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Search Results for delirium
Abstract Number: 164
SHM Converge 2024
Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis […]
Abstract Number: 199
Hospital Medicine 2020, Virtual Competition
Background: Delirium is a well know post-operative complication that has been shown to increase mortality, length of stay, and post-operative complications. Despite extensive study, there is limited treatment for delirium once it occurs. Emphasis on preventing delirium and identifying patients at risk is an important part of reducing its impact on the individual and the […]
Abstract Number: 200
SHM Converge 2024
Background: Routine patient care including vital signs checks, lab draws, medication administration, during the night contributes to the already disturbed sleep of inpatients. This study aimed to assess the performance of automated risk scores to stratify the risk of an overnight deterioration to better inform letting low-risk patients sleep and more intensively monitoring and/or intervening […]
Abstract Number: 202
SHM Converge 2024
Background: In May 2022, Kaiser Permanente introduced “Enhanced Recovery Medical” (ERM). Modeled after “Enhanced Recovery After Surgery,” (ERAS), ERM aims to reduce hospital-acquired debility. Predefined ordersets and modified workflows help healthcare teams optimize elements key to recovery: nutrition, mobility, tethers, pain, sleep, and delirium. This ongoing quality improvement (QI) project examines how a resident-led initiative impacted co-resident […]
Abstract Number: 206
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically as hyperactive, hypoactive or mixed type. As such delirium often evades early detection. In addition, delirium in the hospital setting […]
Abstract Number: 240
Hospital Medicine 2020, Virtual Competition
Background: Severe alcohol withdrawal and delirium tremens (DTs) are challenging therapeutic dilemmas. To prevent complications and death, management requires close monitoring and intensive treatment, frequently in an ICU. Benzodiazepines are first line therapeutic agents, but optimal use and dosing has been limited, due to a lack of randomized double-blind trials. In lower acuity patients admitted […]
Abstract Number: 260
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Delirium affects 20-60% of the general hospitalized patients, and up to 85% of intensive care unit (ICU) patients. Its occurrence is associated with higher morbidity and mortality, long-term institutionalization, worse long-term cognitive outcomes, and increased hospital length of stay and costs. It is often missed due to lack of standardization in assessment and diagnostic […]
Abstract Number: 311
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized elderly patients are at risk for delirium. Despite the widely recognized importance of avoiding potentially inappropriate medications on the BEERS list, hospitalized patients often receive high-risk medications such as benzodiazepines for insomnia. This quality improvement (QI) project aimed to reduce the proportion of at-risk inpatients (defined as any hospitalized patient at age 65 […]
Abstract Number: 352
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In October 2013, we formed a task force for delirium prevention and early identification across 18 medical-surgical units in our hospital. […]
Abstract Number: 356
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The American healthcare system is focused on promoting value; providing high quality care while paying close attention to associated costs. Studies have shown that admission to a teaching hospital is associated with better outcomes, reduced mortality, compared to nonteaching hospitals. It is not known whether the value proposition at academic hospitals is worthwhile for […]