Hospital Medicine Alert – December 1, 2007
December 1, 2007
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Delayed Transfer to the ICU Increases LOS and Mortality
Critically ill emergency department patients with a ≥ 6 hour delay in ICU transfer had an increased hospital length of stay and higher ICU and hospital mortality. -
Predicting Respiratory Failure in Guillain-Barré Syndrome
Phrenic nerve conduction studies may be a promising method to anticipate respiratory failure in patients with GBS. -
Statin Withdrawal in Acute Stroke: Adverse Outcomes?
Withdrawal of statin therapy in acute ischemic stroke may lead to increases in death and disability. -
ECG Diagnosis of Acute Myocardial Infarction
In patients admitted to hospital with possible AMI, the consideration of both ST-segment elevation and depression in the standard 12 lead-ECG recording significantly increases the sensitivity for the detection of AMI with only a slight decrease in the specificity. -
New Drug for Atrial Arrhythmias
Dronedarone was significantly more effective than placebo in maintaining sinus rhythm and in reducing the ventricular rate during recurrence of arrhythmia. -
Micafungin for Invasive Candidiasis
Micafungin at doses of both 100 mg and 150 mg daily was non-inferior to caspofungin in the treatment of invasive candidiasis and there was no significant difference in outcomes when the two doses of micafungin were compared.