Session Type
Meeting
Search Results for Pneumonia
Abstract Number: 151
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after AMI, HF, or pneumonia has not yet been fully understood. The objectives are to estimate the effect of hyperlipidemia and […]
Abstract Number: 158
SHM Converge 2021
Background: Community acquired pneumonia (CAP) is one of the leading causes of hospitalization in the United States.[1] In an effort to improve the quality of care for this resource-intensive disease, our institution implemented a clinical decision support (CDS) pathway for CAP comprised of three phases: (1) education on best practices, (2) education and a CDS […]
Abstract Number: 168
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: CMS and other entities have focused on reduction of readmissions as a national quality improvement goal. The 30-day risk standardized readmission rate is derived from administrative data and requires the accurate coding of a principal diagnosis. We sought to validate the coded principal diagnosis for patients admitted with pneumonia and to determine if local […]
Abstract Number: 169
SHM Converge 2024
Background: Elderly patients have a higher risk of developing aspiration pneumonia and have a higher risk of death if hospitalized for aspiration pneumonia. This study was conducted to confirm the effectiveness of an aspiration prevention program using the Gugging Swallowing Screen (GUSS) for elderly patients hospitalized with acute medical illness. Methods: Starting in April 2021, […]
Abstract Number: 184
Hospital Medicine 2020, Virtual Competition
Background: Nearly half of hospitalized patients with bacteriuria or treated for pneumonia receive unnecessary antibiotics (non-infectious/non-bacterial syndrome, e.g., asymptomatic bacteriuria), excess duration (antibiotics prescribed for longer than necessary), or avoidable fluoroquinolones (safer alternative available) at hospital discharge.1-3 However, it is unknown whether antibiotic overuse at discharge varies between hospitals or is associated with patient outcomes. […]
Abstract Number: 186
SHM Converge 2023
Background: For most infections, shorter antibiotic durations are similarly effective to longer durations but have lower risk for side effects and antibiotic resistance.1-9 Since 2019, community-acquired pneumonia (CAP) guidelines have recommended hospitalized patients with CAP be treated until clinical “stability and for no less than a total of 5 days.”10 However, randomized clinical trials have […]
Abstract Number: 198
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The 2011 the updated IDSA guideline on Community Acquired Pneumonia (CAP) in children recommends a blood culture in children with moderate to severe bacterial CAP requiring hospitalization. This recommendation was included in the Seattle Children’s Hospital (SCH) Clinical Standard Work (CSW) CAP pathway, for several reasons: (1) blood culture results would drive treatment decisions, […]
Abstract Number: 229
Hospital Medicine 2020, Virtual Competition
Background: Identification of pathogens causing community-acquired pneumonia (CAP) in hospitalized patients has improved with the utilization of nasopharyngeal (NP) polymerase chain reaction (PCR). Literature shows that 20-25% of pathogens are identified when using urine antigens, sputum and blood cultures, and can improve up to 70% when adding NP PCR for viruses, Staphylococcus aureus and Streptococcus […]
Abstract Number: 246
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In 2011, the Infectious Diseases Society of America (IDSA) published new guidelines on the management of community acquired pneumonia (CAP) in children and recommended use of narrow spectrum antibiotics such as ampicillin or amoxicillin over broader spectrum antibiotics such as ceftriaxone. Many studies have shown that these guidelines have been adopted with varying success […]
Abstract Number: 261
SHM Converge 2023
Background: Community acquired pneumonia (CAP) is one of the most common causes of hospitalization in the United States1 and a frequent source of antibiotic overuse.2 Two thirds of patients hospitalized for CAP receive excess antibiotic duration, primarily from excess therapy at discharge.3 Patients living in rural areas are known to have worse health outcomes than […]