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Abstract Number: F7
SHM Converge 2022
Background: Intense inflammatory response and the releasing of cytokines are one of the known inflammatory responses in COVID19. Activation of inflammatory cascade increases the production of cytokines and chemokines such as IL-1, IL-6, IL-8, which can increase the risk of the perioperative complication rate.1,2,3 Therefore, we hypothesized that the intense inflammatory response due to COVID19 […]
Abstract Number: O9
SHM Converge 2022
Background: International VTE management guidelines recommend outpatient management for appropriate patients with low-risk deep vein thrombosis (DVT) or pulmonary embolism (PE)[1-3]. Despite the evidence and recommendations, previous studies reported low prevalence of outpatient management, especially for PE[4, 5]. This analysis aimed to characterize trends in outpatient vs. inpatient management of VTE in the last 5 […]
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 […]
Abstract Number: 136
SHM Converge 2021
Background: Migraine headache is a common pediatric disorder frequently leading to hospital admission. Inpatient migraine headache treatment involves increasingly complex treatments, including fluid resuscitation and a variety of medications and therapies. Our previous study(1) has shown that the cost of inpatient treatment for pediatric migraine headache is increasing at a higher rate than reported overall […]
Abstract Number: 149
SHM Converge 2021
Background: For hospitalists rounding on inpatient units, admitting new patients at varying times through the day greatly disrupts workflow efficiency. Deferring these admissions to the next shift can result in delays in patient care. Admitting teams dedicated to the needs of new patients offer a potential solution. Methods: A quality improvement project was conducted on […]
Abstract Number: 196
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Keeping admitted patients in the emergency room (ER) carries negative operational and clinical consequences. Prolonged stays reduce ER bed turnover, thereby limiting access for other patients. Furthermore prolonged ER length of stay (LOS) has shown to be an independent risk factor for 30 day mortality for admitted patients. For these reasons, Veterans Affairs (VA) […]
Abstract Number: 210
SHM Converge 2024
Background: Behavioral emergencies in the hospital are on the rise, leading to increased workplace violence. A small body of evidence recommends an inpatient Behavioral Emergency Response Team (BERT), a multi-disciplinary team to de-escalate behavioral emergencies that can be harmful to the patient or staff. Observational studies have reported that BERT can reduce workplace violence, use […]
Abstract Number: 223
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medical Emergency Teams (METs) are utilized in an inpatient setting to identify patients who exhibit signs of clinical deterioration. Patients, family, or staff activate the team by calling a Code MET when there is a change in clinical status. Patients with End-Stage Renal Disease (ESRD) fare worse than age-, gender-, and race-matched populations. We […]
Abstract Number: 231
SHM Converge 2024
Background: Many U.S. emergency departments (EDs) and hospitals experience critical overcrowding and capacity challenges which has been exacerbated by the COVID-19 pandemic.(1) ED boarding has been associated with a range of adverse outcomes, and pre-pandemic data suggests that racial minority patients may be disproportionately impacted.(2-4) We aim to identify the effects of patient race and […]
Abstract Number: 240
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Emergency Department (ED) boarding, which occurs when admitted patients do not have an available bed in the hospital, has been associated with adverse patient outcomes. In 2014, 13,109 patients waited greater than 2 hours for a medicine inpatient bed at our large urban academic center. In July 2016, we deployed a 24-hour hospital medicine […]