Annals of internal medicine
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Randomized Controlled Trial Multicenter Study
Plasma exchange when myeloma presents as acute renal failure: a randomized, controlled trial.
Two small, randomized trials provide conflicting evidence about the benefits of plasma exchange for patients with acute renal failure at the onset of multiple myeloma. ⋯ In patients with acute renal failure at the onset of multiple myeloma, there is no conclusive evidence that 5 to 7 plasma exchanges substantially reduce a composite outcome of death, dialysis dependence, or glomerular filtration rate less than 0.29 mL.s(-2).m(-2) (<30 mL/min per 1.73 m2) at 6 months.
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Comparative Study
Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients.
Acutely ill older persons often experience adverse events when cared for in the acute care hospital. ⋯ The hospital-at-home care model is feasible, safe, and efficacious for certain older patients with selected acute medical illnesses who require acute hospital-level care.