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Meeting
Search Results for HOMELESS
Abstract Number: 38
SHM Converge 2023
Background: Patients experiencing unsheltered homelessness are at extreme risk for worse outcomes, including increased mortality 10 times that of the general population and an average life expectancy of 53 (over 20 yrs less than general population). Transitions of care pose unique difficulties for this vulnerable population, with numerous barriers to ongoing care and resulting readmission […]
Abstract Number: 91
SHM Converge 2023
Background: Lack of stable housing adversely affects health outcomes, increases healthcare utilization, and increases mortality. Few studies have assessed the prevalence of homelessness and housing insecurity in hospitalized patients. To address this gap, we conducted a hospital point-in-time study to determine the prevalence of housing insecurity and homelessness among hospitalized patients at two academic medical […]
Abstract Number: 129
SHM Converge 2023
Background: Patients experiencing homelessness have unique healthcare needs due to barriers of care, lack of access to food and safety, and limited social services. Patients can be experiencing homelessness temporarily or chronically. They experience high rates of substance abuse, mental illness and other health problems like HIV. These unique circumstances make patients experiencing homeless unique […]
Abstract Number: 137
SHM Converge 2023
Background: An estimated 580,000 individuals were experiencing homelessness during the most recent national point-in-time count. Dialysis requires substantial patient engagement, and not having secure housing impedes medical care and could increase acute care utilization. The prevalence of homelessness and its impact on hospitalizations among patients with ESKD are unknown. This retrospective cohort study examined differences […]
Abstract Number: 253
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Homeless patients have a higher incidence of medical and psychiatric diagnoses, which often necessitate hospitalization. Studies show that homeless persons have increased lengths of stay with an average excess of 4.1 days, accounting for an average excess cost of $2414 per admission. Additionally, homeless persons have high rates of 30-day inpatient readmissions, as high […]
Abstract Number: 262
SHM Converge 2023
Background: The care management and discharge planning of psychiatric patients experiencing homelessness (PPEH) is an area of debate. Due to the lack of research on best practices and community resources available, there are currently insufficient actionable guidelines in place to properly assist PPEH in their psychiatric care post-discharge, leading to high rates of readmission. Though […]
Abstract Number: 431
SHM Converge 2021
Case Presentation: A 52-year-old destitute G6P6006 woman with an advanced stage Inflammatory breast cancer (IBC) presented to the OB/GYN for four-month right breast pain and one-month skin changes. The examination was notable for a diffusely dense and hard to left palpation breast, peau d’orange, medial scarring similar to boils without drainage, absent nipple discharge, and […]
Abstract Number: 534
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 52 year-old homeless man presented to the ED with knee pain after a mechanical fall. X-ray confirmed a depressed, lateral tibial plateau fracture. He was discharged with a knee brace and a referral to orthopedic surgery. Because of continued knee pain, he returned to the same ED two days later and went […]
Abstract Number: B14
SHM Converge 2022
Background: Individuals experiencing homelessness have increased disease burden and healthcare needs compared to the general population. Homelessness is correlated with poor health outcomes and higher early mortality rates. Despite increased health care needs, individuals experiencing homelessness have more barriers and therefore less exposure to ambulatory care with consequently higher rates of acute hospital care. Unhoused […]