Journal of hospital medicine最新文献

{"title":"Rebuilding trust in public health and medicine in a time of declining trust in science","authors":"Marianne Udow-Phillips MHSA,&nbsp;Joe Smyser PhD, MSPH,&nbsp;Natasha Bagdasarian MD, MPH","doi":"10.1002/jhm.70086","DOIUrl":"10.1002/jhm.70086","url":null,"abstract":"<p>Trust in public health and medical practitioners has declined since COVID-19. Throughout the COVID-19 pandemic, poor communication by medical and public health professionals coincident with the rise of social media enabled unverified, often erroneous information to spread quickly and widely. Providing accurate, fact-based information is imperative to save lives and promote health. Using a robust, evidence-based approach to tracking the spread of information and partnering with trusted messengers, states can take a leadership role in combatting misinformation and safeguarding the public's health.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 7","pages":"787-790"},"PeriodicalIF":2.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribed in-hospital sodium intake for decompensated heart failure: A systematic review and meta-analysis","authors":"Htun Ja Mai MBBS, MPH,&nbsp;Ghid Kanaan MD,&nbsp;Sebhat Erqou MD, PhD,&nbsp;Vincent Salvador MD, MPH,&nbsp;Jacob Joseph MD, MB,&nbsp;Wen-Chih Wu MD, MPH,&nbsp;James Rudolph MD,&nbsp;Eduardo L. Caputo PhD,&nbsp;Taylor Rickard MS,&nbsp;Katherine Rieke PhD, MPH,&nbsp;Ethan M. Balk MD, MPH,&nbsp;Eric Jutkowitz PhD","doi":"10.1002/jhm.70091","DOIUrl":"10.1002/jhm.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Standard inpatient management of acute decompensated heart failure (ADHF) has included restricted dietary sodium. Sodium supplementation with diuretics has been proposed as an alternative to treat ADHF in an inpatient setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>We conducted a systematic review to evaluate prescribed oral and/or intravenous sodium supplementation (with diuretics), to patients hospitalized for ADHF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched Medline, Embase, ClinicalTrials.gov, CINAHL, and Cochrane Database of Systematic Reviews from inception to September 24, 2024, for randomized controlled trials (RCTs), and nonrandomized comparative studies (NRCSs) reporting intermediate, clinical, or health service use outcomes for ADHF inpatients. We assessed risk of bias, and where there were at least three studies reporting results from similar analyses, we conducted meta-analyses. GRADE methodology was used to assess the strength of evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen RCTs and two NRCSs compared supplemental sodium with furosemide to furosemide alone. Supplemental sodium with furosemide significantly decreased serum creatinine (pooled net mean difference [NMD]: −0.33 mg/dL, 95% confidence interval [CI]: [−0.50 to −0.17]), brain natriuretic peptide (pooled NMD: −62.84 pg/mL, 95% CI: [−103.61 to −22.08]), and weight (pooled NMD: −2.48 kg, 95% CI: [−4.31 to −0.66]). There were no significant differences in N-terminal pro b-type natriuretic peptide (pooled NMD: −1614 pg/mL, 95% CI: [−3582 to 353]). There was a significant decrease in length of hospital stay (pooled MD: −2.68 days, 95% CI: [−3.81 to −1.55]). Studies provided insufficient evidence on mortality and readmission outcomes, and no evidence for caloric intake or clinical congestion score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sodium supplementation with diuretics may improve kidney function, promote weight loss, and shorten length of hospital stay.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 11","pages":"1193-1201"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric nurse perspectives on patient- and family-centered rounds: A qualitative study","authors":"Jennifer Baird PhD, MPH, MSW, RN,&nbsp;Genevieve Beaird PhD, RNC-OB, CNE,&nbsp;Elizabeth K. Tanner PhD, RN, FAAN,&nbsp;Eileen Romano RN,&nbsp;Leah Spacciante MN, RN,&nbsp;Sonia Garcia RN, BSN, CPN,&nbsp;Jazmin Rodriguez RN,&nbsp;Andrea Loureiro RN, BSN, CPN,&nbsp;Dorna Hairston PhD, RN, NEA-BC, NPD-BC,&nbsp;Kristen Emodi DNP, APRN-NP, PNP-AC/PC,&nbsp;Carrie Finley RN,&nbsp;April E. Fegley BA,&nbsp;Jayne Rogers MSN, RN,&nbsp;Sharon Cray BBA,&nbsp;Lauren Destino MD,&nbsp;Brian Good MB, BCh, BAO,&nbsp;Shilpa Patel MD,&nbsp;Nancy D. Spector MD,&nbsp;Christopher P. Landrigan MD, MPH,&nbsp;Alisa Khan MD, MPH,&nbsp;Erin Abu-Rish Blakeney PhD, RN","doi":"10.1002/jhm.70071","DOIUrl":"10.1002/jhm.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patient- and family-centered rounding (PFCR) models are used widely in pediatric hospitals and have been associated with better communication and fewer errors. Although model fidelity and sustainability are well-documented challenges reported by physicians and families, nurse perspectives are less known.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Our objective was to identify benefits for nurses and describe barriers and facilitators to nurse involvement in a PFCR model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a qualitative descriptive approach to conduct and analyze focus group data. Focus group participants were nurses from sites participating in the Patient- and Family-centered (PFC) I-PASS Safer Communication on Rounds Every Time (SCORE) study, a hybrid effectiveness implementation study of a PFCR model at 21 US pediatric hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-nine nurses from 14 study sites participated in four focus groups. We identified multiple benefits, barriers, and facilitators of nurse participation in PFC I-PASS rounds. Benefits included better communication, time savings and efficiency, conveying that nursing is a contributing part of the team. Barriers included competing demands of nurses’ workload, lack of fidelity during rounds, and uncertainty about whether nurses are welcome by other care team members. Facilitators key to supporting nurse participation and engagement in rounds included clear nursing role in rounds, predictable rounding schedule and format, attending physicians fostering a welcoming environment, and strategies for when a nurse is not available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses report many benefits of PFC I-PASS rounds. Increasing and sustaining nurse participation in PFC I-PASS requires specific, nurse-informed implementation strategies targeting both structural and interprofessional aspects of rounds.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 11","pages":"1166-1173"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is secure messaging an effective tool for inpatient communication?","authors":"Michelle Knees DO,&nbsp;Sarah J. Flynn MD, MPhil,&nbsp;Esther Y. Hsiang MD, MBA,&nbsp;Alan A. Kubey MD, FACP","doi":"10.1002/jhm.70090","DOIUrl":"10.1002/jhm.70090","url":null,"abstract":"<p>Secure messaging platforms were designed to optimize healthcare communication by providing asynchronous, bidirectional, Health Insurance Portability and Accountability Act-compliant text messaging options. Proponents argue that these platforms streamline workflows, foster coordination across multidisciplinary teams, and improve patient safety. However, critics highlight their potential to disrupt workflows through overwhelming message volumes and task interruptions, increased risk for miscommunication, and possible detrimental impacts on patient care. While secure messaging shows promise for modernizing hospital communication, it requires institutional guidelines and thoughtful use to mitigate inefficiencies and risks.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 9","pages":"1022-1027"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Next steps: Implications of proposed changes in federal Medicaid financing on hospital services for children","authors":"Rachel Garfield PhD, MHS","doi":"10.1002/jhm.70087","DOIUrl":"10.1002/jhm.70087","url":null,"abstract":"&lt;p&gt;As has been widely reported, major cuts to the Medicaid program are on the table in federal budget negotiations.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; While details are still forthcoming, among the proposals most discussed are changes in the structure of federal financing and restrictions on state financing mechanisms often used to pay hospitals. Medicaid is a core source of payment for hospital-based services, particularly for children, and changes in federal and state financing may have significant fallout for hospital services that could ultimately negatively affect children's health. While many people understand that funding cuts are on the table, fewer comprehend the mechanisms and details of how these cuts may be enacted; understanding these details can help connect the dots between federal debate and access to children's health care services.&lt;/p&gt;&lt;p&gt;Medicaid provides health insurance for nearly 80 million people, including 38 million children.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; The program finances 19% of all US hospital expenditures&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; but plays a larger role in children's hospital care. Medicaid covers over 4 in 10 births (and nearly half of births in rural areas),&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; pays for over half of non-infant pediatric hospitalizations in the United States,&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; and accounts for more than half (54.3%) of gross revenue to children's hospitals.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; Medicaid also finances ancillary and outpatient services related to hospital care for children (such as laboratory services, rehab services, or care coordination services), preventive and routine pediatric care, and community-based services to support children with special health care needs.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Medicaid hospital payments are a mix of federal and state dollars. Within federal requirements, state have discretion in setting methods and rates for Medicaid hospital payment, including whether services are provided under fee-for-service or managed care arrangements. The federal government then matches state Medicaid spending on an open-ended basis, with the share paid by the federal government ranging from 50% to 77% (federal shares are higher in lower-income states).&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; States can finance their share of Medicaid through general revenues or other sources such as provider taxes, in which states use revenue from fees on health care providers to finance their share of Medicaid costs.&lt;/p&gt;&lt;p&gt;In addition to base payments for hospital services paid through claims, states make Medicaid supplemental payments to hospitals. Medicaid supplemental payments are generally lump sum payments not tied to specific encounters, and they take various forms including disproportionate share hospital payments, upper payment limit payments, and uncompensated care pools. State use of supplemental payments is governed by federal regulations that essentially cap expenditures (specific rules vary by type of payment). While base ","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 11","pages":"1231-1233"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://shmpublications.onlinelibrary.wiley.com/doi/epdf/10.1002/jhm.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalization costs associated with as-needed blood pressure medication use in the Veterans Healthcare System","authors":"Seonkyeong Yang MS, PhD,&nbsp;Anders Westanmo PharmD,&nbsp;Mark Bounthavong PharmD, PhD,&nbsp;Ronald Shorr MD,&nbsp;Haesuk Park PhD,&nbsp;Weihsuan Lo-Ciganic PhD,&nbsp;Muna Canales MD, MS","doi":"10.1002/jhm.70089","DOIUrl":"10.1002/jhm.70089","url":null,"abstract":"<p>As-needed blood pressure (BP) medication used to treat asymptomatic BP elevations in the hospital may be harmful. However, its association with hospitalization costs remains unknown. We conducted a retrospective cohort study with target trial emulation and propensity-score matching to compare the total and subtype hospitalization costs for those who received as-needed BP medication (YES) versus not (NO) during a Veterans Affairs hospital stay between October 1, 2015 and September 30, 2020. After matching (<i>n</i> = 25,455 per group), the as-needed YES group had a longer length of stay compared to the NO group. Hospitalizations in the YES group were associated with higher total and subtype hospitalization costs compared to the NO group. Similarly, individuals in the YES group had higher daily total hospital costs compared to the NO group, driven primarily by increased nursing and surgery costs. Our findings suggest that the expenditure implications of as-needed BP medication use merit further investigation.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"21 1","pages":"64-69"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overloaded: How task switching, information synthesis, and poor relational trust make interhospital transfers challenging","authors":"Amy Yu MD,&nbsp;Lauren McBeth,&nbsp;Claire Westcott PA-C,&nbsp;Stephanie Mueller MD, MPH,&nbsp;Mustafa Ozkaynak PhD, MS,&nbsp;Brooke Dorsey Holliman PhD,&nbsp;Anna Maw MD, MS,&nbsp;Jacinda Nicklas MD, MPH,&nbsp;Christine D. Jones MD, MS","doi":"10.1002/jhm.70084","DOIUrl":"10.1002/jhm.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Complex and inefficient information and task organization contribute to high cognitive load for clinicians in interhospital transfer (IHT) care. High cognitive load can lead to medical errors and clinician stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Our study aims to highlight areas of high cognitive load experienced by hospital medicine physicians and advanced practice providers who care for IHT patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Descriptive qualitative study using 1-h semi-structured interviews with hospital medicine clinicians at an academic medical center. We conducted thematic analysis using a combined inductive and deductive coding approach until saturation was achieved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We interviewed 30 hospital medicine clinicians including 17 physicians (57%) and 13 advanced practice providers (43%) with 1–18 years of experience (mean 5.7 years). Participants identified multiple contributors to cognitive load for clinicians involved in IHTs. Some of these contributors, such as case complexity and time constraints, were fixed, while others, such as task switching, information synthesis burdens, and poor relational trust were seen as potentially modifiable. Participants suggested that (1) creating a single IHT workflow to minimize distractions, (2) streamlining information presentation to optimize information synthesis, and (3) facilitating trust building between healthcare team members as potential solutions to reducing cognitive load.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Physicians and advanced practice providers at an academic medical center experienced increased cognitive load in IHTs when faced with frequent task switching, inefficient delivery of clinical information, and variable levels of trust between healthcare team members. Addressing cognitive load experienced by clinicians in IHTs may lead to safer IHT care and lower risk of clinician burnout.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 12","pages":"1282-1289"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical progress note: Phenobarbital in the treatment of alcohol withdrawal syndrome","authors":"Thad E. Abrams MD,&nbsp;Matthew V. Ronan MD","doi":"10.1002/jhm.70088","DOIUrl":"10.1002/jhm.70088","url":null,"abstract":"<p>Alcohol withdrawal syndrome (AWS) is a common condition experienced by hospitalized patients. Practice patterns have evolved over time to include the use of phenobarbital, a barbiturate, as an adjunct to benzodiazepines or as an alternative monotherapy. The American Society of Addiction Medicine (ASAM) has recommended the use of phenobarbital in the management of AWS in certain clinical contexts. The current evidence base for the use of phenobarbital in AWS remains limited, though sufficient to demonstrate safety and efficacy as an alternative to benzodiazepines.</p>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 10","pages":"1094-1098"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re-envisioning interhospital transfer: A qualitative study exploring alternatives to transfer","authors":"Stephanie K. Mueller MD, MPH,&nbsp;James D. Harrison MPH, PhD,&nbsp;Amy Yu MD,&nbsp;Caitlin Kelly MPH,&nbsp;Luci K. Leykum MD, MBA, MSc","doi":"10.1002/jhm.70083","DOIUrl":"10.1002/jhm.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Interhospital transfer (IHT, the transfer of patients between acute care hospitals) is often undertaken to provide patients with specialized care. However, mounting hospital capacity pressures suggest a need for re-envisioning IHT with consideration of alternatives to transfer in select patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a qualitative focus group study with key informants involved in IHT, including patient/family representatives, accepting and transferring clinicians, and hospital leadership. We used case examples of distinct IHT scenarios and a semi-structured focus group guide to explore aspects of the IHT process and potential alternative modalities of care. Data were analyzed using thematic analysis, with data coded into sub-themes and higher order themes until thematic saturation was achieved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We conducted a total of 7 focus groups, involving 6 patient/family representatives, 12 accepting clinicians, 9 transferring clinicians, and 12 hospital leadership from 13 geographically diverse hospitals. Within the higher order theme of “clinically appropriate alternatives to transfer,” we identified several sub-themes, including transferring hospital support, ambulatory alternatives, and patient and organizational risks and benefits. Within the higher order theme of “feasibility and barriers to identified alternatives” we identified three sub-themes, including clinician unease about expansion of clinical scope, lack of healthcare infrastructure to support tele-health care, and limited outpatient capacity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In this qualitative study of key informants involved in IHT, we identified several viable alternatives to IHT and revealed potential barriers that could impede their widespread implementation. These insights provide optimal targets for advancing efforts to develop and operationalize new care models, re-envisioning IHT management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 12","pages":"1274-1281"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical guideline highlight: Pediatric refractory constipation","authors":"Katherine Krause MD,&nbsp;Elizabeth Mertens MD","doi":"10.1002/jhm.70072","DOIUrl":"10.1002/jhm.70072","url":null,"abstract":"","PeriodicalId":15883,"journal":{"name":"Journal of hospital medicine","volume":"20 8","pages":"860-861"},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}