroxaban or warfarin for clot prevention after hip or knee replacement in an 18,883-patient trial
- Holding ACE inhibitors or ARBs the morning of surgery cuts perioperative hypotension to 31% from 46% in older patients
- A machine-learning warning score adds almost nothing over NEWS except in the sickest patients, a 2.08 million-encounter study finds