(118) Development of a clinical outcomes database for spine pain within an academic medical institution

2014 ◽  
Vol 15 (4) ◽  
pp. S5
Author(s):  
W. Rivers ◽  
B. Mead ◽  
K. Gosselin ◽  
K. Vowles
Keyword(s):  
Clinical Outcomes ◽  
Medical Institution ◽  
Spine Pain ◽  
Academic Medical

Corticosteroid Exposure in the Treatment of Severe COPD Exacerbations

2020 ◽  
pp. 089719002096122
Author(s):  
Jamie George ◽  
Michelle Ganoff ◽  
Melissa Lipari
Keyword(s):  
Adverse Effects ◽  
Prescribing Patterns ◽  
Medical Institution ◽  
Readmission Rates ◽  
Copd Exacerbations ◽  
Systemic Corticosteroids ◽  
Academic Medical ◽  
Appropriate Therapy ◽  
Exacerbation Of Copd ◽  
Support Treatment

Background: Recent literature and guidelines support treatment of severe acute exacerbation of COPD (AECOPD) with prednisone 40 mg (or equivalent) for 5 days. Objective: The purpose of this study was to determine whether systemic corticosteroids were being prescribed at the appropriate dose and duration in the treatment of severe AECOPD at a large academic medical institution. Methods: This was a single-center, retrospective, observational study conducted to evaluate corticosteroid prescribing patterns for adults admitted for severe AECOPD from March to May 2019 at a large academic medical institution. Appropriate therapy was defined as: prednisone 40 mg (or equivalent) for 5 days. The primary outcome was to determine the frequency of appropriate dose and duration. The secondary outcomes were to identify the frequency of appropriate dose or duration, compare the prevalence of adverse effects, such as new/worsening hyperglycemia or hypertension, and compare 30- and 90-day readmission rates. Results: Of the 190 patients included, 16 (8.4%) had an appropriate duration and 8 (4.2%) an appropriate dose. Only 4 patients (2.1%) had both appropriate corticosteroid dose and duration. New/worsening hyperglycemia occurred in 96 (50.5%), and hypertension developed in 13 (6.8%). Thirty-day readmission occurred in 46 (24.2%) and 90-day readmission in 78 (41.1%). These were more likely in those without appropriate dose and duration. Conclusion: Systemic corticosteroids for the treatment of severe AECOPD are not prescribed in accordance with evidence-based recommendations at this institution. This might result in a greater incidence of adverse effects and readmissions.

scholarly journals Major Radiologic and Clinical Outcomes of Total Spine MRI Performed in the Emergency Department at a Major Academic Medical Center

2020 ◽  
Vol 41 (6) ◽  
pp. 1120-1125
Author(s):  
C.W.C. Huang ◽  
A. Ali ◽  
Y.-M. Chang ◽  
A.F. Bezuidenhout ◽  
D.B. Hackney ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Outcomes ◽  
Medical Center ◽  
Academic Medical Center ◽  
Academic Medical ◽  
Spine Mri

Prevalence and predictors of inappropriate apixaban dosing in patients with non-valvular atrial fibrillation at a large tertiary academic medical institution

2019 ◽  
Vol 36 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Hisham A. Badreldin ◽  
Lamya Alreshoud ◽  
Renad Altoukhi ◽  
Senthilvel Vasudevan ◽  
Wesam Isamil ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Medical Institution ◽  
Academic Medical
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