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Abstract Number: 128
SHM Converge 2023
Background: Current practice standards regarding telemetry utilization do not address the usage of telemetry for non-cardiac indications in the acute care, non-ICU, setting. The American Heart Association (AHA) practice standards make no recommendation on the use of cardiac monitoring for non-cardiac conditions (non-AHA) with the potential for hemodynamic decompensation, such as sepsis, gastrointestinal bleeding, alcohol […]
Abstract Number: 129
SHM Converge 2023
Background: Patients experiencing homelessness have unique healthcare needs due to barriers of care, lack of access to food and safety, and limited social services. Patients can be experiencing homelessness temporarily or chronically. They experience high rates of substance abuse, mental illness and other health problems like HIV. These unique circumstances make patients experiencing homeless unique […]
Abstract Number: 130
SHM Converge 2023
Background: Patients spend about 95% of their hospitalization in bed, increasing the risk of functional decline associated with adverse events and readmissions. Some hospitals track patients’ functional mobility trends using Activity Measure for Post-Acute Care 6-Clicks Inpatient Short Form (AM-PAC). We aim to understand the associations between functional mobility loss from hospital admission to discharge, […]
Abstract Number: 131
SHM Converge 2023
Background: Management of heart failure (HF) patients revolves around optimization of guideline directed medical therapy (GDMT) and routine monitoring. Substance use plays a major role as the etiology of HF, especially in a low socioeconomic area with ethnic and racial minority patients. The aim of this study is to find the correlation of alcohol, tobacco […]
Abstract Number: 132
SHM Converge 2023
Background: Patients with cirrhosis complicated by ascites are often admitted to the hospital and require abdominal paracentesis for diagnostic evaluation and symptom relief. When large volumes are removed there is a risk for acute kidney injury (AKI) which can contribute to morbidity and mortality. There are no clear guidelines for what constitutes a safe volume […]
Abstract Number: 133
SHM Converge 2023
Background: Statin use has been shown to be beneficial in secondary stroke prevention. However, the optimal LDL level that should be achieved is still uncertain. Since there is a dearth of information, it is unclear if statins are useful in patients with stroke with baseline LDL ≤70 mg/dl in terms of morbidity and mortality outcomes. […]
Abstract Number: 134
SHM Converge 2023
Background: Diabetic ketoacidosis (DKA) remains one of the commonest causes of medical and intensive care unit hospitalisations. DKA is a preventable hospital admission which is associated with multiple modifiable risk factors. However, little is known about factors that can predict healthcare resource utilisation in DKA. Previous studies have explored clinical and biochemical factors affecting the […]
Abstract Number: 136
SHM Converge 2023
Background: The underlying burden of medical co-morbidity is often the main driver of ICU transfer of patients initially admitted to the medical wards (1). The role of non-patient related factors is unclear, as are the mortality and economic data associated with ICU transfer from the medical ward. The purpose of this analysis was to identify […]
Abstract Number: 137
SHM Converge 2023
Background: An estimated 580,000 individuals were experiencing homelessness during the most recent national point-in-time count. Dialysis requires substantial patient engagement, and not having secure housing impedes medical care and could increase acute care utilization. The prevalence of homelessness and its impact on hospitalizations among patients with ESKD are unknown. This retrospective cohort study examined differences […]
Abstract Number: 138
SHM Converge 2023
Background: In 2015, the United States had 25 million people with limited English proficiency (LEP). Most prior studies on disparities in outcomes in hospitalized patients with LEP compared to those with English proficiency were conducted outside the US and focused on outcomes such as hospital length of stay and mortality. There are also Emergency Department […]