I'm excited to start tweet-ucation for day 4 of #CHEST2020 with "New Insights Into the Relationship Between OSA and Cardiovascular Disease"!
The first session this morning was Dr. Alexander Villareal with "
Effects of Positive Airway Pressure Adherence on Readmission and Length of Stay in Hospitalized Patients with Severe OSA"! #CHEST2020
OSA affects 26% of the US population and 1 billion people worldwide. #CHEST2020
1/5 of Medicare patients are readmitted within 30 days. #CHEST2020
This study asked whether adequate PAP adherence affected hospital readmissions. #CHEST2020
Patients who were nonadeherent were more likely to have CAD and CHF. Nonadherent people were more likely to be current smokers.
#CHEST2020
Patients who were adherent with PAP therapy had significantly shorter stays and less readmissions. #CHEST2020
Readmission risk factors included diabetes and PAP nonadherence. #CHEST2020
The next session is "Aspirin Resistance in OSA Patients (ARISA Trial) with Dr. Maria Scinico! #CHEST2020
Aspirin resistance is defined as lower than normal anti-platelet response to standard doses of aspirin, resulting in increased residual platelet activity. #CHEST2020
These are proposed mechanisms of aspirin resistance in high-risk groups. #CHEST2020
OSA is a/w a 3 fold increase in the risk of major cardiovascular events. #CHEST2020
Specific study aims #CHEST2020
Study design - I can't post results because the data is unpublished. #CHEST2020
Conclusions and significance #CHEST2020
The next session is "Effects of OSA on Outcomes in Adult Hospitalized Patients with Acute Ischemic Stroke" with Dr. Si Li! This study aimed to assess the impact of OSA on clinical outcomes in patients with acute ischemic stroke. #CHEST2020
They found that patients admitted for acute ischemic CVA who had OSA had a higher odds ratio of having HTN, CAD, CHF, DM, and HLD. There was a lower mortality rate for patients with OSA. #CHEST2020
The next session is "OSA is Associated with Increased Costs of Heart Failure Readmissions" with Dr. Nihal Patel #CHEST2020
Readmission rates remain high for patients with CHF, and these readmissions are costly to healthcare systems. #CHEST2020
OSA is independently a/w readmissions for heart failure. #CHEST2020
Methods #CHEST2020
Results - Nearly half of the patients were diagnosed with OSA and those patients had a higher risk of readmission. #CHEST2020
Patients with OSA cost the health system significantly more in readmissions. #CHEST2020
Conclusions #CHEST2020
The next session is "Long-Term Effects of Solriamfetol on Excessive Daytime Sleepiness and Functional OUtcomes in Participants with OSA" with Dr. Terri Weaver! #CHEST2020
Excessive daytime sleepiness is a common symptom of OSA. This study aimed to examine the effects of solriamfetol on functional outcomes in patients with OSA. #CHEST2020
Methods and outcome measures #CHEST2020
FOSQ-10 scores were more stable in patients on Solriamfetol than patients on placebo. #CHEST2020
Patients on placebo experienced more daytime sleepiness than those on Solriamfetol. #CHEST2020
Side effects included HTN, headache, and nasopharyngitis.
#CHEST2020
Conclusions #CHEST2020
The next session is "Children with Sleep-Related Issues have Lower Life Satisfaction and Higher Physical Stress Experience" with Dr. Bharat Bhushan! #CHEST2020
Sleep problems are related with different HRQOL domains. #CHEST2020
The overall goal of this study was to identify prolems in HRQOL domains in childen undergoing routine PSG. #CHEST2020
Study methods #CHEST2020
122 patients were included with a mean age of 9.7 years. #CHEST2020
Patients undergoing routine PSG were not noticed to have significant differences in HRQOL, but those with diagnosed OSA had worse life satisfaction and more physical stress experience than controls. #CHEST2020
The quality of deep sleep was positively associated with family relation and life satisfaction and negatively associated with anger. #CHEST2020
The multiple regression analysis #CHEST2020
HRQOL domains were associated with each other #CHEST2020
Conclusions #CHEST2020
Further directions #CHEST2020
Thanks to all of our fantastic presenters! #CHEST2020

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More from @gretchemaben

21 Oct
Next up for tweet-ucation is “Winter is Coming: Strategies to Maximize Performance and Combat Burnout”! #CHEST2020
The first session is "What Factors Drive Burnout?" with Dr. Curtis Sessler!#CHEST2020
The most significant factor in your workplace wellness is relationships and conflict. #CHEST2020
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21 Oct
Next up for some tweet-ucation is “Antibiotics and Fluids: Controversies in Sepsis Care”! #CHEST2020
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The 2016 guidelines recommend broad-spectrum antibiotics to cover all likely pathogens, but those won't be the same for every patient! #CHEST2020 Image
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20 Oct
Last for the day, but not least, I’m headed to learn about “Approach to NIV in Acute Hypoxemic Respiratory Failure in the Era of COVID-19”! #CHEST2020
The first session is an overview of HFNC/NIV with Dr. June Chae (@chaeface)! #CHEST2020
Potential roles for HFNC #CHEST2020
Read 30 tweets
20 Oct
Next up for tweet-ucation is “Fundamentals of Neurocritical Care for the Medical ICU”! #CHEST2020
First up is "Acute Ischemic Stroke" with @drdangayach #CHEST2020
Every 4 minutes someone dies of a stroke! #CHEST2020
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20 Oct
Get ready for some tweet-ucation coming your way from the Murray Kornfeld Memorial Founders Lecture - “Our Pneumonia Journey: The Lungs and Beyond” with Dr. Marcos Restrepo! #CHEST2020
Tip 1: Know your goals, find your niche, and live by your values.
Tip 2: Find a mentor, seek feedback, and follow advice.
#CHEST2020
The global burden of pneumonia is massive. #CHEST2020
Read 30 tweets
20 Oct
Next I'll be tweeting on "Sepsis Phenotypes: The Path to Personalization"! #CHEST2020
The first presenter is Dr. Churpek with "Sepsis Phenotypes: What Are They and How Could They be Useful?" #CHEST2020
What is a phenotype? #CHEST2020
Read 45 tweets

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