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Meeting
Search Results for Septic shock
Abstract Number: 97
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: In 2011, sepsis accounted for more than $20 billion (5.2%) of total US hospital costs. The CDC estimates that hospitalizations for sepsis or septicemia increased from 621,000 to 1,141,000 in 2000 and 2008 respectively. Severe sepsis has an in-hospital mortality rate of 28.6-37.7%, and those who survive may face a difficult recovery including long-term […]
Abstract Number: 107
SHM Converge 2024
Background: Sepsis and septic shock, critical health concerns in the U.S., demonstrate varied mortality rates across different racial groups. This study examines the impact of race on mortality and complications in septic shock, providing insights into healthcare disparities. Methods: Using data from the National Inpatient Sample database (2016-2020), this retrospective analysis included 2,789,890 patients with […]
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: 208
SHM Converge 2024
Background: Septic shock is a significant burden: average length of stay (LOS) for sepsis patients in US hospitals is 75% greater than most other conditions. Mean LOS dramatically increases with sepsis severity: 4.5 days for sepsis, 6.5 for severe sepsis, and 16.5 for septic shock. Administration of antibiotics in < 1 hour after presentation at […]
Abstract Number: 231
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sepsis is a leading cause of death among hospitalized patients. Early detection of sepsis has the potential to reduce mortality by facilitating timely evidence-based interventions. Past studies have used electronic health records (EHR) to trigger alerts at the onset of sepsis, or to predict general clinical deterioration. In this study we describe the impact […]
Abstract Number: 232
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sepsis is a leading cause of mortality among hospitalized patients. Early detection and intervention reduces sepsis-related mortality. We implemented a novel early warning system (EWS 2.0) based on a machine-learning algorithm to prospectively identify patients with increased risk of severe sepsis or septic shock. Validation suggested excellent predictive characteristics, including a positive likelihood ratio […]
Abstract Number: 289
SHM Converge 2021
Background: BACKGROUNDSepsis has been recognized as a major cause of mortality and morbidity in the United States. If not recognized and managed promptly, it can lead to septic shock which is one of the leading causes of deaths in the hospital (WHO, 2020). To promote early identification and treatment of severe sepsis and septic shock, […]
Abstract Number: 324
SHM Converge 2021
Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was […]
Abstract Number: 511
SHM Converge 2021
Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior […]
Abstract Number: 533
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old man with no previous medical history presented to the emergency department with nausea, vomiting and diarrhea for one week. Labs were significant for white blood cell (WBC) count 3.4 k/ul with decreased lymphocytes along with mild elevation of transaminases and lipase. He was thought to have viral gastroenteritis and was discharged. […]