Session Type
Meeting
Search Results for intervention
Abstract Number: 244
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Intermediate Care Unit was developed in the 1960s and 70s as a level of care between general medicine (GMU) and intensive care units (ICU) [1]. While all IMU patients could be cared for in an ICU, hospitals have too few ICU beds to accommodate patients who are not critically ill, and higher levels […]
Abstract Number: 264
Hospital Medicine 2020, Virtual Competition
Background: Obstructive sleep apnea (OSA) is defined as a sleep disorder marked by pauses in breathing of 10 seconds or more causing unrestful sleep and accompanied by loud or abnormal snoring, daytime sleepiness, irritability, and depression. According to the National Sleep Foundation, more than 18 million Americans have OSA, 80% of whom are undiagnosed. The […]
Abstract Number: 296
Hospital Medicine 2020, Virtual Competition
Background: In 2011, ~3.3 million adult 30-day US hospital readmissions generated $41.3 billion in hospital costs. $8.26 billion (20%) of this was considered preventable. Numerous studies demonstrate relationships between hospital readmissions and social determinants of health (SDoH). Lack of education, socioeconomic status, and lack of social support have all been cited as core contributors to […]
Abstract Number: 360
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure reduction. On the other hand, management of hypertensive urgency involves gradual reduction of blood pressure over hours to days using […]
Abstract Number: 393
Hospital Medicine 2020, Virtual Competition
Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to chemical substances in utero and consequently withdrawals from the substance(s) after birth. The long-term impact of NAS remains unclear due to confounding by other factors that impact infant health and development, but literature suggests that infants with NAS have motor and cognitive delays […]
Abstract Number: 489
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the […]
Abstract Number: D12
SHM Converge 2022
Background: Neonatal abstinence syndrome (NAS) occurs when a neonate is exposed to licit or illicit chemical substances in utero and manifests withdrawal symptoms postnatally. Appropriate identification, documentation, and communication of NAS diagnosis is needed to qualify for federally funded therapies aimed at supporting development through early intervention (EI) programs. Our objective was to assess characteristics […]
Abstract Number: H22
SHM Converge 2022
Background: Acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a major driver of hospitalizations. With a goal of reducing AECOPD admissions at the Cleveland VA Medical Center (VAMC), an interdisciplinary team was developed after a literature review and discussion with high-performing VA groups. Purpose: Primary aim was to decrease AECOPD hospitalizations and readmissions at […]
Abstract Number: H40
SHM Converge 2022
Case Presentation: A 32 year old South Asian man with a history of hyperlipidemia presented to the emergency department (ED) for severe, crushing, mid-sternal chest pain associated with nausea and diaphoresis that awoke him from sleep. In the ED, he was found to have a troponin elevation to 1.159 ng/ml (normal < 0.055 ng/ml) and […]