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Search Results for VA
Abstract Number: 74
Hospital Medicine 2020, Virtual Competition
Background: The relation of a patient’s age to survival in cardiac arrest is often discussed at the bedside when clinicians, patients, and families are faced with the question of whether CPR is medically appropriate for elderly individuals. Few studies are available to help guide this conversation. This study sought to evaluate in-hospital cardiac arrest (IHCA) […]
Abstract Number: 88
Hospital Medicine 2020, Virtual Competition
Background: Medicare observation stays are increasing nationally. Beneficiaries frequently hospitalized under observation, as well as those needing post-acute care skilled nursing facility coverage, may face increased financial burdens from these services. Patients living in the most disadvantaged neighborhoods have increased risk of inpatient 30-day re-admissions. It is not known whether neighborhood socioeconomic disadvantage increases 30-day […]
Abstract Number: 93
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: 108
Hospital Medicine 2020, Virtual Competition
Background: The approach to managing and admitting patients with syncope in an emergency setting lacks standardization. Our study aims to investigate how regional variation in management of emergency department (ED) patients presenting with syncope impacts outcomes and resource utilization in this patient population. Methods: We used the 2006 to 2014 Nationwide Emergency Department Sample to […]
Abstract Number: 111
Hospital Medicine 2020, Virtual Competition
Background: Factor concentrates such as 4 factor-prothrombin complex concentrate (4F-PCC) are commonly used off-label as reversal agents in factor Xa inhibitor-associated bleeding events. However, there have been limited studies on the efficacy and safety of 4F-PCC use in these settings. We conducted a retrospective observational study of the use of 4F-PCC for major bleeding occurring […]
Abstract Number: 126
Hospital Medicine 2020, Virtual Competition
Background: Thoughtful laboratory testing is a key component of high-value and cost-effective patient care. Studies estimate that nearly half of laboratory tests may be unnecessary in certain patient populations. The drivers of observed variation in laboratory testing are not clearly established; our study aims to examine whether testing varies by hospitalist years of experience. Methods: […]
Abstract Number: 130
Hospital Medicine 2020, Virtual Competition
Background: Transcatheter aortic valve implantation (TAVI) has become the main treatment for symptomatic severe aortic stenosis but patients on dialysis have been excluded from major randomized controlled trials. Our aim was to compare outcomes after TAVI of patients with end-stage renal disease (ESRD) on dialysis versus those without. Methods: EMBASE and MEDLINE were searched through […]
Abstract Number: 195
Hospital Medicine 2020, Virtual Competition
Background: Each year, 14 million Americans are diagnosed with HPV and 33,700 Americans are diagnosed with a cancer caused by HPV. The HPV vaccination can prevent 92% of these cancers. In 2018 only 42.74% of adolescents in Wisconsin ages 13-18 had completed the HPV series and only 56.47% had received the first dose. Hospitalization represents […]
Abstract Number: 200
Hospital Medicine 2020, Virtual Competition
Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]
Abstract Number: 216
Hospital Medicine 2020, Virtual Competition
Background: Length of stay (LOS) is a key metric that hospitals follow closely for quality and operational purposes. Hospital Medicine groups frequently use LOS to evaluate their providers and to identify opportunities for improvement; however, the most appropriate methods to apply specific hospital encounters to individual providers is debated. Complex schemes of weighted Observed to […]