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Characteristics Associated with Hospitalization Among Patients with COVID-19 — Metropolitan Atlanta, Georgia, March–April 2020
https://WWW.CDC.GOV/mmwr/volumes/69/wr/mm6925e1.htm?s_cid=mm6925e1_w

Jan 1st, 2020 - This report describes data findings for hospitalized and nonhospitalized COVID-19 patients from six metropolitan Atlanta, Georgia, hospitals and associated outpatient clinics.

Notes from the Field: Candida auris and Carbapenemase-Producing Organism Prevalence in a Pediatric Hospital Providing Long-Term Transitional Care — Chicago, Illinois, 2019
https://WWW.CDC.GOV/mmwr/volumes/69/wr/mm6934a5.htm?s_cid=mm6934a5_w

Jan 1st, 2020 - This report describes the prevalence of the emerging fungal pathogen Candida auris in a Chicago pediatric hospital that provides long-term care.

QuickStats: Percentage of Deaths, by Place of Death — National Vital Statistics System, United States, 2000–2018
https://WWW.CDC.GOV/mmwr/volumes/69/wr/mm6919a4.htm?s_cid=mm6919a4_w

Jan 1st, 2020 - The percentage of deaths from all causes that occurred in a hospital decreased from 48.0% in 2000 to 35.1% in 2018.

Characteristics Associated with Hospitalization Among Patients with COVID-19 — Metropolitan Atlanta, Georgia, March–April 2020
https://www.cdc.gov/mmwr/volumes/69/wr/mm6925e1.htm?s_cid=mm6925e1_x

Jan 1st, 2020 - This report describes data findings for hospitalized and nonhospitalized COVID-19 patients from six metropolitan Atlanta, Georgia, hospitals and associated outpatient clinics.

Characteristics Associated with Hospitalization Among Patients with COVID-19 — Metropolitan Atlanta, Georgia, March–April 2020
https://www.cdc.gov/mmwr/volumes/69/wr/mm6925e1.htm?s_cid=mm6925e1_w

Jan 1st, 2020 - This report describes data findings for hospitalized and nonhospitalized COVID-19 patients from six metropolitan Atlanta, Georgia, hospitals and associated outpatient clinics.

Notes from the Field: Candida auris and Carbapenemase-Producing Organism Prevalence in a Pediatric Hospital Providing Long-Term Transitional Care — Chicago, Illinois, 2019
https://www.cdc.gov/mmwr/volumes/69/wr/mm6934a5.htm?s_cid=mm6934a5_w

Jan 1st, 2020 - This report describes the prevalence of the emerging fungal pathogen Candida auris in a Chicago pediatric hospital that provides long-term care.

QuickStats: Percentage of Deaths, by Place of Death — National Vital Statistics System, United States, 2000–2018
https://www.cdc.gov/mmwr/volumes/69/wr/mm6919a4.htm?s_cid=mm6919a4_w

Jan 1st, 2020 - The percentage of deaths from all causes that occurred in a hospital decreased from 48.0% in 2000 to 35.1% in 2018.

Readmissions after hospital care for meningitis in the United States.
https://doi.org/10.1016/j.ajic.2019.10.025
American Journal of Infection Control; Ellis DE, Zaoutis T et. al.

Dec 22nd, 2019 - Our objectives were to (1) characterize patient and clinical characteristics of adults hospitalized with meningitis; (2) describe meningitis hospitalization outcomes, including 30- and 90-day readmissions; and (3) determine whether clinical, patient, or index hospitalization characteristics are associated with readmission and readmission outcomes. This retrospective study of the 2014 National R...

BP Control More Important in ICH Patients on Antithrombotics
https://emedicine.medscape.com/viewarticle/825206

NICE, France — Latest results from a combined analysis of the INTERACT (Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial) 1 and 2 studies in patients with intracerebral hemorrhage (ICH) show that early intensive blood pressure lowering results in a reduced absolute growth of hematoma, and this effect was greater in patients who had previously received antithrombotics. "Earl...

Too Much Exercise: Studies Report J-Shaped Link Between Exercise and CVD Risks
https://emedicine.medscape.com/viewarticle/825266

HEIDELBERG, GERMANY and STOCKHOLM, SWEDEN — Two new studies published this week lend credence to the idea that when it comes to exercise, there apparently can be too much of a good thing. In the first study, led by Dr Nikola Drca (Karolinska University Hospital, Stockholm, Sweden) and published online May 14, 2014 in Heart, investigators report that men who exercised for more than five hours pe...

Tissue More Important Than Time for tPA Treatment in Stroke?
https://emedicine.medscape.com/viewarticle/825271

NICE, France — Treating patients with thrombolysis should not be based purely on time, and a stronger predictor of who will benefit most is the amount of dead tissue in the brain as visible on contrast computed tomography (CT), a new registry study suggests. The study was presented at the XXIII European Stroke Conference (ESC) by Andrew Bivard, PhD, imaging scientist at Newcastle University, Jo...

'Worsening HF' Poorly Understood, Predicts Death in Acute HF
https://emedicine.medscape.com/viewarticle/825329

ATHENS, GREECE — Although avoiding "worsening heart failure" (WHF) is fundamental to treating patients hospitalized with acute heart failure, and clinicians may feel confident they will recognize it, it isn't always defined the same way and remains poorly understood. A pooled analysis of some recent trials of novel drug therapies for acute HF that defined the end point in much the same way, wit...

Third US MERS Case Started With Business Meeting
https://emedicine.medscape.com/viewarticle/825371

The Centers for Disease Control and Prevention (CDC), on May 17, announced the first instance of apparent human-to-human transmission of the dangerous Middle East Respiratory Syndrome coronavirus (MERS-CoV) on US soil. An Illinois man recently tested positive for antibodies against the virus after 2 business meetings in late April with a man who was later hospitalized for MERS in Indiana. The I...

Don't Sue Me! Avoiding Malpractice Pitfalls in Hospital Medicine
https://emedicine.medscape.com/viewarticle/825372

Editor's Note: Franklin Michota, Jr., MD, a hospital medicine physician at the Cleveland Clinic, Cleveland, Ohio, recently spoke about malpractice at Hospital Medicine 2014 in Las Vegas. In his opening remarks, Dr. Michota, who serves as an expert witness in medical liability cases, said that the goal of his discussion was to describe the litigation process, define the standard of care, review ...

The Safety of Treating IBD During Pregnancy
https://emedicine.medscape.com/viewarticle/825385

Fertility Treatment in Inflammatory Bowel Disease Many women with inflammatory bowel disease (IBD) are of childbearing age, and reproductive concerns are paramount. At this year's Digestive Disease Week, presentations on fertility and pregnancy in women with IBD provided answers to questions about the ability of women with IBD to undergo successful fertility treatment and the safety of continui...

Atrial-Fibrillation Hospitalizations, Costs, Soar as Mortality Dips
https://emedicine.medscape.com/viewarticle/825389

NEW YORK, NY — Hospitalizations for atrial fibrillation (AF) rose 23% in the US over an 11-year period, with the largest increases seen in people 65 and older, a new study has found[1]. Encouragingly, mortality for an AF admission declined between 2000 and 2010, while costs were up by almost 25%. "The rise in AF admission is likely due to aging of the general population and increasing prevalenc...

Sepsis a Factor in Many Hospital Deaths, Investigators Say
https://emedicine.medscape.com/viewarticle/825545

Sepsis figures in 1 of every 2 to 3 hospital deaths, according to findings from a study of more than 7 million adult hospitalizations across the United States. More than half of the deaths from sepsis occurred in people who initially appeared less seriously ill, Vincent Liu, MD, and colleagues report in a research letter published online May 18 issue in JAMA and presented at the American Thorac...

Oral Health in the ICU: 'Something to Smile About'
https://emedicine.medscape.com/viewarticle/825553

DENVER — Attention to oral health in critically ill patients in the intensive care unit (ICU) is important for a variety of reasons, but it's not always top of mind. Oral health can be a "neglected issue in critically ill adults," said nurse scientist Cindy Munro, RN, PhD, associate dean for research and innovation and professor at the College of Nursing at the University of South Florida in Ta...

Gene Test for Prostate Cancer Validated: Triumph or Worry?
https://emedicine.medscape.com/viewarticle/825578

ORLANDO, Florida — A commercially available prostate cancer test (Prolaris, Myriad Genetics) has been "validated" in its ability to predict disease-specific death in the largest study of its kind, according to a presentation here at the American Urological Association (AUA) 2014 Annual Scientific Meeting. The 46-gene test is marketed as a molecular prognostic tool that assesses the aggressivene...

What to Watch in Lymphoma, Leukemia
https://emedicine.medscape.com/viewarticle/825603

Time to Move Brentuximab Up Front? Welcome back to Medscape Hematology. This is Bruce Cheson, from Georgetown University Hospital, The Lombardi Comprehensive Cancer Center, in Washington, DC. It is almost time for the American Society of Clinical Oncology (ASCO®) meeting in Chicago. I am just going to discuss a few of the highlights of the leukemia and lymphoma sessions and try to stimulate you...