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Meeting
Search Results for ICD
Abstract Number: 147
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Large volume paracentesis is commonly performed in patients with refractory ascites but can induce hypotension and kidney injury. There is evidence that administering albumin at 6-8 grams per liter (g/L) of ascites removed during or after paracentesis can reduce these adverse events. Current guidelines recommend this practice when >2 liters are removed in high-risk […]
Abstract Number: 186
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Clinical Documentation Improvement programs have been present in adult hospitals for many years. These programs strive to promote clinicians working together with nurse specialists to appropriately depict the care delivered and increase coding accuracy. This collaboration has traditionally been through written and verbal documentation queries that clarify diagnoses based on a patient’s clinical indicators […]
Abstract Number: 225
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Malnutrition affects up to 30% of inpatients, but is rarely diagnosed. This leads to under-treatment and poor patient outcomes including: infections, pressure ulcers, and poor wound healing. In the MS-DRG system, malnutrition is considered either a major complication/comorbidity (MCC) or a complication/comorbidity (CC), depending on specificity and severity. Therefore, missed diagnoses significantly impact patient […]
Abstract Number: 245
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to licit or illicit chemical substances in utero and manifests symptoms of withdrawal from the substance(s) after birth. NAS is a clinical diagnosis, but is generally confirmed with testing of infant urine and/or meconium to identify specific causative substances. Appropriate identification, documentation, and communication […]
Abstract Number: 277
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Implantable cardioverter defibrillator (ICD) shocks can be traumatic for patients and families, particularly at the end of life. Studies estimate between 51-65% of ICDs remain active at time of death, with 24-31% of patients receiving shocks within the last day of life, and 8% in the last minute of life. The Heart Rhythm Society […]
Abstract Number: 912
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator […]