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M-A | Ionizing radiation and cardiovascular disease

14 Mar, 2023 | 13:49h | UTC

Ionising radiation and cardiovascular disease: systematic review and meta-analysis – The BMJ

News Release: Low dose radiation linked to increased lifetime risk of heart disease – BMJ Newsroom

 

Review | Orthostatic tachycardia after covid-19

14 Mar, 2023 | 13:48h | UTC

Orthostatic tachycardia after covid-19 – The BMJ

Commentary: Key steps for diagnosis and management of orthostatic tachycardia after COVID-19 – News Medical

 

RCT | Three-year outcomes after transcatheter or surgical aortic valve replacement in low-risk patients with aortic stenosis

14 Mar, 2023 | 13:47h | UTC

Three-Year Outcomes After Transcatheter or Surgical Aortic Valve Replacement in Low-Risk Patients with Aortic Stenosis – Journal of the American College of Cardiology (link to abstract – $ for full-text)

News Release: Benefits of TAVR Remain Consistent in Patients at Low Surgical Risk at Three Years – American College of Cardiology

 

Commentary on Twitter

 

Mortality rates and clinical manifestations of severe hypothyroidism in the ICU: a French multicenter cohort study

14 Mar, 2023 | 13:44h | UTC

Summary: This article presents the findings of a retrospective multicenter cohort study conducted over 18 years in 32 French ICUs to investigate severe hypothyroidism (SH) requiring ICU admission.

The study included 82 patients with SH, with thyroiditis and thyroidectomy being the primary causes, and levothyroxine discontinuation, sepsis, and amiodarone-related hypothyroidism being the most frequent triggers.

Patients with SH presented with various clinical symptoms, including hypothermia, hemodynamic failure, and coma, with in-ICU and 6-month mortality rates being 26% and 39%, respectively. The study also found that patients with hemodynamic and respiratory failure on admission to the ICU had a higher likelihood of mortality.

Levothyroxine replacement was provided to all patients, but the administration route and loading dose varied. The authors recommend early diagnosis, prompt levothyroxine administration, and close monitoring of cardiac and hemodynamic parameters for SH patients admitted to the ICU.

Article: Critically ill severe hypothyroidism: a retrospective multicenter cohort study – Annals of Intensive Care

 

SR | Myocardial revascularization in patients with ischemic cardiomyopathy: for whom and how

14 Mar, 2023 | 13:46h | UTC

Myocardial Revascularization in Patients With Ischemic Cardiomyopathy: For Whom and How – Journal of the American Heart Association

 

Risk factors for Carbapenem-Resistant Enterobacterales infections: a matched case-control study

14 Mar, 2023 | 13:43h | UTC

Summary: The study aimed to investigate risk factors for infections caused by carbapenem-resistant Enterobacterales (CRE) and identify variables that increase the probability of CRE infection among admitted patients in hospitals with high CRE incidence.

The study was performed in 50 hospitals in Southern Europe from March 2016 to November 2018 and included patients with complicated urinary tract infection, complicated intraabdominal infection, pneumonia, or bacteremia from other sources due to CRE. Control groups were patients with infection caused by carbapenem-susceptible Enterobacterales and non-infected patients, matched according to the same criteria as the CRE group (type of infection, ward, and duration of hospital admission).

The results showed that the main risk factors for CRE infections were previous colonization with CRE, use of urinary catheters, and exposure to broad-spectrum antibiotics.

The study’s findings offer evidence to inform decisions about preventive measures and empirical treatment for patients with suspected CRE infections. Additionally, the study can guide the efficient design of future randomized trials focusing on high-risk patients.

Article: Risk factors for infections caused by carbapenem-resistant Enterobacterales: an international matched case-control-control study (EURECA) – eClinicalMedicine

Related:

Guidelines for the diagnosis, treatment, prevention and control of infections caused by carbapenem-resistant gram-negative bacilli – Journal of Microbiology, Immunology and Infection

A position paper for the diagnosis and management of infections caused by multidrug-resistant bacteria: Endorsed by the Italian Society of Infection and Tropical Diseases (SIMIT), the Italian Society of Anti-Infective Therapy (SITA), the Italian Group for Antimicrobial Stewardship (GISA), the Italian Association of Clinical Microbiologists (AMCLI), and the Italian Society of Microbiology (SIM) – International Journal of Antimicrobial Agents

IDSA Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections: Version 2.0 – Infectious Diseases Society of America

IDSA Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections: Version 1.0 – Infectious Diseases Society of America

RCT | Colistin monotherapy vs. combination therapy for carbapenem-resistant organisms

The threat of multidrug-resistant/extensively drug-resistant Gram-negative respiratory infections: another pandemic – European Respiratory Review

 

Ultrasound-guided nerve blocks | Suggested procedural guidelines for emergency physicians

14 Mar, 2023 | 13:41h | UTC

Ultrasound-Guided Nerve Blocks: Suggested Procedural Guidelines for Emergency Physicians – POCUS Journal

 

Review | Pathogenesis, epidemiology and control of Group A Streptococcus infection

14 Mar, 2023 | 13:38h | UTC

Pathogenesis, epidemiology and control of Group A Streptococcus infection – Nature Reviews Microbiology

 

Commentary on Twitter

 

International society of sports nutrition position stand: energy drinks and energy shots

14 Mar, 2023 | 13:39h | UTC

International society of sports nutrition position stand: energy drinks and energy shots – Journal of the International Society of Sports Nutrition

 

Burden, trends, and inequalities of heart failure globally, 1990 to 2019

14 Mar, 2023 | 13:35h | UTC

Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study – Journal of the American Heart Association

 

Podcast and Brief Review | TIA/Stroke pearls for the hospitalist

14 Mar, 2023 | 13:36h | UTC

#385 TIA/Stroke for the Hospitalist featuring Dr. Karima Benameur – The Curbsiders

 

Adolescent substance use | Objective assessment with hair analysis nearly doubled the estimated prevalence based on self-reported data

14 Mar, 2023 | 13:34h | UTC

Concordance between substance use self-report and hair analysis in community-based adolescents – The American Journal of Drug and Alcohol Abuse

News Release: Hair analysis shows child drug use could be twice as high as we think – Taylor & Francis Group

 

Press release | New technique reduces postoperative complications in prostate cancer surgery

14 Mar, 2023 | 13:33h | UTC

Press release: New technique reduces postoperative complications in prostate cancer surgery – European Association of Urology

 

Evidence for harmful cardiovascular effects of ambient ozone: Insights from a multi-city time-series study in China

14 Mar, 2023 | 13:32h | UTC

Ozone pollution and hospital admissions for cardiovascular events – European Heart Journal

News Release: Ozone pollution is linked with increased hospitalizations for cardiovascular disease – European Society of Cardiology

 

Perspective | Embracing complexity in sepsis

14 Mar, 2023 | 13:31h | UTC

Embracing complexity in sepsis – Critical Care

 

Feasibility and efficacy of microwave ablation in the treatment of papillary thyroid microcarcinoma: a prospective cohort study

14 Mar, 2023 | 13:30h | UTC

Microwave Ablation for Papillary Thyroid Microcarcinoma with and without US-detected Capsule Invasion: A Multicenter Prospective Cohort Study – Radiology (link to abstract – $ for full-text)

 

Retrospective Cohort | Arrhythmogenic cardiotoxicity associated with contemporary treatments of lymphoproliferative disorders

14 Mar, 2023 | 13:27h | UTC

Arrhythmogenic Cardiotoxicity Associated With Contemporary Treatments of Lymphoproliferative Disorders – Journal of the American Heart Association

 

Review | Role of precision medicine in obstructive sleep apnea

14 Mar, 2023 | 13:28h | UTC

Role of precision medicine in obstructive sleep apnoea – BMJ Medicine

 

Commentary on Twitter

 

Perspective | How I prescribe prolonged intermittent renal replacement therapy

14 Mar, 2023 | 13:26h | UTC

How I prescribe prolonged intermittent renal replacement therapy – Critical Care

 

SR | Do treatment effects in randomized trials differ when using active placebo compared to standard placebo?

14 Mar, 2023 | 13:25h | UTC

Impact of active placebo controls on estimated drug effects in randomised trials: a systematic review of trials with both active placebo and standard placebo – Cochrane Library

Summary: Do treatment effects in randomised trials differ when using active placebo compared to standard placebo? – Cochrane Library

 

Commentary on Twitter

 

Dose‐escalated radiotherapy for clinically localized and locally advanced prostate cancer

14 Mar, 2023 | 13:21h | UTC

Dose‐escalated radiotherapy for clinically localized and locally advanced prostate cancer – Cochrane Library

Summary: Dose-escalated radiotherapy for curative treatment in men with clinically localized prostate cancer – Cochrane Library

 

SR | Parathyroidectomy for adults with primary hyperparathyroidism

14 Mar, 2023 | 13:22h | UTC

Parathyroidectomy for adults with primary hyperparathyroidism – Cochrane Library

Summary: Parathyroidectomy for adults with primary hyperparathyroidism – Cochrane Library

 

Review | Guideline-based management of acute respiratory failure and acute respiratory distress syndrome

14 Mar, 2023 | 13:17h | UTC

Guideline-based management of acute respiratory failure and acute respiratory distress syndrome – Journal of Intensive Care

 

Findings of daily point-of-care ultrasound assessment of CVC-related thrombosis in critically ill patients

14 Mar, 2023 | 13:19h | UTC

Daily point-of-care ultrasound-assessment of central venous catheter-related thrombosis in critically ill patients: a prospective multicenter study – Intensive Care Medicine (free for a limited period)

 

Commentary on Twitter

 

CDC recommends HBV screening at least once in a lifetime for all adults aged ≥18 years

13 Mar, 2023 | 15:14h | UTC

Summary: The Centers for Disease Control and Prevention (CDC) has issued new recommendations for screening and testing for hepatitis B virus (HBV) infection in the US.

The recommendations include screening for HBV infection at least once in a lifetime for adults aged ≥18 years and more frequent testing for persons at increased risk for HBV infection. The risk groups include:

  • Persons incarcerated or formerly incarcerated in jail, prison, or other detention settings.
  • Persons with a history of sexually transmitted infections or multiple sex partners.
  • Persons with a history of hepatitis C virus infection.

The CDC recommends using the triple panel (HBsAg, anti-HBs, and total anti-HBc) for initial screening to help identify persons who have an active HBV infection, have resolved infection and might be susceptible to reactivation, are susceptible and need vaccination, or are vaccinated.

Article: Screening and Testing for Hepatitis B Virus Infection: CDC Recommendations — United States, 2023 – Morbidity and Mortality Weekly Report

Commentaries:

Universal Adult Hepatitis B Screening and Vaccination as the Path to Elimination – JAMA

CDC recommends hepatitis B screening for all adults – CIDRAP

CDC Recommends Universal Screening for Hepatitis B Virus – HCP Live

 

Commentary on Twitter

 

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