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Search2020-05-20T12:01:36-05:00
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Oral Presentations
IS LESS REALLY MORE? FLUID RESUSCITATION AND CLINICAL OUTCOMES IN SEPSIS PATIENTS WITH AND WITHOUT CONGESTIVE HEART FAILURE (CHF)
Hospital Medicine 2020, Virtual Competition
Background: Sepsis is a common and life-threatening complication of infection that disproportionately affects patients with chronic comorbidities. Timely fluid resuscitation is a key initial management strategy for reducing sepsis mortality; however, patients with serious comorbidities are often excluded from clinical trials. The Surviving Sepsis guidelines suggest that patients meeting severe sepsis criteria should be administered […]
Oral Presentations
THE PROGNOSTIC VALUE OF SEPSIS-3 CRITERIA: DO “BIG DATA” STUDIES SYSTEMATICALLY OVERESTIMATE IT?
Hospital Medicine 2020, Virtual Competition
Background: In 2016, the Sepsis-3 taskforce posited that acute organ failure is the defining feature of sepsis. Accordingly, they recommended that an acute rise in the Sequential Organ Failure Assessment (SOFA) score by 2 points over baseline should replace the Systemic Inflammatory Response Syndrome (SIRS) score as the sepsis criteria (1). As a justification, they […]
Abstract Number: 16
RECHARGING THE DISCHARGE PROCESS: A QUANTITATIVE APPROACH TO THE MULTIDISCIPLINARY MODEL
Hospital Medicine 2020, Virtual Competition
Background: Delays in the discharge of the hospital ward patients cause a backlog for new admissions from the Emergency Department, and transfers from the Intensive Care Units and telemetry units. This bottleneck unnecessarily increases overall resource utilization and also negatively impacts patient care and satisfaction. Therefore, our Internal Medicine Residency Program aimed through this quality […]
Abstract Number: 90
USING FIFTH GENERATION HIGH SENSITIVITY TROPONIN AND HEART SCORE IN A BEST PRACTICE ADVISORY TOOL TO DECREASE ADMISSION RATES
Hospital Medicine 2020, Virtual Competition
Background: Chest pain and related symptoms are the number two reason patients visit emergency departments in the United States, often leading to routine hospitalization or observation. Improving utilization management of patients presenting to the emergency department with chest pain is an important goal for hospitals. Use of 5th generation troponins and risk stratifying tools can […]
Abstract Number: 93
PATTERNS OF UTILIZATION AND EVALUATION OF ADVANCED PRACTICE PROVIDERS ON HOSPITAL MEDICINE TEAMS AT ACADEMIC MEDICAL CENTERS: A NATIONAL SURVEY
Hospital Medicine 2020, Virtual Competition
Background: Staffing of inpatient medicine services with Advanced Practice Providers (APPs), including physician assistants and nurse practitioners, is becoming increasingly common at academic medical centers across the United States. The various roles filled by APPs have not been well-described in the literature. The purpose of this study is to better characterize how APPs are utilized […]
Abstract Number: 122
COMPARING RENAL FUNCTION USING 3 EGFR FORMULAS IN A 41 YEAR-OLD PATIENT WITH CIRRHOSIS WHO RECEIVED 100 PARACENTESIS OVER 3-YEARS.
Hospital Medicine 2020, Virtual Competition
Background: Renal dysfunction is a complication in patients with decompensated cirrhosis. Due to the potential morbidity and mortality of these disorders in cirrhotic patients, it is important to ensure accurate clinical measurements of renal function. Standard creatinine-based estimated glomerular filtration rate (eGFR) equations have proven to be inaccurate in cirrhotic patients, as these patients have […]
Abstract Number: 123
RISK FACTORS FOR READMISSION AFTER UNSTABLE ANGINA: A FIVE-YEAR NATIONWIDE ANALYSIS
Hospital Medicine 2020, Virtual Competition
Background: Unstable Angina (UA) is a common subset of Acute Coronary Syndrome (ACS) and presents as atypical chest pain without the presence of cardiac biomarkers. It accounts for nearly 550,000 hospital admissions each year in the United States [1]. Management of UA can vary depending on the physician and/or intensity of symptoms. Prior studies have […]
Abstract Number: 139
CLINICAL OUTCOMES IN PATIENTS WITH MITOCHONDRIAL DISEASE IN THE UNITED STATES: A PROPENSITY SCORE ANALYSIS
Hospital Medicine 2020, Virtual Competition
Background: Mitochondrial disease (MD) refers to a group of clinically heterogeneous disorders that result from dysfunctional oxidative phosphorylation and subsequent cellular incapability to meet energy demands. Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS), myoclonus, epilepsy, ataxia with ragged red fibers (MERRFs), chronic progressive ophthalmoplegia, Kearns–Sayre syndrome, and sensory ataxia neuropathy dysarthria ophthalmoplegia are among […]
Abstract Number: 141
EXAMINING THE “REPLETION REFLEX”: THE ASSOCIATION BETWEEN SERUM POTASSIUM AND OUTCOMES IN HOSPITALIZED PATIENTS WITH HEART FAILURE
Hospital Medicine 2020, Virtual Competition
Background: In patients hospitalized with heart failure (HF) exacerbations, physicians routinely supplement potassium to maintain levels ≥4.0 mEq/L. The evidence basis for this practice is relatively weak. We aimed to evaluate the association between serum potassium levels and outcomes in patients hospitalized with HF. Methods: We identified patients admitted with acute HF exacerbations to hospitals […]
Abstract Number: 156
UNIQUE COMPLICATIONS ASSOCIATED WITH PATIENT AMBULATION IN THE SETTING OF PERCUTANEOUS AXILLARY INTRA-AORTIC BALLOON PUMP
Hospital Medicine 2020, Virtual Competition
Background: We have presented our experience with a novel percutaneous approach for axillary artery implant of intra-aortic balloon pumps. The axillary approach permits up-right posture and ambulation, but such enhanced mobility may predispose to higher risk of IABP malposition with unique complications. We present a few complications here. Methods: We conducted a retrospective review of […]
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