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Abstract Number: 110
SHM Converge 2021
Background: Patients with a pre-existing diagnosis of advanced cancer who discharge to a skilled nursing facility (SNF) after an acute care hospitalization rarely receive future oncologic treatment, have high readmission rates, and minimal hospice use. We aimed to evaluate survivorship of patients discharging to a SNF with a new diagnosis of cancer based on their […]
Abstract Number: 115
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients who are frequently admitted to Medicine inpatient services comprise a distinct subset of readmitted patients about whom not much is known. A prior study collected data on characteristics of 153 frequently hospitalized patients. This was a follow-up evaluation to determine the categories of patients the original cohort belonged to, and to collect mortality […]
Abstract Number: 118
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Guidelines for peripherally inserted central catheters (PICCs) recommend avoiding insertion if the anticipated use is 5 or fewer days. However, short-term PICC use is common in hospitals. We sought to identify patient-, provider- and device-characteristics associated with short-term PICC use. Methods: Between January 2014 and June 2016, trained abstractors at each of 51 Michigan […]
Abstract Number: 119
SHM Converge 2021
Background: Individuals with autoantibodies against melanoma differentiation-associated protein 5 (MDA-5) are reported to have a significant risk of developing rapidly progressive and fatal interstitial lung disease (ILD) in clinically amyopathic dermatomyositis patients (CADM). Previous cohort studies of dermatomyositis patients who have been systematically evaluated for the presence of anti-MDA5 antibodies and associated clinical features and […]
Abstract Number: 125
Hospital Medicine 2020, Virtual Competition
Background: Pregnant patients labeled with a penicillin allergy (PcnA) and charted as Group B streptococcus (GBS) positive can spread this infection to their baby during a vaginal delivery resulting in serious illness for their newborns. GBS is the most common cause of infectious morbidity and mortality in the neonatal period during the first week of […]
Abstract Number: 129
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic diseases. Patients with Scleroderma report pulmonary and gastrointestinal symptoms as the limiting factor on their daily functioning, however pain remains […]
Abstract Number: 131
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Infectious disease-related factors that may contribute to or complicate falls have received relatively little attention in the literature. Specifically, the prevalence of coexisting systemic infections (CSIs) in patients presenting with a fall and admitted to the hospital has not been previously reported. We, herein, describe the scope and characteristics of CSIs in hospitalized patients […]
Abstract Number: 134
SHM Converge 2021
Background: An average of 10% of patients in the U.S. report having a penicillin allergy yet the Centers for Disease Control estimates that less than 1% of the population are truly allergic. It is well described in adult literature that broad spectrum antibiotics are often used as penicillin alternatives and this may contribute to negative […]
Abstract Number: 134
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Reversing the life trajectory of hospitalized patients can be challenging. Sixty percent of Americans die in acute care hospitals. Identification of the patient care goals and directives frequently happens after many days of aggressive, uncomfortable and costly interventions at the hospital. We aimed to elucidate if identification of care goals earlier in Intensive Care […]
Abstract Number: 135
SHM Converge 2021
Background: Due to medical complexity, children with complex chronic conditions (CCC) have high hospital mortality rates. End-of-life (EOL) care planning is critical for these children and requires collaboration with families. Despite the importance of EOL care aligned with patient/family goals and potential harm when EOL care is inconsistent with these goals, there is limited literature […]