UCLA Hospitalists

Correspondence in @Lancet regarding prospective cohort trial in London involving 200 front-line healthcare workers at height of #COVID19 pandemic. 44% were positive at any point, and data suggested 13% became infected during the 1-month observation... thelancet.com/journals/lance…

Review in @CritCareMed examines data regarding boarding of #criticalcare #ICU level patients in the ER. In short: it is common, and it leads to worse outcomes. Especially pertinent with current stress to medical system from #COVID19... journals.lww.com/ccmjournal/Ful…

Interesting study in the Journal of the @American_Heart noted that need for outpatient diuretic intensification in #heartfailure pts was associated with almost 2-fold increase in 1-year mortality... ahajournals.org/doi/full/10.11… #CHF @AmericanHeartLA

Fuller detail report from the RECOVERY trial in @NEJM. For hospitalized #COVID19 pts with any oxygen requirement, dexamethasone lowered 28-day mortality... nejm.org/doi/full/10.10… #COVID #RECOVERYtrial

Expert input from @UCLAHealth @rgbMDPhD included in this @washingtonpost feature...

.@UCLAHealth @UCLAsurgery provide this @JAMA clinical challenge involving an appendiceal mass with abdominal pain... jamanetwork.com/journals/jama/…

Study in @TheLancet out of England showed a 40% reduction in #acutecoronarysyndrome admissions at the height of the #coronavirus #pandemic. We've anecdotally noted similar trends in US. What will long term consequences be?... thelancet.com/journals/lance… #COVID19

A helpful (very) recent comprehensive review from @JAMA discussing all things #COVID19. Full article is free here... jamanetwork.com/journals/jama/… #COVID__19 #coronavirus #SARSCoV2

New RCT in @NEJM compares combo ticagrelor + aspirin to aspirin alone in #stroke and TIA patients. Combo somewhat lowered composite risk of death + stroke, didn't affect disability... nejm.org/doi/full/10.10…

Trends in clinical features of novel coronavirus disease (COVID-19): A systematic review and meta-analysis of studies published from December 2019 to February 2020: Manabe T, et al. Respir Investig 2020. ABSTRACTBACKGROUND: Since novel coronavirus… dlvr.it/RblZSh FOAMed

Large @CritCareMed cohort study on hypotensive #ICU admissions showed that full physiologic volume assessment was done on under 40% of pts, and was associated with more vasopressor use but not more IV fluid administration... journals.lww.com/ccmjournal/Abs… #sepsis #criticalcare

Meta-analysis in @JAMANeuro suggests #delirium may be an independent risk factor for long term cognitive decline and/or #dementia... jamanetwork.com/journals/jaman…

Research letter in @JAMA_current out of MGH + BWH shows that universal masking policy among healthcare workers was associated with significantly reduction in #COVID19 positivity... jamanetwork.com/journals/jama/… #WearAMask

Hi all, sorry for the huge delay between posts. We're still here, but things have been a bit busy... Hoping to get back to speed in the new academic year. Keep following for useful clinical info, data, etc. And please wear those masks!

Despite guideline recs against pre-op testing before low risk procedure, study estimates $45 million annually spent on pre-op testing before cataract surgery... jamanetwork.com/journals/jamao… #healthcosts

Review from @JAMAInternalMed compares coronary CTA to functional stress testing. CT offers less MI and more detection of #coronaryarterydisease at expense of more downstream testing... jamanetwork.com/journals/jamai…

UCLA represent #sgimca18 #buildingcommunity

Delay in calling for rapid response team associated with increased #mortality and longer length of stay... jccjournal.org/article/S0883-…

Med list review protocol for #SNF pts results in simplified med lists, no change in outcomes #polypharmacy... annals.org/aim/article/26…

MONA? Maybe not. Study from @NEJM suggests no #mortality benefit from supplemental oxygen in suspected MI... nejm.org/doi/full/10.10…