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Meetings Archive For Hospital Medicine 2014, March 24-27, Las Vegas, Nev...

Abstract Number: 31
Prevalence of Dehydration in Older Adults Rehospitalized from a Long Term Care Facility
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Today, up to 90% of rehospitalizations from long term care facilities appear to be unplanned. The presence of dehydration in the rehospitalization process has rarely been specifically explored. The study’s objective was to identify the presence of dehydration, a potentially treatable condition. Methods: A retrospective chart review of patients rehospitalized within 30 days of […]
Abstract Number: 32
Results of the Acute Care of Older Persons Priority Setting Partnership: A Patient‐Centered Research Agenda at the Intersection of Hospital Medicine and Geriatric Medicine
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Despite evidence of high burden of disease, higher costs, and worse outcomes of care of older adults with acute illness, there is limited understanding of the presentation, diagnostic strategies, and management of these patients. The Patient‐Centered Outcomes Research Institute (PCORI) recommends a framework for identification and prioritization of research areas with a focus on […]
Abstract Number: 33
Global Payment System Attitudes and Comprehension Among Internists
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Global payment contracts are increasingly common agreements between insurance payers and healthcare providers that incorporate aspects of risk‐adjustment, capitation and pay‐for‐performance. While industry surveys suggest that healthcare organizations view physicians as a significant obstacle to successful implementation of payment reform, little is actually known about internist opinion, knowledge or specific internist attributes that might […]
Abstract Number: 34
Gender Disparities in Hospital Medicine
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Despite the fact that there are rather equal numbers of men and women entering and graduating from medical school, disparities still exist for women in medical leadership roles and academic productivity. Some studies have suggested that gender differences disappear when looking at younger cohorts. Hospital Medicine is a relatively new field. The majority of […]
Abstract Number: 35
How Well Can Physicians Anticipate Death and Initiate Early Palliative Care Discussions in Readmitted Patients?
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Little is known about the ability of physicians to predict death in hospitalized patients over the subsequent year. Accurate prediction of death can facilitate discussions for end‐of‐life planning. Methods: The study was part of the larger Hospital Medicine Reengineering Network (HOMERuN) Transitions of Care study, a multisite, prospective observational study of randomly selected patients […]
Abstract Number: 36
Factors Associated with Delayed Diagnosis of Pulmonary Embolism
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Acute pulmonary embolism (PE) is a common and frequently fatal disease. Mortality could be reduced by early diagnosis and management. The clinical presentation of PE is variable and nonspecific and thus the diagnostic delay is common. However, few studies have investigated factors associated with delayed diagnosis of PE in the emergency department. Methods: Data […]
Abstract Number: 37
A Retrospective Study of Fulminant‐Type Pneumococcal Sepsis in a Tertiary Care Emergency Community Hospital in Japan
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Pneumococcal infection accounts for many cases of community‐acquired pneumonia. Patients with pneumococcal bacteremia (PB) are at risk for developing sepsis, severe sepsis or septic shock. Moreover, patients with post‐splenectomy, congenital asplenia or hyposplenia are known to have greater risk for developing fulminant infection. However, few studies have been conducted concerning clinical features of fulminant‐type […]
Abstract Number: 38
What Are Interns Doing on Their Post‐Call Day?
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: While an increasing literature describes and assesses resident work activities in the hospital, no data focus on the post‐call day. On this day, interns are responsible for managing diagnostic and treatment plans for a large group of new patients, making it one of the busiest periods in their workweek. Methods: We observed 18 interns […]
Abstract Number: 39
Factors Associated with Failure of Observation Care
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: When patients present to emergency departments too sick to be sent home, hospitals increasingly provide observation services, meaning extended outpatient visits expected to last under 48 hours during which patients are treated and reassessed. However, clinical issues may fail to resolve within 48 hours, leading to hospital admission, prolonged observation, or death. Methods: Our […]
Abstract Number: 40
Serum Selenium Levels Are Associated with Blood Platelet Count in Us Adults
Hospital Medicine 2014, March 24-27, Las Vegas, Nev.
Background: Platelets play an important role in arterial thrombosis, acute coronary syndrome, and cardiovascular disease. Some epidemiological studies have suggested that high serum selenium levels may be associated with decreased risk of thrombosis and cardiovascular disease due to selenium’s anti‐oxidant effect. However, a relationship between blood platelet counts and serum selenium has not been explored. […]