Background: Frailty is a clinical syndrome characterized by vulnerability to stressors resulting from a loss of physiological reserve across multiple systems. Frailty is a common condition in older adults and is associated with disability, morbidity, increased healthcare utilization, and mortality. Frailty assessments derive from two major frameworks: the frailty phenotype and the deficit accumulation model. [...]

Background: Young adults with special health-care needs is a growing population due to medical advances and improved patient outcomes. [1] Unfortunately, the transition into adult medical care for these young adults is often met with declining health and increasing acute care utilization. [2-5] To redesign care for this growing population, we started the Med-Peds service [...]

Background: Age has been implicated as the main risk factor for COVID-19-related mortality. Yet, critical factors relevant to older patients, such as baseline function and life-sustaining treatment preferences, have not been considered. The objective of this study was to determine patient factors associated with mortality in hospitalized older adults with COVID-19. Methods: A retrospective cohort [...]

Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal [...]