Session Type
Meeting
Search Results for Geriatrics
Abstract Number: 74
SHM Converge 2023
Background: Most cases of pneumonia in older people are aspiration pneumonia,[1] and the prognosis among patients hospitalized for aspiration pneumonia is very poor.[2] After being hospitalized for aspiration pneumonia, a certain number of patients become unable to take orally, and some chronic conditions are reported to be negatively associated with the retrievement of oral intake.[3] […]
Abstract Number: 74
Hospital Medicine 2020, Virtual Competition
Background: The relation of a patient’s age to survival in cardiac arrest is often discussed at the bedside when clinicians, patients, and families are faced with the question of whether CPR is medically appropriate for elderly individuals. Few studies are available to help guide this conversation. This study sought to evaluate in-hospital cardiac arrest (IHCA) […]
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: 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: 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: 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 […]
Abstract Number: 89
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization can easily become over-treatment once patients return home, increasing patients’ risk of adverse drug events including syncope and falls. Thus, […]
Abstract Number: C5
SHM Converge 2022
Background: The age-friendly hospital implements an evidence-based “4M” framework (what matters most, medication reconciliation, mentation and mobility) to minimize harm among older adults. Clinical outcomes of patients who receive bundled 4M’s care delivery remains a knowledge gap. We determined if the incremental benefit of more M’s was associated with reduced discharges to post-acute care facilities. […]
Abstract Number: F5
SHM Converge 2022
Background: People living with HIV (PLWH) are now anticipated to have near-normal life expectancies. With increased longevity comes the higher burden of non-infectious comorbidities related to the chronic immune activation and premature telomere shortening in PLWH, ranging from dyslipidemia to osteoporosis [1]. Increased comorbidity burden can lead to polypharmacy, defined as the concurrent use of […]
Abstract Number: G5
SHM Converge 2022
Background: The Acute Care for Elders (ACE) unit is an evidence-based system of acute hospital care starting from admission, designed to maintain or achieve independence and avoid preventable adverse events for older adults. However, little is known about how many ACE units exist and the variety of ways hospitals have implemented this evidence-based clinical model. […]