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Abstract Number: 139
SHM Converge 2023
Background: Vitamin B9, also known as folate, is a water soluble vitamin found in vegetables, fruits and animal products that plays a key role in purine and pyrimidine synthesis, nucleoprotein synthesis and erythropoiesis. Deficiency can result from malabsorption, anti-epileptic and methotrexate use, pregnancy, hemolytic anemic, and alcoholism and is implicated in neural tube defects. Signs […]
Abstract Number: 140
SHM Converge 2023
Background: Even after successful treatment, many patients with tuberculosis (TB) suffer from post-TB sequelae. These may be structural complications (such as bronchiectasis, broncholithiasis, residual cavitation, COPD), infectious complications (such as COPD exacerbations, Aspergillus fumigatus infections, non-tubercular mycobacterial infections, pneumonia), or psychosocial morbidities (such as anxiety, depression, financial burden).[1] The impact of post-TB sequelae is not […]
Abstract Number: 141
SHM Converge 2023
Background: The COVID-19 pandemic was one of the biggest threats to human health, affecting health and health care delivery systems at both the individual and institutional level. There have been varied reports about how sociodemographic factors affect outcomes of patient with COVID-19 [1] [2] [3]. In this US claims based study, we analysed discharge data […]
Abstract Number: 143
SHM Converge 2023
Background: Patients with Limited English Proficiency (LEP) face multiple barriers to care and are at risk for worse health outcomes compared to similar patients with English Proficiency (EP). In sepsis, a common diagnosis and major cause of mortality in the US, the association of LEP with health outcomes has not been widely explored. We aimed […]
Abstract Number: 144
SHM Converge 2023
Background: Coronavirus-19 (COVID-19), primarily a respiratory virus, can affect multiple organs, including the heart. Cardiac complications can affect 20-30% of COVID-19 patients and lead to worse morbidity and mortality. Cardiovascular complications can include myocarditis, acute myocardial infarction, heart failure, and arrhythmias Myocarditis is a well-known complication among COVID-19 infections, with limited large-scale studies evaluating outcomes […]
Abstract Number: 145
SHM Converge 2023
Background: Pain is assessed by nurses through either reported or observed intensity. Self-reported assessments, specifically a numeric score, are the gold standard and preferred to behavioral assessments. Disparities in the assessment and management of pain across race, ethnicity, and language status are prevalent, but we do not know how actual numeric pain scores vary and […]
Abstract Number: 146
SHM Converge 2023
Background: In 2012, as part of Value based purchasing program, CMS instituted the Hospital Readmission Reduction program (HRRP). This aimed to decrease the number of unplanned readmission to the hospital for six conditions: Acute myocardial infarction(AMI),chronic obstructive pulmonary disease( COPD), Heart Failure (HF), Pneumonia ( PNA) , Coronary bypass graft(CABG), Elective total hip arthroplasty (THA) […]
Abstract Number: 147
SHM Converge 2023
Background: For patients at increased risk of hospitalization, reducing hospitalization is often a key objective and can have important effects on health care costs. The Comprehensive Care Physician (CCP) model was developed originally at the University of Chicago to reintegrate inpatient and outpatient care under the same physician for patients at high risk of hospitalization […]
Abstract Number: 148
SHM Converge 2023
Background: We observed improved survival among COVID-19 patients receiving remdesivir (RDV) during the early parts of the pandemic (Aug-Nov 2020) [1]. Clinical management of COVID-19 continues to develop over time as variants of concern (VOC) evolve. We extend the previous study to characterize outcomes for patients admitted on low-flow oxygen (LFO) and compare hospital all-cause […]
Abstract Number: 149
SHM Converge 2023
Background: The effects of diabetes medications on COVID-19 hospitalization outcomes have not been consistent. We sought to determine the effect of metformin, DPP-4 inhibitors (DPP-4i), and insulin on admission to the intensive care unit (ICU), need for assisted ventilation, development of renal insufficiency, and mortality, in patients admitted with COVID-19 infection after controlling for clinical […]