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Meeting
Search Results for Cardiac
Abstract Number: 257
Hospital Medicine 2020, Virtual Competition
Background: Overuse of non-ICU continuous adult cardiac (telemetry) monitoring is a well-documented problem that can lead to increase hospital cost, alarm desensitization, nursing time loss, and patient discomfort 1,2. Previous studies assessing reduction of inappropriate telemetry use have employed a combination of electronic health record (EHR) order, nursing protocol changes, intensive educational, and/or feedback initiatives […]
Abstract Number: 258
Hospital Medicine 2020, Virtual Competition
Background: In order to reduce overuse, many hospitals have conducted studies and implemented protocols with the goal of reducing non-indicated telemetry monitoring. A common tool that institutions utilize for these changes are the clinical decision support systems (CDSS). In this report, we will present the telemetry protocol utilized by our hospital and review its effects […]
Abstract Number: 259
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Perioperative management of anticoagulant in mechanical valve patients is challenging, Current recommendations focus on management in patients undergoing elective surgery, while the data in patients hospitalized for emergency/urgency non-cardiac surgery is limited. We aimed to identify thromboembolic and bleeding events after anticoagulant interruption in patients with mechanical heart valves hospitalized for emergency/urgent non-cardiac surgery. […]
Abstract Number: 263
Hospital Medicine 2020, Virtual Competition
Background: Telemetry over utilization increases wasted spending, increases alarm fatigue, and creates patient safety risks. Despite the presence of American Heart Association (AHA) practice guidelines, patients are often placed on telemetry for inappropriate reasons at the discretion of the medical provider and are monitored for longer than anticipated. The goal of this quality improvement project […]
Abstract Number: 294
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: About 209,000 adults experience an in-hospital cardio-pulmonary arrest (IHCA) every year in the US. Known early warning scoring systems (e.g., MEWS, eCART) have shown low efficiency in predicting a patient’s risk of deterioration. We assessed the possibility of using the Rothman Index (RI) as such a tool. Methods: We conducted a retrospective case-control study with 248 adult inpatients at Yale-New […]
Abstract Number: 295
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation of syncope has continued to receive positive reviews as recent guidelines have encouraged early use of this device.However, the question […]
Abstract Number: 297
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Cardiac telemetry was originally designed to help detect and provide early intervention in arrhythmic complications of myocardial infarction. Today, however, telemetry use continues to expand beyond the critical and coronary care units, despite adequate research displaying questionable benefit. Our study seeks to assess the utility of telemetry in identifying decompensation in patients with documented […]
Abstract Number: 300
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: HEART and TIMI risk scores that include 12-lead electrocardiogram (ECG) changes and troponin I (cTnI) have been used to stratify patients presenting with chest pain that may indicate the presence of an acute coronary syndrome (ACS). It has been shown that the 12-lead electrocardiogram (ECG) can be derived (dECG) from 3 measured leads displayed […]
Abstract Number: 300
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Inappropriate telemetry use has been associated with increased health care cost and unnecessary diagnostic procedures. For these reasons, the Society of Hospital Medicine’s Choosing Wisely campaign promoted use of both American Heart Association (AHA) telemetry guidelines and protocol-driven discontinuation of telemetry. Despite these measures, an estimated 59% of patients are placed on telemetry due […]
Abstract Number: 301
SHM Converge 2024
Background: Coronary Computed Tomography Angiography (CCTA) is a common anatomic modality for detection of cardiac ischemia in the setting of chest pain hospitalizations. However, invasive coronary angiography (ICA) is the gold standard for diagnosing ischemic coronary artery disease. Research showed that CCTA has a high sensitivity but lacks the specificity and accuracy component of Fractional […]