Update in hospital medicine: studies likely to affect inpatient practice in 2011

Cleve Clin J Med. 2011 Jul;78(7):430-4. doi: 10.3949/ccjm.78gr.11002.

Abstract

Dabigatran (Pradaxa) will likely start to replace warfarin (Coumadin) both to prevent stroke in patients with atrial fibrillation and to prevent recurrent venous thromboembolism. Using a checklist during insertion of central venous catheters can decrease the rate of catheter-related bloodstream infections in the intensive care unit. The overall survival rate of patients who undergo cardiopulmonary resuscitation in the intensive care unit is approximately 16%; the rate is lower in patients who are receiving pressor drugs and higher in those with ventricular tachycardia or ventricular fibrillation. Patients lacking follow-up with a primary care physician within 30 days of discharge are at high risk of readmission and have a trend for longer length of hospital stay. Preoperative stress testing for patients undergoing noncardiac surgery should be done selectively, i.e., in patients at high risk.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Catheter-Related Infections / prevention & control
  • Catheterization, Central Venous / adverse effects
  • Checklist
  • Continuity of Patient Care
  • Florida
  • Gastric Bypass
  • Hospitals / statistics & numerical data*
  • Hospitals / trends
  • Humans
  • Hypotension
  • Inpatients / statistics & numerical data*
  • Male
  • Middle Aged
  • Practice Patterns, Physicians'*
  • Tachycardia, Ventricular
  • Ventricular Fibrillation