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Search Results for Function
Abstract Number: 119
Hospital Medicine 2020, Virtual Competition
Background: Anemia is a risk factor for cognitive impairment as a result of reduced delivery of oxygen to the brain from low hemoglobin (Hb) levels. In ambulatory patients, mild anemia (Hb 10-12g/dL) has been associated with reductions in patients’ cognitive function [1–3]. In hospitalized patients it is standard of care to maintain Hb levels far […]
Abstract Number: 121
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when utilizing a high-dose diuretic strategy, which used nearly 80mg intravenous furosemide three times daily in the first 72 hours on […]
Abstract Number: 122
Hospital Medicine 2020, Virtual Competition
Background: Renal dysfunction is a complication in patients with decompensated cirrhosis. Due to the potential morbidity and mortality of these disorders in cirrhotic patients, it is important to ensure accurate clinical measurements of renal function. Standard creatinine-based estimated glomerular filtration rate (eGFR) equations have proven to be inaccurate in cirrhotic patients, as these patients have […]
Abstract Number: 128
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Functional decline during hospitalization of older adults is well-recognized and potentially preventable. Recent studies have suggested that clinically significant functional decline also affects hospitalized adults under 65 years of age, and that physical function is an important predictor of hospital readmissions. Despite the importance of function, we lack simple, efficient, and standardized measures to […]
Abstract Number: 130
SHM Converge 2023
Background: Patients spend about 95% of their hospitalization in bed, increasing the risk of functional decline associated with adverse events and readmissions. Some hospitals track patients’ functional mobility trends using Activity Measure for Post-Acute Care 6-Clicks Inpatient Short Form (AM-PAC). We aim to understand the associations between functional mobility loss from hospital admission to discharge, […]
Abstract Number: 130
SHM Converge 2024
Background: Black patients have been shown to have worse physical function, higher likelihood of developing mobility limitations and higher rates of mobility loss and functional decline. Despite these functional disadvantages, Black patients are less likely to receive acute and post-acute rehabilitation services. These disparities have been described in community-dwelling, ambulatory, and surgical populations, and social […]
Abstract Number: 140
SHM Converge 2023
Background: Even after successful treatment, many patients with tuberculosis (TB) suffer from post-TB sequelae. These may be structural complications (such as bronchiectasis, broncholithiasis, residual cavitation, COPD), infectious complications (such as COPD exacerbations, Aspergillus fumigatus infections, non-tubercular mycobacterial infections, pneumonia), or psychosocial morbidities (such as anxiety, depression, financial burden).[1] The impact of post-TB sequelae is not […]
Abstract Number: 233
Hospital Medicine 2020, Virtual Competition
Background: Sickle cell disease (SCD) is characterized by lifelong, recurrent episodes of vaso-occlusive pain that often require inpatient hospitalization. Readiness for discharge is dictated by the patient’s pain intensity rated on the Numeric Rating Scale (0-10). Pain is an individualized multidimensional experience and a pain intensity score only measures one facet. Physical function is another […]
Abstract Number: 302
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Immobility in the hospital setting is associated with persistent inability to perform activities of daily living, increased length of stay, and decreased return to independent living; this loss of function is identified by patients as a commonly unaddressed barrier to discharge. The reasons for immobility are multifactorial; however, lack of provider interest or value […]
Abstract Number: 370
SHM Converge 2021
Case Presentation: This patient was a 32 year old male with one week of fevers, coughing, and shortness of breath. On examination, the patient was tachycardic with an oxygen saturation of 85%. He had increased work of breathing with accessory muscle use, but no crackles or wheezing. Complete blood count showed leukocytosis. CT angiogram showed […]