Hospital Medicine
- What should I address at follow-up of patients who survive critical illness?
Cognitive decline, psychiatric disturbances, and physical weakness can persist 1 year or longer.
- Critical care medicine: An ongoing journey
Although 70% of ICU patients survive hospitalization, the mortality rate 1 year after discharge may exceed 50%.
- Cardiac rehabilitation: A class 1 recommendation
Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.
- Renal disease and the surgical patient: Minimizing the impact
Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.
- Training physician leaders to save the health system… and us
The success of the health system and the emotional well-being and clinical skills of its physicians are clearly interrelated.
- Reverse T3 or perverse T3? Still puzzling after 40 years
Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.
- How soon should patients with infective endocarditis be referred for valve surgery?
Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.
- Infective endocarditis: Refer for expert team care as soon as possible
Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.