Community, Complication, Hospital and Utilities

Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

NOVEMBER 20, 2024

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population. 0.83, HR 0.70; 95% CI 0.65-0.76,

Complication

Complication Diabetes Individual Chronic Disease

Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

FEBRUARY 9, 2020

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? On hospital day #2, peritoneal fluid cultures returned positive for E.

Clinic

Clinic Diagnosis Hypertension Patients

Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? What happens after they develop dysphagia in the hospital?

IT

IT Hospital Patient-Centered Individual

Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

JULY 19, 2024

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things. Why would we want to?

Screening

Screening Primary Care Patient-Centered IT

Episode 232: Anti-Racism in Medicine Series – Episode 15 – Housing is Health: Racism and Homelessness – Clinician + Community Perspectives

The Clinical Problem Solvers

APRIL 5, 2022

Bobby Watts about what brought them into their fields, how their work reaches the most marginalized, and what can be done at the community and structural level to address homelessness. Know your community resources. Our guests emphasize that physicians must be familiar with community resources.

Community

Community Patient-Centered Emergency Room Medical

EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. Word of mouth spread rapidly.

Community

Community Transportation IT PCP

RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. In their communities? It used to be a much more complicated model. David: Right.

Patient-Centered

Patient-Centered IT Illness Patients

Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay.

Patient-Centered

Patient-Centered Hospital IT Illness

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered

Patient-Centered IT Hospital Patients

Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered

Patient-Centered Hospital Patients IT

Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

JUNE 2, 2025

Imaging and other diagnostic studies can consist of chest x-ray, EKG, renal ultrasound with doppler, voiding cystourethrography, renal arteriography, echocardiogram, and MRI/MRA/CT of the brain/neck if neurologic complications are involved (Kamat 2024; Patel 2012).

Hypertension

Hypertension Management Physicals Lab Testing

Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. Was it Sarah?

Consulting

Consulting Community Patient-Centered Families

POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered

Patient-Centered IT Patients Illness

PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? I’m just stunned even writing that!

Consulting

Consulting Patient-Centered IT Patients

Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. Because people, they go to the hospital, then they revoke. Lauren: Oh.

Families

Families Family IT Patients

Primary Care Digest

Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Clinical Reasoning Corner: Likelihood Ratios

Trending Sources

Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

Episode 232: Anti-Racism in Medicine Series – Episode 15 – Housing is Health: Racism and Homelessness – Clinician + Community Perspectives

EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas

POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

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