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 [...]

Background: The hospitalist system in Korea was introduced to address gaps in inpatient care and enhance safety. Despite increasing demand, research on the impact of hospitalists’ years of experience on care quality remains limited. Methods: A retrospective cohort study was conducted in multiple tertiary centers with inpatient internal medicine hospitalist wards. Hospitalists who began working [...]

Background: In the United States (US), obesity is associated with a high burden of morbidity and mortality, and its prevalence is increasing. A higher prevalence of obesity disproportionately impacts rural (vs. urban) areas and the Midwest and South (vs. West and Northeast) regions (1-2). In addition, obesity is linked with greater healthcare costs compared to [...]

Background: There are approximately 500,000 episodes of alcohol withdrawal that require pharmacologic treatment yearly. Lorazepam is commonly used due to its high therapeutic to-toxic effect index and its status as historically being the usual treatment. Phenobarbital is another common drug used to treat alcohol withdrawal. Patients with heavy alcohol use may become resistant to some [...]