A5087102121- Sepsis Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Clinical Reasoning and Diagnostic Skills
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Central Venous Catheters and Hemodialysis
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Maternal and fetal healthcare
- Clinical practice guidelines implementation
- Adrenal Hormones and Disorders
- Acute Kidney Injury Research
- Thermal Regulation in Medicine
- Cardiovascular Disease and Adiposity
- Pneumocystis jirovecii pneumonia detection and treatment
- Neutropenia and Cancer Infections
- Diet and metabolism studies
- Dialysis and Renal Disease Management
- Acute Ischemic Stroke Management
- Diagnosis and Treatment of Venous Diseases
- Diversity and Career in Medicine
- Geriatric Care and Nursing Homes
- Tuberculosis Research and Epidemiology
- Radiation Dose and Imaging
- Grief, Bereavement, and Mental Health
University of Utah
2010-2025
University of Utah Hospital
2022
University of Utah Health Care
2017-2020
University Hospital of Zurich
2017
The optimal intensity of renal-replacement therapy in critically ill patients with acute kidney injury is controversial.We randomly assigned and failure at least one nonrenal organ or sepsis to receive intensive less therapy. primary end point was death from any cause by day 60. In both study groups, hemodynamically stable underwent intermittent hemodialysis, unstable continuous venovenous hemodiafiltration sustained low-efficiency dialysis. Patients receiving the treatment strategy...
Transformation of US health care from volume to value requires meaningful quantification costs and outcomes at the level individual patients.To measure association a value-driven tool that allocates quality measures patient encounters with cost reduction outcome optimization.Uncontrolled, pre-post, longitudinal, observational study measuring relative 2012 2016 University Utah Health Care. Clinical improvement projects included total hip knee joint replacement, hospitalist laboratory...
The objective of this study was to assess the clinical and financial impact a quality improvement project that utilized modified Early Warning Score (mEWS)-based decision support intervention targeting early recognition sepsis decompensation.
Time spent awaiting discharge after the acute need for hospitalization has resolved is an important potential contributor to hospital length of stay (LOS). To measure prevalence, impact, and context patients who remain hospitalized prolonged periods completion care needs. We conducted a cross-sectional "point-in-time" survey at each 15 academic US hospitals using structured data collection tool with on-service medicine attending physicians in fall 2022. Primary outcomes were number...
Prompt, accurate diagnosis of deep vein thrombosis (DVT) is essential. A single, whole-leg ultrasound (whole-leg US) has been used to exclude DVT, but limited data exist for patients with high pretest probability (PTP) DVT. This diagnostic management study tested the rate venous thromboembolism (VTE) in a PTP "DVT likely" per simplified Wells score when anticoagulation withheld based on negative US. Consecutive presenting during coordinator shifts DVT likely were enrolled. Anticoagulation...
The goal of this analysis was to characterize risk factors patients who develop critical illness-related corticosteroid insufficiency (CIRCI) after acute burn injury. This is a retrospective, single-center case-control descriptive study performed at regional unit an academic medical center. Patients are adults with injury developed CIRCI (cases) and sex-, age-, size-matched controls. Cases were compared controls based on clinical characteristics. Conditional logistic regression used...
Enoxaparin prophylaxis prevents venous thromboembolism in surgical patients. Real time anti-Factor Xa monitoring for patients on enoxaparin is increasingly common. We report three cancer with therapeutic or supratherapeutic levels while prophylactic doses of after procedures. In all cases, elevated were the result blood specimens being removed from a heparinized chemoport. This case series highlights importance peripheral venipuncture appropriate wasting central access sites levels....
The authors declare no conflict of interest.
A 56-year-old woman was evaluated for dyspnea in the emergency department. She had no risk factors venous thromboembolism except hormone replacement therapy; however, pulmonary embolism suspected and subsequently confirmed via computed tomographic angiogram. An echocardiogram conducted to further assess right ventricular function, revealing marked enlargement a mobile mass left atrium (initially be an atrial myxoma). After subsequent embolization axillary artery, thrombolysis administered,...
Objective: Stroke is very devastating complication after coronary artery bypass grafting. According to literature it appears in up 4% of the patients isolated surgery. The purpose this study was identify risk factors for perioperative stroke.
Topic Significance & Study Purpose/Background/Rationale: Sepsis is a leading cause of death hospitalized patients. Patients with cancer are at increased risk morbidity and mortality from sepsis; infection the in patients hematologic malignancies or undergoing transplantation. Studies have shown delays antibiotic therapy associated death. In this study, we describe project to improve early recognition treatment for sepsis who admitted Huntsman Cancer Hospital Blood Marrow...
319 Background: Sepsis is a life-threatening organ dysfunction caused by dysregulated response to infection and major healthcare problem in cancer patients. Patients with are at increased risk of morbidity mortality from sepsis. Approaches like the modified Early Warning Score (mEWS) could offer an opportunity identify patients for sepsis earlier prompt timely evaluation. However, available evidence outpatient settings remains scarce. The aim this presentation describe first results mEWS...
Pneumocystis jirovecii pneumonia (PJP) is an opportunistic infection associated with high dose steroid use in non-HIV patients. Many patients on steroids (>20 mg prednisone equivalents for 28 days or longer), developed PJP within a month of use. This study aims to develop electronic alert providers consider prophylaxis discharged high-dose steroids. Cases were obtained from the University Utah Enterprise Data Warehouse between October 2014 and September 2017. A retrospective, manual chart...