Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible [...]

Background: Complex non-pharmacologic interventions containing multiple, or bundled, components can successfully prevent and treat hospital-acquired delirium in older adults. However consistent implementation, and the measurement of compliance, of these bundled interventions can be challenging to sustain in hospital settings especially in presence of COVID-19. Developing workflows with a smaller sub-set of components that are feasible [...]

Background: The three most common childhood-onset chronic conditions for which adolescents and young adults (YA) use pediatric hospitals are congenital heart disease (CHD), cystic fibrosis (CF), and sickle cell disease (SCD). Existing studies do not establish clear clinical benefits to continued pediatric hospitalization over hospitalization at adult hospitals. We aimed to determine if if continued [...]

Background: The strongest risk factor for readmission to the hospital and failure to successfully return to the community after hospital discharge is impaired physical function. Although published experience with wearable devices in post-acute care settings is scant, measurement of steps in other care settings has been shown to be feasible and directly linked with post-discharge [...]

Background: Lack of mobilization of hospitalized non-ICU medical patients has known negative consequences, including worse health and psychological outcomes, functional decline and increased hospital length of stay (1). Known challenges to increasing mobilization amongst inpatients include patient- and institutional-related limitations such as patient symptoms and lack of available assistance (2). At our urban, quaternary care, [...]

Case Presentation: A 38 yo male with PMH of alcohol abuse, motor vehicle collision a year prior to presentation, presented to the ED with back pain. Pt states that had back pain about a year ago right after the motor vehicle collision, which improved after a month. Then in the last 4 weeks, he has [...]

Case Presentation: 64-year-old healthy male was admitted for fever, chills, generalized fatigue and jaundice. Physical exam showed scleral icterus. Lab data showed white cell count of 8.2 k/μL, hemoglobin 15.2 g/dL, and platelets 26,000 cells/μL. Patient also had abnormal LFTs with AST 458 U/l, ALT 227 U/l, Bilirubin 8.3 mg/dl and ALP 160 U/l. Patient [...]