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Search Results for Perioperative
Abstract Number: 187
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The care of surgical patients is becoming more complex as patients with increasing comorbidities require surgical procedures. In adult hospital medicine, co-management of complex medical patients by hospital medicine and surgery has been shown to decrease length of stay and readmission for many procedures. It remains unclear, however, which patients are most likely to […]
Abstract Number: 193
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Recent data suggest that there are mortality benefits from preoperative statin therapy in patients at high risk for atherosclerotic cardiovascular disease (ASCVD). Current guidelines recommend moderate or high intensity statin for all patients with established ASCVD or 10-year risk of > 7.5%. In our preoperative evaluation clinic which is staffed by hospitalists, there were […]
Abstract Number: 196
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Perioperative hyperglycemia is associated with poor surgical outcomes, including infection and mortality, with higher rates of complications in patients without diagnosed diabetes (NDM) than in those with diabetes. Insulin therapy has been found to decrease the risk of infection and other adverse outcomes following surgery. It is unclear, however, whether insulin therapy for hyperglycemia […]
Abstract Number: 198
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at our institution where two SCM hospitalists were dedicated to Colorectal surgery year round. Each patient was screened daily by a […]
Abstract Number: 199
Hospital Medicine 2020, Virtual Competition
Background: Delirium is a well know post-operative complication that has been shown to increase mortality, length of stay, and post-operative complications. Despite extensive study, there is limited treatment for delirium once it occurs. Emphasis on preventing delirium and identifying patients at risk is an important part of reducing its impact on the individual and the […]
Abstract Number: 200
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: High risk patients undergoing elective surgery are at increased risk of life-threatening complications. Also, most are under anesthesia, lacking capacity for at least that time. Despite this they often lack advance directives (ADs) or do not have them accessible in their medical records. Methods: We did a retrospective chart review of 231 patients seen […]
Abstract Number: 200
Hospital Medicine 2020, Virtual Competition
Background: Intravenous (IV) low molecular weight iron dextran is a safe and effective treatment for iron deficiency anemia (1). However, oral (PO) iron supplementation remains a preferred mode of iron repletion due to low cost and ease of administration. Unfortunately, the efficacy of PO iron varies due to differences in drug absorption and patient adherence. […]
Abstract Number: 201
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hip fractures are a major health problem in the geriatric population in the United States, with estimated costs of $18B annually. Hip fractures are highly morbid in the elderly, as deconditioning and acute complications compound chronic comorbidities. To improve care for this high-risk population, hip fracture patients are preferentially admitted to our medicine hospitalist […]
Abstract Number: 203
SHM Converge 2023
Background: Point-of-care ultrasound (POCUS) is a diagnostic tool that is being increasingly utilized within the hospitalist sector of internal medicine; however, there is currently no summative source of information for POCUS in perioperative medical management. To address this gap in knowledge, we conducted a systematic review of studies assessing the impact of POCUS on clinical […]
Abstract Number: 204
SHM Converge 2023
Background: Increased life expectancy has raised the number of elderly patients suffering from hip fractures. This frail population and its surgical-related complications are scarcely known. We performed a single-center descriptive study involving centenarian patients to depict their management and complications. Methods: Centenarians with a hip fracture admitted to a single level I trauma center from […]