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Hospital Medicine Alert

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Articles

  • Frail Elderly and Cardiac Surgery

    Although age is a risk factor for morbidity and mortality with cardiac surgery, chronologic age does not always reflect biological age. Although frailty has been shown to predict falls, hospitalization, institutionalization, and mortality in geriatric populations in the community, it has not been systematically studied in patients undergoing surgery.
  • Don't Treat Superficial Thrombophlebitis Superficially

    Superficial venous thrombosis is not a benign condition and deserves close attention.
  • Supplement: Health Care Reform Update

    Health care clinicians and organizations likely will find that the new health care reform bill's positive features outweigh its drawbacks, experts say.
  • Infection in HIV Patients

    In a prospective surveillance study, 50 HIV-positive patients who presented with febrile respiratory symptoms were evaluated for the presence of respiratory viruses by multiplex RT-PCR and a microarray assay and for atypical bacterial pathogens by PCR, in addition to sputum cultures and serologic testing. Viruses accounted for 64% of the infections. Influenza virus was identified in 22 cases, and human metapneumovirus (hMPV) was next most common, with six cases.
  • STEMI Patients with Multi-vessel Disease — Culprit- vessel PCI vs. Multi-vessel PCI

    Patients presenting with ST-segment elevation myocardial infarction (STEMI) often have co-existing lesions in the non-infarct arteries (i.e., they have multi-vessel disease). These patients present a management dilemma.
  • Fusobacterium and Tonsillar Infections

    In this study, 847 patients with peritonsillar abscess (PTA) admitted to Aarhus University hospitals from 2001-2006 were included in this retrospective study.
  • NT-pro BNP

    Natriuretic peptide levels (BNP, NT-proBNP) are of prognostic value in general populations, but whether they add information to other known risk factors for cardiovascular outcomes is less clear.
  • Can We Accurately Predict Fluid Responsiveness?

    This non-randomized, prospective trial demonstrated that passive leg raising can be used to predict fluid responsiveness in non-intubated, spontaneously breathing patients with severe sepsis or acute pancreatitis.
  • Colistin and Acute Respiratory Failure

    Colistin, a 50-year-old polymyxin antibiotic that recently has been reintroduced to treat multidrug-resistant hospital-acquired Acinetobacter or Pseudomonas pneumonia, can cause acute neuromuscular weakness and precipitate acute hypercapnic respiratory failure, as illustrated by this case report.
  • Aortic Stenosis — When to Operate

    Even if asymptomatic, early elective aortic valve replacement should be considered for increasingly symptomatic patients with severe aortic valve stenosis because they have a poor prognosis with a high event rate and a risk of rapid functional deterioration, especially if the peak aortic jet velocity is above 5.5 m/sec.