Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Ward patients who experience unplanned transfer to intensive care units have excess morbidity and mortality. ⋯ EMR-based detection of impending deterioration outside the ICU is feasible in integrated healthcare delivery systems.
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Randomized Controlled Trial Multicenter Study
Subcutaneous methylnaltrexone for treatment of acute opioid-induced constipation: phase 2 study in rehabilitation after orthopedic surgery.
Methylnaltrexone has been shown to be effective for treating opioid-induced constipation (OIC) in chronic settings, but its effects on acute OIC have not been studied. ⋯ Methylnaltrexone was generally well tolerated and was active in inducing laxation in this study of patients experiencing acute OIC following orthopedic surgery.
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Multicenter Study Comparative Study
Patient satisfaction with hospital care provided by hospitalists and primary care physicians.
Compared to hospital care provided by primary care physicians (PCPs), the hospitalist model provides equal-to-superior efficiency and outcomes; however, little is known about how the model affects patient satisfaction. ⋯ Patients appear similarly satisfied with inpatient care provided by several hospitalist models and by primary care physicians.
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Randomized Controlled Trial Multicenter Study
Treating alcohol withdrawal with oral baclofen: a randomized, double-blind, placebo-controlled trial.
Abrupt cessation of alcohol intake causes habituated drinkers to experience symptoms of alcohol withdrawal syndrome (AWS). ⋯ We found that the use of baclofen was associated with a significant reduction in the use of high doses of benzodiazepine (lorazepam) in the management of symptomatic AWS. The use of low-dose baclofen in the management of AWS deserves further study, as reduced dependence on high-dose benzodiazepines in AWS management could improve patient safety.
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Multicenter Study Comparative Study
Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: a feasibility trial.
Bystander cardiopulmonary resuscitation (CPR) is a crucial therapy for sudden cardiac arrest (SCA), yet rates of bystander CPR are low. This is especially the case for SCA occurring in the home setting, as family members of at-risk patients are often not CPR trained. ⋯ The hospital setting offers a unique "point of capture" to provide CPR instruction to an important, undertrained population in contact with at-risk individuals.