Session Type
Meeting
Search Results for Sepsis
Abstract Number: 93
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Emergency Room departments and the Intensive Care Units (ICU) remain the main locations for the treatment of patients with severe sepsis and septic shock. Nevertheless, health-care systems may have limited resources and insufficient ICU beds for attending patients who might benefit from more intensive monitoring than in a general ward. In this context, […]
Abstract Number: 98
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Early diagnosis and treatment of sepsis improves patient outcomes. Diagnosis requires an objective component (currently at least two Systemic Inflammatory Response Criteria, SIRS) and a subjective, clinical suspicion of infection. While much attention has been placed recently on the ideal objective criteria to accurately identify sepsis, little is known about the agreement among providers […]
Abstract Number: 115
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Though previous studies have demonstrated that hypoglycemia is a risk factor for inpatient mortality among hospitalized patients, many clinicians may not be aware of the seriousness of this finding. The purpose of this study was to describe the most common comorbidities and outcomes of patients admitted with hypoglycemia (
Abstract Number: 148
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%. Early identification of patients with sepsis is critical, as treatment delays are associated with significant increases in mortality. The electronic health record (EHR) contains near-real-time physiologic parameters, […]
Abstract Number: 150
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early intervention have been shown effective at reducing mortality among in-patients (Dombrovskiy VY, 2007). Internal data suggests that the identification of […]
Abstract Number: 208
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite widespread awareness of best practices in the early management of sepsis, sepsis continues to burden our healthcare systems with high mortality, prolonged length of stay and excessive cost. Early recognition of sepsis and adherence to evidence-based initial resuscitation protocols is known to reduce both mortality and costs associated with care. In 2013, a […]
Abstract Number: 246
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sepsis is a systemic host response to infection that may result in significant morbidity with mortality rates from severe sepsis or septic shock reaching over 20% in most studies. Research on sepsis has focused on use of groups of sepsis specific interventions (termed care bundles) that are given in response to the declaration of […]
Abstract Number: 279
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Palliative care (PC) has been shown to improve the quality of life for patients facing life-threatening illness and their families. PC screening tools have been successfully used in identifying cancer patients in need of PC services and increase hospice utilization. However, a PC screening tool specific to hospitalized septic patients is lacking, despite sepsis […]
Abstract Number: 290
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Severe sepsis is the number one cause of hospital mortality. Despite decades of bench and clinical research on sepsis, the only intervention that consistently decreases mortality is early recognition of the disease and antibiotic administration. We surveyed 136 house officers and 280 nurses and found that they were able to recognize sepsis in clinical […]
Abstract Number: 620
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 53 year old male with a history of alcohol abuse presented to the ED with hyponatremia and elevated LFTs after a week of nausea, vomiting, and diarrhea. The patient had a previous drinking history of a 12-pack of beer per day, denied IV drug use and any recent travel outside of Texas. Determined […]