Sepsis

/Tag:Sepsis

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

ANTIBIOTIC STEWARDSHIP AND THE CHALLENGES WE FACE

Case Presentation: A 54-year old female was hospitalized for 3-week history of abdominal pain, chills, nausea and diarrhea. Her past medical history was significant for multiple self-reported antibiotic allergies, Roux-en-Y gastric bypass complicated by gastrojejunostomy [...]

By | 2019-03-11T14:33:31+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ANTIBIOTIC STEWARDSHIP AND THE CHALLENGES WE FACE

ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

Background: The annual incidence of sepsis is about 1.7 million in the United States and about 270,000 Americans die as a result of sepsis each year. Atrial fibrillation is the most common arrhythmia seen in [...]

By | 2019-03-11T14:26:49+00:00 March 11th, 2019|Hospital Medicine 2019, Research, Value in Hospital Medicine|Comments Off on ASSOCIATION OF ATRIAL FIBRILLATION WITH IN-HOSPITAL OUTCOMES AND 30-DAY READMISSION RATE FOLLOWING HOSPITALIZATION FOR SEPSIS IN THE ELDERLY PATIENTS

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

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

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

CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

Background: Sepsis is a leading cause of mortality among hospitalized patients. Early detection and intervention reduces sepsis-related mortality. We implemented a novel early warning system (EWS 2.0) based on a machine-learning algorithm to prospectively identify [...]

By | 2017-04-26T02:44:03+00:00 April 20th, 2017|Research Abstracts, Technology in Hospital Medicine|Comments Off on CLINICIAN PERCEPTION OF THE EFFECTIVENESS OF AN AUTOMATED EARLY WARNING SYSTEM TO PREDICT SEPSIS

DEEPLY-PERSONALIZED MEDICINE: BRINGING DEEP LEARNING TO SEPSIS CARE

Background: Clinical decision support tools based on predictive analytics can provide actionable information and improve clinical outcomes for patients at risk of developing sepsis. Scoring systems such as Systemic Inflammatory Response Syndrome (SIRS) and National [...]

By | 2018-03-29T15:34:47+00:00 March 29th, 2018|Hospital Medicine 2018, Plenary Presentations|Comments Off on DEEPLY-PERSONALIZED MEDICINE: BRINGING DEEP LEARNING TO SEPSIS CARE

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

FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Background: Sepsis, which is life-threatening organ dysfunction occurring in response to systemic infection, is a frequently fatal syndrome for which early recognition and treatment are paramount. While there are some reports that female and black [...]

By | 2018-03-19T13:05:12+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Fatal Macrophage Activation Syndrome in the Setting of Mixed Connective Tissue Disorder

Case Presentation: A 53 yo female presented with a subacute syndrome of intermittent fevers, fatigue, heliotrope rash, weight loss, fingertip necrosis, and nodular skin lesions. Skin biopsy was positive for septal and lobular granulomatous panniculitis. [...]

By | 2018-03-19T13:11:00+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on Fatal Macrophage Activation Syndrome in the Setting of Mixed Connective Tissue Disorder

HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (HLH) DISGUISED AS SEPSIS

Case Presentation: A 29-year-old Caucasian woman presented to the emergency department with fever, sore throat, epigastric and right upper quadrant abdominal pain of 5 days duration. Physical examination was positive for fever (40oC), tachycardia (heart [...]

By | 2018-03-19T12:58:36+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (HLH) DISGUISED AS SEPSIS