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Search Results for Hospital
Abstract Number: 103
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Although Hospice has been associated with improved symptom management, quality of life, lower costs and length of survival in terminally ill patients, it is underutilized. The primary outcome of this study was to examine the relationship between hospice enrollment status and hospital readmissions in elderly patients with solid tumors. Secondary outcomes were length of […]
Abstract Number: 106
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for delirium are broadly classified into predisposing and precipitating factors. Combinations of these risk factors precipitate delirium and hence a prediction […]
Abstract Number: 107
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital-acquired disability (HAD) is common, and a key contributor to this process is low hospital physical activity. This study examines whether objective measures of hospital physical activity from wearable accelerometers can be used to predict HAD. Methods: Prospective observational study of community-dwelling older adults aged ≥ 60 years, admitted to an academic hospital’s general […]
Abstract Number: 109
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The number of individuals with Alzheimer’s disease and related dementias (ADRD) in the U.S is projected to reach 16 million by 2050. Currently, they account for 3.2 million hospital admissions per year and over 75% of hospitalized persons with ADRD display Behavioral and Psychological Symptoms of Dementia (BPSD). The study aimed to evaluate management […]
Abstract Number: 113
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patient and family experience of care is a keystone of high-value care and the Centers for Medicare and Medicaid Services’ value-based purchasing incentives for hospitals. As a result, most hospitals and health systems nationally have invested in improving patient experience. While hospitalists can greatly influence patient experience priorities, there is little is known about […]
Abstract Number: 116
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Disparities in compensation and leadership still exist for women and underrepresented minorities in medicine. While studies have identified factors that lead to and perpetuate these inequities, institutions still struggle with how to implement long needed change to support increased diversity in our work environments, leadership opportunities, and equitable compensation specific to these populations. Purpose: […]
Abstract Number: 118
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In the primary care setting, up to one third of patients are categorized as complex, while this proportion is not well known in the hospital setting. By definition, complex patients demand more effort and/or resources and required care processes are not routine or standard. The treating physician’s complexity assessment is the gold standard, which […]
Abstract Number: 120
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Cholangiocarcinoma is an uncommon cancer with a very bad prognosis despite advances made in treatment. Location intrahepatic versus extrahepatic – determines surgical options. In our study, we examined variations in outcomes between patients admitted to the hospital with intrahepatic versus extrahepatic disease. Methods: Data from the National Inpatient Sample (NIS) which is part of […]
Abstract Number: 121
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Introduction: Colorectal cancer is the 4th most common cancer in the United States. It is the second most common cause of death in the united states. Despite universal advocacy for screening colonoscopies and early diagnosis, disparities in screening and diagnosis of colorectal cancer exist which affects outcomes. In this analysis, we determine racial disparities […]
Abstract Number: 125
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Issues with the quality and safety of hospital care have been well-documented, and serve as the basis for improvement strategies and research. However, what is less understood are the perspectives of patients, families, caregivers, and other stakeholders regarding what they feel are the most important targets of improvement research. We systematically engaged a broad […]