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Search Results for Obstructive
Abstract Number: 138
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by chronic, irreversible airway obstruction that can precipitate into acute exacerbations (AECOPD) of cough, dyspnea and sputum production, often requiring hospitalization. Hospital systems aiming to improve outcomes for patients with AECOPD are testing innovative approaches to care in the acute care setting. To enroll […]
Abstract Number: 185
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can be used to identify these patients. Obstructive Sleep Apnea (OSA) has been described as an independent risk factor for long […]
Abstract Number: 216
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: COPD exacerbations are among the leading causes of hospital readmissions. According to the COPD Foundation, in 2013, 22% patients admitted for COPD exacerbation required readmission within 30 days of discharge. This represents a significant burden in terms of morbidity for these patients and increased cost to the healthcare system. The COPD readmission rate during […]
Abstract Number: 264
Hospital Medicine 2020, Virtual Competition
Background: Obstructive sleep apnea (OSA) is defined as a sleep disorder marked by pauses in breathing of 10 seconds or more causing unrestful sleep and accompanied by loud or abnormal snoring, daytime sleepiness, irritability, and depression. According to the National Sleep Foundation, more than 18 million Americans have OSA, 80% of whom are undiagnosed. The […]
Abstract Number: 273
Hospital Medicine 2020, Virtual Competition
Background: Chronic Obstructive Pulmonary Disease (COPD) is the 4th leading cause of death and a major driver of healthcare utilization worldwide. Established guidelines exist for hospitalized patients with COPD yet adherence to these has been found in multiple studies to be low. Our question is which Quality Improvement system changes best reduce healthcare utilization and […]
Abstract Number: 323
SHM Converge 2021
Case Presentation: A 58-year-old female presented to the emergency department after a lower lip laceration from slipping in her bathtub. She has a history of chronic trigeminal neuralgia and is now complaining of progressive weakness, imbalance over the past year, memory loss, and urinary incontinence for the past two days. On exam, the patient was […]
Abstract Number: 367
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In the outpatient setting, untreated obstructive sleep apnea (OSA) is associated with myriad adverse clinical outcomes including myocardial infarction, heart failure, arrhythmias, and cerebrovascular disease. However, little is known about the impact of treated versus untreated OSA on short-term outcomes in patients hospitalized with acute illness. We propose that the recurrent hypopnea and apnea […]
Abstract Number: 377
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 31 year old male with cystic fibrosis presents to the ER complaining of episodic, sharp, and diffuse abdominal pain associated with nausea, vomiting, and obstipation for 3 days. On physical examination, the patient’s abdomen was distended and diffusely tender to palpation, with hypoactive bowel sounds, and no palpable masses. CT abdomen revealed […]
Abstract Number: 410
SHM Converge 2023
Background: Avoiding preventable readmissions is a major goal of health care systems nationwide1. The Cardiorespiratory cohort consists of Veterans admitted with a diagnosis of CHF, COPD and non-COVID-19 Pneumonia, and is a high-risk group for readmissions. As part of a larger National VA High Reliability Organization (HRO) Collaborative2, an interdisciplinary team was launched to achieve […]
Abstract Number: 478
SHM Converge 2023
Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 […]