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Search Results for PRES
Abstract Number: 133
SHM Converge 2021
Background: Acute otitis media (AOM) is a commonly overtreated pediatric diagnosis. Since 2014, the American Academy of Pediatrics (AAP) has recommended a ‘wait-and-see’ strategy and shorter antibiotic courses for mild or moderate AOM in qualifying patients. While this strategy has been successfully implemented in some pediatric emergency units (EUs), studies have shown that 30-90% of […]
Abstract Number: 141
SHM Converge 2024
Background: The integration of Point of Care Ultrasound (POCUS) in clinical settings has been progressively recognized for its potential in improving patient outcomes. Our study introduces the Admission POCUS Examination (Apex) protocol, a comprehensive POCUS-based approach designed to optimize patient care at the point of admission in hospital medicine wards. Methods: This retrospective study involved […]
Abstract Number: 141
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The subset of admitted Major Depressive Disorder (MDD) patients with treatment-resistant depression (TRD) may be associated with incremental economic burden compared with other MDD patients. This study aimed to characterize and evaluate healthcare resource use, admission measures, and costs in these two groups. Methods: Patients aged ≥18 years with a diagnosis of MDD admitted […]
Abstract Number: 146
SHM Converge 2024
Background: The diagnosis of sepsis is often associated with high rates of morbidity and mortality. When it occurs in patients with Heart failure (HF), those rates increase dramatically. This study focuses on the differences in the outcomes in septic patients with Heart Failure with preserved Ejection Fraction (HFpEF) versus patients with Heart Failure with reduced […]
Abstract Number: 153
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The total cost for treatment of pressure ulcers in the United States is estimated at more than $11 billion annually. The Braden Scale is a risk stratification tool that assesses a patient’s risk of developing a pressure ulcer. It allows clinicians to develop risk-appropriate preventative interventions. Though used widely in the acute care setting, […]
Abstract Number: 166
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The economic burden of illness for patients with major depressive disorder (MDD) with suicidal ideation (SI) and suicide attempt (SA) can be attributed to the intensive level of care required, as these patients are frequently evaluated in the emergency department (ED) and admitted to the hospital. This study evaluated this burden of hospitalized patients […]
Abstract Number: 167
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the associated healthcare resource use and costs among patients who were hospitalized for MDD with SI or SA (SI/SA). Methods: Patients […]
Abstract Number: 169
Hospital Medicine 2020, Virtual Competition
Background: Prescription opioids have come under increasing scrutiny in recent years due to the rise in use and misuse which has resulted in significant morbidity and mortality. There have been several efforts by government agencies to address this such as the FDA issuing a Risk Evaluation Mitigation Strategy (REMS) for extended release/long acting (ERLAs) opioids […]
Abstract Number: 170
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Heart failure (HF) and atrial fibrillation (AF) share several risk factors including coronary artery disease, hypertension, smoking, obesity, diabetes, and renal disease, as well as common pathophysiologic pathway involving activation of the renin–angiotensin–aldosterone system, maladaptive atrial remodeling and subsequent impaired conduction system. Some studies have supported the role of angiotensin converting enzyme inhibitors (ACEIs) […]
Abstract Number: 170
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Peripherally inserted central catheters (PICCs) are associated with central vein stenosis and failure to establish a functioning arteriovenous fistula. Thus, guidelines recommend avoiding PICC placement when patients with chronic kidney disease (CKD) are likely to require hemodialysis. We sought to describe the current practice of PICC placement in hospitalized patients with an estimated glomerular […]