Background: Provider continuity can improve many aspects of an inpatient stay however, there is a lack of data on whether it could affect mechanical ventilation weaning. During the COVID-19 pandemic, many patients required tracheostomies and mechanical ventilation. This study evaluated whether provider continuity could increase mechanical ventilation weaning outcomes in the inpatient setting. Methods: Data [...]

Background: The integration of Point of Care Ultrasound (POCUS) in hospital medicine, particularly for inferior vena cava (IVC) assessment, promises significant advancements in patient care. This study investigates the efficacy of POCUS with IVC evaluation in guiding fluid management decisions upon admission, a crucial aspect of hospitalist care. Methods: Conducted from January 1, 2021, to [...]

Background: Tumor necrosis factor-α (TNF-α) plays a role in the pathogenesis of and serves as a biomarker for obstructive sleep apnea (OSA) [1]. Moreover, patients with juvenile idiopathic arthritis (JIA) had a numerically elevated risk of OSA [2-4]. Given TNF-α inhibitors have been widely used to treat JIA, the aim of the present study was [...]

Background: Best practice alerts (BPAs) and computerized provider order entry (CPOE) are electronic health record (EHR) tools used to promote evidence-based practice and adherence to clinical practice guidelines. Many institutions have implemented and published on the use of red blood cell transfusion (RBC) BPA/CPOEs to promote evidence-based practice since transfusion is the most common inpatient [...]

Background: Kidney dysfunction is a risk factor for several health problems, such as ischemic heart disease, stroke, peripheral artery disease, chronic kidney disease, and gout. This study aims to analyze the global disease burden caused by kidney dysfunction at the national, regional, and territorial levels. Methods: As part of our ecological investigation, we used the [...]

Background: Pneumocystis pneumonia (PCP) is a life-threatening opportunistic infection that leads to severe pneumonia in immunocompromised hosts. This results in respiratory failure and hypoxemia. Its reported survival rate ranges from 20% to 50%. Despite its seriousness, there is limited research on the occurrence of PCP in children, likely due to its infrequency. Current national data [...]

Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Background: With the transition to diagnosis related group (DRG)-based hospital reimbursement, length of stay has become a significant financial driver of every health system and hospital medicine group. To understand how one health system compares to national peers, length-of-stay index (LOSi) has become the standard method of reporting. LOSi is defined as the ratio of [...]

Background: Increasing numbers of young adults are hospitalized in nonpsychiatric facilities for acute mental health crisis, such as suicide ideation (SI) or attempt (SA). We sought to evaluate differences in care quality and outcomes when these patients are admitted to the medical units of adult versus pediatric hospitals. Methods: We retrospectively collected demographic and clinical [...]

Background: Anemia increases morbidity & mortality in all patients but mild and moderate anemia’s association with health care utilization over medium to short term is not well studied. Further research is needed to investigate how changes in hemoglobin levels, whether increasing or decreasing, may influence healthcare utilization as well. Methods: We investigate 30-day, 6-month, and [...]