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Meeting
Search Results for Surgery
Abstract Number: 184
SHM Converge 2024
Background: Patients with End-stage renal disease (ESRD) who are dialysis-dependent have an elevated risk of peri-operative morbidity and mortality. There are many scoring tools that can help predict perioperative risk. Unfortunately, none were validated specifically for patients with ESRD. We aimed to compare the performance of the Revised cardiac risk (RCRI) and the AUB-HAS2 scores […]
Abstract Number: 186
SHM Converge 2024
Background: Patients undergoing cardiac surgery are at risk of anemia from blood loss, inflammation, and red blood cell lysis, necessitating blood product utilization and increasing the risk of post-operative complications. RBT-1 (a combination of stannic protoporfin and iron sucrose) is a novel preconditioning drug administered prior to surgery that upregulates anti-inflammatory, antioxidant, and iron scavenging […]
Abstract Number: 198
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Patients with increasing age and medical complexity are undergoing colorectal surgery. Medical complications are not uncommon, and may contribute to higher mortality. We implemented a unique surgical co-management (SCM) model in July 2014 at our institution where two SCM hospitalists were dedicated to Colorectal surgery year round. Each patient was screened daily by a […]
Abstract Number: 228
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: A lack of standardization in care delivery can lead to variations in outcomes in the high-risk work of neurosurgery. The aim of this program was to develop, implement and evaluate the impact of three standardized interventions to improve neurosurgical patient outcomes and experiences. Methods: Hospitalists partnered with Anesthesia and Neurosurgery leaders from five large […]
Abstract Number: 232
SHM Converge 2024
Background: The emergence of hospitalists over the last 25 years as leaders in quality, safety, and value-based care has resulted in improvements in hospital throughput and reduction of in-hospital complications (1). The keys to success are standardizing clinical pathways and interdisciplinary collaboration. At Tampa General Hospital (TGH), our hospitalist team observed significant variability in the […]
Abstract Number: 241
SHM Converge 2023
Background: Post operative VTE is higher among orthopedic surgeries when compared to other surgical fields. Within orthopedic surgery, hip and knee surgeries have the highest risk of post-op VTE. This risk is highest in the first 10 days but persists up to three months after surgery. Current American Academy of Orthopedic Surgeons (AAOS) guidelines recommend […]
Abstract Number: 255
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In 2014, the ACC/AHA released guidelines regarding indications for preoperative transthoracic echocardiogram (pre-op TTE) in patients undergoing noncardiac surgery. Studies indicate that the ordering of pre-op TTE in noncardiac surgery is not consistent with the ACC/AHA guidelines. Some studies suggest the pre-op TTE have a significant impact on management, while others have demonstrated low cardiac […]
Abstract Number: 259
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Perioperative management of anticoagulant in mechanical valve patients is challenging, Current recommendations focus on management in patients undergoing elective surgery, while the data in patients hospitalized for emergency/urgency non-cardiac surgery is limited. We aimed to identify thromboembolic and bleeding events after anticoagulant interruption in patients with mechanical heart valves hospitalized for emergency/urgent non-cardiac surgery. […]
Abstract Number: 370
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning and overnight, specifically with laying down. Treatment with ibuprofen and acetaminophen had not provided relief. 6 months prior to this […]
Abstract Number: 374
SHM Converge 2024
Background: Background: As healthcare systems evolve to provide more efficient and patient-centered care, the utilization of ambulatory surgery centers (ASCs) has become increasingly common. These centers offer a convenient and cost-effective alternative to traditional inpatient hospitalization for a wide range of surgical procedures. However, proper preoperative evaluation and decision-making are critical to ensure patients are […]