Background: Patients admitted for nonsurgical management of small bowel obstruction (SBO) often receive intravenous (IV) opioids for pain relief. However, given the opioid crisis and the potential for opioids to hinder recovery and contribute to ileus, exploring alternative analgesics is crucial. This randomized controlled trial (RCT) evaluates the efficacy of IV acetaminophen for pain management [...]

Background: The selection of medical specialties by physicians may be shaped not only by their academic interests and aptitudes but also by socioeconomic factors within their families. However, research on the relationship between parental income and specialty choice among physicians remains limited. This study aimed to elucidate the socioeconomic backgrounds of parents across various medical [...]

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is an emerging public health concern intricately linked to metabolic syndrome and cardiovascular diseases. Among its complications, MASLD is associated with progressive liver fibrosis and an elevated risk of adverse cardiovascular outcomes, including coronary artery disease (CAD), congestive heart failure (CHF), and peripheral artery disease (PAD). Patients with [...]

Background: The Atlanta Medical Center (AMC) closure in fall 2022 resulted in diversion of its patients to Grady Memorial Hospital, Emory University Hospital-Midtown (EUHM), Emory Decatur Hospital, and Emory Hillandale Hospital. The impact on Emory has not been examined; this reflects a gap in the literature. There are many studies of negative impacts of rural [...]

Background: More frequently, clinicians encounter patients with mild-to-moderate COVID-19 (defined as patients whose oxygen saturation remains above 94% on room air)1 in the hospital setting.2 These patients may have acquired COVID-19 in the hospital or have tested positive for COVID-19 while presenting to the hospital for another condition.3 Many of these patients are high risk [...]

Background: Atrial Fibrillation (AF) associated with Chronic Kidney Disease (CKD) is a prevalent condition in the United States, significantly impacting global morbidity and mortality. Understanding temporal patterns in AF-related mortality among CKD patients is crucial for effective clinical and public health strategies. This study aimed to evaluate trends and regional disparities in AF-associated CKD mortality [...]

Background: Intrahepatic cholangiocarcinoma (IHCC) is the second most prevalent type of primary liver malignancy and has less than a 25% 5-year survival rate. Over the last two decades, the incidence of IHCC has been on the rise, however, the trends in mortality related to this form of malignancy are yet to be explored. Therefore, our [...]

Background: In the late 1990s, the hospitalist role emerged in the United States, and the effectiveness of hospitalists in improving healthcare quality and patient safety has been demonstrated. Due to a shortage of medical personnel for inpatients, Korean government initiated hospitalist programs starting in 2016. The patient care model focused on inpatients by surgical specialists [...]

Background: In-hospital cardiac arrest (IHCA) remains a leading cause of mortality in the United States, with an estimated 290,000 cases annually and survival to discharge rates ranging from 15% to 40% as of 2024. For those patients who achieve return of spontaneous circulation (ROSC), predicting their neurological outcome and survival in the intensive care unit [...]

Background: Onodera’s prognostic nutritional index (PNI) is useful in predicting prognosis of various diseases. In hospitalized patients, malnutrition is an important factor that affects the quality of life and morbidity. Here, we aimed to evaluate whether PNI is related with clinical outcomes in patients who admitted to hospitalist ward. Methods: This study included 3,993 patients [...]