Background: Spontaneous bacterial peritonitis (SBP) is a life-threatening infection in patients with cirrhosis. Depending on the clinical setting, the prevalence and mortality rates of SBP in cirrhosis range between 1.5-30% and 10-46%, respectively. The purpose of this study was to assess the yearly trend in SBP prevalence, length of stay and mortality among hospitalized cirrhosis [...]

Background: During the COVID-19 pandemic, studies have shown a possible association between dementia and adverse outcomes, with mortality rates reportedly as high as 2.4 times greater than compared to patients without dementia. Despite these preliminary findings, the relationship has not been conclusively established. Management of patients with dementia is complex, including a higher risk of [...]

Background: Healthcare provider burnout includes emotional exhaustion, depersonalization, and diminished sense of personal accomplishment. No recent study assesses burnout among academic hospital medicine (HM) physicians. A 2011 study of hospitalists at 20 academic medical centers noted burnout near 25%. Few studies assess burnout among Advanced Practice Providers (APPs) which include Physician Assistants and Nurse Practitioners, [...]

Background: Catheter-associated urinary tract infection (CAUTI) is a common and clinically important hospital-associated infection throughout the world. A few data from Japan exist regarding the prevalence and appropriateness of urinary catheters in hospitalized patients but no interventions have been proven to decrease unnecessary urinary catheter use in Japan. Our aim of this study is to [...]

Background: Obstructive sleep apnea (OSA) is defined as a sleep disorder marked by pauses in breathing of 10 seconds or more causing unrestful sleep and accompanied by loud or abnormal snoring, daytime sleepiness, irritability, and depression. According to the National Sleep Foundation, more than 18 million Americans have OSA, 80% of whom are undiagnosed. The [...]