PMID- 29489922
OWN - NLM
STAT- MEDLINE
DCOM- 20191118
LR  - 20191118
IS  - 1553-5606 (Electronic)
IS  - 1553-5592 (Linking)
VI  - 13
IP  - 9
DP  - 2018 Sep 1
TI  - Update in Hospital Medicine: Practical Lessons from the Literature.
LID - 10.12788/jhm.2955 [doi]
AB  - BACKGROUND: Hospital Medicine has a widening scope of practice. This article 
      provides a summary of recent highimpact publications for busy clinicians who 
      provide care to hospitalized adults. METHODS: The authors reviewed articles 
      published between March 2016 and March 2017 for the Update in Hospital Medicine 
      presentations at the 2017 Society of Hospital Medicine and Society of General 
      Internal Medicine annual meetings. Nine of the 20 articles presented were 
      selected for this review based on the article quality and potential to influence 
      practice. RESULTS: The key insights gained include: pulmonary embolism may be a 
      more common cause of syncope and acute exacerbation of COPD than previously 
      recognized; nonthoracic low-tesla MRI is safe following a specific protocol for 
      patients with cardiac devices implanted after 2001; routine inpatient blood 
      cultures for fever are of a low yield with a false positive rate similar to the 
      true positive rate; chronic opioid use after surgery occurs more frequently than 
      in the general population; high-sensitivity troponin and a negative ECG performed 
      3 hours after an episode of chest pain can rule out acute myocardial infarction; 
      sitting at patients' bedsides enhances patients' perception of provider 
      communication; 5 days of antibiotics for community-acquired pneumonia is 
      equivalent to longer courses; oral proton pump inhibitors (PPI) are as effective 
      as IV PPIs after an esophagogastroduodenoscopy (EGD) for the treatment of 
      bleeding peptic ulcers. CONCLUSIONS: Recent research provides insight into how we 
      approach common medical problems in the care of hospitalized adults. These 
      articles have the potential to change or confirm current practices.
CI  - (c) 2018 Society of Hospital Medicine
FAU - Burger, Alfred
AU  - Burger A
AD  - Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, New York, New 
      York, USA. Alfred.burger@mountsinai.org.
FAU - Miller, Chad
AU  - Miller C
AD  - Saint Louis University School of Medicine, Saint Louis University Hospital, Saint 
      Louis, Missouri, USA.
FAU - Sharpe, Bradley A
AU  - Sharpe BA
AD  - University of California San Francisco Medical Center, San Francisco, California, 
      USA.
FAU - Thompson, Rachel E
AU  - Thompson RE
AD  - University of Nebraska Medical Center, Omaha, Nebraska, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20180227
PL  - United States
TA  - J Hosp Med
JT  - Journal of hospital medicine
JID - 101271025
RN  - 0 (Proton Pump Inhibitors)
SB  - IM
MH  - Fever/*blood/etiology
MH  - Hospital Medicine/*methods/trends
MH  - Humans
MH  - Myocardial Infarction/*diagnosis
MH  - Peptic Ulcer Hemorrhage/*drug therapy
MH  - Proton Pump Inhibitors/*therapeutic use
MH  - Pulmonary Embolism/*diagnosis
EDAT- 2018/03/01 06:00
MHDA- 2019/11/19 06:00
CRDT- 2018/03/01 06:00
PHST- 2018/03/01 06:00 [entrez]
PHST- 2018/03/01 06:00 [pubmed]
PHST- 2019/11/19 06:00 [medline]
AID - 10.12788/jhm.2955 [doi]
PST - ppublish
SO  - J Hosp Med. 2018 Sep 1;13(9). doi: 10.12788/jhm.2955. Epub 2018 Feb 27.