Background: Decision fatigue describes the erosion of decision making capacity as a consequence of the repeated acts of decision making. The phenomenon has been detected in ambulatory settings with higher rates of inappropriate antimicrobial and opiate prescribing and lower rates of cancer screening associated with appointments that occur later in the day. As hospital medicine [...]

Background: Kidney dysfunction is a risk factor for several health problems, such as ischemic heart disease, stroke, peripheral artery disease, chronic kidney disease, and gout. This study aims to analyze the global disease burden caused by kidney dysfunction at the national, regional, and territorial levels. Methods: As part of our ecological investigation, we used the [...]

Background: Ventricular tachycardia (VT) is the most common cause of wide complex tachycardia and a potentially fatal cardiac rhythm disorder. Ventricular arrhythmias, including VT, cause approximately 25% of sudden cardiac deaths. Some studies have proposed a dose-response relationship between VT burden and risk of mortality; however, these studies may have been limited by the inclusion [...]

Background: Racial and ethnic disparities in heart failure (HF) care and outcomes occur, despite rapid improvement in HF therapies and survival [1,2]. The Burden of Treatment Theory is a framework for illustrating and explaining how interactions between patients, healthcare systems, and support networks affect their ability to manage a chronic illness, including HF [3]. We [...]

Background: In the South Bronx, 30% of the population lives with heart failure. CHF readmission andmortality rates surpass the national average in the Bronx. Our hospital serves anethnically diverse population, predominantly Hispanic and African American, many ofwho have a low socioeconomic status. Despite multiple interventions including educating patients about CHF Action Plan, ensuring all eligible [...]