There are several conditions which have shown to have lower mortality in high volume centers. In this retrospective analysis of the Nationwide Inpatient Sample of patients admitted with acute pancreatitis, adjusted mortality, LOS, and charges were all lower in high volume centers compared to low volume centers. The specific attributes of the high volume hospitals which contribute to lower mortality is not clearly outlined, but are likely due to readily available specialty and procedural services (abstract).
This large systematic review found rectal NSAIDs significantly reduced the risk of post-ERCP pancreatitis compared to pancreatic duct stents (abstract).
This large population-based cohort found the most common causes of drug induced liver injury to be augmentin and diclofenac, followed by herbal and nutritional supplements (abstract).
This large trial of patients with a relative contraindication for enteral feeds were randomized to early TPN or usual care. There were no differences in the groups in 60 day mortality or LOS, but those on TPN did have a shorter time ventilated and less muscle/fat loss. It is unclear based on this trial if […]