Enhancing the Transition from Hospital to Home for the Older Adult

Background: When elderly patients are discharged home following an acute hospitalization, they are at high risk of having an unsuccessful transition with untoward health care outcomes. Our team has developed an interdisciplinary, comprehensive intervention to [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Enhancing the Transition from Hospital to Home for the Older Adult

Impact of Fundoplication Versus Gastrojejunal Feeding Tubes on Mortality and Aspiration Pneumonia Prevention in Young Children with Neurological Impairment Who Have Gastroesophageal Reflux Disease

Background: Aspiration pneumonia (AP) is the most common cause of death in children with neurological impairment who have gastroesophageal reflux disease (GERD). Fundoplications and gastrojejunal feeding tubes (GJT) are frequently employed to prevent AP in [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Impact of Fundoplication Versus Gastrojejunal Feeding Tubes on Mortality and Aspiration Pneumonia Prevention in Young Children with Neurological Impairment Who Have Gastroesophageal Reflux Disease

Effect of a Standardized Subcutaneous Insulin Order Set and an Insulin Management Algorithm on Inpatient Glycemic Control and Hypoglycemia

Background: Poor glycemic control in hospitalized patients is strongly associated with increased length of stay, mortality, infections, and other undesirable outcomes. Poor glycemic control and suboptimal insulin regimens are the rule in inpatient ward settings, [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Effect of a Standardized Subcutaneous Insulin Order Set and an Insulin Management Algorithm on Inpatient Glycemic Control and Hypoglycemia

Incidence and Predictors of Postoperative Fevers in Patients Undergoing Hip and Knee Surgery

Background: Surgeons in the perioperative management of their patients are increasingly involving hospitalist physicians. This relationship includes preoperative assessments and postoperative referrals or comanagement for medical conditions including fevers, diabetes, hypertension, and coronary artery disease. [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Incidence and Predictors of Postoperative Fevers in Patients Undergoing Hip and Knee Surgery

Outcomes of Compensated Heart Failure Patients Undergoing Elective Major Noncardiac Surgery

Background: Perioperative outcomes of heart failure (HF) patients who have been clinically stabilized prior to noncardiac surgery have not been well studied. We sought to evaluate contemporary surgical outcomes in patients with compensated HF undergoing [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Outcomes of Compensated Heart Failure Patients Undergoing Elective Major Noncardiac Surgery

Human Monocytic Ehrlichiosis Presenting as Altered Mental Status

Case Presentation: A previously healthy 54‐year‐old man presented with a history of fever, sore throat, myalgias, worsening lethargy, diarrhea, and epistaxis. The patient had traveled to Mount Calazano, Italy, and England the month before admission [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Human Monocytic Ehrlichiosis Presenting as Altered Mental Status

RLQ Pain Long after an Appendectomy

Case Presentation: An 11‐year‐old girl presented to the pediatric emergency department complaining of 3 days of right lower quadrant (RLQ) abdominal pain. Her pain was sharp, intermittent, exacerbated by touch or movement, alleviated by lying [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on RLQ Pain Long after an Appendectomy

Acute Pancreatitis after Propofol Administration

Case Presentation: A 36‐year‐old woman with no medical history presented to the emergency department complaining of 1 day of chills, vomiting, and progressively worsening epigastric pain. The previous day the patient had had dilatation and [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Acute Pancreatitis after Propofol Administration

Thinking Globally: Adrenal Tuberculosis in an Indian Man on Vacation in the United States

Case Presentation: A 41‐year‐old Indian man vacationing in the United States presented with a 2‐day history of vomiting and lightheadedness. He had been vomiting at least 6 times a day and felt extremely thirsty. Review [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Thinking Globally: Adrenal Tuberculosis in an Indian Man on Vacation in the United States

NURSVEY: A Web‐Based Nursing Satisfaction Tool

Background: A hospitalist program serves numerous stakeholders: patients, hospital administration, primary care physicians, and nursing staff, to name a few. It is imperative to gauge hospitalist performance as evaluated by these stakeholders. Although surveying patients [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on NURSVEY: A Web‐Based Nursing Satisfaction Tool

Allowing for Better Resident Education and Improving Patient Care: Hospitalist‐Physician Assistant Teams Fill in the Gaps

Background: Duty‐hour limitations led to many changes in the residency experience at academic medical centers. Studies have suggested the quality of life of residents has improved but have questioned the impact on resident education and [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Allowing for Better Resident Education and Improving Patient Care: Hospitalist‐Physician Assistant Teams Fill in the Gaps

Internal Medicine Residents' and Hospitalists' Attitudes toward Artificial Nutrition

Background: The initiation or withdrawal of artificial nutrition, via nasogastric and gastrostomy tubes, is a common and difficult issue in medical practice. Resident physicians and hospitalists frequently involve families in making these decisions, as the [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Internal Medicine Residents' and Hospitalists' Attitudes toward Artificial Nutrition

Hospitalization of Children with Type 2 Diabetes

Background: The rise in prevalence of type 2 diabetes mellitus (T2DM) in children is well recognized; however, its effect on diabetes‐related hospitalization rates is not well characterized. The objective of this study was to examine [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Hospitalization of Children with Type 2 Diabetes

Discontinuation of Antiplatelet Therapy Prior to Noncardiac Surgery in Patients with Drug‐Eluting Stents: A Retrospective Cohort Study

Background: Drug‐eluting coronary stents (DESs) pose a challenge in the perioperative setting. Sirolimus and paclitaxel may inhibit re‐endothelialization of the traumatized vessel, making it vulnerable to platelet‐mediated thrombosis. Given anecdotal evidence and case series suggesting [...]

By | 2007-05-24T12:00:35+00:00 May 24th, 2007|Uncategorized|Comments Off on Discontinuation of Antiplatelet Therapy Prior to Noncardiac Surgery in Patients with Drug‐Eluting Stents: A Retrospective Cohort Study