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SIRS Criteria Could Identify More Patients with Severe Sepsis

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Does inclusion of two or more SIRS criteria in the definition of severe sepsis accurately identify patients with higher...

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News

Trimethoprim-Sulfamethoxazole Use in Older Patients Taking Spironolactone

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Does trimethoprim-sulfamethoxazole (TMP-SMX) increase the risk of sudden death in older patients taking spironolactone?...

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News

Medicare Nonpayment for Hospital-Acquired Conditions May Have Reduced Infection Rates

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: What was the effect of the Centers for Medicare and Medicaid Services’ (CMS) nonpayment for hospital-acquired conditions?...

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News

Peri-Operative Phlebotomy Might Cause Significant Blood Loss in Cardiac Surgery Patients

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: What are the frequency of laboratory testing, the average total blood volume drawn per patient, and the resulting transfusion...

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News

Clostridium Difficile Infection Rates in the U.S. in 2011

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: What are the incidence, recurrence rate, and mortality rate of Clostridium difficile infection (CDI) in the U.S.

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News

CT Angiography Effect on Outcome for Patients with Symptomatic Chest Pain

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Does CT angiography (CTA) improve clinical outcomes in patients with new-onset stable chest pain more than functional testing...

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News

Early Goal-Directed Therapy for Sepsis Offers No Benefit Over Usual Care

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Background: Recent trials (ARISE, ProCESS) showed EGDT provided no mortality benefit over usual care. Questions remain about the effectiveness of...

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News

NSAID Use by Patients on Antithrombotic Therapy Has Bleeding, Cardiovascular Risks

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Is there increased risk of bleeding or cardiovascular events when using NSAIDs while on antithrombotic therapy for secondary...

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News

Treatment of Patients with Atrial Fibrillation, Low CHA2DS2-VASc Scores

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Is anticoagulation beneficial for patients with atrial fibrillation (Afib) and low CHA2DS2-VASc score (0 for men, 1 for women)...

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News

Research Review: Ticagrelor for Post-Myocardial Infarction

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: Is ticagrelor for secondary prevention indicated for more than one year after myocardial infarction (MI)? Background: The...

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News

Antibiotic Regimens Compared for Treating Uncomplicated Skin Infections

Author:
William J. Collins, MD
Inpatient Specialty Program
Cedars-Sinai
Los Angeles

Clinical question: What are the efficacy and safety of clindamycin and trimethoprim-sulfamethoxazole (TMP-SMX) for treatment of uncomplicated...

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