Tag: hospitalist medicine

1. In this retrospective cohort analysis, patients admitted under services with greater hospitalist continuity of care had lower 30-day mortality compared to lower-continuity hospitalist services. 2. Higher continuity hospitalist services also had improved readmission rates and lower associated discharge costs. Evidence Rating Level: 3 (Average)        Study Rundown: Central to the physician-patient relationship...
1. Among deaths at one, large children’s hospital, the most common mode of inpatient death was withdrawal of life sustaining technologies, followed by nonescalation of care during or at the time of death, and failed resuscitation (code). 2. Older children, neonates, and children with malignancies were significantly more likely to...
1. In a retrospective study of over 300 acute care hospitals across the United States, overall days of therapy (DOT) for antibiotic use and proportion of admitted patients receiving antibiotics remained consistent over time from 2006 to 2012. 2. Use of certain antibiotic classes decreased over time, including aminoglycosides, first...
1. In this systematic review and meta-analysis of randomized controlled trials (RCTs) addressing nutritional support, which included counseling, oral supplementation, or enteral nutrition, among medical inpatients, there was no difference in short-term mortality amongst those offered nutritional support. 2. However, the rate of non-elective readmissions amongst the patients who received...
1. No significant difference in length of stay (LOS), adverse events, or readmission was appreciated among hospitalized infants with bronchiolitis who were randomized to receive either hypertonic or normal saline nebulizer treatments. Evidence Rating Level: 1 (Excellent)       Study Rundown: Bronchiolitis, the most frequent reason for infant hospital admission, is a respiratory...
  1. Presence of an established medical home was associated with a lower, unplanned admission rate within 30-days, but not associated with changes in 7-day Emergency Department (ED) visit rate, following hospital discharge in pediatric patients. 2. Pediatric patients with subspecialists as primary care providers, those with longer and more frequent...