Outcomes Research

Abstract Number: 186

UTILIZATION OF WEATHER AND CALENDER DATA IN PREDICTING DAILY NUMBER OF HOSPITALIZED PATIENTS-APPLICATION OF CONVENTIONAL REGRESSION ANALYSIS AND MACHINE LEARNING.

Background: The number of hospitalized patients varies significantly throughout the year. Fine prediction of the number of hospitalized patients is essential to provide adequate staffing and quality care. We aimed to identify the factors affecting [...]

By | 2019-03-18T17:59:41+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on UTILIZATION OF WEATHER AND CALENDER DATA IN PREDICTING DAILY NUMBER OF HOSPITALIZED PATIENTS-APPLICATION OF CONVENTIONAL REGRESSION ANALYSIS AND MACHINE LEARNING.

Abstract Number: 171

LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the [...]

By | 2019-03-18T17:58:04+00:00 March 18th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF HOSPITAL STAY AND DISCHARGE OUTCOMES AMONG PATIENTS WITH HUMAN IMMUNODEFICIENCY VIRUS-ASSOCIATED PULMONARY ARTERIAL HYPERTENSION (HIV-PAH) IN THE UNITED STATES

Abstract Number: Oral

ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL

Background: Sleep disruptions for routine care, such as vital sign assessments, are common during hospitalization and are associated with negative health outcomes and patient satisfaction. While higher risk patients may benefit from increased monitoring at [...]

By | 2019-03-12T15:47:11+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research|Comments Off on ACUITY-BASED NIGHTTIME VITAL SIGN ASSESSMENTS: A RANDOMIZED CONTROLLED TRIAL

Abstract Number: Oral

EFFECTS OF COMPREHENSIVE CARE PHYSICIANS ON PATIENT EXPERIENCE, OUTCOMES AND HOSPITALIZATION: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

Background: Coordination of inpatient and outpatient care is an important challenge in improving population health but evidence examining the effectiveness of existing care coordination programs is mixed. The Comprehensive Care Physician (CCP) Program at the [...]

By | 2019-04-17T09:36:53+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research, Winner, Research|Comments Off on EFFECTS OF COMPREHENSIVE CARE PHYSICIANS ON PATIENT EXPERIENCE, OUTCOMES AND HOSPITALIZATION: PRELIMINARY RESULTS OF A RANDOMIZED CONTROLLED TRIAL

Abstract Number: Oral

DEVELOPMENT AND VALIDATION OF A RISK ASSESSMENT MODEL FOR VTE IN HOSPITALIZED MEDICAL PATIENTS

Background: Venous thromboembolism (VTE) is the leading cause of preventable hospital death. National guidelinesrecommend VTE prophylaxis for all medical patients not at low risk. Several VTE risk prediction models have been developed, but no US [...]

By | 2019-03-12T15:50:05+00:00 March 11th, 2019|Hospital Medicine 2019, Oral Presentations, Outcomes Research, Research|Comments Off on DEVELOPMENT AND VALIDATION OF A RISK ASSESSMENT MODEL FOR VTE IN HOSPITALIZED MEDICAL PATIENTS

Abstract Number: 202

LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Background: Length of stay (LOS) outliers are a focus of cost and resource utilization for hospitals in the United States. Limited research has been done to characterize outliers, risk factors, and barriers to discharge.Methods: We [...]

By | 2019-03-11T14:20:36+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LENGTH OF STAY OUTLIERS: A CASE-CONTROL RETROSPECTIVE STUDY OF INPATIENT ADMISSIONS TO A GENERAL INTERNAL MEDICINE SERVICE

Abstract Number: 201

TRANSCATHETER AORTIC VALVE REPLACEMENT ON THE RISE: TRENDS AND OUTCOMES NATIONALLY

Background: Transcatheter aortic valve replacement (TAVR) is an increasingly common procedure. While it is currently recommended for patients with severe aortic stenosis with high or intermediate surgical risk, it is currently being studied in lower [...]

By | 2019-03-11T14:20:35+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on TRANSCATHETER AORTIC VALVE REPLACEMENT ON THE RISE: TRENDS AND OUTCOMES NATIONALLY

Abstract Number: 200

SYSTOLIC HEART FAILURE OUTCOMES: GENDER AND RACIAL DISPARITIES

Background: Despite advances in treatment modalities, systolic heart failure carries a high risk of mortality. Several studies have shown that patients with systolic heart failure also experience frequent hospitalization. Although several medical and surgical intervention [...]

By | 2019-03-11T14:20:33+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on SYSTOLIC HEART FAILURE OUTCOMES: GENDER AND RACIAL DISPARITIES

Abstract Number: 199

‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Background: Several studies have shown increased mortality and readmission rate in patients admitted to hospitals over the weekend. This “weekend effect” has been well-described for several medical conditions and has been attributed to several factors. [...]

By | 2019-03-11T14:20:31+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ‘REVERSE WEEKEND EFFECT’ IN MEDICINE: NOVEL PHENOMENON OF CLINICAL OUTCOMES OF HOSPITALIZED PATIENTS

Abstract Number: 198

POOR OUTCOMES OF CARDIAC ARREST: IMPACT OF AGE, GENDER AND RACE

Background: Cardiac arrest is a major cause of in-hospital mortality and morbidity. Despite advances in treatment and several interventions to target mortality and improve outcomes, cardiac arrest continues to be a major cause of morbidity [...]

By | 2019-03-11T14:20:30+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on POOR OUTCOMES OF CARDIAC ARREST: IMPACT OF AGE, GENDER AND RACE

Abstract Number: 197

OUTCOMES OF PULMONARY EMBOLISM

Background: Pulmonary embolism (PE) is a frequent cause of hospitalization. It results in significant mortality and morbidity. Several studies have examined the mortality associated with PE and improvements seen with different modalities of treatment. However, [...]

By | 2019-03-11T14:20:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on OUTCOMES OF PULMONARY EMBOLISM

Abstract Number: 195

CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE: IMPACT OF AGE, RACE AND GENDER

Background: Acute kidney injury (AKI) in hospitalized patients is linked to adverse outcomes. Presence of chronic kidney disease (CKD) in these patients has been shown to be an independent risk factor. Outcomes of patients with [...]

By | 2019-03-11T14:20:26+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE: IMPACT OF AGE, RACE AND GENDER

Abstract Number: 194

CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY

Background: It is well-known that development of acute kidney injury (AKI) in hospitalized patients is associated with adverse outcomes. However, estimates of adverse outcomes in these patients has not been well-characterized. Reliable and accurate estimates [...]

By | 2019-03-11T14:20:24+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES OF PATIENTS WITH ACUTE KIDNEY INJURY

Abstract Number: 192

CLINICAL OUTCOMES IN TYPE II DIABETES MELLITUS

Background: Hyperglycemia and hyperosmolarity are frequent causes of hospitalization in patients with type II Diabetes Mellitus (T2DM). As a result, these conditions are associated with increased mortality, morbidity and increased health costs. This study examines [...]

By | 2019-03-11T14:20:21+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CLINICAL OUTCOMES IN TYPE II DIABETES MELLITUS

Abstract Number: 190

EXPERIENCE WITH FECAL MICROBIAL TRANSPLANTATION IN IMMUNOCOMPROMISED PATIENTS

Background: Data is emerging on the efficacy of fecal microbial transplantation (FMT) for recurrent clostridium difficile infection (CDI) management with success rates of 80-90% in general population. Immunocompromised patients continue to be excluded from randomized [...]

By | 2019-03-11T14:20:18+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EXPERIENCE WITH FECAL MICROBIAL TRANSPLANTATION IN IMMUNOCOMPROMISED PATIENTS

Abstract Number: 189

DOES A HIGHER LEVEL OF EDUCATION TRANSLATE TO A LOWER CVD PREVALENCE IN THE U.S., 2016-2017?

Background: Education is one of the determinants of health as described by the WHO, and it is one of the primary determinants of Socio-Economic Class (SEC), a higher level of education is associated with a [...]

By | 2019-03-11T14:20:16+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DOES A HIGHER LEVEL OF EDUCATION TRANSLATE TO A LOWER CVD PREVALENCE IN THE U.S., 2016-2017?

Abstract Number: 188

CHARACTERIZING SEPSIS ENCOUNTERS ACROSS COMMUNITY AND QUARTERNARY HOSPITALS WITHIN ACADEMIC HEALTH SYSTEM

Background: Sepsis is a significant cause of morbidity and mortality in hospitalized patients . Early and appropriate therapy has been shown to improve outcomes, making early diagnosis and intervention critical . However, recognition and treatment [...]

By | 2019-03-11T14:20:15+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERIZING SEPSIS ENCOUNTERS ACROSS COMMUNITY AND QUARTERNARY HOSPITALS WITHIN ACADEMIC HEALTH SYSTEM

Abstract Number: 187

PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

Background: Interdisciplinary team-based care is a promising concept in hospital medicine in which healthcare team members representing multiple disciplines collaborate to develop patient care plans. Multiple published studies showed that team based care is associated [...]

By | 2019-03-11T14:20:14+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PATIENT-CENTERED APPROACH TO HEALTH (PATH): OUTCOME ANALYSIS OF INTERDISCIPLINARY BEDSIDE ROUNDING

Abstract Number: 185

TO EVALUATE THE UTILITY OF STOP-BANG QUESTIONNAIRE TO PREDICT OUTCOMES OF RAPID RESPONSE EVENTS

Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can [...]

By | 2019-03-11T14:20:11+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on TO EVALUATE THE UTILITY OF STOP-BANG QUESTIONNAIRE TO PREDICT OUTCOMES OF RAPID RESPONSE EVENTS

Abstract Number: 184

COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Background: Sickle cell disease (SCD) and its vasoocclusive sequela are significant causes of morbidity and mortality as well as acute care utilization throughout the United States, with an estimated 92,880 hospital admissions totaling $759 million [...]

By | 2019-03-11T14:20:10+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on COMPARISON OF OUTCOMES FOR ADULT INPATIENTS WITH SICKLE CELL DISEASE CARED FOR BY HOSPITALISTS VS. HEMATOLOGY SPECIALISTS

Abstract Number: 183

THE ASSOCIATION BETWEEN CUMULATIVE DOSES OF ANTIPSYCHOTICS AND QT PROLONGATION AS WELL AS ADVERSE CARDIAC OUTCOMES

Background: Antipsychotics are frequently used in the hospital setting for managing both acute and chronic psychiatric disorders. However, antipsychotics have been associated with higher rates of mortality due to their cardiovascular risk factors, such as [...]

By | 2019-03-11T14:20:08+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE ASSOCIATION BETWEEN CUMULATIVE DOSES OF ANTIPSYCHOTICS AND QT PROLONGATION AS WELL AS ADVERSE CARDIAC OUTCOMES

Abstract Number: 182

EFFICACY AND SAFETY OF PERI-OPERATIVE BRIDGING ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION UNDERGOING ELECTIVE SURGICAL PROCEDURE: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Background: Atrial fibrillation (AF) is a very common condition which usually requires anticoagulation (AC). There are very clear indications of when to initiate AC but recommendations regarding bridging during elective surgery are not very clear. [...]

By | 2019-03-11T14:20:07+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EFFICACY AND SAFETY OF PERI-OPERATIVE BRIDGING ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION UNDERGOING ELECTIVE SURGICAL PROCEDURE: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Abstract Number: 181

EFFICACY AND SAFETY OF APIXABAN IN COMPARISON WITH WARFARIN FOR STROKE PREVENTION IN ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Background: Atrial fibrillation leads to increased risk of systemic embolism (SE) and stroke. To decrease the occurrence of stroke/SE, anticoagulation is routinely prescribed. Recently, non-vitamin K anticoagulants like apixaban and rivaroxaban have become more popular [...]

By | 2019-03-11T14:20:05+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EFFICACY AND SAFETY OF APIXABAN IN COMPARISON WITH WARFARIN FOR STROKE PREVENTION IN ATRIAL FIBRILLATION: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Abstract Number: 180

30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Background: Readmissions within 30 days of discharge is used as a quality metric for the care of hospitalized patients. However, its prognostic value for patient outcomes has not been examined. We hypothesized that patients who [...]

By | 2019-03-11T14:20:04+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on 30-DAY HOSPITAL READMISSION IS A PREDICTOR OF HIGHER ALL-CAUSE MORTALITY FOR UP TO TWO YEARS

Abstract Number: 179

NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING THE COST OR LENGTH OF STAY: A 2-YEAR FOLLOW-UP

Background: Opening new residency programs in community hospitals is one strategy to address physician shortage. Previous reports have shown better mortality outcomes in university based hospitals. However, less is known about teaching community hospitals. Disrupting [...]

By | 2019-03-11T14:20:01+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on NEW INTERNAL MEDICINE RESIDENCY PROGRAM AT A COMMUNITY HOSPITAL IMPROVES MORTALITY WITHOUT INCREASING THE COST OR LENGTH OF STAY: A 2-YEAR FOLLOW-UP

Abstract Number: 178

ASSOCIATION OF HOSPITAL READMISSION REDUCTION PROGRAM IMPLEMENTATION WITH READMISSION RATE AND MORTALITY OUTCOME IN HOSPITALIZED PATIENTS WITH ACUTE EXACERBATION OF COPD (AECOPD)

Background: Hospital Readmission Reduction Program(HRRP) implemented by CMS as part of Affordable Care Act (ACA) applies financial penalties to hospitals that have higher-than-expected readmission rates for common conditions such as AMI, pneumonia, and HF. CMS [...]

By | 2019-03-11T14:20:00+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF HOSPITAL READMISSION REDUCTION PROGRAM IMPLEMENTATION WITH READMISSION RATE AND MORTALITY OUTCOME IN HOSPITALIZED PATIENTS WITH ACUTE EXACERBATION OF COPD (AECOPD)

Abstract Number: 177

NATIONWIDE COST-ANALYSES OF ENDOVASCULAR CARDIAC VALVE REPLACEMENT: CURRENT ECONOMICAL IMPACT OF COMPLICATIONS IN THE HEALTH CARE SYSTEM

Background: Endovascular cardiac valve replacement continues to increase in popularity as it becomes more of a standard of care for valve replacements. As the number of ECVR grows each year, complications associated with these procedures [...]

By | 2019-03-11T14:19:58+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on NATIONWIDE COST-ANALYSES OF ENDOVASCULAR CARDIAC VALVE REPLACEMENT: CURRENT ECONOMICAL IMPACT OF COMPLICATIONS IN THE HEALTH CARE SYSTEM

Abstract Number: 176

RISK, OUTCOMES AND PREDICT FACTORS OF CLOSTRIDIUM DIFFICILE INFECTION IN HOSPITALIZED MULTIPLE MYELOMA PATIENTS FROM A NATIONWIDE ANALYSIS

Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to [...]

By | 2019-03-11T14:19:57+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on RISK, OUTCOMES AND PREDICT FACTORS OF CLOSTRIDIUM DIFFICILE INFECTION IN HOSPITALIZED MULTIPLE MYELOMA PATIENTS FROM A NATIONWIDE ANALYSIS

Abstract Number: 175

CHARACTERIZING FATIGABILITY IN HOSPITALIZED PATIENTS WITH ANEMIA

Background: Fatigability describes how fatigued a patient is at any given level of activity, and is measured as the degree of fatigue a patient experiences after performing a specific amount of activity. The National Institute [...]

By | 2019-03-11T14:19:56+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERIZING FATIGABILITY IN HOSPITALIZED PATIENTS WITH ANEMIA

Abstract Number: 174

CHARACTERISTICS OF AND PROCESS MEASURES FOR EMERGENCY DEPARTMENT PATIENTS INITIALLY IDENTIFIED AS SEPSIS BY EITHER SOFA OR SIRS CRITERIA

Background: Depending on the criterion applied, the systemic inflammatory response syndrome (SIRS) criteria and the Sequential Organ Failure Assessment (SOFA) criteria initially identify distinct populations that present to the emergency department (ED) with suspected sepsis [...]

By | 2019-03-11T14:19:54+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on CHARACTERISTICS OF AND PROCESS MEASURES FOR EMERGENCY DEPARTMENT PATIENTS INITIALLY IDENTIFIED AS SEPSIS BY EITHER SOFA OR SIRS CRITERIA

Abstract Number: 173

OUTCOMES OF STANDARDIZED MINNESOTA DETOXIFICATION SCALE (MINDS) ASSESSMENT WITH HIGH DOSE DIAZEPAM TREATMENT FOR ALCOHOL WITHDRAWAL IN HOSPITALIZED PATIENTS

Background: Approximately 1.6 million men and 800,000 women in the US are alcohol dependent and have an alcohol-use disorder. Half will experience withdrawal symptoms after decreased alcohol consumption. Complications including seizures and delirium tremens occur [...]

By | 2019-03-11T14:19:53+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on OUTCOMES OF STANDARDIZED MINNESOTA DETOXIFICATION SCALE (MINDS) ASSESSMENT WITH HIGH DOSE DIAZEPAM TREATMENT FOR ALCOHOL WITHDRAWAL IN HOSPITALIZED PATIENTS

Abstract Number: 172

MIDLINES: AN URBAN HOSPITAL’S EXPERIENCE

Background: Since being introduced in the 1950s, midlines have since gained attention as an intravascular access option—particularly in patients requiring intravenous (IV) therapy for extended time periods. They provide an alternative to frequent venipuncture from [...]

By | 2019-03-11T14:19:52+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on MIDLINES: AN URBAN HOSPITAL’S EXPERIENCE

Abstract Number: 170

ANGIOTENSIN CONVERTING ENZYME INHIBITOR REDUCES THE INCIDENCE OF ATRIAL FIBRILLATION IN HEART FAILURE WITH PRESERVED EJECTION FRACTION PATIENTS: A RETROSPECTIVE COHORT STUDY FROM THE TOPCAT TRIAL

Background: Heart failure (HF) and atrial fibrillation (AF) share several risk factors including coronary artery disease, hypertension, smoking, obesity, diabetes, and renal disease, as well as common pathophysiologic pathway involving activation of the renin–angiotensin–aldosterone system, [...]

By | 2019-03-11T14:19:49+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ANGIOTENSIN CONVERTING ENZYME INHIBITOR REDUCES THE INCIDENCE OF ATRIAL FIBRILLATION IN HEART FAILURE WITH PRESERVED EJECTION FRACTION PATIENTS: A RETROSPECTIVE COHORT STUDY FROM THE TOPCAT TRIAL

Abstract Number: 169

IDENTIFYING POTENTIAL CANDIDATES FOR HOSPITAL AT HOME AMONG 104,662 ADULT ADMISSIONS WITH SUSPECTED BACTERIAL INFECTION

Background: Hospital at Home (HaH) care is an alternative to traditional hospitalization with potential to address issues of cost and hospital capacity, while improving outcomes and patient satisfaction. In 2017, the US Department of Health [...]

By | 2019-03-11T14:19:48+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IDENTIFYING POTENTIAL CANDIDATES FOR HOSPITAL AT HOME AMONG 104,662 ADULT ADMISSIONS WITH SUSPECTED BACTERIAL INFECTION

Abstract Number: 167

WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Background: Patients hospitalized for major depressive disorder (MDD) with suicidal ideation (SI) or suicide attempt (SA) may have a high risk for hospital readmission. This study evaluated readmission/subsequent emergency department (ED) visit rates and the [...]

By | 2019-03-11T14:19:45+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHAT ARE THE RATES AND COSTS OF READMISSIONS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG HOSPITALIZED PATIENTS WITH MAJOR DEPRESSIVE DISORDER AND SUICIDAL IDEATION OR SUICIDE ATTEMPT?

Abstract Number: 166

ECONOMIC BURDEN OF PATIENTS WITH MAJOR DEPRESSIVE DISORDER PATIENTS AND SUICIDAL IDEATION OR SUICIDE ATTEMPT: A RETROSPECTIVE HOSPITAL-BASED DATABASE ANALYSIS

Background: The economic burden of illness for patients with major depressive disorder (MDD) with suicidal ideation (SI) and suicide attempt (SA) can be attributed to the intensive level of care required, as these patients are [...]

By | 2019-03-11T14:19:44+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ECONOMIC BURDEN OF PATIENTS WITH MAJOR DEPRESSIVE DISORDER PATIENTS AND SUICIDAL IDEATION OR SUICIDE ATTEMPT: A RETROSPECTIVE HOSPITAL-BASED DATABASE ANALYSIS

Abstract Number: 165

PREDICTIVE ABILITY OF THE CHANGE IN RED CELL DISTRIBUTION WIDTH FOR ACUTE HEART FAILURE HOSPITALIZATION AND BEYOND

Background: Acute heart failure (AHF) hospitalization is about one million hospital admissions per year and has tripled in the last 30 years in the United States. These illustrate the importance of recognizing early signs of [...]

By | 2019-03-11T14:19:42+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PREDICTIVE ABILITY OF THE CHANGE IN RED CELL DISTRIBUTION WIDTH FOR ACUTE HEART FAILURE HOSPITALIZATION AND BEYOND

Abstract Number: 164

THE INFLUENCE OF GEOGRAPHIC DISPERSION ON OUTCOMES OF HOSPITALIZED MEDICINE SERVICE PATIENTS

Background: Specialty wards (e.g., cardiology or oncology wards) group clinically similar hospitalized patients in efforts to improve outcomes and costs. When these wards exceed capacity, subsequent patients overflow to “geographically dispersed” alternate wards. Geographic dispersion [...]

By | 2019-03-11T14:19:41+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE INFLUENCE OF GEOGRAPHIC DISPERSION ON OUTCOMES OF HOSPITALIZED MEDICINE SERVICE PATIENTS

Abstract Number: 163

IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Background: Transfusion of packed red blood cells in the United States has more than doubled from 1997 to 2011; however, it is thought that greater than 50% of transfusions may be unnecessary. Numerous clinical trials [...]

By | 2019-03-11T14:19:40+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPLEMENTATION OF BLOOD UTILIZATION PROGRAM AT A COMMUNITY HOSPITAL

Abstract Number: 162

POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a [...]

By | 2019-03-11T14:19:39+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on POST-DISCHARGE RESOURCE USE AND 30-DAY UNPLANNED HOSPITAL READMISSIONS IN PATIENTS ADMITTED FOR HEART FAILURE

Abstract Number: 161

FACING THE FACTS: HOW FACE-TO-FACE FIRST ENCOUNTERS PROMOTE SUCCESSFUL HEPATITIS C LINKAGE TO CARE IN AN INPATIENT SETTING

Background: There are an estimated 3.5 million people in the United States living with Hepatitis C virus (HCV); 75-85% of those will develop a chronic infection that can result in liver complications. It is crucial [...]

By | 2019-03-11T14:19:37+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on FACING THE FACTS: HOW FACE-TO-FACE FIRST ENCOUNTERS PROMOTE SUCCESSFUL HEPATITIS C LINKAGE TO CARE IN AN INPATIENT SETTING

Abstract Number: 160

PATIENT STAKEHOLDER ENGAGEMENT IN RESEARCH: A SYSTEMATIC REVIEW TO DESCRIBE FOUNDATIONAL PRINCIPLES AND BEST PRACTICE ACTIVITIES

Background: Health research is rapidly evolving to include patient stakeholders (patients, families and caregivers) as active members of research teams. The proliferation of published frameworks describing the conceptual foundations underlying this engagement, and strategies detailing [...]

By | 2019-03-11T14:19:32+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PATIENT STAKEHOLDER ENGAGEMENT IN RESEARCH: A SYSTEMATIC REVIEW TO DESCRIBE FOUNDATIONAL PRINCIPLES AND BEST PRACTICE ACTIVITIES

Abstract Number: 159

RACIAL FACTORS AND INPATIENT OUTCOMES AMONG PATIENTS WITH DIABETES WHO PRESENT WITH FOOT COMPLICATIONS

Background: Foot amputation rates in Black patients with diabetic foot complications have been historically higher than White patients. To determine if improvements in this disparity occurred, we carried out trend analysis of lower extremity amputation [...]

By | 2019-03-11T14:19:30+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on RACIAL FACTORS AND INPATIENT OUTCOMES AMONG PATIENTS WITH DIABETES WHO PRESENT WITH FOOT COMPLICATIONS

Abstract Number: 158

THE WORLD AROUND US AND OUR LUNGS: THE IMPACT OF ENVIRONMENTAL EXPOSURES ON RESPIRATORY HEALTH

Background: Chronic respiratory diseases lead to co-morbid conditions, including osteoporosis, that impact quality of life and healthcare expense. Environmental exposures are risk factors for the development and severity of chronic respiratory diseases. We evaluated the [...]

By | 2019-03-11T14:19:29+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE WORLD AROUND US AND OUR LUNGS: THE IMPACT OF ENVIRONMENTAL EXPOSURES ON RESPIRATORY HEALTH

Abstract Number: 157

EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not [...]

By | 2019-03-11T14:19:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Abstract Number: 156

DISPOSITION OUTCOMES OF ACUTE PULMONARY EMBOLISMS DIAGNOSED IN THE EMERGENCY DEPARTMENT

Background: Prognostic risk scores allow clinicians to rapidly identify patients with acute pulmonary embolism (PE) at a low risk for mortality and morbidity. Current guidelines recommend that these patients be considered for outpatient treatment. Despite [...]

By | 2019-03-11T14:19:26+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DISPOSITION OUTCOMES OF ACUTE PULMONARY EMBOLISMS DIAGNOSED IN THE EMERGENCY DEPARTMENT

Abstract Number: 155

HOW DOES RACE AND GENDER AFFECT THE RISK OF ANEMIA IN A COHORT OF PREDOMINANTLY HISPANIC HEART FAILURE (HF) PATIENTS IN A COMMUNITY HOSPITAL IN SOUTH TEXAS

Background: Anemia in patients with heart failure (HF) is common. Data reported shows a variable prevalence ranging from 10-40%. Additionally, it has also been demonstrated that it is associated with poor outcomes. Multiple risk factors [...]

By | 2019-03-11T14:19:25+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on HOW DOES RACE AND GENDER AFFECT THE RISK OF ANEMIA IN A COHORT OF PREDOMINANTLY HISPANIC HEART FAILURE (HF) PATIENTS IN A COMMUNITY HOSPITAL IN SOUTH TEXAS

Abstract Number: 154

PERFORMANCE DIMINISHES WHEN RISK MODELS CREATED FOR PROXIMAL OUTCOMES ARE APPLIED TO DISTAL OUTCOMES

Background: Standard risk prediction tools including the quick-Sequential Organ Failure Assessment (qSOFA) have been validated using in-hospital outcomes (mortality [Died-Hosp] or intensive care unit stay >72 hours [ICU72]). Yet, risk models are often applied to [...]

By | 2019-03-11T14:19:24+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on PERFORMANCE DIMINISHES WHEN RISK MODELS CREATED FOR PROXIMAL OUTCOMES ARE APPLIED TO DISTAL OUTCOMES

Abstract Number: 153

IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]

By | 2019-03-11T14:19:23+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IMPACT OF CARDIOLOGIST CONSULTATION ON READMISSIONS FOR GENERAL MEDICINE PATIENTS WITH SECONDARY DIAGNOSIS OF HEART FAILURE

Abstract Number: 152

ASSOCIATION OF SOCIOECONOMIC AND RACIAL DISPARITIES WITH HEALTHCARE UTILIZATION AND OUTCOMES IN OPIOID OVERDOSE RELATED HOSPITALIZATIONS IN THE UNITED STATES: INSIGHTS FROM NATIONAL INPATIENT SAMPLE FROM 2012 THROUGH 2014

Background: While prescription opioids have a role in treating certain pain conditions, their injudicious use has led to an epidemic with myriad adverse outcomes. We sought to evaluate the association of socioeconomic and racial disparities [...]

By | 2019-03-11T14:19:21+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF SOCIOECONOMIC AND RACIAL DISPARITIES WITH HEALTHCARE UTILIZATION AND OUTCOMES IN OPIOID OVERDOSE RELATED HOSPITALIZATIONS IN THE UNITED STATES: INSIGHTS FROM NATIONAL INPATIENT SAMPLE FROM 2012 THROUGH 2014

Abstract Number: 151

IDENTIFYING ADVERSE DIETARY CHOICES BY USING THE RATE YOUR PLATE SURVEY WHILE EQUATING A SHARED DECISION MAKING APPROACH AND THE EFFECT ON DIETARY IMPROVEMENT

Background: The Center for Health Evaluations, Education, Research and Engagement (CHEVERE) study is a research program at Lincoln Hospital designed to explore the cultural, social and psychological factors that either facilitate or serve as barriers [...]

By | 2019-03-11T14:19:20+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on IDENTIFYING ADVERSE DIETARY CHOICES BY USING THE RATE YOUR PLATE SURVEY WHILE EQUATING A SHARED DECISION MAKING APPROACH AND THE EFFECT ON DIETARY IMPROVEMENT

Abstract Number: 150

LOCATION, LOCATION, LOCATION: WHY HOSPITAL SETTING MATTERS DURING A CARDIAC ARREST

Background: Cardiac arrest, as characterized by an abrupt loss of cardiac function, remains to be a main event preceding death with low survival rates nationwide. Although many factors can serve as the underlying etiology, it [...]

By | 2019-03-11T14:19:19+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on LOCATION, LOCATION, LOCATION: WHY HOSPITAL SETTING MATTERS DURING A CARDIAC ARREST

Abstract Number: 148

ASPIRIN EFFICACY AND SAFETY PROFILE FOR PRIMARY PREVENTION IN DIABETIC PATIENTS: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS

Background: The role of aspirin in primary prevention of cardiovascular events remains controversial, Especially in diabetic patients. We have conducted a meta-analysis of all randomized controlled trials (RCTs) to evaluate the efficacy and safety of [...]

By | 2019-03-11T14:19:16+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASPIRIN EFFICACY AND SAFETY PROFILE FOR PRIMARY PREVENTION IN DIABETIC PATIENTS: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS

Abstract Number: 147

ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

Background: Large volume paracentesis is commonly performed in patients with refractory ascites but can induce hypotension and kidney injury. There is evidence that administering albumin at 6-8 grams per liter (g/L) of ascites removed during [...]

By | 2019-03-11T14:19:15+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on ASSOCIATION OF POST PARACENTESIS ALBUMIN DOSAGE AND ACUTE KIDNEY INJURY IN HOSPITALIZED PATIENTS

Abstract Number: 146

FREQUENCY AND COSTS OF REHOSPITALIZATIONS FOR VENOUS THROMBOEMBOLISM AMONG PATIENTS WITH INFECTIOUS DISEASES

Background: Patients hospitalized for infectious diseases are at risk for venous thromboembolism (VTE) and over 50% of VTE events occur 30-40 days after discharge. In our previous analyses, over 60% of patients hospitalized for an [...]

By | 2019-03-11T14:19:14+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on FREQUENCY AND COSTS OF REHOSPITALIZATIONS FOR VENOUS THROMBOEMBOLISM AMONG PATIENTS WITH INFECTIOUS DISEASES

Abstract Number: 145

THE RELATIONSHIP OF LONELINESS TO SYMPTOM BURDEN, INTENSITY OF CARE, AND ADVANCE CARE PLANNING AT END OF LIFE IN OLDER AMERICANS

Background: Lonely adults are prone to a variety of poor health outcomes, including accelerated functional and cognitive decline, depression, and premature mortality. As a result, lonely adults may be prone to higher health-related suffering, triggering [...]

By | 2019-03-11T14:19:12+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on THE RELATIONSHIP OF LONELINESS TO SYMPTOM BURDEN, INTENSITY OF CARE, AND ADVANCE CARE PLANNING AT END OF LIFE IN OLDER AMERICANS

Abstract Number: 9

DOES HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTION INCREASE THE RISK OF HOSPITAL DISCHARGE TO SKILLED NURSING FACILITIES? A RETROSPECTIVE CASE CONTROL STUDY FROM A COMMUNITY HOSPITAL

Background: Hospital Onset Clostridium difficile infection (HOCDI) is one of the most common causes of hospital acquired diarrhea. As per a recent study, the mean healthcare costs attributable to primary Clostridium difficile infection (CDI) is [...]

By | 2019-03-18T13:25:10+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Outcomes Research, Research|Comments Off on DOES HOSPITAL ONSET CLOSTRIDIUM DIFFICILE INFECTION INCREASE THE RISK OF HOSPITAL DISCHARGE TO SKILLED NURSING FACILITIES? A RETROSPECTIVE CASE CONTROL STUDY FROM A COMMUNITY HOSPITAL

Abstract Number: 8

WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS

Background: In sepsis, every hour of delay in antibiotic administration after the onset of hypotension is associated with 4-7% increase in mortality, but little is known about the characteristics of patients with treatment delays. Our [...]

By | 2019-03-18T13:24:45+00:00 March 11th, 2019|Finalist Posters - Research, Hospital Medicine 2019, Outcomes Research, Research|Comments Off on WHO’S WAITING? PREDICTORS OF ANTIBIOTIC DELAYS IN HYPOTENSIVE PATIENTS WITH SEPSIS