Mortality

/Tag:Mortality

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: 399

A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Background: Advancement of patient care can necessitate inter-hospital transfers to another facility. The inter-hospital transferring process can pose inherent risks to the patient due to the transition of care, as well as increase overall cost [...]

By | 2019-03-11T14:25:26+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Transitions of Care|Comments Off on A RETROSPECTIVE REVIEW OF MORTALITY CASES AFTER INTER-HOSPITAL TRANSFER

Abstract Number: 332

A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Background: Sepsis is a leading cause of death in US hospitals, and is a major contributor to hospital mortality and length of stay. Much has been done in hospitals nationwide to identify and treat sepsis [...]

By | 2019-03-11T14:23:51+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on A SEPSIS ALERT SYSTEM WITH EARLY INTERVENTION BY A HOSPITALIST RAPID RESPONSE PROVIDER REDUCES MORTALITY AND LENGTH OF STAY IN THE SEPSIS POPULATION

Abstract Number: 257

THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few [...]

By | 2019-03-11T14:22:03+00:00 March 11th, 2019|Hospital Medicine 2019, Perioperative, Research|Comments Off on THE OBESITY PARADOX AND ACUTE KIDNEY INJURY (AKI) IN ORTHOPEDIC SURGERY PATIENTS

Abstract Number: 227

FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Since the publication of the Institute of Medicine report To Err Is Human in 1999, preventable inpatient deaths in the United States have been estimated as between 44,000 and 98,000 deaths annually. A more [...]

By | 2019-03-11T14:21:16+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on FREQUENCY OF INPATIENT DEATHS DUE TO MEDICAL ERROR: A SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract Number: 207

SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

Background: Mortality review, well-documented in the medical literature, is a standardized process used to identify patient safety improvement opportunities and also to evaluate providers. As patient safety experts, hospitalists often review mortality cases for their [...]

By | 2019-03-11T14:20:48+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Patient Safety|Comments Off on SYSTEMATIC APPROACH TO HIGH YIELD MORTALITY CASE REVIEW

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: 120

HOSPITALIZATION OUTCOMES BETWEEN INTRA HEPATIC BILE DUCT CARCINOMA VERSUS EXTRA HEPATIC BILIARY CHOLANGIOCARCINOMA

Background: Cholangiocarcinoma is an uncommon cancer with a very bad prognosis despite advances made in treatment. Location intrahepatic versus extrahepatic - determines surgical options. In our study, we examined variations in outcomes between patients admitted [...]

By | 2019-03-11T14:18:36+00:00 March 11th, 2019|Hospital Medicine 2019, Other, Research|Comments Off on HOSPITALIZATION OUTCOMES BETWEEN INTRA HEPATIC BILE DUCT CARCINOMA VERSUS EXTRA HEPATIC BILIARY CHOLANGIOCARCINOMA

Abstract Number: 19

THE PRE-REVIEW: A MULTIDISCIPLINARY INITIATIVE TO IMPROVE THE QUALITY OF PUBLICLY REPORTED MORTALITY DATA

Background: Publically reported data is increasingly important to a hospital’s reputation and bottom line. Programs such as CMS Hospital Value Based Purchasing (HVBP) place 2% of a hospital’s base payments at risk, while the CMS [...]

By | 2019-03-18T13:33:35+00:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on THE PRE-REVIEW: A MULTIDISCIPLINARY INITIATIVE TO IMPROVE THE QUALITY OF PUBLICLY REPORTED MORTALITY DATA

HM2018 Abstract Number: Top 15 Research & Innovations

CURP65, A NEW RISK SCORE FOR INFLUENZA PATIENTS

Background: Community acquired severity scores are well known and used routinely in predicting mortality and risk of inpatient and ICU admission in suspected bacterial pneumonia patients. However such scores have not been studied in patients [...]

By | 2018-03-29T15:35:12+00:00 March 29th, 2018|Hospital Medicine 2018, Top 15 Research and Innovation Oral Abstracts|Comments Off on CURP65, A NEW RISK SCORE FOR INFLUENZA PATIENTS

HM2018 Abstract Number: 148

Surviving In-Hospital Cardiac Arrest and the Role of Age

Background: There is limited data on the predictors of outcomes in patients who have in-hospital cardiac arrest. This study aims to understand the factors that might affect the survival from the cardiac arrest and survival-to-discharge [...]

By | 2018-03-19T13:23:23+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on Surviving In-Hospital Cardiac Arrest and the Role of Age

HM2018 Abstract Number: 40

DOES EARLY ENDOSCOPY IMPROVE MORTALITY IN PATIENTS WITH ACUTE NON-VARICEAL GASTROINTESTINAL BLEEDING

Background: Initial management of acute upper gastrointestinal bleeding (UGIB) aims towards aggressive fluid resuscitation to maintain hemodynamic stability. Existing evidence regarding benefit of early endoscopy is unclear with some studies suggesting mortality benefits and some [...]

By | 2018-03-19T13:15:12+00:00 March 19th, 2018|Consultative Medicine, Hospital Medicine 2018, Research|Comments Off on DOES EARLY ENDOSCOPY IMPROVE MORTALITY IN PATIENTS WITH ACUTE NON-VARICEAL GASTROINTESTINAL BLEEDING

HM2018 Abstract Number: 351

MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Cellulitis is a common cause of hospitalization. In the United States there are approximately 650,000 hospitalizations for cellulitis yearly, accounting for 1% of all admissions and approximately $10 billion. Most patients when hospitalized are [...]

By | 2018-03-19T13:14:36+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on MORTALITY OF HOSPITALIZED PATIENTS WITH CELLULITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 150

ASSOCIATION OF RETINAL VEIN OCCLUSION WITH CARDIOVASCULAR EVENTS AND MORTALITY: A SYSTEMATIC REVIEW AND META-ANALYSIS

Background: Retinal vein occlusion (RVO) has been associated with incident cardiovascular events and mortality in observational studies, but the results have not been consistent. In this systematic review and meta-analysis, we investigate the association of [...]

By | 2018-03-19T13:05:48+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on ASSOCIATION OF RETINAL VEIN OCCLUSION WITH CARDIOVASCULAR EVENTS AND MORTALITY: A SYSTEMATIC REVIEW AND META-ANALYSIS

HM2018 Abstract Number: 263

PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

Background: Palliative care (PC) has been shown to be cost-effective and improve the quality of life for patients facing incurable and life-threatening illness. However, identifying patients benefiting from PC consultation remains a challenge in the [...]

By | 2018-03-19T13:05:32+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on PALLIATIVE CARE SCREENING TOOL IDENTIFIES HOSPITALIZED PATIENTS AT INCREASED RISK OF MORTALITY

HM2018 Abstract Number: 202

Perioperative risk of hip fracture surgery among elderly patients with severe aortic stenosis

Background: Severe aortic stenosis (SAS) had been identified as being at elevated risk for non-cardiac surgery. However, two reports demonstrated that SAS did not increase mortality of intermediate to high risk non-cardiac surgery. The European [...]

By | 2018-03-19T12:59:42+00:00 March 19th, 2018|Hospital Medicine 2018, Perioperative, Research|Comments Off on Perioperative risk of hip fracture surgery among elderly patients with severe aortic stenosis

HM2018 Abstract Number: 151

HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after [...]

By | 2018-03-19T12:59:38+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on HYPERLIPIDEMIA PARADOX: HYPERLIPIDEMIA LOWERS THE RISK OF DEATH AND ATTENUATES THE MORTALITY RISK OF OTHER COMORBID CONDITIONS AFTER HOSPITALIZATION FOR ACUTE MYOCARDIAL INFARCTION, HEART FAILURE, AND PNEUMONIA

HM2018 Abstract Number: 224

MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

Background: Mortality review committees are charged with identifying areas of potential improvement, with the goal of decreasing preventable death. This laudable aim is accompanied by secondary goals of interest to the organization like improving diagnostic [...]

By | 2018-03-19T12:57:59+00:00 March 19th, 2018|Hospital Medicine 2018, Innovations, Quality Improvement|Comments Off on MORTALITY REVIEW AND DIAGNOSTIC ERROR: CASE REVIEW AND AUTOPSY EVALUATION AS A MEANS TO ADDRESS DIAGNOSTIC ACCURACY

HM2018 Abstract Number: 139

CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

Background: Sepsis research is limited by heterogeneity and inaccuracy of patient identification. An ideal identification algorithm would broadly define a population with suspected infection to optimize discrimination and provide real-time identification of high-risk populations for [...]

By | 2018-03-19T12:54:01+00:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on CHARACTERIZING AN ADMITTED PATIENT POPULATION WITH SUSPECTED INFECTION THROUGH CLINICAL AND ADMINISTRATIVE DATA

HM2018 Abstract Number: 9

READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

Background: Higher rates of 30-day readmissions are associated with lower quality hospital care, and readmissions may put patients at risk for worse health outcomes including death. Historically, 20% of hospitalized Medicare beneficiaries were readmitted within [...]

By | 2018-03-22T15:45:08+00:00 March 19th, 2018|Finalist Posters, Hospital Medicine 2018, Patient Safety, Research|Comments Off on READMISSION AND MORTALITY TRENDS AFTER THE MEDICARE HOSPITAL READMISSION REDUCTION PROGRAM AT PENALIZED AND NON-PENALIZED HOSPITALS

HM2017 Abstract Number: 78

PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

Background: The randomized controlled ANZ-STATInS trial demonstrated that de novo statin use did not alter interleukin-6 levels or Sequential Organ Failure Assessment (SOFA) score in of what before SEPSIS-3 was known as severe sepsis. Prospective [...]

By | 2017-04-20T19:08:58+00:00 April 20th, 2017|Outcomes Research, Research Abstracts|Comments Off on PRIOR STATIN USE MIGHT BE ASSOCIATED WITH LOWER SEPSIS MORTALITY – RESULTS FROM A “BIG DATA” STUDY

HM2016 Abstract Number: 159

Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality.  A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality.  Because of the clinical ramifications of this association, [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Patient Safety, Research Abstracts|Comments Off on Delayed Paracentesis and Spontaneous Bacterial Peritonitis – No Increase in Mortality

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+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Hypoglycemia As a Marker of Mortality in Non-Diabetic Hospitalized Patients

HM2016 Abstract Number: 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 [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Outcomes Research, Research Abstracts|Comments Off on Inverse Associations Between Hospital-Wide Readmission Rates and Mortality Measures at the Hospital Level