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Search Results for TEN
Abstract Number: 183
SHM Converge 2023
Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, […]
Abstract Number: 194
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Controversy still exists regarding the use of angiotensin axis blockade (AAB) with angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) drugs preoperatively. Multiple studies suggest the AAB results in acute kidney injury (AKI) (1,2), while other studies do not (3,4 ). Some studies suggest that the AKI associated with AAB is due […]
Abstract Number: 200
SHM Converge 2023
Background: Asymptomatic bacteriuria (ASB), or bacterial growth on urine culture without localizing urinary symptoms, is common in hospitalized patients.1,2 ASB is often misdiagnosed as urinary tract infection (UTI) and treated with antibiotics3 despite no improvement in mortality1 and multiple harms associated with antibiotic overuse.4,5 To reduce treatment of ASB, many hospitals set urinalysis parameters (e.g. […]
Abstract Number: 201
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Transcatheter aortic valve replacement (TAVR) is an increasingly common procedure. While it is currently recommended for patients with severe aortic stenosis with high or intermediate surgical risk, it is currently being studied in lower risk patients. If approved for expanded use, it stands to become even more commonplace in hospitals around the country. We […]
Abstract Number: 202
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European Society of Cardiology guideline states non-cardiac surgery of low to intermediate risk can be safely performed among patients with SAS. […]
Abstract Number: 204
SHM Converge 2023
Background: Increased life expectancy has raised the number of elderly patients suffering from hip fractures. This frail population and its surgical-related complications are scarcely known. We performed a single-center descriptive study involving centenarian patients to depict their management and complications. Methods: Centenarians with a hip fracture admitted to a single level I trauma center from […]
Abstract Number: 204
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The diagnostic yield and therapeutic consequences of daily routine chest x-rays are very low. Several studies show discontinuation of daily routine chest x-rays does not affect ICU length of stay, readmission rate, or hospital mortality.We hereby present results of an educational intervention at a tertiary care university medical center to avoid daily routine chest […]
Abstract Number: 205
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Peripherally inserted central catheters (PICCs) are essential devices used to provide central venous access. However, they are often placed inappropriately, leading to unnecessary risk of PICC-related complications. Vascular access operators typically place the majority of PICCs, yet little is known about these specialists and their beliefs regarding PICCs. We therefore conducted a national survey […]
Abstract Number: 228
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The Joint Commission’s Surgical Care Improvement Project (SCIP)-9 recommended removing indwelling urinary catheters (IUC) before postoperative day 2 to decrease urinary infection (UTI) risk. Our center implemented a best practice alert (BPA) in the electronic health record to enforce SCIP-9 with near-100% compliance. We sought to study the effect of the BPA on catheter […]
Abstract Number: 233
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid reduction in BP is relatively rare. The easy availability of intravenous (IV) antihypertensives may lead to unnecessary treatment of asymptomatic […]