Session Type
Meeting
Search Results for Hospitalized Patient
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: A small number of patients account for a disproportionate number of hospital readmissions. The Complex High Admission Management Program (CHAMP) is designed to improve care and reduce hospitalizations for frequently readmitted patients. Non-randomized studies of CHAMP found reductions in readmission but may be subject to regression to the mean. We conducted a randomized trial […]
Abstract Number: 51
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Frequently hospitalized patients represent a vulnerable population due to discontinuity between episodes of inpatient, outpatient, and specialty care. This discontinuity puts patients at risk for unnecessary over-treatment, dangerous under-treatment, medication errors, and loss of trust due to conflicting messages from healthcare providers. Providers face rising clinical volumes, decreasing familiarity between providers, and ever more […]
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: A3
SHM Converge 2022
Background: Frequently hospitalized patients face unique challenges in navigating health care systems. Although practice-, hospital-, and accountable care organization-level programs to address the needs of these patients exist, interventions have had mixed results, with only some demonstrating reduction in hospitalizations or costs. To best serve frequently hospitalized patients and improve future interventions, clinicians, leaders, and […]
Abstract Number: K9
SHM Converge 2022
Background: Hospital admissions at a tertiary care hospital occurs mostly by two routes: 1) through the Emergency Department (ED), and 2) through Transfer center. Several perceptions exist about transfer patients being more complex, and association with worse outcomes, or similar outcomes as compared to ED admits, and hence need for optimization of transfer decision and […]
Abstract Number: 106
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for delirium are broadly classified into predisposing and precipitating factors. Combinations of these risk factors precipitate delirium and hence a prediction […]
Abstract Number: 145
Hospital Medicine 2020, Virtual Competition
Background: It has been recently shown that patients admitted at night and during the weekend have worse mortality outcomes. The impact of those variables on other important outcomes such as length of stay (LOS) and readmission is less clear. We sought to analyze this relationship in a large cohort of inpatients. Methods: We performed a […]
Abstract Number: 154
SHM Converge 2023
Background: Over the last few years, the USA has seen a sharp increase in the incidence and prevalence of substance use disorder (SUD) and related acute illnesses. The clinical course of many hospitalized patients is impacted by their diagnosis of SUD. At our institution, we put in place an inpatient addiction service where a physician […]
Abstract Number: 219
SHM Converge 2021
Background: Falls are associated with significant morbidity and increased healthcare expenses for hospitalized patients. There are hundreds of thousands of inpatient falls every year. There are multiple validated scores to guide the need of imaging for patients presenting to ED after, but no such score exists for hospitalized patients who suffer a fall event. This […]
Abstract Number: 295
SHM Converge 2023
Background: Health-related social needs (HRSN) exacerbate poor health in patients with chronic medical conditions. The population of frequently hospitalized patients is heterogeneous, but many have unmet health related social needs. Multidisciplinary programs for this population emphasize longitudinal patient-provider relationships and intensive case management. Studies of these interventions have failed to demonstrate improved readmissions outcomes but […]