Session Type
Meeting
Search Results for delirium
Abstract Number: 76
Hospital Medicine 2020, Virtual Competition
Background: Delirium is associated with increased morbidity, mortality and health care costs in the hospital setting secondary to increased length of stay and poor long term outcomes (1,2). A systematic review of different delirium prediction models found limitations with these models including derivation from small patient populations, lack of heterogeneity, accuracy and reliability as noted […]
Abstract Number: 77
Hospital Medicine 2020, Virtual Competition
Background: While delirium may affect patients of any age, delirium prevention and management protocols have focused mostly on the elderly, as older adults (>65 years old) are more vulnerable to developing delirium. Delirium has been reported in 19-31% of younger adults during their hospital stay, and 15-56% of older adults.There is lack of literature on […]
Abstract Number: 85
SHM Converge 2024
Background: Delirium, an acute cognitive disturbance prevalent in up to 58% of older hospitalized adults, poses serious health risks, longer hospital stays, and increased mortality (1). Identifying and screening for delirium is hindered by barriers such as limited awareness, inadequate education, and lack of prioritization among healthcare providers. This project aimed to gauge opportunities to […]
Abstract Number: 98
SHM Converge 2021
Background: Prior case reports and case-series reports have shown an association between Opioid use disorder and Thrombotic Thrombocytopenic Purpura (TTP). However, clinical data regarding Thrombotic Thrombocytopenic Purpura co-existing with Opioid use disorder are still lacking in the literature. We aim to study patient characteristics, epidemiology, co-morbidities, and clinical outcomes in these patients. Methods: We analyzed […]
Abstract Number: 106
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for delirium are broadly classified into predisposing and precipitating factors. Combinations of these risk factors precipitate delirium and hence a prediction […]
Abstract Number: 108
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium is associated with high morbidity and mortality in hospitalized older adults. Sleep is a modifiable risk factor for delirium. Eye masks (EMs) and earplugs (EPs) have been shown to improve sleep and effective reduce delirium in the ICU. This study examines the clinical usability of this intervention component in general medicine patients. We […]
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 […]
Abstract Number: 138
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including environmental noise, vital sign checks, and lab draws were recognized as barriers to sleep. Based on this information and prior […]
Abstract Number: 149
Hospital Medicine 2020, Virtual Competition
Background: While delirium may affect patients of any age, delirium initiatives have focused mostly on the elderly, as older patients are more vulnerable to developing delirium. Few studies have reported delirium in patients between 18-64 years of age, mostly restricted to patients with advanced cancer or on palliative care units. There is a lack of […]
Abstract Number: 157
SHM Converge 2024
Background: Delirium is a common clinical syndrome, particularly among elderly patients in the inpatient hospital setting, and carries considerable associated morbidity. These patients can display symptoms of inattention, agitation, and restlessness, often necessitating the use of chemical or physical restraints to ensure the safety of the patient and staff. Unfortunately, these interventions are not without […]