A pre-print article in Research in Social and Administrative Pharmacy finds economic and safety benefits when pharmacists perform admission medication reconciliation.

Clinical and economic impact of medication reconciliation by designated ward pharmacists in a hospitalist-managed acute medical unit | Hospital Medicine Virtual Journal Club

A database study in the Journal of Hospital Medicine finds no impact of morning discharges on emergency department throughput.

Morning Discharges and Patient Length of Stay in Inpatient General Internal Medicine | Hospital Medicine Virtual Journal Club 

A study in the Western Journal of Emergency Medicine finds a low incidence of clinically significant outcomes in chronic kidney disease patients who undergo emergent contrast CT. 

Acute Kidney Injury After CT in Emergency Patients with Chronic Kidney Disease: A Propensity Score-matched Analysis | Hospital Medicine Virtual Journal Club

A meta-analysis in the Journal of Critical Care suggests that thiamine may be useful for the prevention of ICU delirium.

Effect of thiamine supplementation in critically ill patients: A systematic review and meta-analysis | Hospital Medicine Virtual Journal Club

A database review in the American Journal of Infection Control finds a large proportion of low-acuity admissions for complicated urinary tract infection.

Hospital Admission Patterns of Adult Patients with Complicated Urinary Tract Infections Who Present to the Hospital by Disease Acuity and Comorbid Conditions: How Many Admissions are Potentially Avoidable? | Hospital Medicine Virtual Journal Club | Washington University in St. Louis (wustl.edu)

A Cochrane review finds limited evidence to support various medication classes in heart failure with preserved ejection fraction.

Beta-blockers and inhibitors of the renin-angiotensin aldosterone system for chronic heart failure with preserved ejection fraction

A study in PLOS One finds a 2-day course of antibiotics non-inferior to a longer course in patients with COPD exacerbation.

https://journalclub.wustl.edu/2021/05/20/2-day-versus-c-reactive-protein-guided-antibiotherapy-with-levofloxacin-in-acute-copd-exacerbation-a-randomized-controlled-trial/

The RECOVERY trial published in Lancet finds no benefit to convalescent plasma in hospitalized patients with COVID-19.

Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial | Hospital Medicine Virtual Journal Club 

A study in JGIM finds similar outcomes for chest pain patients whether they were admitted or discharged from the emergency department.

Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?

A database review in BMJ finds improved outcomes in patients who underwent a rhythm control strategy within the first year of diagnosis.  

Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study