The 2 Minute Update
Does pulmonary rehab decrease mortality?
COPD exacerbation hospital guidelines Hospital medicine journal review journal study mortality outcome pulmonary rehab
Mortality is greatly decreased if pulmonary rehab is started within 90 days of a COPD-related hospital admission. But only 1.5% of Medicare patients start pulmonary rehab shortly after being admitted for COPD.
Does paracentesis timing matter?
hospital guidelines Hospital medicine journal review journal study mortality outcome paracentesis
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.
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.
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.