ARTICLES| VOLUME 23, ISSUE 8, P945-955, AUGUST 2023Download Full Issue Clinical impact of syndromic molecular point-of-care testing for gastrointestinal pathogens in adults hospitalised with suspected gastroenteritis (GastroPOC): a pragmatic, open-label, randomised controlled trial Nathan J Brendish, Kate R Beard, Ahalya K Malachira, et al Lancet Infect Dis 2023; 8: 945-955 Published:April 25, 2023 DOI:https://doi.org/10.1016/S1473-3099(23)00066-X ...

Diagnostic Accuracy of Monocyte Distribution Width, Procalcitonin and C‐Reactive Protein Sepsis is characterised by a dysregulated host response to infection resulting in organ dysfunction. It poses a significant global health problem, with a high mortality risk and millions of patients affected annually. Epidemiological studies have shown that nearly 20% of septic patients require mechanical ventilation, leading to significant healthcare costs. Despite clinical gu...

Original Investigation  August 15, 2023 Door-in-Door-out Times for Interhospital Transfer of Patients With Stroke Brian Stamm, Regina Royan, Mihai Giurcanu, et al JAMA. 2023;330(7):636-649. doi:10.1001/jama.2023.12739 Key Points Question  What is the median door-in-door-out time for interhospital transfer of patients with stroke, and what patient and hospital-level factors are associated with door-in-door-out time? Findings&nb...

ARTICLES|ONLINE FIRST Ultra-low tidal volume ventilation for COVID-19-related ARDS in France (VT4COVID): a multicentre, open-label, parallel-group, randomised trial Jean-Christophe Richard, Nicolas Terzi, Hodane Yonis, et al Lancet Respir Med Published:July 12, 2023DOI:https://doi.org/10.1016/S2213-2600(23)00221-7 Summary Background COVID-19-related acute respiratory distress syndrome (ARDS) is associated with a high mortality rate and longer mechanical ...

Original Investigation  Less Is More July 3, 2023 Hospital Culture and Intensity of End-of-Life Care at 3 Academic Medical Centers Elizabeth Dzeng, Jason N. Batten, Daniel Dohan, et al JAMA Intern Med. Published online July 3, 2023. doi:10.1001/jamainternmed.2023.2450 Key Points Question  What is the role of hospital culture and institutional structures in the provision of potentially nonbeneficial, high-intensity life-sustain...

OptiTHO Trial - Early NIV and HFNC-O2 vs COT and Late NIV Non-invasive ventilation (NIV) in blunt chest trauma patients without immediate life-threatening injuries is commonly used to prevent the need for endotracheal intubation. However, the actual benefits of NIV in this context have not been extensively studied. Existing literature in this field has been limited by variations in study designs, patient severity and differences in comparators. Consequently, strong...

Original Investigation  July 25, 2023 Identifying Children Likely to Benefit From Antibiotics for Acute Sinusitis: A Randomized Clinical Trial Nader Shaikh, Alejandro Hoberman, Timothy R. Shope, et al JAMA. 2023;330(4):349-358. doi:10.1001/jama.2023.10854 Key Points Question  In children aged 2 to 11 years with acute sinusitis, does the efficacy of antibiotic treatment differ based on nasopharyn...

Research Associations between self-reported healthcare disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England Mark A Green, Martin McKee, Olivia KL Hamilton, et al BMJ 2023; 382 doi: https://doi.org/10.1136/bmj-2023-075133 (Published 19 July 2023)Cite this as: BMJ 2023;382:e075133 Abstract Objectives To examine whether there is an association between people who experienced disrupted acce...

Research Evaluating trends in private equity ownership and impacts on health outcomes, costs, and quality: systematic review Alexander Borsa, Geronimo Bejarano, Moriah Ellen, et al BMJ 2023; 382 doi: https://doi.org/10.1136/bmj-2023-075244 (Published 19 July 2023)Cite this as: BMJ 2023;382:e075244 Abstract Objective To review the evidence on trends and impacts of private equity (PE) ownership of healthcare operators. Design Systematic review. ...

High vs Low Mean Arterial Pressure in Cirrhosis Patients A new study assessed the impact of high mean arterial pressure (MAP) on renal outcomes in critically ill cirrhosis patients with septic shock (CIC). The efficacy of a high MAP strategy (80-85 mm Hg; H-MAP) was compared to a low MAP strategy (60-65 mm Hg; L-MAP) in improving 28-day mortality in CIC. Additionally, the study examined the reversal of shock, the occurrence of acute kidney injury (AKI) by day 5, th...