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Search Results for COP
Abstract Number: 76
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). An understanding of modifiable determinants of 30-day readmission will likely help in developing interventions to reduce preventable AECOPD readmissions. […]
Abstract Number: 79
Hospital Medicine 2020, Virtual Competition
Background: More than two million people are evaluated for syncope each year in the United States, and approximately 30-40% of these patients are hospitalized for further costly investigation. Total annual cost of syncope related hospital evaluation is estimated to be over 2 billion dollars. The most common cause of syncope is reflex mediated. It does […]
Abstract Number: 88
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The estimated total annual cost of syncope-related hospitalizations in the year 2005 was about $2.4 billion with a mean cost of $5,400 per hospitalization. Syncope of cardiac etiology has 18-33% mortality in comparison to 0-12% with non-cardiac etiology. We sought to evaluate the role cardiac biomarkers in patients presenting with syncope to evaluate their […]
Abstract Number: 94
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Correct inhaler technique for COPD medications is essential to achieving optimum delivery into the lungs. Evidence suggests that poor technique is widespread and linked to poor efficacy and adherence. However, the direct relationship between inhaler technique and health status has not been investigated. Methods: Data from a 2013 US survey dataset of COPD patients […]
Abstract Number: 94
SHM Converge 2021
Background: Large volume preparations that are polyethylene glycol based (such as GoLYTELY and MiraLAX) are the mainstay of bowel preparation regimens at many institutions. Studies have shown that patients prefer lower volume preparations compared to the standard 4 Liters of polyethylene glycol electrolyte solutions (PEG- ELS). Although data has been collected on low volume bowel […]
Abstract Number: 96
SHM Converge 2024
Background: Decision fatigue describes the erosion of decision making capacity as a consequence of the repeated acts of decision making. The phenomenon has been detected in ambulatory settings with higher rates of inappropriate antimicrobial and opiate prescribing and lower rates of cancer screening associated with appointments that occur later in the day. As hospital medicine […]
Abstract Number: L2
SHM Converge 2022
Case Presentation: A 79-year-old male with vasculopathy, hypertension, diastolic heart failure, and dialysis-dependent end stage renal disease presented after having hypotensive syncopal episodes during initiation of his last 3 outpatient dialysis sessions. Upon dialysis cessation, he quickly awakened fully oriented with a normal hemodynamics. On arrival, physical exam findings were unrevealing, as were a subsequent […]
Abstract Number: L9
SHM Converge 2022
Background: Copper is an essential trace element in the human body acting as a cofactor in many enzymatic reactions. Notably copper is involved in iron metabolism, neurohormone homeostasis, production of collagen, electron transport, regulation of gene expression, immune system function and melanin production. Two diseases that have been well documented in regards to copper regulation […]
Abstract Number: 101
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The 2015 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend the use of systemic corticosteroids in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Although prior guidelines did not recommend a dose or route, current guidelines recommend oral (PO) prednisone over intravenous (IV) methylprednisolone for non-ICU AECOPD hospitalizations, given […]
Abstract Number: 108
Hospital Medicine 2020, Virtual Competition
Background: The approach to managing and admitting patients with syncope in an emergency setting lacks standardization. Our study aims to investigate how regional variation in management of emergency department (ED) patients presenting with syncope impacts outcomes and resource utilization in this patient population. Methods: We used the 2006 to 2014 Nationwide Emergency Department Sample to […]