Session Type
Meeting
Search Results for Chronic
Abstract Number: 182
SHM Converge 2023
Background: Recent work by the authors showed that over half of the incidences of hypoglycemia in hospitalized diabetics involved patients with CKD, and that 18% of patients with diabetes and end-stage renal disease (ESRD) had a hypoglycemic episode while hospitalized. The importance of reducing inpatient hypoglycemia is reflected in the Centers for Medicare and Medicaid […]
Abstract Number: 195
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Acute kidney injury (AKI) in hospitalized patients is linked to adverse outcomes. Presence of chronic kidney disease (CKD) in these patients has been shown to be an independent risk factor. Outcomes of patients with AKI on CKD have not been well-examined. This study is a retrospective analysis of outcomes in hospitalized patients with AKI […]
Abstract Number: 208
SHM Converge 2021
Background: Therapeutic paracentesis is a common procedure performed to relieve symptoms of ascites most commonly from cirrhosis, heart failure or malignancy. Previous studies have shown that acute kidney injury (AKI) is common after paracentesis and portends a poor prognosis, although these studies have excluded patients with pre-existing chronic kidney disease (CKD). Experiences in our hospital […]
Abstract Number: 216
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant burden in terms of morbidity for these patients and increased cost to the healthcare system. The COPD readmission rate during […]
Abstract Number: 233
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: It is often challenging to assess pain in patients on chronic opioids either in acute care setting or in outpatient centers. Pain assessment in this group is more challenging especially if they are hospitalized with acute or acute on chronic pain. Opioid uses associated with increased pain perception and increased self-report of pain. Further, […]
Abstract Number: 260
SHM Converge 2024
Background: In the US, 60% of adults have at least one chronic disease (such as diabetes, hypertension, and heart disease) and 42% have more than one. Chronic disease is the leading cause of death and disability and significantly contributes to annual healthcare spending (1). Studies have shown that patient education interventions can improve outcomes in […]
Abstract Number: 266
SHM Converge 2021
Background: Social determinants of health (SDH) are living and work conditions which affect health and functioning. [1] Unmet social needs may contribute to increased medical utilization and worse health outcomes. For example, patients with sickle cell who report financial strain have more admissions and readmissions. [2] Adults with cancer and housing insecurity are more likely […]
Abstract Number: 273
Hospital Medicine 2020, Virtual Competition
Background: Chronic Obstructive Pulmonary Disease (COPD) is the 4th leading cause of death and a major driver of healthcare utilization worldwide. Established guidelines exist for hospitalized patients with COPD yet adherence to these has been found in multiple studies to be low. Our question is which Quality Improvement system changes best reduce healthcare utilization and […]
Abstract Number: 304
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden to the medical system. Patients are stabilized and carefully monitored at the hospital but often go home without adequate follow-up […]
Abstract Number: 352
SHM Converge 2021
Case Presentation: A 41-year-old male with a past medical history of chronic alcoholic pancreatitis and right-sided pancreatic pseudocyst presented with shortness of breath and right-sided chest pain that began three days prior. Chest X-ray showed near-complete opacification of the right hemithorax. A diagnostic thoracentesis revealed an exudative pleural effusion with a pleural amylase level of […]