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Search Results for acute
Abstract Number: 66
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hyperkalemia (HK; serum K+ ≥5.0mEq/L) is a common electrolyte imbalance, associated with an increase in all-cause mortality and hospitalization. Moderate to severe HK (K + levels ≥5.5mEq/L) is often managed in the emergency department or hospital, where available treatment options include methods to temporarily lower K+ (e.g., insulin-glucose and beta 2 agonists), use […]
Abstract Number: 67
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Acute heart failure (AHF) is the major cause of hospital admission and death. Furthermore, patients admitted with AHF have high readmission rates and postdischarge mortality. Although there have been some reports, which demonstrated the predictive factors of death among patients of acute heart failure in the USA and Europe, there has been no studies […]
Abstract Number: 76
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The Centers for Medicare & Medicaid Services (CMS) started penalizing hospitals with “excess” 30-day readmissions, as determined by observed-to-expected ratio, for patients discharged after treatment for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). An understanding of modifiable determinants of 30-day readmission will likely help in developing interventions to reduce preventable AECOPD readmissions. […]
Abstract Number: 89
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Japan has the high incidence of tuberculosis with the rapid population aging in developed county. In acute care hospital, delaying in respiratory isolation for tuberculosis can cause serious hospital-acquired infections and subsequent delay in the initiation of treatment, which might be poor prognosis for not only the patient but also the around medical providers. […]
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
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Acute kidney injury (AKI) following cardiac surgery occurs in 30% of cases with 1% requiring dialysis resulting in significant morbidity and mortality. HMG-CoA Reductase Inhibitors (“statins”) have been postulated to be of benefit in this population, however results from existing clinical studies have been inconsistent. Since there is abundance of evidence showing that short-term […]
Abstract Number: 99
SHM Converge 2024
Background: High hospital occupancy is a ubiquitous problem worldwide. Singapore General Hospital (SGH) being the largest tertiary hospital in Singapore, sees a large number of attendees come through its Emergency Department (ED) daily 1,2. With silver tsunami on the horizon and rising life expectancies around the world, we are facing higher healthcare complexities and stress […]
Abstract Number: C5
SHM Converge 2022
Background: The age-friendly hospital implements an evidence-based “4M” framework (what matters most, medication reconciliation, mentation and mobility) to minimize harm among older adults. Clinical outcomes of patients who receive bundled 4M’s care delivery remains a knowledge gap. We determined if the incremental benefit of more M’s was associated with reduced discharges to post-acute care facilities. […]
Abstract Number: N9
SHM Converge 2022
Background: Since the start of the coronavirus disease 2019 (COVID-19) pandemic, millions have succumbed to the infection worldwide. The virus is most well-known for its devastating pulmonary and cardiovascular manifestations, but acute kidney injury (AKI) has been frequent as well (reported incidence ranging from 0.5% to 56.9%), and has been repeatedly observed to be associated […]
Abstract Number: 101
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: The convergence of rising post-acute health care costs with incomparable outcomes havemade reform a priority resulting in the development of new models of care that often extend the scope of practice andjob duties among health professionals. In these new models, aimed to improve clinical and cost effectiveness of care,advance practice “transitionists” diagnose, triage, conservatively […]