Background: High health care costs and poor outcomes are associated with high hospitalization rates and are concentrated in a small fraction of the population. Fragmented patient care and socioeconomic disadvantage may further increase hospitalization rates. To defragment medical care for a socioeconomically diverse population of Medicare patients at increased risk of hospitalization, the University of [...]

Background: The presence of concomitant diabetic ketoacidosis (DKA) with acute pancreatitis (AP) is not uncommon and is associated with unfavorable outcomes (1,2). However, the diagnosis of AP in DKA patients is often missed because of the overlapping clinical features. Data comparing clinical characteristics and outcomes of patients with co-existing DKA and AP with DKA alone [...]

Background: Axial spondyloarthritis (axSpA) takes two forms – radiographic (also known as ankylosing spondylitis(AS)) and non-radiographic (nr-axSpA). The symptoms caused are similar with chronic back pain, but nr-axSpA damage cannot be seen on X-rays. Historically, nonradiographic axial spondyloarthritis (nr-axSpA) did not have any approved codes so clinicians had to use AS and other codes. Starting [...]

Background: Antibiotics used to treat Clostridioides difficile infection (CDI) can predispose patients to recurrent CDI (rCDI). Gut microbiome restoration by fecal microbiota transplantation is recommended by multiple guidelines after ≥2 episodes of rCDI, with no guideline-recommended options to restore the microbiome earlier in the course of CDI. RBX2660 is a standardized, microbiota-based live biotherapeutic being [...]

Background: Clinically, cough is classified by the duration which has implications for diagnosis and subsequent treatment. For example, chronic coughs lasting more than eight weeks, such as those related to allergies or gastroesophageal reflux disease, will have very different implications than acute coughs that less three weeks, such as those caused by the common cold. [...]

Background: Clostridioides difficile is an opportunistic pathogen that causes an estimated 500,000 infections per year in the United States. RBX2660, a standardized, microbiota-based live biotherapeutic, is being investigated as a treatment option for recurrent C. difficile infection (rCDI). RBX2660 has demonstrated consistent tolerability and efficacy in reducing rCDI across 6 clinical studies. We present a [...]

Background: Current practice standards regarding telemetry utilization do not address the usage of telemetry for non-cardiac indications in the acute care, non-ICU, setting. The American Heart Association (AHA) practice standards make no recommendation on the use of cardiac monitoring for non-cardiac conditions (non-AHA) with the potential for hemodynamic decompensation, such as sepsis, gastrointestinal bleeding, alcohol [...]

Background: Patients experiencing homelessness have unique healthcare needs due to barriers of care, lack of access to food and safety, and limited social services. Patients can be experiencing homelessness temporarily or chronically. They experience high rates of substance abuse, mental illness and other health problems like HIV. These unique circumstances make patients experiencing homeless unique [...]

Background: Patients spend about 95% of their hospitalization in bed, increasing the risk of functional decline associated with adverse events and readmissions. Some hospitals track patients’ functional mobility trends using Activity Measure for Post-Acute Care 6-Clicks Inpatient Short Form (AM-PAC). We aim to understand the associations between functional mobility loss from hospital admission to discharge, [...]

Background: Management of heart failure (HF) patients revolves around optimization of guideline directed medical therapy (GDMT) and routine monitoring. Substance use plays a major role as the etiology of HF, especially in a low socioeconomic area with ethnic and racial minority patients. The aim of this study is to find the correlation of alcohol, tobacco [...]