Resultados de Búsqueda

Choosing Wisely ® : Things we do for no reason

Lippert W. J. Hosp. Med. 2019 May;14(5):315-317

A lot of studies have been conduct in order to check the effectivity of the usage of thickened liquids for adult patients with dysphagia. Although there are situations where this is highly indicated, the restriction of water can lead however to other non-desirable effects such as dehydration, fever, and low life quality. The acces to water should be always considerated and, when posible, agreed with the patient. Drinking water provides the patient a better life quality and has not been ...

Choosing Wisely ® : Things we do for no reason

Fakheri R. J. Hosp. Med. 2019 February;14(2):110-113

A lot of studies (the vast majority of them randomized with high accuracy) which included control groups with placebo could not prove real effect when giving docusate to pacients to prevent or treat them from constipation. It is recommended, instead, giving laxants whose effect have been proved such as Polyethylene glycol, lactulose, etc.

Choosing Wisely ® : Things we do for no reason

Chow, S. Journal of Hospital Medicine

Performing neuroimaging in undifferentiated patients who develop delirium while hospitalized has a low diagnostic yield, is costly, and is potentially harmful. Neuroimaging should be reserved for those with identified risk factors for intracranial pathology. For the patient described in the initial vignette with no risk factors for intracranial cause, neuroimaging would be unlikely to contribute to her care. To change provider beliefs and behaviors regarding neuroimaging, prospective studies ...

Choosing Wisely ® : Things we do for no reason

Fakheri, RJ. Journal of Hospital Medicine

Using SSI (Sliding-Scale Insulin) as monotherapy for hyperglycemia is a common practice, and although well-intentioned, it is an ineffective and possibly dangerous approach. Continued efforts must be made to address the gap between guidelines and suboptimal practice patterns locally and nationally.

Choosing Wisely ® : Things we do for no reason

Holleck, JL. Journal of hospital medicine

No current evidence supports IPC efficacy in general medical ward patients despite its widespread use; thus, prospective trials in this population are needed. Given costs, potential side effects, and uncertain efficacy in general medical ward patients, IPC should be reserved for surgical, trauma, critical care, or stroke patients. It may be considered for moderate to high-risk medical patients with excessive bleeding risk