Background: The Charlson comorbidity index (CCI) has been one of the most commonly used and validated prognostication tools. In addition to being a valuable resource for health services researchers, the CCI is being used in clinical practice by hospitals to identify patients at risk for poor outcomes. The use of the CCI in older adults [...]

Background: Triple negative breast cancer (TNBC) comprises of approximately 15% of the total breast cancers. There is limited data on treatment outcome of these patients in elderly population. We report our experience with elderly patients with TNBC treated at our tertiary care center. Methods: With IRB approval, the Cleveland Clinic’s database was used to identify [...]

Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5).  Undetected delirium in hospitalized elderly patients substantially increases mortality, length of stay, and post-discharge institutionalization rates (1-3). Beyond being a very dangerous condition [...]

Background: Although code status discussion does not routinely happen at hospitals in Japan, many people reportedly start to think of their end of life issue and would like to express it, according to questionnaire survey conducted by the Ministry of Health, Labour and Welfare. There has been no report which focuses on prevalence of do-not-resuscitate [...]

Background: With nearly 12.3 million inpatient discharges per year attributed to geriatric patients, hospitalists need to be proficient in the practice of geriatric medicine. Our objective was to conduct a systematic literature review to identify published geriatrics educational interventions for hospitalists. Methods: We conducted a systematic search of Medline, EMBASE, ERIC, PsycInfo, Scopus, Web of [...]

Background: Hospitalists experience high rates of burnout.  Little is understood about the best way to address hospitalist well-being and resilience in the workplace.  User-centered interviews at our institution identified inadequate access to nutritious food as one of several barriers to a rejuvenating hospitalist experience.  Despite a cafeteria with flexible hours and healthy options, interviewees cited [...]

Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. DNR orders are more commonly implemented for older patients with more comorbid conditions regardless of the reason for hospitalization, and are associated with withholding treatments outside of the cardiac arrest setting. [...]

OBJECTIVES:  To study the influence of physician-patient gender and race concordance on patients’ assessment of the hospitalist physician’s performance.   Background: In the United States, there have been numerous studies showing health disparities and inequities in care related to race and gender; lack of gender and racial concordance between physicians and patients has been hypothesized as a [...]

Background: Prior research in the field of academic hospital medicine has used promotion as the measure of success, but little is understood about what motivates individual academic hospitalists or how individuals define career success. Conceptual models of career success from outside healthcare emphasize Compensation, Advancement, Career Satisfaction and Job Satisfaction. This study sought to explore [...]