News

Use of point-of-care ultrasound (POCUS) for heart failure
- Author:
- Faye Farber, MD
- Yasmin Marcantonio, MD
- Neil Stafford, MD
- Shree Menon, MD
- Megan Brooks, MD, MPH, FHM
- Adam Wachter, MD
- Poonam Sharma, MD, SFHM
Hospitalist use of POCUS may include guiding procedures, aiding in diagnosis, and assessing effectiveness of treatment.
News

Aspirin and warfarin together leads to increased bleeding without reducing thrombotic events
- Author:
- Adam Wachter, MD
In patients taking warfarin for atrial fibrillation (AFib) or venous thromboembolism (VTE), how often is aspirin used without a clear indication,...
News

Anticoagulant therapy for AFib in patients with end-stage renal disease
- Author:
- Faye Farber, MD
- Neil Stafford, MD
- Suchita Shah Sata, MD
- Rami Abdo, MD
- Megan Brooks, MD
- Shree Menon, DO
- Adam Wachter, MD
- Poonam Sharma Md, SFHM
Apixaban may be safer than warfarin for patients who have ESRD and who plan for anticoagulation because of AFib.
Opinion

Does supplemental oxygen help COPD patients who have chronic stable moderate hypoxia?
- Author:
- Poonam Sharma, MD, FHM
- Suchita Shah Sata, MD
- Adam Wachter, MD
- And Faye Farber, MD
Oxygen therapy for some COPD patients would not affect overall quality of life, including functional status and mood.
News

Text paging practices need improvement, standardization
- Author:
- Adam Wachter, MD
Text paging practices need improvement, standardization Clinical question: What is the content and structure of patient care–related text paging...
News

Metformin Continues to Be First-Line Therapy for Type 2 Diabetes
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: Which medications are most safe and effective at managing type 2 diabetes? Background: Patients and practitioners need an...
News

Reevaluating Cardiovascular Risk after TIA
- Author:
- Parna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: What is the prognosis of patients who have a TIA or minor stroke? Background: Prior studies had estimated the risk in the...
News

Single Dose of Dexamethasone Not an Alternative to ‘Steroid Burst’ for Acute Asthma Treatment
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: Is one dose of dexamethasone comparable to five days of prednisone for treating mild-to-moderate asthma exacerbations?...
News

Interhospital Transfer Handoff Practice Variance at U.S. Tertiary Care Centers
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: How do interhospital handoff practices differ among U.S. tertiary care centers, and what challenges and innovations have...
News

Oral Steroids as Good as NSAIDs for Acute Gout
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: Are oral steroids as effective as NSAIDs in treating acute gout? Background: Two small trials have suggested that oral...
News

Better Reporting Needed to Accurately Estimate Medical Error as Cause of Death in U.S.
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: What is the contribution of hospital-based medical errors to national mortality in the U.S. compared to other causes listed by...
News

Hospital Admission, Stroke Clinic Follow-up Improve Outcomes for Patients with Transient Ischemic Attack, Minor Ischemic Stroke
- Author:
- Aparna S. Kamath, MD, MS
- Faye Farber, MD
- Adam Wachter, MD
- Jon Lovins, MD
- Suchita Shah Sata, MD
- Neil Stafford, MD
- Snehal Patel, MD
- Megan Brooks, MD, MPH
- Lalit Verma, MD
- Poonam Sharma, MD
- Duke University
- Duke Regional
Clinical question: How do guideline-based care and outcomes of patients with transient ischemic attack (TIA) and minor ischemic stroke differ...
News
Left Atrial Appendage Closure Noninferior to Warfain for Cardioembolic Event Prophylaxis in Nonvalvular Afibrillation
- Author:
- Poonam Sharma, MD
- Adam Wachter, MD
- David Ming, MD
- Lisa Cohen, MD
- Noppon Setji, MD
Clinical question: Is mechanical, left atrial appendage (LAA) closure as effective as warfarin therapy in preventing cardioembolic events in...
News
Tramadol Associated with Increased Rate of Hypoglycemia
- Author:
- Poonam Sharma, MD
- Adam Wachter, MD
- David Ming, MD
- Lisa Cohen, MD
- Noppon Setji, MD
Clinical question: Does tramadol increase rates of hospitalization from hypoglycemia compared to other opioids? Background: As tramadol use has...
News
Longer Surgeries Associated with Increased VTE Risk
- Author:
- Poonam Sharma, MD
- Adam Wachter, MD
- David Ming, MD
- Lisa Cohen, MD
- Noppon Setji, MD
Clinical question: Does duration of surgical procedure influence venous thromboembolism (VTE) risk? Background: The relationship between surgical...