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Abstract Number: 75
SHM Converge 2023
Background: The growth of oral muscle relaxant prescriptions among older adults in the U.S. raises safety concern. Baclofen is a commonly used gamma-aminobutyric acid (GABA) agonist muscle relaxant that is associated with encephalopathy. We aimed to compare the risk of fall and fracture associated with oral baclofen against other muscle relaxants (tizanidine or cyclobenzaprine) in […]
Abstract Number: 79
SHM Converge 2023
Background: Identifying patients who may benefit from a Serious Illness Conversation (SIC) in the hospital is an important step in increasing SIC timeliness. Epic’s Readmission Risk Score (RRS) is an electronic health record integrated composite score (0-100%) that includes diagnostic, laboratory, medication, order, and utilization variables to predict unplanned, 30-day readmission and was found by […]
Abstract Number: 80
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patient recruitment for randomized clinical trials is often challenging, especially when the alternatives being studied may require significant changes or have large consequences for the patient. We describe our experience recruiting patients for a clinical trial comparing the Comprehensive Care Program (CCP), a care delivery model in which physicians focus their practice on caring […]
Abstract Number: 83
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Aging is associated with increased prevalence of atrial fibrillation and thrombophlebitis. Anticoagulation has been shown to be effective in preventing thromboembolic events in AF patients and treatment of thrombophlebitis. Non-vitamin k antagonist oral anticoagulants (NOACs) have been shown to be non-inferior or even superior to warfarin for long-term stroke prevention and thrombophlebitis treatment. In […]
Abstract Number: 97
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs. The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. Severe sepsis has an in-hospital mortality rate of 28.6-37.7%, and those who survive may face a difficult recovery including long-term […]
Abstract Number: B5
SHM Converge 2022
Background: Falls are the most common cause of nonfatal trauma-related hospital admissions among older adults. The objective of this study was to determine whether the quarantine/lockdown elicited by the SARS-CoV-2 pandemic led to a change in the incidence of falls in geriatric patients between March 2020 – December 2020 compared to March 2019 – December […]
Abstract Number: F9
SHM Converge 2022
Background: Peripherally inserted central catheters (PICCs) are becoming increasingly popular due to their ease of insertion through upper extremity veins, although they are not complications-free. PICCs can be irritating and cause endothelial injury and inflammation resulting in venous thrombosis. Estimates suggest that more than a third of all deep venous thrombosis (DVT) in the upper […]
Abstract Number: G4
SHM Converge 2022
Background: Scholarly productivity is critical for academic fulfilment and promotion in hospital medicine (HM), but many hospitalists struggle to achieve scholarly success. Protected time (PT) (i.e., non-clinical time that can be dedicated to scholarly activities) is a key facilitator of academic productivity in HM. However, little is known about how PT for scholarship is managed […]
Abstract Number: 105
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Peripherally inserted central catheters [PICCs] are often used for venous access in hospitalized patients. Prevalence and outcomes of short-term PICC use (
Abstract Number: 107
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Disagreements among providers about prognosis occur and is a less studied phenomenon. We asked the Surprise Question (SQ), “Would I be surprised if this patient died within the next 1 year, 6 months, and 1 month?” to Palliative […]