Update in Hospital Medicine: Evidence Published in 2016
Authors: Eduard E. Vasilevskis
Journal: Annals of Internal Medicine (2017)

Updates4 April 2017Update in Hospital Medicine: Evidence Published in 2016Eduard E. Vasilevskis, MD, MPHEduard E. Vasilevskis, MD, MPHFrom Vanderbilt University School of Medicine and Geriatric Research Education and Clinical Center (GRECC), Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0132 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail This Update highlights research published in 2016 that focused on clinical and policy innovations in hospital medicine. Some of the selected articles reflect the increasing importance of geriatric care in hospital medicine, with research on geriatric syndromes (delirium, functional impairment, and polypharmacy) that can adversely affect patient outcomes. Others address common conditions leading to hospital admission in the United States (1); these include sepsis, pulmonary embolism in syncope, pneumonia, urinary tract infection, nonvalvular atrial fibrillation, and cellulitis. Finally, because hospitalists practice in a rapidly changing policy environment, evolving policy areas reflected in this Update include pay-for-performance and the promotion of ...References1. Pfunter A, Wier LM, Stocks C. Most frequent conditions in U.S. hospitals, 2011. HCUP Statistical Brief #162. Rockville: Agency for Healthcare Research and Quality; September 2013. Accessed at www.hcup-us.ahrq.gov/reports/statbriefs/sb162.pdf on 6 February 2017. Google Scholar2. Mudge AM, McRae P, McHugh K, Griffin L, Hitchen A, Walker J, et al. Poor mobility in hospitalized adults of all ages. J Hosp Med. 2016;11:289-91. [PMID: 26797978] doi:10.1002/jhm.2536 CrossrefMedlineGoogle Scholar3. Zisberg A, Shadmi E, Gur-Yaish N, Tonkikh O, Sinoff G. 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[PMID: 26910198] doi:10.1056/NEJMsa1513024 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Vanderbilt University School of Medicine and Geriatric Research Education and Clinical Center (GRECC), Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, Tennessee.Disclaimer: The content of this article is solely the responsibility of the author and does not necessarily represent the official views of the National Institutes of Health or the U.S. Department of Veterans Affairs.Disclosures: Dr. Vasilevskis reports grants from the National Institute on Aging, National Institutes of Health, during the conduct of the study. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0132.Financial Support: Dr. Vasilevskis is supported by the National Institutes of Health (award R01 AG053264) and GRECC, Department of Veterans Affairs, Tennessee Valley Healthcare System.Corresponding Author: Eduard E. Vasilevskis, MD, MPH, Center for Health Services Research, Vanderbilt University Medical Center, 1215 21st Avenue South, 6006 Medical Center East, North Tower, Nashville, TN 37232-8300; e-mail, eduard.[email protected]edu.Author Contributions: Conception and design: E.E. Vasilevskis.Analysis and interpretation of the data: E.E. Vasilevskis.Drafting of the article: E.E. Vasilevskis.Critical revision of the article for important intellectual content: E.E. Vasilevskis.Final approval of the article: E.E. Vasilevskis.Statistical expertise: E.E. Vasilevskis.Administrative, technical, or logistic support: E.E. Vasilevskis.Collection and assembly of data: E.E. Vasilevskis.This article was published at Annals.org on 30 March 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 4 April 2017Volume 166, Issue 7Page: W33-W39KeywordsAntibioticsCellulitisDeliriumHospitalizationsPneumoniaPulmonary embolismQuick sequential organ failure assessmentSafetySepsisSyncope ePublished: 30 March 2017 Issue Published: 4 April 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...