Comorbidities at ICU Admission and Post-Sepsis Physical Impairment In Sepsis Tue, 28 May 2024 Sepsis causes 11 million deaths annually and is linked to post-intensive care syndrome (PICS), which includes physical impairment, reduced quality of life, and posttraumatic stress syndrome. Despite multidisciplinary interventions, up to 61.4% of sepsis patients experience physical impairment at hospital discharge. This is a significant outcome of sepsis and a...

Original Investigation  June 26, 2024 Patient-Reported Outcome Measures Within a National Multispecialty Surgical Quality Improvement Program Larissa K. F. Temple, Andrea L. Pusic, Jason B. Liu, et al JAMA Surg. Published online June 26, 2024. doi:10.1001/jamasurg.2024.1757 Key Points Question  Is it feasible to leverage health information technology to collect patient-reported outcome measures ...

Invited Commentary  June 18, 2024 The American College of Surgeons Approach to Public Reporting Anoosha Moturu, Patricia L. Turner, Clifford Y. Ko JAMA Surg. Published online June 18, 2024. doi:10.1001/jamasurg.2024.1591 We commend Diaz et al1 for studying the limitations of the Centers for Medicare & Medicaid Services (CMS) Star Rating System for reporting surgical quality and agree a need exists to improve publicly reported hospita...

Research Letter  May 30, 2024 Industry Payments to Physicians Endorsing Drugs and Devices on a Social Media Platform Sonia Persaud, Samer Al Hadidi, Timothy S. Anderson, et al JAMA. 2024;331(24):2131-2134. doi:10.1001/jama.2024.7832 Physicians commonly receive financial payments from industry, totaling $2.46 billion in 2022.1 These payments can represent scientific collaboration but may involve marketin...

Research Letter  June 24, 2024 Kidney Function Biomarkers During Extreme Heat Exposure in Young and Older Adults Zachary J. McKenna, Whitley C. Atkins, Josh Foster, et al JAMA. Published online June 24, 2024. doi:10.1001/jama.2024.9845 Older adults are vulnerable to heat-related morbidity and mortality.1 Kidney complications account for many of the excess hospital admissions during heat waves,1 yet...

Pain Monitoring and Management in Intensive Care Unit: A Narrative Review In ICU Fri, 17 May 2024 ICU Management & Practice, Volume 24 - Issue 3, 2024 Pain is defined as an unpleasant sensory and emotional experience. Among patients admitted to the Intensive Care Unit (ICU), severe untreated pain is associated with an increase in mortality, length of hospital stays and worsening in everyday quality of life after hospital discharge. Pain in crit...

Original Investigation  June 18, 2024 Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings Adrian Diaz, Calista Harbaugh, Justin B. Dimick, et al JAMA Surg. Published online June 18, 2024. doi:10.1001/jamasurg.2024.1582 Key Points Question  Is the Centers for Medicare & Medicaid Services (CMS) Hospital Star Rating system associated with a hospital’s surgical ...

Invited Commentary  Surgery June 18, 2024 The Future of Enhanced Recovery After Surgery—Precision vs Protocol Alison R. Althans, Jennifer Holder-Murray, Robert A. Tessler JAMA Netw Open. 2024;7(6):e2418968. doi:10.1001/jamanetworkopen.2024.18968 Enhanced recovery after surgery (ERAS) is associated with shorter hospital length-of-stay and fewer complications, according to a robust meta-analysis and systematic review by Sauro and colleagues1...

Prompt Antimicrobial Therapy in Adults with Bacteraemia In ICU Thu, 30 May 2024 Bloodstream infections significantly impact morbidity, mortality, and healthcare costs despite advancements in critical care and antimicrobial strategies. Prompt assessment and source control, as recommended by the Surviving Sepsis Campaign, are important to improve outcomes for severe sepsis and septic shock patients. Timely source control is crucial for improving outcomes...

Original Investigation  Oncology June 18, 2024 Performance of Large Language Models on Medical Oncology Examination Questions Jack B. Longwell, Ian Hirsch, Fernando Binder, et al JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.2024.17641 Key Points Question  What medical oncology knowledge is encoded by large language models (LLMs)? Findings  In this cross-section...