One article. One minute. 100% evidence based. From the Washington University Hospital Medicine Virtual Journal Club https://journalclub.wustl.edu/
A pair of articles from EMPORER-Preserved examines outcomes in HFpEF patients treated with empagliflozin.
An observational study in Frontiers in Cardiovascular Medicine examines the impact of heart rate reduction in patients with heart failure.
A randomized trial from JAMA compares outcomes between a balanced electrolyte solution and normal saline for fluid resuscitation in ICU patients.
A retrospective cohort study published in Cardiology Research questions the need to transition heart failure patients to oral diuretics before discharge.
A randomized trial in the New England Journal compares therapeutic anticoagulation to standard prophylaxis in non-ICU patients with COVID-19.
A retrospective cohort study in the Journal of Hospital Medicine looks at timeliness of paracentesis performed by a hospitalist procedure service.
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.
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
A study in the Journal of Patient Experience shows no relationship between physician time at bedside and measures of patient experience.
A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation.
A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput.
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.
A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium.
A database review in the American Journal of Infection Control finds a large proportion of low-acuity admissions for complicated urinary tract infection.
A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction.
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/
The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19.
A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department.
A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.
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