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Meetings Archive For Hospital Medicine 2006, May 3-5, Washington, D.C...

Abstract Number: 42
Discharge Time: A Change in the Paradigm of Expectations
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Despite some literature on the evolution of the “scheduled discharges”, many hospital administrations and outcomes management teams perceive afternoon discharges as opportunities to improve. We challenged that concept with a hypothesis that afternoon discharges would be a sign of an efficient hospitalist program and that we would find specific barriers to the discharge process. […]
Abstract Number: 43
The Pediatric Hospitalist and the Smoking Parent
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The impact of parental smoking on children is enormous. Injury and illness related to parental smoking result in 6200 excess pediatric deaths per year in the US, which places smoking as the leading preventable cause of death in children. Parental smoking doubles the risk of child hospitalization for respiratory illness, therefore the pediatric hospitalist […]
Abstract Number: 44
Is There a Pediatric Hospital Medicine Literature Base?
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The term Hospitalist was first coined in 1995. In 1998 a study of the general internal medicine literature showed a distinct hospital medicine literature base, with 33% of the articles in the journals reviewed specific to inpatient issues and 9% relevant to both the inpatient and outpatient setting. The study concluded that, given the […]
Abstract Number: 45
Patterns of Error Reporting at a County Teaching Hospital
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The Institute of Medicine's report, “To Err is Human,” identified the magnitude of the problem of medical errors in the United States. Unfortunately, there is no universal system in the U.S. to define, categorize, and report medical errors. The University Hospital Consortium (UHC) is working in conjunction with a number of university hospitals to […]
Abstract Number: 46
What Effect Does an Educational Intervention Have on Interns' Confidence and Knowledge of Acute Dyspnea Management? A Randomized Controlled Trial
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Acute dyspnea is commonly encountered in the hospitalized patient. Inappropriate management can adversely affect patient care. Interns often receive only informal instruction in managing patients with acute dyspnea; such instruction is provided by senior medical residents during the dyspneic event, often under chaotic circumstances. We hypothesized that formal instruction, through small‐group, case‐based discussions, would […]
Abstract Number: 47
Major Bleed Rates After Orthopedic Surgeries in Patients Prophylaxed with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Clinical trials have reported variable rates of major bleeding after prophylaxis of venous thromboembolism with anticoagulants in orthopedic surgery patients. We attempted to assess if ‘real world’ differences in the rate of major bleeding exist among the alternative agents presently available. Method: We retrospectively analyzed inpatient data from over 500 hospitals in the United […]
Abstract Number: 48
Limitations of the Pneumonia Severity Index in Determining Site of Care
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: The Pneumonia Severity Index (PSI) is a validated risk assessment tool that estimates inpatient mortality in patients with community‐acquired pneumonia (CAP). Various clinical predictors of risk are converted to a weighted point score, which stratifies patients into 5 risk classes. Mortality increases significantly in classes IV‐V. Some use the PSI as a tool to […]
Abstract Number: 49
A Computer‐Based, Multivariate, Economic Model of Neonatal‐Intensive‐Care‐Unit‐Based Influenza Vaccine Administration to Parents in a Hospitalist Setting
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Trivalent inactivated influenza (TIV) vaccine has been shown to reduce the number of influenza‐related outpatient visits and hospitalizations in children up to 24 months of age. The American Academy of Pediatrics and Center for Disease Control recommend influenza vaccine administration to first‐person contact of infants less than 6 months of age. However, the economic […]
Abstract Number: 50
Cause of Death in Alcoholic Hepatitis
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Early mortality among patients with newly‐diagnosed alcoholic hepatitis is high and many pharmacologic therapies have been tried. Substantial literature reports the mortality rate of these patients, yet the most likely cause of death is unclear. Method: We searched all “clinical trials” in PubMed using the search term alcoholic hepatitis. We only included articles published […]
Abstract Number: 51
Symptomatic Venous Thromboembolism Rates After Hip Fracture Surgery in Patients Treated with Unfractionated Heparin, Enoxaparin, Dalteparin or Fondaparinux
Hospital Medicine 2006, May 3-5, Washington, D.C.
Background: Despite differences seen in clinical trials comparing alternatives for VTE prevention in orthopedics, these randomized studies (RCTs) have been criticized since they have focused mainly on venographic endpoints rather than clinical events. Additionally, the significance of venographically detected VTEs in the absence of clinical symptoms is unknown. We sought to determine if differences seen […]