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Search Results for TEN
Abstract Number: 83
SHM Converge 2023
Background: There is evidence that significantly disruptive health events, such as hospitalizations, may increase patients’ receptiveness to interventions that lead to healthier lifestyle choices and medication adherence. For example, research has shown that hospitalizations are particularly effective settings for delivering some interventions aimed at preventing chronic disease morbidity, such as intervening on tobacco use. Additional […]
Abstract Number: 85
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Mechanically ventilated patients are often administered analgesic medications such as dexmedetomidine (DEX) and lorazepam (LZP) to reduce pain and anxiety. Studies have suggested that benzodiazepines may increase the risk of developing acute brain dysfunction, mechanical ventilation time, and length of stay (LOS) (Pandharipande PP, et al. JAMA 2007). Although Clinical Practice Guidelines recommend use […]
Abstract Number: 89
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization can easily become over-treatment once patients return home, increasing patients’ risk of adverse drug events including syncope and falls. Thus, […]
Abstract Number: 91
SHM Converge 2021
Background: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are commonly-used antihypertensives which, despite renoprotective properties, can contribute to acute kidney injury (AKI)(1). Iodinated contrast media may also precipitate AKI, namely contrast-induced nephropathy (CIN), which has been associated with adverse patient outcomes(1–3). ACE inhibitors and ARBs are often held in the setting of iodinated […]
Abstract Number: 94
SHM Converge 2024
Background: Survivors of critical illness, such as acute respiratory distress syndrome (ARDS) requiring invasive mechanical ventilatory support in an intensive care unit (ICU), commonly experience prolonged morbidity in multiple health domains: psychological distress, functional debility, cognitive impairment, and poorer quality of life. This resulting morbidity is now recognized broadly as post-intensive care syndrome (PICS). COVID-19 ICU survivors are at […]
Abstract Number: K5
SHM Converge 2022
Background: The US has the most expensive healthcare system globally.1 Recent claims have raised concerns that hospitalists may be in part contributing to higher levels of high intensity billing over time through upcoding.2 However, there is little empirical evidence on this topic. As the number of hospitalists continues to grow and hospitalists disproportionately care for […]
Abstract Number: 108
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Clinicians encounter sudden death among aortic stenosis (AS) patients especially after they become symptomatic. Mortality is 50% at 1 year and 70 to 80% at 2 years without aortic valve replacement. However, there have been few studies that investigate the predictor for short-term sudden cardiac arrest in patients with severe AS. We investigated the […]
Abstract Number: 111
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Aggressive EOL treatments in advanced cancer patients are associated with low-value care and frequently lead to unnecessary hospitalizations. Since 2012, the National Quality Forum (NQF), American Society of Clinical Oncology (ASCO), and Centers for Medicare and Medicaid Services (CMS) have adopted EOL quality measures to reduce aggressive care. Using these measures, we conducted a […]
Abstract Number: 115
SHM Converge 2021
Background: Approximately 10% adults with Sickle Cell disease (SCD) has Pulmonary hypertension (PHTN). There are several etiologies like hypoxia driven and microvascular obstruction contributing to PHTN. However, the in-hospital outcomes of PHTN on SCD has not been well studied. Methods: We queried 2018 National Inpatient Sample (NIS) database to identify SCD and different types of […]
Abstract Number: 121
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Delirium is associated with increased duration of mechanical ventilation, longer intensive care unit (ICU) length of stay, increased mortality and cognitive impairment after discharge. Quetiapine has been associated with faster resolution but long-term use is associated with adverse effects. Patients are often discharged from the ICU and subsequently from the hospital on quetiapine without […]