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Search Results for ROC
Abstract Number: 162
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: According to the most recent data released by the Centers for Disease Control, forty-six Americans die every day due to narcotic prescription drug overdose. Nationally, health care providers wrote two hundred and fifty-nine million prescriptions for narcotic analgesics in 2012, or roughly one bottle of narcotics per US adult. In an attempt to reduce […]
Abstract Number: 162
SHM Converge 2023
Background: Lumbar puncture (LP) is commonly needed in hospitalized patients for both diagnostic and therapeutic purposes. Traditional landmark identification by palpation of the lumbar spine and pelvis often has a low success rate. There is strong evidence showing that the use of ultrasound leads to higher success rates, along with other important patient-centered outcomes such […]
Abstract Number: 169
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: One year all-cause mortality rates after a fragility fracture are as high as 24%. Treatment of osteoporosis following fracture reduces mortality, recurrent fractures rates, and healthcare costs. Without endocrinology involvement, clinicians often fail to recognize and treat osteoporosis. We aimed to assess the frequency of fragility hip fractures including recurrence rates at our academic […]
Abstract Number: 171
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous access is commonly required in hospitalized patients for the administration of intravenous fluids and medications and blood products. Peripherally inserted central catheters (PICCs) and central venous catheters (CVCs) are required for the administration of vasopressors, chemotherapy, or total parenteral nutrition but often they are placed due to difficulty obtaining a peripheral venous catheter […]
Abstract Number: 174
SHM Converge 2023
Background: Hospitalized patients may require central venous access devices (CVADs) for inadequate intravenous (IV) access. CVADs have known complications, including peri-procedural trauma and central line associated bloodstream infections (CLABSI). CLABSI is of concern for patients and hospital systems, as it is largely preventable and used as a quality measure. A CVAD alternative is a short […]
Abstract Number: 176
SHM Converge 2023
Background: Medicine procedure services (MPS) increasingly perform bedside procedures such as lumbar puncture (LP). While rates of major complications are low, success rates in the literature are widely variable and dependent on patient body habitus, patient positioning, operator experience, and use of ultrasound guidance.1 Many trainees report discomfort with their skill in performing and supervising […]
Abstract Number: 177
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Endovascular cardiac valve replacement continues to increase in popularity as it becomes more of a standard of care for valve replacements. As the number of ECVR grows each year, complications associated with these procedures may elevate the cost and limit the viability of these procedures in healthcare systems. Hospitalists need to be aware of […]
Abstract Number: 192
SHM Converge 2023
Background: Febrile infants under 60 days-old undergo extensive evaluation for infection. Recent AAP guidelines recommend evaluation of the procalcitonin (PCT) level in the work-up of febrile infants 8-60 days-old to aid in predicting bacterial infection (BI) due to its high specificity; however, the sensitivity of PCT is relatively low. Recent literature has identified the Procalcitonin-To-Albumin […]
Abstract Number: 195
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Each year 45 million procedures are performed in the United States. For elective procedures, the preoperative evaluation is an opportunity to identify and manage risk factors that may contribute to post -operative morbidity and mortality. Increasingly thispre-operative visit has come under the purview of hospital medicine. While studies have demonstrated that pre-operative evaluations reduce […]
Abstract Number: 195
SHM Converge 2024
Background: Medical procedure services (MPS) are increasingly implemented in Hospital Medicine programs to promote resident learning, support provider workloads, and expedite performance of common bedside medical procedures, including thoracentesis, paracentesis, and lumbar puncture (LP) [. Prior work has demonstrated safety and positive educational experience with MPS but little data exists on the impact of MPS […]