The 2 Minute Update — Hospital medicine

Does paracentesis timing matter?

hospital guidelines Hospital medicine journal review journal study mortality outcome paracentesis

Paracentesis is recommended in patients with cirrhosis and ascites, but timing is not addressed. This study shows that early paracentesis - in the first 24 hours of admission - saves lives and prevents readmissions, especially in patients with encephalopathy of AKI. 

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Low-dose colchicine after MI?

Colchicine hospital guidelines Hospital medicine journal review journal study MI mortality outcome

Low-dose colchicine reduces further cardiovascular events after myocardial infarction. The rates of stroke, after an initial MI, were dramatically lower.

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Hospitalized at home?

hospital care at home hospital guidelines Hospital medicine hospitalized at home journal review journal study

A randomized trial evaluated treating inpatients inside their home instead of inside a hospital, with doctor and nurse visits, IV med, oxygen, etc. There were fewer readmissions, and costs were lower.    

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Oral vancomycin to prevent C diff?

C. diff prevention hospital guidelines Hospital medicine journal review journal study mortality outcome vancomycin

Should we use oral vancomycin as prophylaxis against C. difficile infections? A recent prospective study randomized high risk patients to 125 mg oral vanc once a day, or no intervention.  

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