Background: Current studies continue to find high rates of reported burnout worldwide among healthcare workers, including attending physicians. However, many of the studies have been limited in assessing attending physician well-being across multiple sites and healthcare systems. Within our health enterprise, we have a diverse group of attending physicians, particularly those who rotate on the [...]

Background: Patients with sickle cell disease (SCD) experience painful and life threatening vaso-occlusive episodes (VOE) that cause frequent hospitalizations, account for >80% of their >$1 million lifetime healthcare costs, and can be fatal. Yet, there is a dearth of evidence addressing inpatient VOE care leading to a stark absence of evidence-informed guidelines. As a first [...]

Background: The proportion of high-level bills submitted by our hospital medicine group was lower than national averages as reported by the Clinical Practice Solutions Center (CPSC). This did not seem to align with the complexity of patients at our level 1, safety net hospital in a busy urban location. The purpose of our project was [...]

Background: Efforts to advance health equity in the outpatient setting include routine screening for social determinants of health, expanded access to addiction treatment, and addressing pharmaco-equity. However, the question of how to advance health equity for patients who are hospitalized has been underexplored. We sought to understand hospitalists’ perspectives on health equity needs and innovations. [...]

Background: Previous research has established that treating COVID-19 hospitalized patients with remdesivir (RDV) was associated with significantly lower hospital readmission rates. We extend prior research with an additional year of more recent data by examining the association between RDV use and 30-day readmission rates due to any cause as well as due to COVID-19 among [...]

Background: Transcatheter tricuspid valve procedures (TTVP) are used to manage tricuspid regurgitation, however these procedures are less common than other transcatheter valve procedures. Limited literature on TTVP exists, especially with regards to predictors of major outcomes. Atrial fibrillation (afib) is associated with increased mortality, stroke, cardiogenic shock, need for permanent pacemaker, AKI, major bleeding in [...]

Background: Sepsis and septic shock, critical health concerns in the U.S., demonstrate varied mortality rates across different racial groups. This study examines the impact of race on mortality and complications in septic shock, providing insights into healthcare disparities. Methods: Using data from the National Inpatient Sample database (2016-2020), this retrospective analysis included 2,789,890 patients with [...]

Background: Malnutrition, defined as deficiencies or excesses in nutrient intake, is associated with worse short and long-term outcomes compared to similar people without the diagnosis. The ASPEN or GLIM criteria are used to diagnose malnutrition, but these criteria are somewhat vague and measurement standards are typically not objective. The Inpatient Prospective Payment System considers severe [...]

Background: Paracentesis is a common procedure for patients with decompensated cirrhosis. In patients with cirrhosis and superimposed renal impairment, clinicians may hesitate to perform a large volume paracentesis, given concerns of intraabdominal fluid shifts resulting in further renal dysfunction. In this study, we aimed to answer whether greater ascites fluid removal was associated with 48-hour [...]

Background: Heatstroke is a life-threatening condition representing the most severe manifestation of heat-related illnesses. It is characterized clinically by extremely elevated body temperature, neurologic dysfunction, and multiorgan failure. Unmitigated fossil fuel use is increasing global average temperatures, which may impact the incidence of heatstroke admissions. Vulnerability to heat-related illness varies within communities based on exposure [...]