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Search Results for Geriatric
Abstract Number: 76
Hospital Medicine 2020, Virtual Competition
Background: Delirium is associated with increased morbidity, mortality and health care costs in the hospital setting secondary to increased length of stay and poor long term outcomes (1,2). A systematic review of different delirium prediction models found limitations with these models including derivation from small patient populations, lack of heterogeneity, accuracy and reliability as noted […]
Abstract Number: 77
SHM Converge 2023
Background: The American Geriatric Society (AGS) creates a consensus report, the Beers Criteria, of medications that may potentially inappropriate for older persons. The 2019 Beers Criteria consists of medications across many classifications and indications that could have potentially harmful effects on older patients, including contributing delirium, falls, hypotension, and urinary retention. Providing the highest quality […]
Abstract Number: 78
SHM Converge 2023
Background: At our Level 1 trauma center, geriatric trauma (GT) patients are primarily managed by hospitalists with surgical consultation. This care model offloads the trauma surgical services, improving time to surgery and hospital throughput. As the number of injured GT patients rose, so did the need to address a higher complication risk, longer hospital stays, […]
Abstract Number: 79
Hospital Medicine 2020, Virtual Competition
Background: More than two million people are evaluated for syncope each year in the United States, and approximately 30-40% of these patients are hospitalized for further costly investigation. Total annual cost of syncope related hospital evaluation is estimated to be over 2 billion dollars. The most common cause of syncope is reflex mediated. It does […]
Abstract Number: 80
Hospital Medicine 2020, Virtual Competition
Background: Addressing the needs of the geriatric population is critical, as “baby boomers” comprise a larger proportion of hospitalized patients. Hospitalists increasingly care for these complex geriatric patients. The “BEERS Criteria” are evidence-based guidelines that encourage medication safety by describing potentially inappropriate and harmful medications (PIMS) among geriatric patients. BEERS guidelines recommend that with a […]
Abstract Number: 85
SHM Converge 2024
Background: Delirium, an acute cognitive disturbance prevalent in up to 58% of older hospitalized adults, poses serious health risks, longer hospital stays, and increased mortality (1). Identifying and screening for delirium is hindered by barriers such as limited awareness, inadequate education, and lack of prioritization among healthcare providers. This project aimed to gauge opportunities to […]
Abstract Number: 85
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Despite its prevalence, constipation is frequently under-recognized and treated with ineffective agents in hospitalized older adults. Methods: An anonymous survey was distributed to physicians regarding constipation management in hospitalized older adults. Chi-square or Fisher’s exact, as appropriate, were used to explore associations between demographics and survey answers. T-test was used to compare groups on […]
Abstract Number: 87
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The number of individuals with dementia in the U.S., currently estimated at 5.3 million, is projected to triple by 2050. For patients with cognitive impairment, the unfamiliar and stressful hospital environment often requires constant observation (CO) to ensure patient safety. The use of constant observation (CO) in the hospital setting, while originating in patients […]
Abstract Number: 88
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Medicare patients account for over 50% of hospital days at a cost of over $1 trillion per year. Yet, hospitalization of older adults often results in poor outcomes. Furthermore, the number of geriatric healthcare providers dedicated to the care of hospitalized vulnerable older adults is currently insufficient. Purpose: Our objective was to create an […]
Abstract Number: 88
SHM Converge 2024
Background: Older adults presenting with trauma have worse outcomes than younger adults with similar injury severity. In 2013, the American College of Surgeons Trauma Quality Improvement Program published guidelines that recommended geriatrics consultation (GC) for high-risk older adults. Many trauma centers implemented GC in congruence with these guidelines, but the impact on patient outcomes is […]