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Search Results for SEP
Abstract Number: 115
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Though previous studies have demonstrated that hypoglycemia is a risk factor for inpatient mortality among hospitalized patients, many clinicians may not be aware of the seriousness of this finding. The purpose of this study was to describe the most common comorbidities and outcomes of patients admitted with hypoglycemia (
Abstract Number: 123
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Septic arthritis (SA) of native joints has an incidence rate of 4-12 per 100,000 person-years. In 2012, there were 36, 539 hospitalizations for SA in US non-VA hospitals and costed the US healthcare system $2.85 billion. Such data has not been reported for US VA-healthcare System. SA has a mortality of 4-13%. Among survivors […]
Abstract Number: 129
SHM Converge 2024
Background: Patients with undifferentiated but stable clinical presentations may manifest sepsis “time zero” (T-0) or the onset of sepsis-defining conditions while undergoing further evaluation in observation units (OUs). Since these units are often designed to facilitate diagnostic and clinical risk assessments, we hypothesize that patients experiencing T-0 while in OUs will likely experience similar or […]
Abstract Number: 139
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Sepsis research is limited by heterogeneity and inaccuracy of patient identification. An ideal identification algorithm would broadly define a population with suspected infection to optimize discrimination and provide real-time identification of high-risk populations for potential interventions. We combined clinical and administrative to identify a population of adults hospitalized with suspected infection and examined characteristics […]
Abstract Number: 142
Hospital Medicine 2020, Virtual Competition
Background: In the United States, 32 million people have a documented penicillin allergy and up to 20% of hospitalized patients’ records describe a penicillin allergy (PcnA). Less than 10% of patients with reported penicillin allergy have true clinically relevant PcnA when objectively tested through rigorous skin testing (1-3). Clinicians subsequently avoid appropriate penicillin or penicillin […]
Abstract Number: 143
SHM Converge 2023
Background: Patients with Limited English Proficiency (LEP) face multiple barriers to care and are at risk for worse health outcomes compared to similar patients with English Proficiency (EP). In sepsis, a common diagnosis and major cause of mortality in the US, the association of LEP with health outcomes has not been widely explored. We aimed […]
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: 147
Hospital Medicine 2020, Virtual Competition
Background: The 2016 Surviving Sepsis Campaign guidelines recommend antibiotic administration within 1 hour of emergency department (ED) presentation for patients with sepsis. While early antibiotics are associated with reduced mortality, the 1 hr policy has been criticized for its one-size-fits-all approach and risk for over-diagnosis and treatment. Clinicians and quality leaders have called, instead, for […]
Abstract Number: 148
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%. Early identification of patients with sepsis is critical, as treatment delays are associated with significant increases in mortality. The electronic health record (EHR) contains near-real-time physiologic parameters, […]
Abstract Number: 150
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early intervention have been shown effective at reducing mortality among in-patients (Dombrovskiy VY, 2007). Internal data suggests that the identification of […]