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Search Results for SAM
Abstract Number: 162
Hospital Medicine 2020, Virtual Competition
Background: The obesity paradox describes a counterintuitive observation of improved outcomes in patients with obesity. Analysis of the association among overweight/obesity and leading causes of inpatient mortality in a systemic manner has not been conducted. Methods: We used STATA (StataCorp, College Station, Texas) to analyze the 2016 National Inpatient Sample (NIS). We recognized patients with […]
Abstract Number: 185
SHM Converge 2023
Background: Physical restraint use among patients hospitalized with dementia and behavioral disturbances has not been studied on a national level in the United States. We aimed to determine rates of physical restraint use among hospitalized patients with dementia and behavioral disturbances and to characterize associations with mortality and utilization metrics. Methods: National Inpatient Sample database […]
Abstract Number: 224
SHM Converge 2024
Background: There is little data on the relative prevalence of different causes of care delays that contribute to prolonged length of stay. Unnecessary delays in the care of hospitalized patients increase the risk of hospital-related complications and drive up healthcare costs. Prior observational studies have suggested that a reduction in hospital length-of-stay is possible without […]
Abstract Number: 319
SHM Converge 2021
Case Presentation: A 51-year-old man with seropositive rheumatoid arthritis (RA) and chronic intra-abdominal arterial aneurysms attributed to RA-associated vasculitis presented with a one-day history of right upper quadrant abdominal pain and melena. His vital signs were within normal limits. Notable laboratory studies included hemoglobin 6.1 g/dL, total bilirubin 1.4 mg/dL, AST 161 U/L, ALT 217 […]
Abstract Number: 378
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 59-year-old male with history of hypertension, insulin dependent diabetes mellitus type two, alcohol abuse, and depression/anxiety presented to the Intensive Care Unit by emergency medical service after being found down by his neighbors with multiple empty alcohol bottles around him. Vital signs were significant for heart rate 115. Lab data included sodium 146, […]
Abstract Number: 385
SHM Converge 2021
Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and […]
Abstract Number: 425
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Racial/ethnocultural inequities have been demonstrated throughout our health care system, though their presence among patients who undergo interhospital transfer (IHT), commonly done to provide patients with more specialized care, is poorly understood. The goals of this study are to evaluate the association between patient race/ethnicity and IHT to identify potential racial disparities in this […]
Abstract Number: 559
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 34 year-old female without medical history who had an uncomplicated vaginal delivery 3 months prior presented with acute onset right upper quadrant abdominal pain and several episodes of emesis. The patient took no prescription medications; however, she had been taking fenugreek for the past 6-8 weeks to enhance her milk production in […]
Abstract Number: 605
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: This is a 38 year old male with a past medical history of hypertension, hyperlipidemia, bipolar disorder and alcohol abuse who was brought to the emergency room after he collapsed on the subway in May 2018. Several days prior to this episode, he reported cyclical fevers to a maximum of 102F, myalgias and […]
Abstract Number: 709
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 57 year old African woman presented with a 2-week history of fever, cough, and dyspnea. She had no sick contacts, chest pain, hemoptysis or weight loss and was HIV negative. Past medical history was unremarkable. On physical examination, temperature was 100.3 F and RR was 19. Auscultatory chest findings were positive for […]