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The following articles are abstracted in the Jan/Feb 2004 issue of ACP Journal Club. The declarative title of each abstract as published in ACP Journal Club precedes the article citation.
THERAPEUTICS
▸ Review: Anticholinergic drugs improve motor function and disability in Parkinson disease
▸ Review: Amiodarone is effective for converting atrial fibrillation to sinus rhythm
▸ Review: Regular inhaled short-acting β2-agonists improve lung function in stable chronic obstructive pulmonary disease
▸ Review: Comprehensive occupational therapy interventions improve outcomes after stroke
▸ Intravenous N-acetylcysteine prevented contrast nephropathy
▸ Acarbose reduced the risk for cardiovascular disease and hypertension in impaired glucose tolerance
▸ A scheduled second endoscopy 16 to 24 hours after initial endoscopic hemostasis reduced recurrent peptic ulcer bleeding
▸ An intervention to treat depression and increase social support did not prolong event-free survival in coronary heart disease
▸ Ticlopidine was not better than aspirin for preventing recurrent stroke in African-Americans with noncardioembolic ischemic stroke
▸ Dalteparin reduced recurrent venous thromboembolism more than oral anticoagulation in patients with cancer
DIAGNOSIS
▸ Review: The cosyntropin stimulation test has limited value for detecting and excluding adrenal insufficiency
PROGNOSIS
▸ Diabetes and other comorbid conditions were associated with a poor outcome in SARS
▸ 34% mortality rate from SARS in critically ill patients at 28 days in Toronto
▸ 37% mortality rate from SARS in critically ill patients at 28 days in Singapore
QUALITY IMPROVEMENT
▸ A nurse facilitator intervention improved the use of β-blockers in outpatients with stable congestive heart failure
ECONOMICS
▸ Noninvasive ventilation was cost-effective for reducing in-hospital mortality in COPD
CLINICAL PREDICTION GUIDE
▸ Review: Absence of somatosensory evoked potentials after onset of coma has a high specificity for predicting nonawakening