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Meeting
Search Results for Admissions
Abstract Number: 150
SHM Converge 2021
Background: Admissions from the Emergency Department (ED) to the inpatient floor units are often inefficient; this translates to increased expense via increased length of stay (LOS), fewer available patient rooms via “patient boarding”, and an overall less positive experience for patients and their families. Reducing admission times effectively increases the capacity of the ED and […]
Abstract Number: 153
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cardiac readmissions are an ever expanding burden spanning from patients, to hospitals, all the way up to the national healthcare system. Currently, there is a lack of consensus regarding appropriate inpatient screening tests for identifying patients at high risk for readmission, as well as peri-hospitalization disease management regimens aiming to prevent readmissions. Our clinical […]
Abstract Number: 156
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Kaiser Permanente Roseville Medical Center is a 340 bed facility in Northern California. Reducing readmissions has been a focus, and the current observed over expected rate is 0.77. Starting from this relatively low readmission rate, our focus has been optimizing care for patients at high risk of readmission. A retrospective review of all patients […]
Abstract Number: 165
Hospital Medicine 2020, Virtual Competition
Background: Palliative care in seriously ill patients has been shown in some studies to improve satisfaction, symptoms, inpatient mortality rates, healthcare utilization and cost. While inpatient palliative care has been shown to improve symptoms and quality of life measures, the literature on its association with 30-day readmissions have been mixed for heart failure hospitalizations. We […]
Abstract Number: 178
SHM Converge 2024
Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA […]
Abstract Number: 180
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who get readmitted within 30 days of their index admission discharge may have higher short and long-term mortality. Methods: Using administrative […]
Abstract Number: 180
SHM Converge 2024
Background: Social needs are associated with poor medical outcomes, including increased readmissions. Several studies compare demographic or ICD-10 code indices of social risk and readmissions, or social needs in disease-specific readmissions. Others found that addressing needs is associated with decreased readmissions. However, little is known about how needs differ between patients who are readmitted to […]
Abstract Number: 189
SHM Converge 2021
Background: Thirty-day readmission rates are increasingly used among hospitals as a quality of care indicator since research has shown that higher than expected readmission rates often lead to poor patient outcomes and high financial costs. Causes of readmission tend to be multifactorial and possibly variable dependent on systems. To investigate predictors of 30-day readmission rates, […]
Abstract Number: 190
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and increased resource utilization. Despite substantial need, no standard model of care exists for this patient population. At our academic medical […]
Abstract Number: 192
Hospital Medicine 2020, Virtual Competition
Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves ever-increasingly complex treatment plans, including fluid resuscitation and a variety of medications. Severe Migraine headache may require more aggressive therapy such as dihydroergotamine (DHE) and sphenopalatine ganglion (SPG) block that may prolong hospital stay and increase […]