Sepsis

/Tag:Sepsis

Abstract Number: 1024

SITAGLIPTIN-INDUCED LEUKOCYTOCLASTIC VASCULITIS

Case Presentation: A fifty-seven-year-old man with multiple comorbidities including type 2 diabetes on oral hypoglycemic agents who presented to our emergency department for left lower extremity edematous and warm erythema with fever. The symptoms started [...]

By | 2019-03-11T14:43:07-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on SITAGLIPTIN-INDUCED LEUKOCYTOCLASTIC VASCULITIS

Abstract Number: 702

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 | 2019-03-11T14:33:31-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ANTIBIOTIC STEWARDSHIP AND THE CHALLENGES WE FACE

Abstract Number: 658

PASTEUR’S PIERCING SHOCK

Case Presentation: A 61-year-old male was admitted to the hospital due to multiple bouts of non-bloody emesis and shock. Symptoms began with progressive lightheadedness, fatigue, and worsening jaundice. He denied any fevers, abdominal pain, or [...]

By | 2019-03-11T14:32:19-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on PASTEUR’S PIERCING SHOCK

Abstract Number: 622

IT’S NOT JUST A TEST QUESTION: VIBRIO VULNIFICUS NECROTIZING MYOFASCIITES

Case Presentation: A 51- year old male with a past medical history of cirrhosis due to sarcoidosis, was admitted with worsening left lower extremity pain and swelling for two days. He remembered a pop in [...]

By | 2019-03-11T14:31:20-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on IT’S NOT JUST A TEST QUESTION: VIBRIO VULNIFICUS NECROTIZING MYOFASCIITES

Abstract Number: 547

DESTINATION SEPSIS: MEDICAL TOURISM FROM MEXICO TO THE ICU

Case Presentation: A 36 year old female presented to our hospital with septic shock following an elective laparoscopic sleeve gastrectomy performed in Mexico. She had undergone the procedure four months earlier, which she tolerated well, [...]

By | 2019-03-11T14:29:13-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on DESTINATION SEPSIS: MEDICAL TOURISM FROM MEXICO TO THE ICU

Abstract Number: 454

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 | 2019-03-11T14:26:49-04:00 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

Abstract Number: 378

HOSPITALISTS IMPROVING PEDIATRIC SEPSIS THROUGH EDUCATION AND RECOGNITION

Background: The Children’s Hospital Association (CHA) Sepsis Collaborative recognizes pediatric sepsis as a significant cause of mortality and nationwide efforts are being developed to improve sepsis recognition. A critical component to decreasing sepsis mortality is [...]

By | 2019-03-11T14:24:57-04:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on HOSPITALISTS IMPROVING PEDIATRIC SEPSIS THROUGH EDUCATION AND RECOGNITION

Abstract Number: 338

STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

Background: Best-Practice Alerts (BPAs), utilized to reduce the number of adverse events in medical settings, have limited efficacy partly due to alert fatigue and user desensitization. Alert fatigue often stems from inaccurate alerts firing too [...]

By | 2019-03-11T14:24:00-04:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on STUDY OF ALERT FATIGUE, EFFECTIVENESS, AND ACCURACY IN THE DEVELOPMENT OF A NEW SEPSIS BEST PRACTICE ALERT

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 | 2019-03-11T14:23:51-04:00 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: 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 | 2019-03-11T14:20:15-04:00 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: 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 | 2019-03-11T14:19:54-04:00 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: 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 | 2019-03-11T14:19:28-04:00 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: 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 | 2019-03-11T14:19:24-04:00 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: 18

IMPROVING TIME TO ANTIBIOTICS IN SEPSIS ON ACUTE CARE FLOORS: A QUALITY SCHOLARS PROJECT

Background: Third International Consensus Definitions for Sepsis and Septic Shock (SEP-3) defines Sepsis as life-threatening organ dysfunction due to a dysregulated host response to infection. In United States about 1.5 million Americans are diagnosed with [...]

By | 2019-03-18T13:31:55-04:00 March 11th, 2019|Finalist Posters - Innovations, Hospital Medicine 2019, Innovations, Quality Improvement|Comments Off on IMPROVING TIME TO ANTIBIOTICS IN SEPSIS ON ACUTE CARE FLOORS: A QUALITY SCHOLARS PROJECT

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 | 2019-03-18T13:24:45-04:00 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

HM2018 Abstract Number: Plenary presentation

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 | 2018-03-29T15:34:47-04:00 March 29th, 2018|Hospital Medicine 2018, Plenary Presentations|Comments Off on DEEPLY-PERSONALIZED MEDICINE: BRINGING DEEP LEARNING TO SEPSIS CARE

HM2018 Abstract Number: 342

LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

Background: Blood stream infection is associated with high mortality and morbidity. Blood cultures are considered the gold standard for diagnosing bacteremia in sepsis patients. However, blood culture results may take at least 12 to 24 [...]

By | 2018-03-19T15:44:00-04:00 March 19th, 2018|Research, Translating Research into Practice, Uncategorized|Comments Off on LOW PROCALCITONIN CAN EFFECTIVELY RULE OUT BACTEREMIA

HM2018 Abstract Number: 924

NOT ALL LACTATES ARE CREATED EQUAL: THE CASE OF A TYPE B LACTIC ACIDOSIS CAUSED BY INHALED ALBUTEROL

Case Presentation: A 90-year-old female presented with 3 weeks of cough and dyspnea despite a course of antibiotics prescribed by her primary care provider. She was admitted for management of pneumonia. On hospital day 2 [...]

By | 2018-03-19T15:44:35-04:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on NOT ALL LACTATES ARE CREATED EQUAL: THE CASE OF A TYPE B LACTIC ACIDOSIS CAUSED BY INHALED ALBUTEROL

HM2018 Abstract Number: 180

ETIOLOGY AND RATES OF INFECTION IN A COHORT OF FEBRILE NEONATES

Background: The clinical evaluation of febrile neonates ≤ 60 days has been extensively debated in the age of doing less invasive testing to yield the same clinical outcomes with fewer complications. Rates of serious bacterial [...]

By | 2018-03-19T13:17:26-04:00 March 19th, 2018|Hospital Medicine 2018, Pediatrics, Research|Comments Off on ETIOLOGY AND RATES OF INFECTION IN A COHORT OF FEBRILE NEONATES

HM2018 Abstract Number: 114

RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

Background: Procalcitonin (PCT) is a precursor peptide to calcitonin produced by the thyroid parafollicular cells, and the intestinal and lung neuroendocrine cells. PCT is a proinflammatoy marker specific to bacterial infections, and was initially used [...]

By | 2018-03-19T13:16:48-04:00 March 19th, 2018|Hospital Medicine 2018, Outcomes Research, Research|Comments Off on RISK-STRATIFICATION WITH PROCALCITONIN PREDICTS LENGTH OF STAY IN HOSPITALIZED PATIENTS

HM2018 Abstract Number: 602

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 | 2018-03-19T13:11:00-04:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on Fatal Macrophage Activation Syndrome in the Setting of Mixed Connective Tissue Disorder

HM2018 Abstract Number: 96

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 | 2018-03-19T13:05:12-04:00 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

HM2018 Abstract Number: 424

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 | 2018-03-19T12:58:36-04:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (HLH) DISGUISED AS SEPSIS

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 | 2018-03-19T12:54:01-04:00 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: 474

NOT ALL THAT SIRS IS SEPSIS

Case Presentation: A 49 year-old man with a recent diagnosis of myasthenia gravis presented with 3 days of fever up to 103, rhinorrhea, frontal headache, mild lower extremity weakness, a mildly productive cough, and a [...]

By | 2018-03-19T12:53:34-04:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on NOT ALL THAT SIRS IS SEPSIS

HM2017 Abstract Number: 232

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 | 2017-04-26T02:44:03-04:00 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

HM2016 Abstract Number: 879

Sepsis Masked by Initial Trauma Presentation: A Case Illustrating Physician Bias

Case Presentation: A 36-year old-white female originally presented to the emergency department (ED) per ambulance as a trauma patient after being found down earlier that evening at home. Initial Glasgow Coma Scale (GCS) score was [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Sepsis Masked by Initial Trauma Presentation: A Case Illustrating Physician Bias