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Hospital Medicine Virtual Journal Club Minute

Hospital Medicine Virtual Journal Club Minute

By HMVJC
One article.
One minute.
100% evidence based.
From the Washington University Hospital Medicine Virtual Journal Club
journalclub.wustl.edu/
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HMVJC Minute #33 - Empagliflozin for heart failure and preserved EF: September 4, 2021
A pair of articles from EMPORER-Preserved examines outcomes in HFpEF patients treated with empagliflozin. Empagliflozin in Heart Failure with a Preserved Ejection Fraction | Hospital Medicine Virtual Journal Club Effect of Empagliflozin on Worsening Heart Failure Events in Patients with Heart Failure and a Preserved Ejection Fraction: The EMPEROR-Preserved Trial | Hospital Medicine Virtual Journal Club
00:60
September 04, 2021
HMVJC Minute #32 - Heart rate modulation in heart failure: August 16, 2021
An observational study in Frontiers in Cardiovascular Medicine examines the impact of heart rate reduction in patients with heart failure. In-hospital Heart Rate Reduction With Beta Blockers and Ivabradine Early After Recovery in Patients With Acute Decompensated Heart Failure Reduces Short-Term Mortality and Rehospitalization | Hospital Medicine Virtual Journal Club
00:60
August 24, 2021
HMVJC Minute #31 - Fluid type for resuscitating ICU patients: August 10, 2021
A randomized trial from JAMA compares outcomes between a balanced electrolyte solution and normal saline for fluid resuscitation in ICU patients. Effect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial | Hospital Medicine Virtual Journal Club
00:60
August 17, 2021
HMVJC Minute #30 - Oral lasix before discharge in heart failure patients: August 5, 2021
A retrospective cohort study published in Cardiology Research questions the need to transition heart failure patients to oral diuretics before discharge. Trial of Oral Diuretics Prior to Discharge Is Not Associated With Improved Outcomes in Decompensated Heart Failure | Hospital Medicine Virtual Journal Club
01:00
August 16, 2021
HMVJC Minute #29 - Anticoagulation in non-ICU COVID-19 patients: August 5, 2021
A randomized trial in the New England Journal compares therapeutic anticoagulation to standard prophylaxis in non-ICU patients with COVID-19. Therapeutic Anticoagulation with Heparin in Noncritically Ill Patients with Covid-19 | Hospital Medicine Virtual Journal Club
00:60
August 13, 2021
HMVJC Minute #28 - Paracentesis by a hospitalist procedure service: August 4, 2021
A retrospective cohort study in the Journal of Hospital Medicine looks at timeliness of paracentesis performed by a hospitalist procedure service. Impact of a Hospitalist-Run Procedure Service on Time to Paracentesis and Length of Stay | Hospital Medicine Virtual Journal Club
01:00
August 11, 2021
HMVJC Minute #27 - Sliding scale insulin for inpatient diabetes control: July 30, 2021
A database review published in the Journal of Hospital Medicine finds a role for sliding scale insulin monotherapy for some admitted patients with type 2 diabetes. Inpatient Glycemic Control With Sliding Scale Insulin in Noncritical Patients With Type 2 Diabetes: Who Can Slide?
00:60
August 09, 2021
HMVJC Minute #26 - Association of sodium polystyrene sulfonate with intestinal necrosis: July 30, 2021
A meta-analysis from the Journal of Hospital Medicine highlights the challenges in finding a connection between SPS therapy and intestinal necrosis.  Risk of Intestinal Necrosis With Sodium Polystyrene Sulfonate: A Systematic Review and Meta-analysis
00:60
August 07, 2021
HMVJC Minute #25 - Impact of delaying cholecystectomy after ERCP: July 7, 2021
A study in Surgical Endoscopy finds some benefits to delaying gallbladder surgery, at the expense of increased readmissions. Delayed cholecystectomy following endoscopic retrograde cholangio-pancreatography is not associated with worse surgical outcomes | Hospital Medicine Virtual Journal Club
01:00
July 16, 2021
HMVJC Minute #24 - Bedside rounding and patient satisfaction: June 28, 2021
A study in the Journal of Patient Experience shows no relationship between physician time at bedside and measures of patient experience. Relationships Between Time-at-Bedside During Hospital Ward Rounds, Clinician-Patient Agreement, and Patient Experience | Hospital Medicine Virtual Journal Club 
00:60
July 10, 2021
HMVJC Minute #23 - Pharmacist admission medication reconciliation: June 21, 2021
A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation. Clinical and economic impact of medication reconciliation by designated ward pharmacists in a hospitalist-managed acute medical unit | Hospital Medicine Virtual Journal Club
01:00
July 03, 2021
HMVJC Minute #22 - Early discharge and emergency department LOS: June 15, 2021
A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput. Morning Discharges and Patient Length of Stay in Inpatient General Internal Medicine | Hospital Medicine Virtual Journal Club 
00:60
June 24, 2021
HMVJC Minute #21 - Contrast nephropathy in CKD patients: June 14, 2021
A study in the Western Journal of Emergency Medicine finds a low incidence of clinically significant outcomes in chronic kidney disease patients who undergo emergent contrast CT.  Acute Kidney Injury After CT in Emergency Patients with Chronic Kidney Disease: A Propensity Score-matched Analysis | Hospital Medicine Virtual Journal Club
01:00
June 22, 2021
HMVJC Minute #20 - IV Thiamine to prevent ICU delirium: June 12, 2021
A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium. Effect of thiamine supplementation in critically ill patients: A systematic review and meta-analysis | Hospital Medicine Virtual Journal Club
01:00
June 15, 2021
HMVJC Minute #19 - Admissions for complicated UTI: June 2, 2021
A database review in the American Journal of Infection Control finds a large proportion of low-acuity admissions for complicated urinary tract infection. Hospital Admission Patterns of Adult Patients with Complicated Urinary Tract Infections Who Present to the Hospital by Disease Acuity and Comorbid Conditions: How Many Admissions are Potentially Avoidable? | Hospital Medicine Virtual Journal Club | Washington University in St. Louis (wustl.edu)
00:60
June 11, 2021
HMVJC Minute #18 - Medications for HFpEF: May 22, 2021
A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction. Beta-blockers and inhibitors of the renin-angiotensin aldosterone system for chronic heart failure with preserved ejection fraction
00:60
June 01, 2021
HMVJC Minute #17 - Antibiotic course for COPD: May 20, 2021
A study in PLOS One finds a 2-day course of antibiotics non-inferior to a longer course in patients with COPD exacerbation. https://journalclub.wustl.edu/2021/05/20/2-day-versus-c-reactive-protein-guided-antibiotherapy-with-levofloxacin-in-acute-copd-exacerbation-a-randomized-controlled-trial/
00:60
May 25, 2021
HMVJC Minute #16 - Convalescent plasma for COVID-19: May 17, 2021
The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19. Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial | Hospital Medicine Virtual Journal Club 
00:60
May 21, 2021
HMVJC Minute #15 - Chest Pain; Admit or Discharge? May 14, 2021
A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department. Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?
00:59
May 19, 2021
HMVJC Minute #14 - Rate vs Rhythm Control in Atrial Fibrillation: May 12, 2021
A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.   Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study
01:00
May 17, 2021
HMVJC Minute #13 - Cerebral Venous Sinus Thrombosis after J+J COVID Vaccine: April 30, 2021
An article in JAMA describes the first 12 cases of CVST and thrombocytopenia after receiving the Johnson and Johnson COVID vaccine. US Case Reports of Cerebral Venous Sinus Thrombosis With Thrombocytopenia After Ad26.COV2.S Vaccination, March 2 to April 21, 2021
01:00
May 01, 2021
HMVJC Minute #12 - Haloperidol for ICU delirium: April 16, 2021
A study from Critical Care Medicine suggests that haloperidol may reduce mortality in patients who develop delirium in ICU. Association Between Incident Delirium Treatment With Haloperidol and Mortality in Critically Ill Adults 
01:00
April 17, 2021
HMVJC Minute # 11 - Anticoagulation for distal DVT: April 12, 2021
A retrospective review finds lower rates of distal DVT extension and recurrence in patients who undergo anticoagulation. Calf Vein Thrombosis Outcomes Comparing Anticoagulation and Serial Ultrasound Imaging Management Strategies
01:00
April 15, 2021
HMVJC Minute #10 - Hospitalization outcomes in deaf patients: April 6, 2021
Deaf non-speaking patients in the Nationwide Inpatient Sample had a longer length of stay and increased mortality relative to hearing patients. A Nationwide Study Examining Deafness Among Hospitalized Adults
01:00
April 09, 2021
HMVJC Minute #9 - Tofacitinib for COVID-19 pneumonia: April 5, 2021
Adding tofacitinib to standard care in patients with COVID-19 pneumonia was associated with lower mortality in this pre-proof retrospective observational study.  Anti-Inflammatory treatment of COVID-19 pneumonia with tofacitinib alone or in combination with dexamethasone
01:00
April 06, 2021
HMVJC Minute #8 - DOACs for stroke prevention in valvular atrial fibrillation: March 29, 2021
An Annals study uses a database to compare warfarin and DOACs in patients with valvular atrial fibrillation. Effectiveness and Safety of Direct Oral Anticoagulants Versus Warfarin in Patients With Valvular Atrial Fibrillation : A Population-Based Cohort Study
01:00
April 02, 2021
HMVJC Minute #7 - A shorter antibiotic course for pneumonia: March 28, 2021
A study published in Lancet looks at whether a shorter course of antibiotics is non-inferior for patients with moderate severity community acquired pneumonia. Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care wards (PTC)
00:60
March 29, 2021
HMVJC Minute #6 - Hospitalist handoffs and mortality: March 24, 2021
Review of a Medicare database shows no mortality difference in patients admitted toward the end of a hospitalist's block of days versus toward the beginning except for among the sickest patients. Assessment of Care Handoffs Among Hospitalist Physicians and 30-Day Mortality in Hospitalized Medicare Beneficiaries 
01:00
March 25, 2021
HMVJC Minute #5 - High Sensitivity Troponin for MI Rule Out: March 23, 2021
From the journal Circulation: a pathway for early MI rule out using high-sensitivity troponin leads to fewer admissions, but does not meet non-inferiority criteria. High-Sensitivity Cardiac Troponin on Presentation to Rule Out Myocardial Infarction 
01:00
March 24, 2021
HMVJC Minute #4 - Albumin infusion for cirrhosis: March 21, 2021
Albumin infusion had no benefit when given empirically to patients with cirrhosis. A Randomized Trial of Albumin Infusions in Hospitalized Patients with Cirrhosis
01:00
March 22, 2021
HMVJC Minute #3 - Lefamulin for Community Acquired Pneumonia: March 18, 2021
A new antibiotic may allow outpatient treatment for higher-risk patients with pneumonia. Oral 5-Day Lefamulin for Outpatient Management of Community-Acquired Bacterial Pneumonia: Post-hoc Analysis of the Lefamulin Evaluation Against Pneumonia (LEAP) 2 Trial
00:60
March 21, 2021
HMVJC Minute #2 - Phenobarbital for Alcohol Withdrawal Syndrome: March 17, 2021
Alternative treatment for alcohol withdrawal syndrome may reduce length of stay: Phenobarbital Versus Lorazepam for Management of Alcohol Withdrawal Syndrome: A Retrospective Cohort Study 
00:60
March 21, 2021
HMVJC Minute #1 - COVID Vaccine: March 16, 2021
A trial finds one of the major COVID vaccines ineffective against a circulating strain. Efficacy of the ChAdOx1 nCoV-19 Covid-19 Vaccine against the B.1.351 Variant
00:60
March 21, 2021