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Search Results for Bleed
Abstract Number: 160
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Oral anticoagulation is effective for reduction of risk for stroke and systemic embolism in patients with nonvalvular atrial fibrillation, but there may be uncertainty about how to manage anticoagulation in and following an emergency procedure or after treatment of hemorrhage. In case of an emergency, anticoagulation would ideally be immediately and completely reversed, bringing […]
Abstract Number: 181
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Atrial fibrillation leads to increased risk of systemic embolism (SE) and stroke. To decrease the occurrence of stroke/SE, anticoagulation is routinely prescribed. Recently, non-vitamin K anticoagulants like apixaban and rivaroxaban have become more popular and are preferred over warfarin. We here compare the efficacy and safety of apixaban with warfarin. Methods: Eligible participants were […]
Abstract Number: 182
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Atrial fibrillation (AF) is a very common condition which usually requires anticoagulation (AC). There are very clear indications of when to initiate AC but recommendations regarding bridging during elective surgery are not very clear. We here tried to answer this important question by calculating the risk of bleeding and stroke/systemic embolism (SE). Methods: We […]
Abstract Number: 184
SHM Converge 2021
Background: Given its ability to identify obscure bleeding at a rate of 0.1-0.5 mL/min, technetium-labeled red cell scans have long been considered the most sensitive radiographic test for gastrointestinal bleeding. They are routinely compared to computed tomography angiography, which detects bleeding at a minimum rate of 0.5 mL/min or greater. We conducted a clinical quality […]
Abstract Number: 185
SHM Converge 2024
Background: Hip fracture (HP) involves bleeding that often requires blood transfusion and it can be life-threatening. Jehovah’s witnesses (JW) refuse blood products (BP) administration because of religious beliefs. Recombinant Human Erythropoietin (rHuEPO) has become an alternative but there are still no guidelines on its use in these situations. Methods: JW patients with HP admitted to […]
Abstract Number: 187
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Worldwide, 200 million adults undergo non-cardiac surgery annually, and completing pre-operative assessments is a major role of today’s hospitalists. In previous years, decisions regarding anti-platelet agents were less evidence-based and often fell to provider preference. With the release of POISE-2 in 2014, there is now stronger evidence to support holding aspirin before elective surgery […]
Abstract Number: 254
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: UGIB is a common cause of inpatient admissions often associated with morbidity and an overall mortality rate approaching 10%. Since therapy is different, it is important to differentiate between variceal and non-variceal GI bleeding. While both will often need volume resuscitation, proton pump inhibitors (PPI), judicious transfusion and early endoscopy, patients with variceal bleeding […]
Abstract Number: 346
SHM Converge 2021
Case Presentation: A 69-year-old male with CKD Stage III and psoriatic arthritis on adalimumab (40 mg every 2 weeks) and methotrexate (20mg weekly) presents to the hospital after routine labs revealed macrocytic anemia and neutropenia. The patient was treated for right hand cellulitis 10 days ago in an urgent care setting with a dose of […]
Abstract Number: 450
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The “weekend effect” is a term to define worse outcomes among patients that present to the hospital on weekends. For upper gastrointestinal bleed (UGIB) some of these outcomes include increased mortality and increased length of stay (LOS). A 2018 meta-analysis suggests that mortality is higher for non-variceal bleed than for variceal bleed for weekend […]
Abstract Number: 453
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65 year old African American male with a past medical history of non-obstructive CAD and chronic hepatitis C with cirrhosis presented to the emergency room with one episode of hematochezia. Vital signs on presentation were significant for BP 104/61 and HR 103. A digital rectal exam revealed bright red blood. Labs were […]