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Search Results for Failure
Abstract Number: 165
Hospital Medicine 2020, Virtual Competition
Background: Palliative care in seriously ill patients has been shown in some studies to improve satisfaction, symptoms, inpatient mortality rates, healthcare utilization and cost. While inpatient palliative care has been shown to improve symptoms and quality of life measures, the literature on its association with 30-day readmissions have been mixed for heart failure hospitalizations. We […]
Abstract Number: 165
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Acute heart failure (AHF) hospitalization is about one million hospital admissions per year and has tripled in the last 30 years in the United States. These illustrate the importance of recognizing early signs of AHF. Therefore, risk stratification can aid physicians in selecting appropriate evidence-based medical therapies. Red blood cell distribution width (RDW) is […]
Abstract Number: 167
Hospital Medicine 2020, Virtual Competition
Background: Acute decompensated heart failure exacerbation is the leading cause of hospitalization in the United States. It was associated with total medical costs of more than $30 billion in 2012 with projections estimating around $70 billion in costs by 2030. Currently, six million people in the U.S. have heart failure, with a little over half […]
Abstract Number: 170
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Heart failure (HF) and atrial fibrillation (AF) share several risk factors including coronary artery disease, hypertension, smoking, obesity, diabetes, and renal disease, as well as common pathophysiologic pathway involving activation of the renin–angiotensin–aldosterone system, maladaptive atrial remodeling and subsequent impaired conduction system. Some studies have supported the role of angiotensin converting enzyme inhibitors (ACEIs) […]
Abstract Number: 170
SHM Converge 2024
Background: Racial and ethnic disparities in heart failure (HF) care and outcomes occur, despite rapid improvement in HF therapies and survival [1,2]. The Burden of Treatment Theory is a framework for illustrating and explaining how interactions between patients, healthcare systems, and support networks affect their ability to manage a chronic illness, including HF [3]. We […]
Abstract Number: 177
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Do-not-resuscitate (DNR) orders are intended to allow patients to forgo cardiopulmonary resuscitate (CPR) in the event of cardiac arrest. They are applied to cases of cardiac arrest, and they cannot be applied to any situation other than cardiac arrest. However, prior studies have shown that the presence of DNR orders led to changes in treatment […]
Abstract Number: 186
SHM Converge 2021
Background: Previous work at our major academic medical center found that compared to White patients, Black and Latinx patients with a primary diagnosis of congestive heart failure (CHF) were significantly less likely to be admitted to our specialized cardiology service rather than our general medicine service (GMS). This work additionally found that CHF patients admitted […]
Abstract Number: 191
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Adult failure to thrive is a functional decline usually seen in the elderly. The causes of adult failure to thrive are multifactorial. There is some evidence that adult failure to thrive impacts other co-morbid conditions in patients. There is some data to suggest that adult failure to thrive can impact medical costs and increase […]
Abstract Number: 193
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Appropriate documentation of Congestive Heart Failure (CHF) specificity is still a major documentation problem in most hospitals in the United States despite the frequent presence of Clinical Documentation Improvement Specialists (CDIs) to assist with chart reviews and appropriate documentation/coding. We are a large hospitalist division providing care at 2 large tertiary care facilities in […]
Abstract Number: 193
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Diastolic heart failure is an increasingly prevalent condition and has been shown in studies to be a prognostic indicator of future morbidity and all-cause mortality. Several interventions and novel therapeutic modalities have shown benefit in patients with diastolic heart failure with respect to improved mortality. Despite these studies, a comprehensive evaluation of outcomes and […]