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Abstract Number: 146
Hospital Medicine 2020, Virtual Competition
Background: Readmission and length of stay are two hospital level metrics commonly used to assess the performance of hospitalist groups. Health care systems implement strategies aimed at reducing both. It is possible however that tactics aimed at improving one measure in individual patients may adversely impact the other. Studies in focused populations of patients hospitalized […]
Abstract Number: 149
Hospital Medicine 2020, Virtual Competition
Background: While delirium may affect patients of any age, delirium initiatives have focused mostly on the elderly, as older patients are more vulnerable to developing delirium. Few studies have reported delirium in patients between 18-64 years of age, mostly restricted to patients with advanced cancer or on palliative care units. There is a lack of […]
Abstract Number: 152
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Although 1 in 10 people suffer from chronic insomnia, the prevalence among hospitalized patients is likely higher, due to common comorbidities such as depression and chronic pain in this population. We aimed to assess the prevalence of undiagnosed insomnia among hospitalized adults and examine the associations between severity of insomnia and in-hospital sleep duration […]
Abstract Number: 171
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the growing emphasis on high-quality HCT, there remains a paucity of evidence to guide inpatient providers in transitioning adolescents to adult medical care. An inter-professional team at our institution created a video incorporating Self-Determination Theory (SDT) concepts as the educational construct emphasizing key elements of HCT. The objectives were to determine the effect […]
Abstract Number: 172
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Improved outcomes in pediatric to adult-oriented HCT especially for children with special health care needs (SHCN) are a national objective of Healthy People 2020, with only 40% of adolescents with SHCN currently meeting the national core outcomes in pediatric to adult-oriented HCT. Despite the potential of hospitalized AYA being higher utilizers of the health […]
Abstract Number: 188
SHM Converge 2023
Background: The three most common childhood-onset chronic conditions for which adolescents and young adults (YA) use pediatric hospitals are congenital heart disease (CHD), cystic fibrosis (CF), and sickle cell disease (SCD). Existing studies do not establish clear clinical benefits to continued pediatric hospitalization over hospitalization at adult hospitals. We aimed to determine if if continued […]
Abstract Number: 241
Hospital Medicine 2020, Virtual Competition
Background: Regionalization of a provider team’s patients within dedicated nursing units has been shown to allow for improved efficiency and interdisciplinary collaboration. However, the creation of full regionalization is not feasible or appropriate for many medical centers given resource limitations. We hypothesized that we could achieve a significant increase in patient regionalization by modifying admitting […]
Abstract Number: 243
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: With advances in medical care, there is a growing population with childhood-onset chronic health conditions reaching adulthood. A 2011 consensus statement by the AAP, AAFP and ACP identified an algorithm for transition from pediatric to adult care, but change in practice has been slow. The purpose of this study was to better understand the […]
Abstract Number: 257
SHM Converge 2023
Background: The strongest risk factor for readmission to the hospital and failure to successfully return to the community after hospital discharge is impaired physical function. Although published experience with wearable devices in post-acute care settings is scant, measurement of steps in other care settings has been shown to be feasible and directly linked with post-discharge […]
Abstract Number: 289
SHM Converge 2023
Background: Lack of mobilization of hospitalized non-ICU medical patients has known negative consequences, including worse health and psychological outcomes, functional decline and increased hospital length of stay (1). Known challenges to increasing mobilization amongst inpatients include patient- and institutional-related limitations such as patient symptoms and lack of available assistance (2). At our urban, quaternary care, […]