Outcomes Research

HM2016 Abstract Number: 139

External Validation of Prognostic Rules for In-Hospital Post-Pulmonary Embolism Mortality: Assessment of a Claims-Based and Three Clinical-Based Approaches

Background: The In-hospital Mortality for Pulmonary embolism using Claims daTa (IMPACT) rule has been validated in a number of commercial and all-payer claims databases; classifying pulmonary embolism (PE) patients into low- and higher-risk in-hospital all-cause [...]

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HM2016 Abstract Number: 138

Does Early Feeding Reduce Length of Hospital Stay in Acute Pancreatitis? A Systematic Review and Meta-Analysis

Background: Acute pancreatitis is among the most common and costly reasons for hospitalization in the United States. While bowel rest, pain control, and intravenous fluids are the cornerstone of treatment, recent evidence suggests that early [...]

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HM2016 Abstract Number: 137

Diagnostic Discordance and Inter-Hospital Transfer Outcomes

Background:  Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs.  Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all [...]

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HM2016 Abstract Number: 136

Is the Grass Really Greener? Impact of Inter-Hospital Transfer on the Outcomes of Super-Utilizers

Background:  A small population of patients disproportionately consume an increasing share of medical resources.  These super-utilizers often have complex medical and psychosocial conditions that require carefully coordinated, individualized care.  As this population drives unplanned readmissions, [...]

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HM2016 Abstract Number: 135

Analyses of Real-World Treatment Patterns Among Hospitalized Chronic Obstructive Pulmonary Disease (Copd) Patients with Low Peak Inspiratory Flow: Interim Findings from a Prospective Observational Study

Background: Research suggests that COPD patients with low peak inspiratory flow rate (PIFR,

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Analyses of Real-World Treatment Patterns Among Hospitalized Chronic Obstructive Pulmonary Disease (Copd) Patients with Low Peak Inspiratory Flow: Interim Findings from a Prospective Observational Study

HM2016 Abstract Number: 134

A Comparison of Occlusion Rates in Peripherally Inserted Central Catheters and Other Intravenous Devices: A Systematic Review and Meta-Analysis

Background: Peripherally inserted central catheters (PICCs) are increasingly used in the care of hospitalized patients. While major complications such as venous thromboembolism and central line-associated bloodstream infection related to PICCs have been well reported, comparatively [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on A Comparison of Occlusion Rates in Peripherally Inserted Central Catheters and Other Intravenous Devices: A Systematic Review and Meta-Analysis

HM2016 Abstract Number: 133

Characterizing Fatigue in Hospitalized Patients with Anemia

Background: Multiple professional societies recommend red blood cell transfusions for hospitalized patients based on the presence of symptoms of anemia, like fatigue. These recommendations endorse the idea that the severity of anemia symptoms are due [...]

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HM2016 Abstract Number: 132

Increasing Use of Home Health Care Services Among Patients Admitted with Heart Failure in the United States

Background: Despite recent advancements in the medical management of acute and chronic Heart Failure (HF), smooth transitions of care for patients hospitalized with HF remain elusive for most health care systems. Use of home health [...]

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HM2016 Abstract Number: 131

Impact of Nurse Practitioners on Hospitalized Patient Outcomes

Background: Recently, the role of non-physician extenders such as nurse practitioners has expanded in the hospital setting. However, there are few data examining the consequences of adding these providers to the care provision team.  The [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Impact of Nurse Practitioners on Hospitalized Patient Outcomes

HM2016 Abstract Number: 130

Impact of a Best Practice Alert on Transfusion Practices for Solid Tumor Oncology Patients

Background: Recent evidence supports a restrictive transfusion strategy in the majority of hospitalized patients, though transfusion practices for oncology patients remain highly variable.  We evaluated whether use of a best practice alert for solid tumor [...]

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HM2016 Abstract Number: 129

Role of Early Outpatient Follow-Up Appointments on Decreasing Copd Readmission Rates

Background: Chronic Obstructive Pulmonary Disease (COPD) is the third most common cause of hospital readmission within 30 days of discharge. These readmissions increase the overall healthcare cost burden. We examined the effect of early follow-up [...]

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HM2016 Abstract Number: 128

Have You Met Your Patient? Performance of a Brief Bedside Assessment of Physical Function

Background: Functional decline during hospitalization of older adults is well-recognized and potentially preventable.  Recent studies have suggested that clinically significant functional decline also affects hospitalized adults under 65 years of age, and that physical function [...]

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HM2016 Abstract Number: 126

Survival Outcomes of Patients with Gastrointestinal Cancer Who Experienced Unplanned Readmissions

Background: Unplanned readmissions among cancer patients are common and gastrointestinal (GI) cancer has some of the highest readmission volumes. Under the Affordable Care Act, hospitals have been getting penalized for excessive readmission rates. For now, [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Survival Outcomes of Patients with Gastrointestinal Cancer Who Experienced Unplanned Readmissions

HM2016 Abstract Number: 123

Shock Index As a Predictor for In-Hospital Mortality in Patients with Non-St-Segment Elevation Myocardial Infarction

Background: Shock index (SI), a ratio of heart rate/systolic blood pressure, has been reported to predict increased mortality in patients with ST-segment elevation myocardial infarction. However, the prognostic value of SI has not been fully [...]

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HM2016 Abstract Number: 122

Blood Transfusion Pattern in Acute Gastrointestinal Bleeding: A Us Population Based Study

Background: Over the last two decades concerns have been raised about the potential risk of blood transfusion over the benefits. General restrictive red blood cell (RBC) transfusion approach for anemic hospitalized patients (thresh hold of [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Blood Transfusion Pattern in Acute Gastrointestinal Bleeding: A Us Population Based Study

HM2016 Abstract Number: 121

Investigation Into One-Size-Fits-All Diuretic Strategy for Heart Failure Exacerbation Admissions

Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when [...]

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HM2016 Abstract Number: 120

Spreading Best Practices in Inpatient Medicine: An Acute Medical Assessment Unit in the Middle East Region

Background: Acute Medical Assessment Units (AMAU) in the United Kingdom, Australia and New Zealand improve inpatient flow and quality. It is critical to spread such best practices. Qatar, a GCC state (Bahrain, Kuwait, Oman, Saudi [...]

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HM2016 Abstract Number: 119

Low Risk of Venous Thromboembolism in Hospitalized Stroke Patients

Background: Guidelines and quality performance measures recommend venous thromboembolism (VTE) prophylaxis in patients hospitalized with stroke if they have paralysis or are confined to bed and also recommend that all hospitalized medical patients have VTE [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Low Risk of Venous Thromboembolism in Hospitalized Stroke Patients

HM2016 Abstract Number: 118

Relationship of Major Bleeding to Pharmacologic Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients

Background: Guidelines recommend pharmacologic venous thromboembolism (VTE) prophylaxis for high risk hospitalized medical patients that do not have an elevated bleeding risk.  A systematic review of randomized trials estimates the overall bleeding risk with pharmacologic [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Relationship of Major Bleeding to Pharmacologic Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients

HM2016 Abstract Number: 117

Contrast-Induced Nephropathy in Stemi Patients with and Without Chronic Kidney Disease

Background: Contrast-induced nephropathy (CIN) following percutaneous coronary intervention (PCI) is associated with adverse outcomes; however, there is scarce data comparing clinical outcomes of post-PCI CIN in STEMI patients with and without chronic kidney disease (CKD). [...]

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HM2016 Abstract Number: 115

Hypoglycemia As a Marker of Mortality in Non-Diabetic Hospitalized Patients

Background: Though previous studies have demonstrated that hypoglycemia is a risk factor for inpatient mortality among hospitalized patients, many clinicians may not be aware of the seriousness of this finding. The purpose of this study [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Hypoglycemia As a Marker of Mortality in Non-Diabetic Hospitalized Patients

HM2016 Abstract Number: 114

Weight Loss Comparisons of Hospitalized Obese Patients with and Without Hospitalists’ Intervention

Background: Obesity affects a large majority of the U.S. population, and hospitalizations may represent opportunities to intervene and promote weight loss.  We sought to determine if multidisciplinary patient-centered inpatient weight loss consults, post-discharge telephone text [...]

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HM2016 Abstract Number: 113

Impact of Admission Nursing Team on Timely Inpatient Discharge in Acute Hospital Care Setting

Background: Emergency Department (ED) overcrowding and delays in ED throughput have several important consequences , such as boarding of admitted patients in the ED, longer hospital stays and delay in effective inpatient discharge planning (1). [...]

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HM2016 Abstract Number: 112

Risk Factors Associated with Hospitalization of Prostate Cancer Survivors: Effect of Body Mass Index and Prostate Cancer Treatment

Background: Prostate cancer is the most commonly diagnosed cancer and second leading cause of cancer death among men in the US. Approximately three million prostate cancer survivors are living in the US according to 2014 [...]

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HM2016 Abstract Number: 111

A Comparison of Day Vs. Night In-Patient Cardiopulmonary Arrest Outcomes in a Large Academic Hospital

Background: Code Blues, or in-hospital cardiopulmonary arrests, are high intensity, often fatal events occurring frequently within the hospital. National data reviews estimate that survival to discharge following an in-hospital cardiac event is about 24.4%. Further [...]

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HM2016 Abstract Number: 110

Association of Doctor-Patient Relationship Strength with Advance Care Planning

Background: Advance care planning (ACP) is recommended to improve compliance with patient end-of-life wishes and to ensure appropriate use of healthcare resources. However, most American adults have neither living wills nor advance directives. Hospital physicians [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Association of Doctor-Patient Relationship Strength with Advance Care Planning

HM2016 Abstract Number: 109

Predictors of Length of Stay in a Large National Cohort of Hospitalized Patients

Background: Factors that impact the length of stay (LOS) in hospitalized patients have not been well characterized. We used a dataset from a large national cohort of hospitalized patients to determine if patient demographics, admission [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Predictors of Length of Stay in a Large National Cohort of Hospitalized Patients

HM2016 Abstract Number: 108

The Weekend Effect: An Assessment of Mortality During Emergent Hepatocellular Carcinoma Hospitalizations

Background: Patients with hepatocellular carcinoma (HCC) are frequently hospitalized emergently. Studies that describe the factors associated with HCC-related mortality during hospitalizations are limited. We sought to use a nationally representative database to investigate whether a [...]

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HM2016 Abstract Number: 107

Impact of Hospital Teaching Status on Out-of-Hospital Cardiac Arrest Outcomes and Resource Utilization in the United States: 2000-2012

Background:  Teaching status has often been studied as a potential systems-level variable associated with patient outcomes; however, limited information regarding the relationship between out-of-hospital cardiac arrest (OHCA) outcomes and teaching status exist. Methods: Using the [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Finalist, Outcomes Research, Research Abstracts|Comments Off on Impact of Hospital Teaching Status on Out-of-Hospital Cardiac Arrest Outcomes and Resource Utilization in the United States: 2000-2012

HM2016 Abstract Number: 106

Total Hospitalization Expenditures for Venous Thromboembolism Among Patients Receiving Rivaroxaban or Warfarin

Background: Reducing the economic and healthcare system burden of venous thromboembolism (VTE) is critical, given the estimated annual costs in the US ranging from $13.5-$27.2 billion (2011 US dollars). The EINSTEIN clinical trials showed rivaroxaban [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Total Hospitalization Expenditures for Venous Thromboembolism Among Patients Receiving Rivaroxaban or Warfarin

HM2016 Abstract Number: 105

Short Term Use of Peripherally Inserted Central Catheters in Michigan Hospitals: Prevalence, Patterns and Outcomes

Background: Peripherally inserted central catheters [PICCs] are often used for venous access in hospitalized patients. Prevalence and outcomes of short-term PICC use (

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HM2016 Abstract Number: 104

The Influence of Red Blood Cell Transfusion on Venous Thromboembolism in Patients with Peripherally-Inserted Central Catheters

Background: We previously found that red blood cell (RBC) transfusion was a trigger for hospitalization for venous thromboembolism (VTE) in a Medicare population. As peripherally inserted central catheters (PICCs) are both associated with VTE and [...]

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HM2016 Abstract Number: 102

Variation in Prevalence and Patterns of Peripherally Inserted Central Catheter Use in Pneumonia

Background: Successful treatment of bacterial pneumonia often requires intravenous antibiotic therapy. Although peripherally inserted central catheters (PICCs) are often used to deliver such treatment, hospital practice patterns related to PICC use have previously not been [...]

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HM2016 Abstract Number: 103

Vascular Nursing Experience, Practice Knowledge and Beliefs: Results from the Michigan Picc1 Survey

Background: Peripherally inserted central catheters (PICCs) are increasingly used in hospitalized patients. Yet, little is known about the vascular access nurses who often place them.  Methods: We conducted a web-based survey to assess vascular access [...]

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HM2016 Abstract Number: 101

Length of Stay Is Reduced by Converting Intravenous Corticosteroids to Oral in Aecopd Hospitalizations

Background: The 2015 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend the use of systemic corticosteroids in the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Although prior guidelines did not [...]

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HM2016 Abstract Number: 100

Ferumoxytol Enhancement of Osteomyelitis on Mri May Improve Diagnostic Precision

Background: Diagnostic MR imaging of osteomyelitis in the hospital setting continues to guide patient care and treatment when plain films are inconclusive. However, even MRI with gadolinium can be non-specific in patients with other forms [...]

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HM2016 Abstract Number: 99

Inverse Associations Between Hospital-Wide Readmission Rates and Mortality Measures at the Hospital Level

Background: The Centers for Medicare & Medicaid Services (CMS) have sought to reduce readmissions through penalties applied to hospitals with readmission rates that are higher than expected, as calculated from models that use patient-level administrative [...]

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HM2016 Abstract Number: 98

Detecting Sepsis: Are Two Opinions Better Than One?

Background: Early diagnosis and treatment of sepsis improves patient outcomes. Diagnosis requires an objective component (currently at least two Systemic Inflammatory Response Criteria, SIRS) and a subjective, clinical suspicion of infection.  While much attention has [...]

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HM2016 Abstract Number: 97

Fluoroquinolone Resistance in Urinary Catheterization and Antibiotic Optimization

Background: Urinary tract infection (UTI) is the most common infection associated with antibiotic misuse. Catheter-associated UTI (CAUTI) is the largest reservoir of nosocomial antibiotic-resistant pathogens, including Pseudomonas aeruginosa. Health-care associated urinary tract infection is also [...]

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HM2016 Abstract Number: 96

Use of Hand Carried Ultrasound Inferior Vena Cava Measurements As a Motivational Tool to Improve Adherence and Prevent Readmissions After Hospitalization for Acute Decompensated Heart Failure

Background: Heart failure is a common condition characterized by recurrent exacerbations. Medication and dietary nonadherence are associated with readmissions. Telling smokers their lung age significantly improves the likelihood of successful smoking cessation.  We hypothesized that [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Use of Hand Carried Ultrasound Inferior Vena Cava Measurements As a Motivational Tool to Improve Adherence and Prevent Readmissions After Hospitalization for Acute Decompensated Heart Failure

HM2016 Abstract Number: 95

Impact of State Medicaid Expansion Status on Length of Stay and In-Hospital Mortality for General Medicine Patients at U.S. Academic Medical Centers

Background:  The Affordable Care Act (ACA) has recently enabled millions of U.S. adults to acquire healthcare coverage.  The differential shift in payer mix in Medicaid-expansion versus non-expansion states after ACA implementation may be relevant to [...]

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HM2016 Abstract Number: 94

Confidence in Correct Inhaler Device Technique and Its Association with Health Status and Patient Satisfaction: An Analysis of Real-World Us Chronic Obstructive Pulmonary Disease (Copd) Patients

Background: Correct inhaler technique for COPD medications is essential to achieving optimum delivery into the lungs. Evidence suggests that poor technique is widespread and linked to poor efficacy and adherence. However, the direct relationship between [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Confidence in Correct Inhaler Device Technique and Its Association with Health Status and Patient Satisfaction: An Analysis of Real-World Us Chronic Obstructive Pulmonary Disease (Copd) Patients

HM2016 Abstract Number: 93

Hospitalist-Based Management of Sepsis in an Intermediate Care Unit. Results and Analysis of Factors Related to Poor Prognosis and Need for Discharge to an Intensive Care Unit

Background: The Emergency Room departments and the Intensive Care Units (ICU) remain the main locations for the treatment of patients with severe sepsis and septic shock. Nevertheless, health-care systems may have limited resources and insufficient [...]

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HM2016 Abstract Number: 92

Assessment of Clinical Practice and Type of Stent Placed in Hiv+ Patients Presenting with St Elevation Myocardial Infarction

Background: Studies have shown that drug eluting stents outperform bare metal stents in the need for revascularization in myocardial infarction patients. We sought to identify the current practice in HIV positive patients presenting with ST [...]

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HM2016 Abstract Number: 91

Regional Variation in Resources Utilization and Outcomes Following Out-of-Hospital Cardiac Arrest in the United States

Background: Regional differences in health care strategies, resource utilization and outcomes following Out-of-Hospital Cardiac arrest are not well studied. These differences may have significant implications on optimizing health care delivery and allocating expensive resources. Methods: [...]

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