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Journal of hospital medicine最新文献

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Data to decisions: Enhancing mortality predictions as a step toward precision medicine. 从数据到决策：提高死亡率预测，向精准医疗迈进一步。
Journal of hospital medicine Pub Date : 2025-04-08 DOI: 10.1002/jhm.70038
Michael Osnard, Gregory W Ruhnke
{"title":"Data to decisions: Enhancing mortality predictions as a step toward precision medicine.","authors":"Michael Osnard, Gregory W Ruhnke","doi":"10.1002/jhm.70038","DOIUrl":"https://doi.org/10.1002/jhm.70038","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in hospital encounters for child physical abuse through the COVID-19 pandemic. 2019冠状病毒病大流行期间医院遭遇儿童身体虐待的趋势
Journal of hospital medicine Pub Date : 2025-04-08 DOI: 10.1002/jhm.70056
Henry T Puls, Jay G Berry, Matthew Hall
{"title":"Trends in hospital encounters for child physical abuse through the COVID-19 pandemic.","authors":"Henry T Puls, Jay G Berry, Matthew Hall","doi":"10.1002/jhm.70056","DOIUrl":"https://doi.org/10.1002/jhm.70056","url":null,"abstract":"<p><p>Child physical abuse did not increase early in the coronavirus disease 2019 (COVID-19) pandemic as anticipated. However, abuse epidemiology has not been evaluated during later periods of the pandemic. This study's objective was to compare the volume of hospital encounters (i.e., emergency department visits and hospitalizations) for abuse and injuries concerning for abuse at 42 US children's hospitals across three pandemic periods compared with prepandemic, during January 1, 2018 through June 30, 2023. Median monthly volumes of encounters as well as child- and encounter-level characteristics for each pandemic period were compared with pre-pandemic. Hospital encounters for abuse and injuries concerning for abuse remained relatively unchanged throughout the pandemic, including during the late-pandemic period when many pandemic-related economic and relief policies had been discontinued. Hispanic children, however, accounted for an increasing proportion of cases throughout the pandemic, indicating potential emerging demographic changes in child abuse epidemiology.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Myriad erythematous skin lesions, paresthesia, and anterior uveitis in a 34-year-old man. 一例34岁男性的皮肤红斑、感觉异常和前葡萄膜炎。
Journal of hospital medicine Pub Date : 2025-04-07 DOI: 10.1002/jhm.70044
Natasha Barton, Kathryn Mulvaney, Elizabeth Stein, Kelsey Baab, Andrés Henao-Martínez, Joshua Wissell, Sabrina Newman
{"title":"Myriad erythematous skin lesions, paresthesia, and anterior uveitis in a 34-year-old man.","authors":"Natasha Barton, Kathryn Mulvaney, Elizabeth Stein, Kelsey Baab, Andrés Henao-Martínez, Joshua Wissell, Sabrina Newman","doi":"10.1002/jhm.70044","DOIUrl":"https://doi.org/10.1002/jhm.70044","url":null,"abstract":"<p><p>A 34-year-old man recently immigrated from Guam to Colorado presented with a 3-year history of skin lesions and months of worsening eye irritation and vision loss. Examination revealed leonine facies, tender erythematous nodules, corneal neovascularization, and granulomatous anterior uveitis. Diagnosed with multibacillary leprosy complicated by erythema nodosum leprosum, he responded well to multidrug therapy and immunosuppressive treatment, with significant improvement in systemic symptoms, ocular inflammation, and skin lesions at follow-up.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical guideline highlights for the hospitalist: Acute respiratory distress syndrome update. 临床指南对医院医生的重点：急性呼吸窘迫综合征更新。
Journal of hospital medicine Pub Date : 2025-04-07 DOI: 10.1002/jhm.70040
Divyajot Sadana, Shewit Giovanni, Heather Torbic, Abhijit Duggal
{"title":"Clinical guideline highlights for the hospitalist: Acute respiratory distress syndrome update.","authors":"Divyajot Sadana, Shewit Giovanni, Heather Torbic, Abhijit Duggal","doi":"10.1002/jhm.70040","DOIUrl":"https://doi.org/10.1002/jhm.70040","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Searching for the right balance: Leveraging the EHR to define hospitalist workload and optimize hospital throughput. 寻找适当的平衡：利用电子病历来定义医院医生的工作量并优化医院吞吐量。
Journal of hospital medicine Pub Date : 2025-04-06 DOI: 10.1002/jhm.70055
Ali Yazdanyar, Priya A Prasad
{"title":"Searching for the right balance: Leveraging the EHR to define hospitalist workload and optimize hospital throughput.","authors":"Ali Yazdanyar, Priya A Prasad","doi":"10.1002/jhm.70055","DOIUrl":"https://doi.org/10.1002/jhm.70055","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transition to oral beta-lactam therapy in uncomplicated gram-negative bacteremia: A systematic review and meta-analysis. 过渡到口服β -内酰胺治疗无并发症革兰氏阴性菌血症：系统回顾和荟萃分析。
Journal of hospital medicine Pub Date : 2025-04-04 DOI: 10.1002/jhm.70041
Michael Dore, Ryan Duffy, Laura Caputo, Lily Huang, Salvatore Sidoti, Sarah Cantrell, Blair Glasgo, Christa Kerbow
{"title":"Transition to oral beta-lactam therapy in uncomplicated gram-negative bacteremia: A systematic review and meta-analysis.","authors":"Michael Dore, Ryan Duffy, Laura Caputo, Lily Huang, Salvatore Sidoti, Sarah Cantrell, Blair Glasgo, Christa Kerbow","doi":"10.1002/jhm.70041","DOIUrl":"https://doi.org/10.1002/jhm.70041","url":null,"abstract":"<p><strong>Introduction: </strong>Gram-negative bacteremia (GNB) is associated with significant morbidity and mortality. Transition to oral therapy has traditionally utilized fluoroquinolones or trimethoprim-sulfamethoxazole rather than beta-lactams due to concerns about pharmacokinetics and bioavailability despite a dearth of clinical data. The purpose of this meta-analysis is to evaluate the clinical efficacy of transition to oral beta-lactam therapy in uncomplicated GNB.</p><p><strong>Methods: </strong>We performed a meta-analysis of published articles in MEDLINE, Embase, and Web of Science databases from inception to September 2024. Inclusion criteria included any study with adults (age >18 years of age) with uncomplicated GNB from any source. Primary outcomes included 30-day all-cause mortality and 30-day antibiotic failure rate.</p><p><strong>Results: </strong>Eight retrospective cohort studies were reviewed comprising 7500 patients. Twice as many patients were in the fluoroquinolones/trimethoprim-sulfamethoxazole group compared with the beta-lactams group (4998 vs. 2482). Patients in each group had similar average age (70 vs. 71), percent male (54% vs. 56%), percent urinary source (78% vs. 80%), duration of IV antibiotics (4.2 vs. 4.5), Pitt bacteremia score (1.1 vs. 1.4) and Charleston comorbid index (2 vs. 2). There was no statistically significant difference in the 30-day all-cause mortality rate between the fluoroquinolones/trimethoprim-sulfamethoxazole and the beta-lactams group: 2.06% versus 1.89% with a weighted relative risk ratio of 1.24 (95% confidence interval [CI]: 0.86-1.77) or the 30-day antibiotic failure rate: 2.08% vs. 3.42%, weighted relative risk ratio of 1.29 (95% CI: 0.97-1.71).</p><p><strong>Conclusions: </strong>There is no statistically significant difference in 30-day mortality or antibiotic failure rates between BL and FQ/TMP-SMX as transition to oral therapy in treating uncomplicated GNB.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Things We Do for No Reason™: Arterial blood gas testing to screen for hypercarbic respiratory failure. 我们做的事情没有理由™：动脉血气测试筛选高碳呼吸衰竭。
Journal of hospital medicine Pub Date : 2025-04-04 DOI: 10.1002/jhm.70039
Mary E Lacy, Lisa Saa, Zachary Bruss, Leonard Noronha
{"title":"Things We Do for No Reason™: Arterial blood gas testing to screen for hypercarbic respiratory failure.","authors":"Mary E Lacy, Lisa Saa, Zachary Bruss, Leonard Noronha","doi":"10.1002/jhm.70039","DOIUrl":"https://doi.org/10.1002/jhm.70039","url":null,"abstract":"<p><p>Venous blood gases (VBGs) are safe and effective at screening for hypercarbic respiratory failure. Multiple studies have validated that a VBG with a PvCO<sub>2</sub> less than 45 reliably rules out hypercarbia. The use of VBGs for the initial screening of hypercarbia when hypercarbic respiratory failure is suspected can reduce the overall use of arterial blood gases which are more painful and take more time and expertise to perform.</p>","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The future of Pediatric Hospital Medicine fellowships: Balancing fellows' expectations with employment realities. 儿科医院医学奖学金的未来：平衡研究员的期望与就业现实。
Journal of hospital medicine Pub Date : 2025-04-02 DOI: 10.1002/jhm.70046
Rachita Gupta, Jennifer Baird
{"title":"The future of Pediatric Hospital Medicine fellowships: Balancing fellows' expectations with employment realities.","authors":"Rachita Gupta, Jennifer Baird","doi":"10.1002/jhm.70046","DOIUrl":"https://doi.org/10.1002/jhm.70046","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BELIEVE in psychological safety: The Richmond way. 相信心理安全：里士满方式。
Journal of hospital medicine Pub Date : 2025-04-01 DOI: 10.1002/jhm.70048
Sanjay A Patel, Laura Paletta-Hobbs
{"title":"BELIEVE in psychological safety: The Richmond way.","authors":"Sanjay A Patel, Laura Paletta-Hobbs","doi":"10.1002/jhm.70048","DOIUrl":"https://doi.org/10.1002/jhm.70048","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143766224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The loneliness of overnight delirium. 一夜谵妄的孤独。
Journal of hospital medicine Pub Date : 2025-03-30 DOI: 10.1002/jhm.70043
Joseph S Thomas
{"title":"The loneliness of overnight delirium.","authors":"Joseph S Thomas","doi":"10.1002/jhm.70043","DOIUrl":"https://doi.org/10.1002/jhm.70043","url":null,"abstract":"","PeriodicalId":94084,"journal":{"name":"Journal of hospital medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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