Paul Froom

Inappropriate Use of Indwelling Urinary Catheters in Internal Medicine Patients.

Zvi Shimoni, Vered Hermush, Paul Froom

BACKGROUND: Indwelling catheters are commonly used in non-intensive care internal medicine patients. They are associated with significant side effects. OBJECTIVES: To determine the proportion of warranted indwelling catheters and factors associated with inappropriate use. METHODS: We included consecutive patients hospitalized in three …

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Elevated troponin tests in patients admitted without a chief complaint of chest pain or definite electrocardiogram ischemic changes

Zvi Shimoni, Eytan Isenberg, Paul Froom

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Predicting antibiotic consumption in internal medicine departments: a derivation and validation study of patient-related factors

Zvi Shimoni, Talya Finn, Paul Froom

Abstract Background: Identifying non-prescriber-related factors related to antibiotic consumption is a critical first step to increasing confidence in surveillance results and targeting audit and feedback interventions. Methods: This study analyzed data from 11,402 patients hospitalized across 3 internal medicine departments between January …

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Criteria for Routine Laboratory Blood Tests in Patients Hospitalized in Cardiology Departments

Zvi Shimoni, Fadi Hin, Paul Froom

The proportion of laboratory tests ordered in cardiology departments without clinical utility is unclear. The objective of this study was to determine if criteria limiting testing can safely reduce admission and follow-up testing. We reviewed the charts of 471 consecutive patients admitted …

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Statins and Hospitalizations from Recurrent Falls in the Elderly

Zvi Shimoni, Erika Eva Kalaora, Vered Hermush, Paul Froom

INTRODUCTION: Statin-induced myopathy might increase the risk of falls in the elderly and change treatment decisions. METHODS: In the following retrospective study, we selected 463 internal medicine patients aged ≥70 years old hospitalized after a fall during 2020-2021. We compared those with …

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Troponin Tests in Patients Admitted to Internal Medicine Departments Without an Acute Coronary Syndrome—Less Is More

Paul Froom, Jonathan Lellouche, Zvi Shimoni

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Older hospitalised patients with a chief complaint of weakness and nonspecific presentations are not at risk of adverse health outcomes

Zvi Shimoni, Abu D. Firas, Vered Hermush, Paul Froom

RATIONALE AND OBJECTIVE: Older adults in the Emergency Department (ED) often present with nonspecific complaints (NSC) that might be associated with adverse health outcomes due to underestimating the seriousness of the illness by health care workers. METHODS: We selected a random sample …

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A Simple Frailty Index Predicts Inhospital Mortality

Zvi Shimoni, Natan Dusseldorp, Yael Cohen, Izack Barnisan et autres

INTRODUCTION: Comparing frailty models in different settings that predict inhospital mortality might modify patient disposition and treatment, but models are often complex. METHODS: In the following study, we selected all acutely admitted adult patients in 2020-2021 to the three internal medicine departments …

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Is It Safe to Treat Stable Patients with Bacteremic Urinary Tract Infections with High-Resistant-Rate Antibiotics?

Zvi Shimoni, Hanna Salama, Talya Finn, Paul Froom

BACKGROUND AND OBJECTIVES: In most areas of the world, urine bacteria have high resistance rates to third-generation cephalosporins, and it is unclear if it is safe to treat stable patients with bacteremic urinary tract infections (UTI) with those antibiotics. There are recommendations …

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Laboratory Tests, Bacterial Resistance, and Treatment Options in Adult Patients Hospitalized with a Suspected Urinary Tract Infection

Paul Froom, Zvi Shimoni

Patients treated for systemic urinary tract infections commonly have nonspecific presentations, and the specificity of the results of the urinalysis and urine cultures is low. In the following narrative review, we will describe the widespread misuse of urine testing, and consider how …

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Ceftriaxone Usage and Resistance Rates in Internal Medicine Departments

Zvi Shimoni, Paul Froom

BACKGROUND: Ceftriaxone has been recommended for empiric treatment for urinary tract and respiratory tract infections, but continued widespread use might increase resistance rates. OBJECTIVES: To determine if ceftriaxone usage has increased resistance rates over a three-year period. METHODS: We included all patients …

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Do Laboratory Blood Tests Change Medical Care in Patients Hospitalized with Community-Acquired Pneumonia?

Zvi Shimoni, Muhamad Gazi, Paul Froom

Background and Objectives: The prevalence of inappropriate laboratory testing is believed to be high, but only a limited number of studies have reviewed medical charts to determine whether tests impact medical care. Materials and Methods: From the electronic database, we selected 500 …

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