A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
All deaths reported in a given population.
Hospital units providing continuous surveillance and care to acutely ill patients.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The period of confinement of a patient to a hospital or other health facility.
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
An acronym for Acute Physiology and Chronic Health Evaluation, a scoring system using routinely collected data and providing an accurate, objective description for a broad range of intensive care unit admissions, measuring severity of illness in critically ill patients.
A disease or state in which death is possible or imminent.
Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Elements of limited time intervals, contributing to particular results or situations.
The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.
The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Postnatal deaths from BIRTH to 365 days after birth in a given population. Postneonatal mortality represents deaths between 28 days and 365 days after birth (as defined by National Center for Health Statistics). Neonatal mortality represents deaths from birth to 27 days after birth.
Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.
Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
The number of beds which a hospital has been designed and constructed to contain. It may also refer to the number of beds set up and staffed for use.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Hospitals with a much lower than average utilization by physicians and smaller number of procedures.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Systemic inflammatory response syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of infection, it is called severe sepsis. When sepsis is accompanied by HYPOTENSION despite adequate fluid infusion, it is called SEPTIC SHOCK.
The confinement of a patient in a hospital.
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
Hospitals with a much higher than average utilization by physicians and a large number of procedures.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
Hospitals located in metropolitan areas.
Hospitals organized and controlled by a group of physicians who practice together and provide each other with mutual support.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Personnel who provide nursing service to patients in a hospital.
Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Economic aspects related to the management and operation of a hospital.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
Research techniques that focus on study designs and data gathering methods in human and animal populations.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
An infant during the first month after birth.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
Special hospitals which provide care for ill children.
Institutions with an organized medical staff which provide medical care to patients.
Health care provided to a critically ill patient during a medical emergency or crisis.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.
Disease having a short and relatively severe course.
Government-controlled hospitals which represent the major health facility for a designated geographic area.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A component of the Department of Health and Human Services to oversee and direct the Medicare and Medicaid programs and related Federal medical care quality control staffs. Name was changed effective June 14, 2001.
Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions.
The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.
Surgery performed on the heart.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
A class of hospitals that includes profit or not-for-profit hospitals that are controlled by a legal entity other than a government agency. (Hospital Administration Terminology, AHA, 2d ed)
Number of deaths of children between one year of age to 12 years of age in a given population.
Maternal deaths resulting from complications of pregnancy and childbirth in a given population.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
A progressive condition usually characterized by combined failure of several organs such as the lungs, liver, kidney, along with some clotting mechanisms, usually postinjury or postoperative.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Any infection which a patient contracts in a health-care institution.
A device that substitutes for a heart valve. It may be composed of biological material (BIOPROSTHESIS) and/or synthetic material.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.
An abnormal balloon- or sac-like dilatation in the wall of AORTA.
Sepsis associated with HYPOTENSION or hypoperfusion despite adequate fluid resuscitation. Perfusion abnormalities may include, but are not limited to LACTIC ACIDOSIS; OLIGURIA; or acute alteration in mental status.
Surgical insertion of synthetic material to repair injured or diseased heart valves.
The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.
The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Hospital department responsible for the creating, care, storage and retrieval of medical records. It also provides statistical information for the medical and administrative staff.
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
Areawide planning for hospitals or planning of a particular hospital unit on the basis of projected consumer need. This does not include hospital design and construction or architectural plans.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.
Infection of the lung often accompanied by inflammation.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
Subsequent admissions of a patient to a hospital or other health care institution for treatment.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
The proportion of patients with a particular disease during a given year per given unit of population.
Surgery performed on the heart or blood vessels.
Major administrative divisions of the hospital.
A pathological condition manifested by failure to perfuse or oxygenate vital organs.
The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
Failure to adequately provide oxygen to cells of the body and to remove excess carbon dioxide from them. (Stedman, 25th ed)
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Special hospitals which provide care to the mentally ill patient.
Compilations of data on hospital activities and programs; excludes patient medical records.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
Hospitals providing medical care to veterans of wars.
Ratings that express, in numerical values, the degree of impairment or abnormality in the function of specific organs.
Flaps of tissue that prevent regurgitation of BLOOD from the HEART VENTRICLES to the HEART ATRIA or from the PULMONARY ARTERIES or AORTA to the ventricles.
The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.
In health care reimbursement, especially in the prospective payment system, those patients who require an unusually long hospital stay or whose stay generates unusually high costs.
Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.
The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
Operative procedures for the treatment of vascular disorders.
Services specifically designed, staffed, and equipped for the emergency care of patients.
Substances that reduce the growth or reproduction of BACTERIA.
The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.
Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.
A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
Any materials used in providing care specifically in the hospital.
Inflammation of the inner lining of the heart (ENDOCARDIUM), the continuous membrane lining the four chambers and HEART VALVES. It is often caused by microorganisms including bacteria, viruses, fungi, and rickettsiae. Left untreated, endocarditis can damage heart valves and become life-threatening.
A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.
First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.
The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.
Information centers primarily serving the needs of hospital medical staff and sometimes also providing patient education and other services.
Serious INFLAMMATION of the LUNG in patients who required the use of PULMONARY VENTILATOR. It is usually caused by cross bacterial infections in hospitals (NOSOCOMIAL INFECTIONS).
A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli.
Accumulation of blood in the SUBDURAL SPACE with acute onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Procedures which temporarily or permanently remedy insufficient cleansing of body fluids by the kidneys.
Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)
Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.
Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
Hospitals controlled by the county government.
Organized services in a hospital which provide medical care on an outpatient basis.
An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.
Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).
Techniques for effecting the transition of the respiratory-failure patient from mechanical ventilation to spontaneous ventilation, while meeting the criteria that tidal volume be above a given threshold (greater than 5 ml/kg), respiratory frequency be below a given count (less than 30 breaths/min), and oxygen partial pressure be above a given threshold (PaO2 greater than 50mm Hg). Weaning studies focus on finding methods to monitor and predict the outcome of mechanical ventilator weaning as well as finding ventilatory support techniques which will facilitate successful weaning. Present methods include intermittent mandatory ventilation, intermittent positive pressure ventilation, and mandatory minute volume ventilation.
Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.
Cessation of heart beat or MYOCARDIAL CONTRACTION. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation.
Hospitals controlled by the city government.
Deaths occurring from the 28th week of GESTATION to the 28th day after birth in a given population.
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
Pathological conditions involving the HEART including its structural and functional abnormalities.
Deaths that occur before LIFE EXPECTANCY is reached within a given population.
The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.
A professional society in the United States whose membership is composed of hospitals.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
A syndrome characterized by progressive life-threatening RESPIRATORY INSUFFICIENCY in the absence of known LUNG DISEASES, usually following a systemic insult such as surgery or major TRAUMA.
Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.
Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.
Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.
Integrated, computer-assisted systems designed to store, manipulate, and retrieve information concerned with the administrative and clinical aspects of providing medical services within the hospital.
Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.
The hospital unit in which patients with acute cardiac disorders receive intensive care.
An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.
Any infection acquired in the community, that is, contrasted with those acquired in a health care facility (CROSS INFECTION). An infection would be classified as community-acquired if the patient had not recently been in a health care facility or been in contact with someone who had been recently in a health care facility.
Hospital department that manages and supervises the dietary program in accordance with the patients' requirements.
A condition of lung damage that is characterized by bilateral pulmonary infiltrates (PULMONARY EDEMA) rich in NEUTROPHILS, and in the absence of clinical HEART FAILURE. This can represent a spectrum of pulmonary lesions, endothelial and epithelial, due to numerous factors (physical, chemical, or biological).
Official records of individual deaths including the cause of death certified by a physician, and any other required identifying information.
The valve between the left atrium and left ventricle of the heart.
The return of a sign, symptom, or disease after a remission.
The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)
Techniques for administering artificial respiration without the need for INTRATRACHEAL INTUBATION.
Prosthesis, usually heart valve, composed of biological material and whose durability depends upon the stability of the material after pretreatment, rather than regeneration by host cell ingrowth. Durability is achieved 1, mechanically by the interposition of a cloth, usually polytetrafluoroethylene, between the host and the graft, and 2, chemically by stabilization of the tissue by intermolecular linking, usually with glutaraldehyde, after removal of antigenic components, or the use of reconstituted and restructured biopolymers.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Private hospitals that are owned or sponsored by religious organizations.
New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.
Special hospitals which provide care to women during pregnancy and parturition.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.
Number of fetal deaths with stated or presumed gestation of 20 weeks or more in a given population. Late fetal mortality is death after of 28 weeks or more.
A distribution function used to describe the occurrence of rare events or to describe the sampling distribution of isolated counts in a continuum of time or space.
Excision of all or part of the liver. (Dorland, 28th ed)
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The presence of viable bacteria circulating in the blood. Fever, chills, tachycardia, and tachypnea are common acute manifestations of bacteremia. The majority of cases are seen in already hospitalized patients, most of whom have underlying diseases or procedures which render their bloodstreams susceptible to invasion.
Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.
Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root).

Is hospital care involved in inequalities in coronary heart disease mortality? Results from the French WHO-MONICA Project in men aged 30-64. (1/4527)

OBJECTIVES: The goal of the study was to assess whether possible disparities in coronary heart disease (CHD) management between occupational categories (OC) in men might be observed and contribute to the increasing inequalities in CHD morbidity and mortality reported in France. METHODS: The data from the three registers of the French MONICA Collaborative Centres (MCC-Lille, MCC-Strasbourg, and MCC-Toulouse) were analysed during two period: 1985-87 and 1989-91. Acute myocardial infarctions and coronary deaths concerning men, aged 30-64 years, were included. Non-professionally active and retired men were excluded. Results were adjusted for age and MCC, using a logistic regression analysis. RESULTS: 605 and 695 events were analysed for 1985-87 and 1989-91, respectively. Out of hospital cardiac arrests, with or without cardiac resuscitation, and 28 day case fatality rates were lower among upper executives in both periods. A coronarography before the acute event had been performed more frequently in men of this category and the proportion of events that could be hospitalised was higher among them. In both periods, the management of acute myocardial infarctions in hospital and prescriptions on discharge were similar among occupational categories. CONCLUSIONS: For patients who could be admitted to hospital, the management was found to be similar among OCs, as was the 28 day case fatality rate among the hospitalised patients. In contrast, lower prognosis and higher probability of being hospitalised after the event among some categories suggest that pre-hospital care and the patient's conditions before the event are the primary factors involved.  (+info)

Tuberculous meningitis in South African urban adults. (2/4527)

We retrospectively reviewed 56 adults with culture-proven tuberculous meningitis (TBM), investigating clinical signs, cerebrospinal fluid (CSF) findings and outcome. There were 50 patients, aged 18-59 years, 39 with and 11 without human immunodeficiency virus (HIV) infection. Six were aged 60 years or older. Neurological signs of TBM in 18-59-year-olds were unaffected by HIV serostatus while, compared to those > or = 60 years of age, there were more patients with meningism (86.0% vs. 33.3%; p = 0.011) and fewer with seizures (12.0% vs. 50.0%; p = 0.046). The HIV-infected 18-59-year-olds had significantly more extrameningeal tuberculosis compared to the non-HIV-infected (76.9% vs. 9.1%; p = 0.0001) and 23.1% had 'breakthrough' TBM. CSF analysis revealed 12 patients (21.4%) with acellular fluid (more common in those > or = 60 years of age, p = 0.016), of whom three had completely normal CSF. A neutrophil predominance was found in 22 patients (39.3%). Only three patients (5.4%) had a positive CSF smear for acid-fast bacilli. In-hospital mortality occurred in 39 patients (69.1%), was similar in all study groups, and was not related to neurological stage. The diagnosis of TBM can be masked by lack of meningism in the elderly and by atypical CSF findings.  (+info)

The transmyocardial laser revascularization international registry report. (3/4527)

AIMS: This report aimed to provide an analysis of the data submitted from Europe and Asia on transmyocardial laser revascularization. METHODS AND RESULTS: Prospective data was recorded on 967 patients with intractable angina not amenable to conventional revascularization in 21 European and Asian centres performing transmyocardial laser revascularization using the PLC Medical Systems CO2 laser. Patient characteristics, operative details and early complications following transmyocardial laser revascularization were recorded. The in-hospital death rate was 9.7% (95% confidence interval 7.8% to 11.6%). Other early complications were consistent with similar cardiothoracic surgical procedures. There was a decrease of two or more Canadian Cardiovascular Score angina classes in 47.3%, 45.4% and 34.0% of survivors at 3, 6 and 12 months follow-up, respectively (P=0.001 for each). Treadmill exercise time increased by 42 s at 3 months (P=0.008), 1 min 43 s at 6 months (P<0.001) and 1 min 50 s at 12 months (P<0.001) against pre-operative times of 6 min. CONCLUSION: Uncontrolled registry data suggest that transmyocardial laser revascularization may lead to a decrease in angina and improved exercise tolerance. It does, however, have a risk of peri-operative morbidity and mortality. Definitive results from randomized controlled trials are awaited.  (+info)

Hepatectomy for hepatocellular carcinoma: toward zero hospital deaths. (4/4527)

OBJECTIVE: The authors report on the surgical techniques and protocol for perioperative care that have yielded a zero hospital mortality rate in 110 consecutive patients undergoing hepatectomy for hepatocellular carcinoma (HCC). The hepatectomy results are analyzed with the aim of further reducing the postoperative morbidity rate. SUMMARY BACKGROUND DATA: In recent years, hepatectomy has been performed with a mortality rate of <10% in patients with HCC, but a zero hospital mortality rate in a large patient series has never been reported. At Queen Mary Hospital, Hong Kong, the surgical techniques and perioperative management in hepatectomy for HCC have evolved yearly into a final standardized protocol that reduced the hospital mortality rate from 28% in 1989 to 0% in 1996 and 1997. METHODS: Surgical techniques were designed to reduce intraoperative blood loss, blood transfusion, and ischemic injury to the liver remnant in hepatectomy. Postoperative care was focused on preservation and promotion of liver function by providing adequate tissue oxygenation and immediate postoperative nutritional support that consisted of branched-chain amino acid-enriched solution, low-dose dextrose, medium-chain triglycerides, and phosphate. The pre-, intra-, and postoperative data were collected prospectively and analyzed each year to assess the influence of the evolving surgical techniques and perioperative care on outcome. RESULTS: Of 330 patients undergoing hepatectomy for HCC, underlying cirrhosis and chronic hepatitis were present in 161 (49%) and 108 (33%) patients, respectively. There were no significant changes in the patient characteristics throughout the 9-year period, but there were significant reductions in intraoperative blood loss and blood transfusion requirements. From 1994 to 1997, the median blood transfusion requirement was 0 ml, and 64% of the patients did not require a blood transfusion. The postoperative morbidity rate remained the same throughout the study period. Complications in the patients operated on during 1996 and 1997 were primarily wound infections; the potentially fatal complications seen in the early years, such as subphrenic sepsis, biliary leakage, and hepatic coma, were absent. By univariate analysis, the volume of blood loss, volume of blood transfusions, and operation time were correlated positively with postoperative morbidity rates in 1996 and 1997. Stepwise logistic regression analysis revealed that the operation time was the only parameter that correlated significantly with the postoperative morbidity rate. CONCLUSION: With appropriate surgical techniques and perioperative management to preserve function of the liver remnant, hepatectomy for HCC can be performed without hospital deaths. To improve surgical outcome further, strategies to reduce the operation time are being investigated.  (+info)

Primary angioplasty versus systemic thrombolysis in anterior myocardial infarction. (5/4527)

OBJECTIVES: This study compares the efficacy of primary angioplasty and systemic thrombolysis with t-PA in reducing the in-hospital mortality of patients with anterior AMI. BACKGROUND: Controversy still exists about the relative benefit of primary angioplasty over thrombolysis as treatment for AMI. METHODS: Two-hundred and twenty patients with anterior AMI were randomly assigned in our institution to primary angioplasty (109 patients) or systemic thrombolysis with accelerated t-PA (111 patients) within the first five hours from the onset of symptoms. RESULTS: Baseline characteristics were similar in both groups. Primary angioplasty was independently associated with a lower in-hospital mortality (2.8% vs. 10.8%, p = 0.02, adjusted odds ratio 0.23, 95% confidence interval 0.06 to 0.85). During hospitalization, patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test (11.9% vs. 25.2%, p = 0.01) and less frequently underwent percutaneous or surgical revascularization after the initial treatment (22.0% vs. 47.7%, p < 0.001) than did patients treated by t-PA. At six month follow-up, patients treated by angioplasty had a lower cumulative rate of death (4.6% vs. 11.7%, p = 0.05) and revascularization (31.2% vs. 55.9%, p < 0.001) than those treated by t-PA. CONCLUSIONS: In centers with an experienced and readily available interventional team, primary angioplasty is superior to t-PA for the treatment of anterior AMI.  (+info)

Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. (6/4527)

OBJECTIVES: To assess the impact of myocardial infarction on quality of life in four year survivors compared to data from "community norms", and to determine factors associated with a poor quality of life. DESIGN: Cohort study based on the Nottingham heart attack register. SETTING: Two district general hospitals serving a defined urban/rural population. SUBJECTS: All patients admitted with acute myocardial infarction during 1992 and alive at a median of four years. MAIN OUTCOME MEASURES: Short form 36 (SF 36) domain and overall scores. RESULTS: Of 900 patients with an acute myocardial infarction in 1992, there were 476 patients alive and capable of responding to a questionnaire in 1997. The response rate was 424 (89. 1%). Compared to age and sex adjusted normative data, patients aged under 65 years exhibited impairment in all eight domains, the largest differences being in physical functioning (mean difference 20 points), role physical (mean difference 23 points), and general health (mean difference 19 points). In patients over 65 years mean domain scores were similar to community norms. Multiple regression analysis revealed that impaired quality of life was closely associated with inability to return to work through ill health, a need for coronary revascularisation, the use of anxiolytics, hypnotics or inhalers, the need for two or more angina drugs, a frequency of chest pain one or more times per week, and a Rose dyspnoea score of >/= 2. CONCLUSIONS: The SF 36 provides valuable additional information for the practising clinician. Compared to community norms the greatest impact on quality of life is seen in patients of working age. Impaired quality of life was reported by patients unfit for work, those with angina and dyspnoea, patients with coexistent lung disease, and those with anxiety and sleep disturbances. Improving quality of life after myocardial infarction remains a challenge for physicians.  (+info)

Mortality in ruptured abdominal aortic aneurysms. The Finnvasc Study Group. (7/4527)

OBJECTIVE: To assess mortality related to rupture of abdominal aortic aneurysm (RAAA). DESIGN: A 4-year cross-sectional study based on a nationwide vascular registry Finnvasc and national cause-of-death registry (Statistics Finland). MATERIALS AND METHODS: A total of 454 operations for RAAA among 11,747 surgical vascular reconstructions recorded in the Finnvasc registry and 1004 deaths due to RAAA during the same period based on Statistics Finland. RESULTS: The operative mortality rate was 49% based on the Finnvasc registry and 54% based on Statistics Finland. With all RAAA deaths at hospitals included, total hospital mortality was 68%. No association existed between hospital volume of RAAA operations and surgical mortality, although an inverse association did exist between hospital volume of RAAA operations and all RAAA deaths in the hospital (p = 0.01). The case fatality for RAAA in Finland was 80%. CONCLUSIONS: RAAA surgical mortality calculations for RAAA, based on a vascular registry, underestimate the true rate because some cases with fatal outcome tend to escape registration. Because surgical mortality rates may also be skewed by patient selection, total hospital RAAA mortality thus represents the results of RAAA treatment more accurately.  (+info)

Relation between hospital surgical volume and outcome for pancreatic resection for neoplasm in a publicly funded health care system. (8/4527)

BACKGROUND: Recent studies from the United States have shown that institutions with higher numbers of pancreatic resection procedures for neoplasm have lower mortality rates associated with this procedure. However, minimal work has been done to assess whether the results of similar volume-outcome studies within a publicly financed health care system would differ from those obtained in a mixed public-private health care system. METHODS: A population-based retrospective analysis was used to examine pancreatic resection for neoplasm in Ontario for the period 1988/89 to 1994/95. Outcomes examined included in-hospital case fatality rate and mean length of stay in hospital. For each hospital, total procedure volume for the study period was defined as low (fewer than 22), medium (22-42) or high (more than 42). Regression models were used to measure volume-outcome relations. RESULTS: The likelihood of postoperative death was higher in low-volume and medium-volume centres than in high-volume centres (odds ratio 5.1 and 4.5 respectively; p < 0.01 for both). Mean length of stay was greater in low- and medium-volume centres than in high-volume centres (by 7.7 and 9.2 days respectively, p < 0.01 for both). INTERPRETATION: This study adds to growing evidence that, for pancreatic resection for neoplasm, patients may have better outcomes if they are treated in high-volume hospitals rather than low-volume hospitals.  (+info)

Coronary heart disease is the leading cause of mortality in the world. One of the outcome indicators recently used to measure hospital performance is 30-day mortality after acute myocardial infarction (AMI). This indicator has proven to be a valid and reproducible indicator of the appropriateness and effectiveness of the diagnostic and therapeutic process for AMI patients after hospital admission. The aim of this study was to examine the determinants of inter-hospital variability on 30-day in-hospital mortality after AMI in Tuscany. This indicator is a proxy of 30-day mortality that includes only deaths occurred during the index or subsequent hospitalizations. The study population was identified from hospital discharge records (HDRs) and included all patients with primary or secondary ICD-9-CM codes of AMI (ICD-9 codes 410.xx) that were discharged between January 1, 2009 and November 30, 2009 from any hospital in Tuscany. The outcome of interest was 30-day all-cause in-hospital mortality, defined as a
Methods and Results-We conducted a retrospective cohort study of Medicare beneficiaries who underwent CAS from July 2009 to June 2011 at 927 US hospitals. Thirty-day risk-standardized mortality rates were calculated using the Hospital Compare statistical method, a well-validated hierarchical generalized linear model that included both patient-level and hospital-level predictors. Claims were examined from 22 708 patients undergoing CAS, with a crude 30-day mortality rate of 2.0%. Risk-standardized 30-day mortality rates after CAS varied from 1.1% to 5.1% (P,0.001 for the difference). Thirteen hospitals had risk-standardized mortality rates that were statistically (P,0.05) higher than the national mean. Conversely, 5 hospitals had risk-standardized mortality rates that were statistically (P,0.05) lower than the national mean.. ...
Cardiac care is delivered by many different health care professionals, and the resulting outcomes are a reflection of the whole system of care, rather than being attributable to a particular physician in a centre. Quality outcomes depend not only on a physicians technical skills, but also on the structure and care processes that are found in the environment in which health care is delivered.3. - Some cardiac care centres are more specialized, perform interventions on more complex patients or accept higher-risk patients than average. CIHI is able to adjust for some of these differences across patient populations; however, the administrative data submitted is limited in its ability to capture and adjust for all differences associated with patient populations. Centres with more complex patients may have increased mortality and/or readmission rates because not all aspects of complexity can be adjusted for in the administrative data.. - Transferring patients to a different hospital following a ...
Cardiac care is delivered by many different health care professionals, and the resulting outcomes are a reflection of the whole system of care, rather than being attributable to a particular physician in a centre. Quality outcomes depend not only on a physicians technical skills, but also on the structure and care processes that are found in the environment in which health care is delivered.3. - Some cardiac care centres are more specialized, perform interventions on more complex patients or accept higher-risk patients than average. CIHI is able to adjust for some of these differences across patient populations; however, the administrative data submitted is limited in its ability to capture and adjust for all differences associated with patient populations. Centres with more complex patients may have increased mortality and/or readmission rates because not all aspects of complexity can be adjusted for in the administrative data.. - Transferring patients to a different hospital following a ...
Cardiogenic shock (CS) is associated with high mortality and often requires involvement of a multidisciplinary provider team to deliver timely care. Care coordination is more difficult on weekends, which may lead to a delay in care. We sought to assess the effect of weekend admissions on outcomes in patients admitted with CS. Patients admitted with CS were identified from 2005-2014 in the National Inpatient Sample using ICD9 code 785.51. Baseline demographics, in-hospital procedures, and outcomes were obtained and compared by day of admission. A multivariable model was used to assess the impact of weekend admission on in-hospital mortality. A total of 875,054 CS admissions were identified (age 67.4 ± 15.1 years, 40.2% female, 72.1% Caucasian), with 23% of patients being admitted on weekends. Baseline comorbidities were similar between groups. Weekend admissions were associated with higher in-hospital mortality (40.6% vs. 37.5%) and cardiac arrest (20.3% vs. 18.1%, p,0.001 for both) consistently ...
The researchers performed univariate analyses by means of 2 tests.. The research team performed a multivariate logistic regression to determine which variables were independently predictive of in-hospital mortality.. The researchers assessed 50,738 patients who were discharged with the diagnosis of gastric neoplasm.. Of those patients, 26% underwent gastric resection during their hospitalization.. The team found that in-hospital mortality for patients undergoing surgery was 6%, without significant change from 1998 through 2003.. The researchers identified factors predictive of increased in-hospital mortality. The team observed that low annual hospital surgical volume, older patient age, male sex, and procedure type increased in-hospital mortality.. Dr Smiths team concluded, Higher annual surgical volume is predictive of lower in-hospital mortality for patients undergoing gastric resection for neoplasm. Other factors significantly associated with superior outcomes after gastric resection ...
Data & statistics on Unadjusted In-Hospital Mortality Rates by Early Catheterization Among Risk: Unadjusted In-Hospital Mortality Rates by Early Catheterization Among Risk Categories Determined From Presenting Clinical Characteristics, Risk of 30-day death (2000-2007; n ¼ 45 406 patients with an acute coronary syndrome) and 30-day myocardial (re)infarction (2003 -2007; n ¼ 26 126), adjusted for GRACE risk variables and treatment interventions (catheterization, PCI, fibrinolytics): patients with vs. without a major bleed and/or haemorrhagic stroke and/or subdural haematoma., Unadjusted In-Hospital Outcomes*...
Our study has three major findings. First, it confirms that ICU patients face a high risk of treatment related injury. Close to 20% of the patients in our study experienced an AE while in the ICU and one in five AEs was considered preventable. Second, we quantified the impact that ICU-based AEs have on patients and the health system. We estimated that AEs were independently associated with an average increase in hospital length of stay of 31 days. This association was similar in magnitude and significance for preventable and non-preventable AEs. We did not find a significant statistical association of AEs and mortality. Third, we described the types of AEs that affect ICU patients. In doing so, we found several classes of AEs and preventable AEs. Not one of these classes represented more than a third of all AEs.. This study reaffirms the importance of improving patient safety in the ICU by measuring the risk of AEs and more accurately quantifying their impact. Rothschild et. al. used a ...
The Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS), today announced important additions to the Hospital Compare consumer web site that will give consumers even better insight into the quality of care provided by their local hospitals. The improvements include the addition of a mortality measure for pneumonia and, for the first time on Hospital Compare, publicly reported measures for hospital care of children. Previously, Hospital Compare had provided only quality information based on hospitalizations of adult patients.
The researchers found that most infants allocated to delayed clamping were assigned a delay of ≥60 seconds. Delayed clamping was associated with a reduction in hospital mortality (risk ratio [RR], 0.69; risk difference [RD], 0.02). Delayed clamping was also correlated with reduced hospital mortality in three trials with 996 infants aged ≤28 weeks gestation (RR, 0.7; RD, −0.05). Delayed clamping was correlated with a 2.73 percent increase in peak hematocrit and a 10 percent reduction in the proportion of infants having blood transfusion.. This systematic review provides high-quality evidence that delayed clamping reduced hospital mortality, which supports current guidelines recommending delayed clamping in preterm infants, the authors write. ...
Few studies have examined whether risk adjustment is evenly applicable to hospitals with various characteristics and case-mix. In this study, we applied a generic prediction model to nationwide discharge data from hospitals with various characteristics. We used standardized data of 1,878,767 discharged patients provided by 469 hospitals from July 1 to October 31, 2006. We generated and validated a case-mix in-hospital mortality prediction model using 50/50 split sample validation. We classified hospitals into two groups based on c-index value (hospitals with c-index ≥ 0.8; hospitals with c-index | 0.8) and examined differences in their characteristics. The model demonstrated excellent discrimination as indicated by the high average c-index and small standard deviation (c-index = 0.88 ± 0.04). Expected mortality rate of each hospital was highly correlated with observed mortality rate (r = 0.693, p | 0.001). Among the studied hospitals, 446 (95%) had a c-index of ≥0.8 and were classified as the
Percutaneous coronary intervention without surgical backup did not increase the risk of inhospital mortality or need for emergency bypass surgery, according to a systematic review of published literat
OBJECTIVE: A so-called weekend effect has been described in which mortality among those admitted to hospital at a weekend is higher than among those admitted on weekdays. The causes for the weekend effect remain unclear. This study examined patterns of community mortality to explore whether a shift from the community to hospital may account for observed differences in hospital mortality rates across the week. METHODS: The annual number of deaths in the community was compared to that in hospitals in England and Wales during 2012 to 2014 using data from the Office for National Statistics. Analyses included the mean annual deaths, by age group and by cause of death in the community and hospital and comparison of the proportion of deaths on each day of the week to the expected number of deaths. RESULTS: The observed and expected total number of deaths in the community were broadly similar on the weekend and weekday ( P = 0.386). There was no difference between observed and expected rates when comparing
The research focused on Advancing Quality, a scheme introduced in 2008 at all 24 NHS hospitals providing emergency care in the North West. The first of its kind in England, the initiative required each hospital to submit data on 28 quality measures concerning five clinical conditions.. The researchers examined mortality rates for three of these five specified clinical conditions - pneumonia, heart failure and myocardial infarction. They compared the figures for in-hospital deaths within 30 days of admission in the 18 months before and after the schemes introduction.. The combined decrease for all three conditions was 1.3%, the equivalent of a 6% relative reduction - or some 890 lives. The study concludes that the possibility of incentives having a substantial effect on reducing deaths in NHS hospitals cannot be ruled out.. Co-author Ruth McDonald, Professor of Health Innovation and Learning at Nottingham University Business School, claimed the findings could have major policy ...
Administering high concentrations of supplemental oxygen during resuscitation after cardiac arrest is associated with increased inhospital mortality, researchers said.
A method and system suitable for automated surveillance of intensive care unit patients for information denoting likelihood of in-hospital survival or mortality, represented in the timeseries of scoring systems such as APACHE III. Techniques from digital signal processing and Lyapunov stability analysis are combined in a method that allows for optimization of statistical hypothesis testing that is robust against short time series of as few as five time points. Once optimized, the method and system can achieve high-sensitivity high-specificity classification of survivorship, while avoiding false-positive prediction of mortality.
This work has been made available to the staff and students of the University of Sydney for the purposes of research and study only. It constitutes material that is held by the University for the purposes of reporting for HERDC and the ERA. This work may not be downloaded, copied and distributed to any third party ...
In this paper, we explore the application of motif discovery (i.e., the discovery of short characteristic patterns in a time series) to the clinical challenge of predicting intensive care unit (ICU) mortality. As part of the Physionet/CinC 2012 challenge, we present an approach that identifies and integrates information in motifs that are statistically over-or under-represented in ICU time series of patients experiencing in-hospital mortality. This is done through a three step process, where ICU time series are first discretized into sequences of symbols (by segmenting and partitioning them into periods of low, medium and high measurements); the resulting sequences of symbols are then searched for short subsequences that are associated with in-hospital mortality; and the information in many such clinically useful subsequences is integrated into models that can assess new patients. When evaluated on data from the Physionet/CinC 2012 challenge, our approach outperformed existing clinical scoring systems
Health,...Quicker discharge tied to more readmissions at-home deaths study fin...TUESDAY June 1 (HealthDay News) -- Americans hospitalized for heart f...While in-hospital death rates have decreased the results are very mi...In the study of nearly 7 million Medicare-financed hospitalizations fo...,Shorter,Hospital,Stays,May,Hinder,Heart,Failure,Patients,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
A brand new study by the University of Birmingham suggests that the system used by the Government to inform key decisions about the performance of NHS hospitals is inadequate.
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We have confirmed that the MEWS, even when calculated once on admission, is a simple but highly useful tool to predict a worse in-hospital outcome.
A new study suggests that women aged 40 to 60 with asthma are admitted to hospital more than twice as often as males in the same age group. Drawing on a decades worth of data from the National Inpatient Sample databases, researchers from New Yorks Downtown Hospital and Weill Cornell Medical College found that for… Read more ». ...
Downloadable! The Centre for Health Economics and National Institute of Economic and Social Research have recently completed a project funded by the Department of Health to improve measurement of the productivity of the NHS. The researchers have suggested better ways of measuring both outputs and inputs to improve estimates of productivity growth. Past estimates of NHS output growth have not taken account of changes in quality. The CHE/NIESR team conclude that the routine collection of health outcome data on patients is vital to measure NHS quality. They also propose making better use of existing data to quality adjust output indices to capture improvements in hospital survival rates and reductions in waiting times. With these limited adjustments the team estimate that annual NHS output growth averaged 3.79% between 1998/99 and 2003/04.The research team has also developed improved ways of measuring NHS inputs, particularly by drawing on better information about how many people are employed in the NHS
Objective. To determine the factors leading to in-hospital mortality within 28 days in hospitalized patients with ARDS. It was a prospective observational cohort study conducted in Intensive Care Unit of Aga Khan University Hospital Karachi from March to August 2011. Methodology. Data was collected from patients admitted in the intensive care unit on the basis of inclusion and exclusion criteria. The patients were followed daily for 28 days to record any in-hospital complications and the outcome of patients. Results. Total of 46 patients were included during this period out of which 56% (26) were males and 43% (20) were females. Mean age was 44 ± 19 years. There were 11 (23.9%) patients with age |65 and 35 (76%) had age |65 years. There were 21|(45.6%) patients with pulmonary ARDS and 25 (54.3%) had extrapulmonary ARDS. APACHE II score of |20 was present in 23 (50%) patients while the rest had score of |20. Regarding in-hospital complications, 23 (50%) patients developed sepsis, 31 (67.4%) had
Results Between 2007 and 2014, there were 374,152 admissions for CS due to either TC or AMI, of which 4,614 patients (1.2%) had TC-CS. TC-CS admission patients were more likely to be younger, white females with fewer comorbidities. Rates of respiratory failure and mechanical ventilation were higher in TC-CS, but cardiac arrest and acute kidney injury were lower. There were no differences between cohorts in use of intra-aortic balloon pumps. TC-CS admissions had lower in-hospital mortality (15% vs. 37%, respectively) and hospital costs (U.S. dollars: $135,397 ± $127,617 vs. $154,827 ± $186,035, respectively) and were discharged home more often (45% vs. 36%, respectively) compared to AMI-CS admissions (all: p , 0.001). After adjustments for potential confounders, TC-CS was associated with lower in-hospital mortality (odds ratio [OR]: 0.35; 95% confidence interval [CI]: 0.32 to 0.38; p , 0.001). Similar findings were observed in the propensity-matched cohort (OR: 0.32; 95% CI: 0.25 to 0.39; p , ...
With nationwide centralization of PD, the in-hospital mortality rate after this procedure decreased. Further centralization of PD is likely to decrease mortality further, especially in the elderly.
Obesity and diabetes mellitus are well-defined risk factors for cardiovascular mortality. The impact of antecedent hyperglycemia and body size on mortality in critical ill patients in intensive care units (ICUs) may vary across their range of values. Therefore, we prospectively analyzed the relationship between in-hospital mortality and preexisting hyperglycemia and body size in critically ill ICU patients to understand how mortality varied among normal, overweight, and obese patients and those with low, intermediate, and high glycated hemoglobin (HbA1c) levels. Medical history, weight, height, physiologic variables, and HbA1c were obtained during the first 24 h for patients who were consecutively admitted to the high complexity ICU of Hospital de Clínicas de Porto Alegre, Brazil, from April to August 2011. The relationships between mortality and obesity and antecedent hyperglycemia were prospectively analyzed by cubic spline analysis and a Cox proportional hazards model. The study comprised 199
Obesity and diabetes mellitus are well-defined risk factors for cardiovascular mortality. The impact of antecedent hyperglycemia and body size on mortality in critical ill patients in intensive care units (ICUs) may vary across their range of values. Therefore, we prospectively analyzed the relationship between in-hospital mortality and preexisting hyperglycemia and body size in critically ill ICU patients to understand how mortality varied among normal, overweight, and obese patients and those with low, intermediate, and high glycated hemoglobin (HbA1c) levels. Medical history, weight, height, physiologic variables, and HbA1c were obtained during the first 24 h for patients who were consecutively admitted to the high complexity ICU of Hospital de Clínicas de Porto Alegre, Brazil, from April to August 2011. The relationships between mortality and obesity and antecedent hyperglycemia were prospectively analyzed by cubic spline analysis and a Cox proportional hazards model. The study comprised 199
INTRODUCTION: The worldwide incidence of acute kidney injury is 18% and the overall hospital mortality can rise above 50%. In Peru, there are few series about mortality of acute kidney injury in hemodialysis patients. OBJECTIVES: To identify risk factors associated to hospital mortality of acute kidney injury in hemodialysis patients. METHODS: This is a retrospective cohort of patients with acute kidney injury in hemodialysis of Hospital Nacional Edgardo Rebagliati Martins gathered between January 2013 and December 2015. The sample size was 154 patients which allowed a power of 80% and a CI of 95%. ICD-10 codes were used to identify medical records of patients with acute kidney injury (N.17) and hemodialysis (Z.49). The independent variable was oliguria, and the primary outcome was hospital mortality. Poisson regression was used for multivariate analysis. RESULTS: We identified a total of 285 patients; 212 medical records were analyzed and 44 were excluded. Out of the 168 medical records, 129 ...
Prevalence, Predictors, and Impact of Low High-Density Lipoprotein Cholesterol on in-Hospital Outcomes Among Acute Coronary Syndrome Patients in the Middle East
Results We examined 3 922 091 (26 409 deaths) elective procedures with valid consultant information between 2008-2009 and 2010-2011 in English hospitals; there were 21 196 consultants in charge of these procedures, which took place in 163 NHS hospitals. Consultant seniority had no significant impact in predicting mortality (p=0.345). Patients undergoing elective surgery under junior consultants had slightly lower odds of 30-day death when compared with patients under more experienced consultants (OR 0.95, 95% CI 0.91 to 0.99). We found significant mortality variation among consultants in charge of elective procedures within hospitals, with only moderate variation between hospitals. The adjusted odds of death remained higher for Friday (OR 1.48, 95% CI 1.42 to 1.54), Saturday (OR 1.97, 95% CI 1.83 to 2.12) and Sunday (OR 1.67, 95% CI 1.50 to 1.85) after adjusting for consultant seniority and patient characteristics. Consultant experience is significantly lower (p,0.0001) on a Friday (median (SD) ...
BACKGROUND: The aim of this study was to identify and stratify the most important preoperative factors for in-hospital death after surgery for type A aortic dissection.. METHODS: From January 1985 to June 1998, 108 patients underwent surgery for type A aortic dissection. 89.9% of the patients had an acute type A dissection (AD), whereas 11.1% had a chronic dissection (CD). Cardiac tamponade and shock occurred in 22% and 14.8% of the patients, respectively. The location of the primary intimal tear was in the ascending aorta in 71.2% of the cases, in the arch in 16.6% and in the descending aorta in 7.4%. Univariate and multivariate analyses were conducted to identify non-embolic variables independently correlated to in-hospital death. A predictive model of in-hospital mortality was then constructed by means of a mathematical method with the variables selected from logistic regression analysis.. RESULTS: The overall in-hospital mortality rate was 20.3% (22/108 patients), being 9% for CD and 21.6% ...
The results of the study indicated that the medical record is a good source of information on functional status prior to admission. The level of agreement in the difficulty experienced by the patient in performing at least 1 of 7 basic care skills (feeding, bathing, grooming, dressing, toileting, transferring and walking) was found to be higher than that reported by Bogardus et al.[6]. (к = 0.64 versus 0.48). Variations in institutional emphasis on documentation could have influenced the difference in the extent of missing documentation, and in turn, the level of agreement between the two data sources. The inclusion of specific functional status checkboxes for history taking in the medical records at the study hospital resulted in missing documentation of only 1.1%, compared to 9% reported by Bogardus et al.[6].. In contrast to pre-admission information, the extent of concordance between interview and documented impairment in at least 1 of the 7 ADLs on-admission was low (к = 0.28). While ...
Background. Standardised mortality ratio (SMR) is a common quality indicator in critical care and is the ratio between observed mortality and expected mortality.. Typically, in-hospital mortality is used to derive SMR, but the use of a time-fixed, more objective, end-point has been advocated. This study aimed to determine the relationship between in-hospital mortality and 30-day mortality on a comprehensive Swedish intensive care cohort.. Methods. A retrospective study on patients ,15 years old, from the Swedish Intensive Care Register (SIR), where intensive care unit (ICU) admissions in 2009-2010 were matched with the corresponding hospital admissions in the Swedish Hospital Discharge Register. Recalibrated SAPS (Simplified Acute Physiology Score) 3 models were developed to predict and compare in-hospital and 30-day mortality. SMR based on in-hospital mortality and on 30-day mortality were compared between ICUs and between groups with different case-mixes, discharge destinations and length of ...
In the present study, the immediate- and long-term outcomes after reoperative coronary surgery have been presented in a large patient population. The in-hospital mortality was 7%, and 1-, 5-, and 10-year mortality was 11%, 23%, and 45%. The major correlate of in-hospital mortality was emergency surgery, and of long-term mortality, older age. The other major complications in-hospital were acute Q-wave myocardial infarction in 5.6% and neurological events in 2.8%. The constancy of in-hospital results despite an older and more severely diseased population in recent years suggests gradually improving techniques. The high in-hospital mortality with emergency surgery suggests that control or prevention of perioperative ischemia may be useful in lowering in-hospital mortality. There was a continuing incidence of myocardial infarction after hospital discharge as well as additional revascularization procedures. The in-hospital mortality rate was higher and long-term survival rate was lower than in ...
TY - JOUR. T1 - Regional variation in hospital mortality and 30-day mortality for injured medicare patients. AU - Gorra, Adam S.. AU - Clark, David E.. AU - Mullins, Richard J.. AU - DeLorenzo, Michael A.. PY - 2008/6/1. Y1 - 2008/6/1. N2 - Background: We sought to evaluate how survival of older patients with injuries differs by geographic region within the United States. Methods: We analyzed Medicare fee-for-service records for patients aged 65 years and older with principal injury diagnoses (ICD-9 800-959, excluding 905, 930-939, 958). Cases were classified by Maximum Abbreviated Injury Score (AISmax) and Charlson Comorbidity score (0, 1, 2, ≥3). Hospital mortality and 30-day mortality were modeled as functions of age, sex, AISmax, comorbidity, and geographic region (northeast, midwest, south, west). Results: Hospital and 30-day mortality were both higher with male sex and increased age, AISmax, or Charlson score. Adjusted hospital mortality was highest in the northeast and south, but 30-day ...
TY - JOUR. T1 - Do hospitals and surgeons with higher coronary artery bypass graft surgery volumes still have lower risk-adjusted mortality rates?. AU - Hannan, Edward L.. AU - Wu, Chuntao. AU - Ryan, Thomas J.. AU - Bennett, Edward. AU - Culliford, Alfred T.. AU - Gold, Jeffrey P.. AU - Hartman, Alan. AU - Isom, O. Wayne. AU - Jones, Robert H.. AU - McNeil, Barbara. AU - Rose, Eric A.. AU - Subramanian, Valavanur A.. PY - 2003/8/19. Y1 - 2003/8/19. N2 - Background - Studies that are the basis of recommended volume thresholds for CABG surgery are outdated and not reflective of recent advances in the field. This study examines both hospital and surgeon volume-mortality relations for CABG surgery through the use of a population-based clinical data set. Methods and Results - Data from New Yorks clinical CABG surgery registry from 1997 to 1999 (total number of procedures, 57 150) were used to examine the individual and combined impact of annual hospital volume and annual surgeon volume on ...
TY - JOUR. T1 - Development of a hospital outcome measure intended for use with electronic health. T2 - Records 30-day risk-standardized mortality after acute myocardial infarction. AU - McNamara, Robert L.. AU - Wang, Yongfei. AU - Partovian, Chohreh. AU - Montague, Julia. AU - Mody, Purav. AU - Eddy, Elizabeth. AU - Krumholz, Harlan M.. AU - Bernheim, Susannah M.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - Background: Electronic health records (EHRs) offer the opportunity to transform quality improvement by using clinical data for comparing hospital performance without the burden of chart abstraction. However, current performance measures using EHRs are lacking. Methods: With support from the Centers for Medicare & Medicaid Services (CMS), we developed an outcome measure of hospital risk-standardized 30-day mortality rates for patients with acute myocardial infarction for use with EHR data. As no appropriate source of EHR data are currently available, we merged clinical registry data from the Action ...
While neuromuscular blockade is often avoided in the ICU setting for fear of inducting critical illness myopathy, a recent randomized controlled trial comparing cisatracurium-based paralysis to no paralysis in patients with severe ARDS showed a significant decrease in overall mortality rates with no increase in myopathy [2) of less than 150, with a positive end-expiratory pressure of 5 cm or more of water and a tidal volume of 6 to 8 ml per kilogram of predicted body weight. The primary outcome was the proportion of patients who died either before hospital discharge or within 90 days after study enrollment (i.e., the 90-day in-hospital mortality rate), adjusted for predefined covariates and baseline differences between groups with the use of a Cox model. RESULTS: The hazard ratio for death at 90 days in the cisatracurium group, as compared with the placebo group, was 0.68 (95% confidence interval [CI], 0.48 to 0.98; P=0.04), after adjustment for both the baseline PaO2:FIO2 and plateau pressure ...
Introduction: Since the worldwide emergence of the COVID-19, several protocols were used by different healthcare organisations. We evaluated in this study the demographic and clinical characteristics of COVID-19 disease in Egyptian population with special consideration for its mortality predictors. Methodology: 8162 participants (mean age 48.7 years,54.5% males) with RT-PCR positive COVID-19 were included. The electronic medical records were reviewed for demographic, clinical, laboratory, and radiologic features. The primary outcome was the in-hospital mortality rate. Results: The in-hospital mortality was 11.2%. There was a statistically significant strong association of in-hospital mortality with age |60 years old (OR:4.7; 95% CI 4.1-5.4;p|0.001), diabetes mellitus (OR:4.6; 95% CI 3.99-5.32;p|0.001), hypertension (OR:3.9; 95% CI 3.4-4.5;p|0.001), coronary artery disease (OR:2.7; 95% CI 2.2-3.2;p|0.001), chronic obstructive pulmonary disease (OR:2.1; 95% CI 1.7-2.5;p|0.001), chronic kidney disease (OR
Younger women hospitalized with an acute myocardial infarction (MI) have a poorer prognosis than men. Whether this is true for patients with acute ST-segment elevation MI (STEMI) and non-STEMI (NSTEMI) is not extensively studied. Using the MarketScan 2004 to 2007 Commercial and Medicare supplemental admission databases, we assessed gender differences in in-hospital mortality according to age in 91,088 patients (35,899 with STEMI, 55,189 with NSTEMI) who were 18 to 89 years old and had acute MI as their primary diagnosis. Patients with STEMI had significantly higher in-hospital mortality than those with NSTEMI (4.35% vs 3.53%, p ,0.0001). Compared to men women were older, had higher co-morbidity scores, and were less likely to undergo revascularization during hospitalization in the STEMI and NSTEMI populations. In patients with STEMI the unadjusted women-to-men odds ratio for in-hospital mortality was 2.29 (95% confidence interval 1.48 to 3.55) for the 18- to 49-year age group, 1.68 (1.28 to ...
OBJECTIVE: We tested the hypothesis that diabetes is an independent determinant of outcome after intracerebral hemorrhage (ICH). RESEARCH DESIGN AND METHODS: This was a hospital-based prospective study The setting was an acute care 350-bed hospital in the city of Barcelona, Spain. Spontaneous ICH was diagnosed in 229 (11%) of 2,000 consecutive stroke patients included in a prospective stroke registry during a 10-year period. Main outcome measures were frequency of demographic variables, risk factors, clinical events, neuroimaging data, and outcome in ICH patients with and without diabetes. Variables related to vital status at discharge (alive or dead) in the univariate analysis plus age were studied in 4 logistical regression models. RESULTS: A total of 35 patients (15.3%) had diabetes. The overall in-hospital mortality rate was 54.3% in the diabetic group and 26.3% in the nondiabetic group (P , 0.001). Previous cerebral infarction, altered consciousness, sensory symptoms, cranial nerve palsy, ...
TY - JOUR. T1 - Does Low Body Mass Index Predict the Hospital Mortality of Adult Western or Asian Patients?. AU - Compher, Charlene. AU - Higashiguchi, Takashi. AU - Yu, Jianchun. AU - Jensen, Gordon L.. PY - 2018/2/1. Y1 - 2018/2/1. N2 - Background: Some strategies for screening and assessment of malnutrition include a low but variable body mass index (BMI) cutoff, while others do not. The purpose of this systematic review was to investigate published data for Western and Asian hospital samples to determine how the prevalence of low BMI is associated with increased hospital mortality. Method: A PubMed search of the past 10 years (2006-2016) was conducted with the terms BMI, malnutrition, adult, outcome, and hospital or ICU for articles published in English. Studies that examined BMI levels among Western or Asian populations were included. Forest plots were constructed to determine the odds of hospital mortality in low versus normal BMI groups. Results: Twenty studies met inclusion ...
BACKGROUND: A higher early mortality rate after STEMI has been reported in women before the widespread use of PCI in STEMI. PCI improves the prognosis of STEMI; however, the effect of primary PCI on early outcomes in women is controversial. In a large regional prospective registry, we examined in-hospital mortality after PCI for STEMI in women and men to determine if female gender was still an independent predictor of in-hospital mortality.. METHODS: The Greater Paris area comprises 11 million inhabitants and accounts for 18% of the French population. Data from all PCIs performed in the 42 centers of this area is entered in a mandatory registry with internal and external audits held by the hospital governmental agency. Clinical status at discharge (dead or alive) is also recorded in another hospital-based database and a cross-check performed to validate all deaths. From 2003 to 2007, 16063 patients were treated by PCI for STEMI within 24 hours of the onset of chest pain, 3542 (22.0%) were women ...
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Results This study included 1295 ICU patients with AMI, who were divided into four groups according to the WHO BMI classification. Our results suggest that obese patients with AMI tended to be younger (p,0.001), be men (p=0.001) and have higher blood glucose and creatine kinase (p,0.001) compared with normal weight patients. In the adjusted model, compared with normal weight AMI patients, those who were overweight and obese had lower ICU risks of death HR=0.64 (95% CI 0.46 to 0.89) and 0.55 (0.38 to 0.78), respectively, inhospital risks of death (0.77 (0.56 to 1.09) and 0.61 (0.43 to 0.87)) and long-term risks of death (0.78 0.64 to 0.94) and 0.72 (0.59 to 0.89). On the other hand, underweight patients had higher risks of short-term(ICU or inhospital mortality) and long-term mortality compared with normal weight patients (HR=1.39 (95% CI 0.58 to 3.30), 1.46 (0.62 to 3.42) and 1.99 (1.15 to 3.44), respectively). ...
Prior investigations have evaluated the association between time of ICU discharge and outcomes [8, 12-15]. While most studies demonstrate that nighttime discharge is associated with unfavorable outcomes [7, 12-14], others have failed to confirm these findings [1, 8, 16]. In a landmark study from the ICNARC database in the United Kingdom, Goldfrad and Rowan showed that nighttime discharge from ICU increased risk for hospital mortality [3]. However, after adjustment for premature discharge in their analysis, the independent effect of nighttime discharge was lost [3], suggesting that the attributable risk for mortality was more related to the untimely discharge rather than the specific time of day. In a subsequent study of Finnish ICU patients, Uusaro et al failed to show out-of-office hour discharges (defined as those occurring from 1600 h to 0800 h) were associated with post-ICU mortality [8]. However, their definition for out-of-office hours was more liberal than ours and those of other ...
The article presents a case study of the outcomes-based perfomance measures for hospital mortality for specific conditions and procedures. Strategies have been proposed to measure and improve hospital performance efforts have included national patient safety agencies, mandatory accreditation and financial incentives. The article discusses the validity of the hospitals standardized mortality ratio wherein it must correlate with accepted measures of quality. The precise measurement of hospital performance that will provide similar quality of care where quality remained constant. The recommendation of supporters the use of the hospital standardized mortality ratio to monitor quality of care over time ...
Median APACHE score stood at 19 (interquartile range 13 to 26) and median VACS score at 57 (interquartile range 34 to 80). Every 5 point higher APACHE or VACS score was significantly associated with hospital mortality (odds ratio [OR] 1.722 for APACHE and 1.114 for VACS), 30-day mortality (OR 1.652 for APACHE and 1.144 for VACS), and 1-year mortality (OR 1.323 for APACHE and 1.132 for VACS) (P < 0.001 for all associations). ROC AUC analysis discerned little difference in predictive value with APACHE versus VACS for in-hospital mortality or 30-day mortality. But there was a trend toward greater discrimination with VACS than APACHE for 1-year mortality (ROC AUC 0.702, 95% confidence interval 0.637 to 0.766, for VACS and 0.634, 95% confidence interval 0.568 to 0.701, for APACHE, P = 0.0661 ...
Results We reviewed 58 336 ED patient encounters occurring between 1 October 2012 and 30 September 2013. SI ,1.2 was associated with a large increase in the likelihood of hospital admission, with a positive LR (+LR) of 11.69 (95% CI 9.50 to 14.39) and a moderate increase in the likelihood of inpatient mortality with a +LR of 5.82 (95% CI 4.31 to 7.85). SI ,0.7 and ,0.9, the traditional normal cut-offs cited in the literature, were only associated with minimal to small increases in the likelihood of admission and inpatient mortality. ...
Rbbb is the administration of iv esmolol+iv nitroprusside may worsen symptoms if the pocket for additional professional dosage pregnyl clomid pct assistance, lead i is not performed in all children to strong feelings that they are not candidates for crt. Spider angiomas and prominent distended, flabby, poor musculature protein, calories pallor (anemia) pyridoxine, folic acid, calcium absence of behavioral steps in caring for the patients management, as stemi (but lower inhospital mortality). Geme iii, et al. Nursing care management assessment of relaxation and sleepiness 1026 but impair general functioning. 22. At midgestation, 39% of the neck veins normal sinus rhythm can be corrected with biconcave lenses that focus on an lao view. 7. Simpson ll etal. This was followed by cellular proliferation and stimulate circulation, respiratory function, including continuous pulse oximetry, blood pressure goal is to continue their behaviors into every well-child visit. In the latter, the stain is most ...
Critical care service is expensive and the demand for such service is increasing in many developed countries. This study aimed to assess the changes in characteristics of critically ill patients and their effect on long-term outcome. This cohort study utilised linked data between the intensive care unit database and state-wide morbidity and mortality databases. Logistic and Cox regression was used to examine hospital survival and five-year survival of 22,298 intensive care unit patients, respectively. There was a significant increase in age, severity of illness and Charlson Comorbidity Index of the patients over a 16-year study period. Although hospital mortality and median length of intensive care unit and hospital stay remained unchanged, one- and five-year survival had significantly improved with time, after adjusting for age, gender, severity of illness, organ failure, comorbidity, new cancer and diagnostic group. Stratified analyses showed that the improvement in five-year survival was ...
Centre for Health Economics (CHE) - This comparative study examines the in-hospital mortality rate of services in Scotland and England and discusses the potential reasons for differences despite similarities in their health systems. Paper CHE publications
Between 1983 and 1995, 546 Blalock-Taussig shunt procedures were performed in 472 patients: 128 (23.0%) were classical shunts, 90 of them on the same side as to the aortic arch, and 418 (77.0%) were modified shunts, 182 on the same side of the arch. At the time of surgery, 78 patients were aged below one week, 270 from one week to 12 months, and 198 patients were over one year of age. The mean pre-operative arterial saturation (71.7%±16.5%) was significantly increased to 83%±17.9% imme-diately after the procedure (p=0.017). The overall hospital mortality rate was 2.9% (16/546), with rates of 2.3% (3/128) for the classical, and 3.1% (13/418) for the modified shunts (p= not significant). The rate was significantly higher, however, for classical shunts when the pulmonary arterial diameter was less than 4 mm (15.4% versus zero; p=0.047), though this relationship was reversed for modified shunts (zero versus 3.6%; p=0.338). Early mortality was significantly influenced by the age at surgery, 5/78 ...
Open Democracy asked me to write an article for them, to draw together various threads of the hospital mortality issue. The article has been published today and looks at the big picture, from Mid Staffs to Keogh, with a specific look at the medias abuse of tenuous or completely unfounded figures to hammer away at…
Wilson et al reported the NaURSE (sodium, urea, respiratiory rate and shock index in the elderly) for evaluating a very old person who has been admitted with acute illness to the hospital. This can help to identify a patient at risk for in-hospital mortality who may benefit from more aggressive management. The authors are from Norfolk and Norwich University Hospital, University of South Manchester, Woodend Hospital and University of Aberdeen in the UK.
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A rebound in container volume at the port of Antwerp came in the second half, when Europes unexpectedly strong recovery kept ships full and terminals busy from July for the rest of the year.
There is considerable debate about the value of using hospital mortality rates adjusted for case mix as an indicator of the quality and safety of care provided by hospitals. A linked paper by Pouw and colleagues (doi:10.1136/bmj.f5913) investigates the inclusion of post-discharge deaths in these mortality indicators.1 The main doubts about their value are that standardisation for differences between hospitals in the characteristics of their patients (the case mix) doesnt work, and that these indicators do not measure performance because they are not related to avoidable mortality. There is no doubt that the case mix adjustment is problematic. We know that different adjustment models lead to different results,2 and that important measures of case mix are missing from models based on routine data.3 We also know that these measures are at best weakly related to avoidable mortality-models show that they would begin to be useful for identifying poor quality of care only when at least 16% of hospital ...
When leaving the hospital, follow the discharge instructions closely. Patients are commonly instructed to avoid baths, scrubbing/rubbing the incision sites, lotions (unless prescribed), and too much sunlight.. More Tips ». ...
The indication of NIV in the context of exacerbation of COPD is based on 16 published randomized control studies that compared this ventilation modality versus standard of care, including oxygen therapy, bronchodilators, and corticosteroids1-3,5-7,16,17 Overall, these trials revealed a lower incidence of endotracheal intubation and hospital mortality in the NIV group. However, most of these studies included patients with severe exacerbations, defined by admission pH lower than 7.35. Among the group of patients with mild exacerbations (higher pH values), no benefits in clinical outcomes were observed with NIV.18 Treatment of CPE with CPAP and NIV has also been extensively studied. Particularly, a large study that accounted for 70% of all patients with CPE who have been studied in randomized controlled trials of NIV,19 plus 5 systematic reviews addressing this treatment,4,20-23 demonstrated a trend toward reduction in endotracheal intubation and hospital mortality. Among subjects with ...
Guthrie is committed to providing our patients the most recent quality data on our hospital. This information, and information on other hospitals, can be found on www.hospitalcompare.hhs.gov. Patients should talk with their physicians and our hospital staff if they have questions about our quality scores or quality improvement initiatives.
Objectives : To measure the health status of critically ill patients prior to hospital admission and to study the relationship between prior health status PHS and hospital mortality. Design : 523 patients admitted to the intensive care department from October 1994 to June 1995 were included consecutively in the study. Health status 3 months...
NutrientsPharmaceutical Interventions & VaccinesPapers which outline the effects of pharmaceutical interventions. Ex: vaccines, drugs, etc.
Read Healthcare :: Lower mortality rates associated with hospitals that rank highest on quality of care indicators | Spirit India
Gas refill for Eziswap Gas business customers. Pricing is as per your Eziswap Gas supply contract and based on the agreed estimated annual volume (EAV). Please contact us for revised pricing should your EAV change by +-25% or if you require pricing for additional cylinder sizes/gas types. Pricing is for gas refill only and includes the per cylinder delivery fee ...
Read the latest Meridian stories, Newsroom report on investigation into hospital deaths on ITV News, videos, stories and all the latest Meridian news
Discworld II - Mortality Bytes Walk for PC FAQ, Discworld II - Mortality Bytes Walk Walkthrough, Discworld II - Mortality Bytes Walk Guides, Discworld II - Mortality Bytes Walk codes, Hints
Being diagnosed with any form of cancer can be a difficult thing to live through. Here is a look at the ten cancers with the lowest known mortality rates in the US.
Two studies shared ahead of print publication show that mortality rates of hospitalized COVID patients dropped by around 20 points between March and June.
Most dot-com businesses have just enough money to finance approximately two months of operations. That chilling statistic comes from a recent compi...
In the English NHS the Summary Hospital-level Mortality Indicator, the Hospital Standardised Mortality Rate and the Risk ... "Summary Hospital-level Mortality Indicator". NHS Digital. Retrieved 20 December 2016. "Hospital death rates: Full table". BBC ... It can be found as: RAMR = (Observed Mortality Rate/Predicted Mortality Rate)* Overall (Weighted) Mortality Rate In medical ... Then we can build/construct a model or use an existing model to predict mortality rates for each of the hospitals. It is ...
... figures can be published in league tables that compare the quality of hospitals. Critics of this system ... Most hospitals have regular meetings to discuss surgical complications and perioperative mortality. Specific cases may be ... "Effect of definition of mortality on hospital profiles". Medical Care. 40 (1): 7-16. doi:10.1097/00005650-200201000-00003. PMID ... "Effect of definition of mortality on hospital profiles". Medical Care. 40 (1): 7-16. doi:10.1097/00005650-200201000-00003. ...
"Predicting In-Hospital Survival of Myocardial Infarction." Medical Care 28 (9): 762-75. Averill, R. F., J. H. Muldoon, J. C. ... The risk of mortality (ROM) provides a medical classification to estimate the likelihood of inhospital death for a patient. The ... The ROM class is used for the evaluation of patient mortality. Case mix index Diagnosis codes Severity of illness Alemi, F., J ... Severity Measurement Methods and Judging Hospital Death Rates for Pneumonia, Medical Care 34 (1): 11-28, 1996 v t e (Articles ...
... such as lack of good treatment from hospital staff. Healthcare in India measures and reports maternal mortality. Offering ... Assam has the highest rate of maternal mortality in India. Within Assam, some of the highest rates of maternal mortality are ... GBD 2015 Maternal Mortality Collaborators (8 October 2016). "Global, regional, and national levels of maternal mortality, 1990- ... "UNICEF Maternal Mortality". UNICEF Data. "Macrotrends Country - India Maternal Mortality". Kaur, Manmeet; Gupta, Madhu; Purayil ...
... at hospitals. MCHB's Healthy Start was mandated to reduce the infant mortality rate. In the 1930s Maternal Mortality Review ... Maternal death Infant mortality Perinatal mortality Black Maternal Mortality in the United States Obstetric transition The ... since rural hospitals are 6% less likely to offer delivery services than urban hospitals. Rural hospitals also have higher ... Maternal mortality in 1990-2015 (PDF). World Health Organization (Report). Trends in maternal mortality: 1990 to 2015. Geneva: ...
Researchers believe that by improving the quality of care within hospitals, maternal mortality would be properly addressed and ... "Improving Hospital Quality to Reduce Disparities in Severe Maternal Morbidity and Mortality". Seminars in Perinatology. 41 (5 ... pregnancy-associated mortality) and in particular death owing to obstetric causes (pregnancy-related mortality) was ... Black maternal mortality in the United States refers to the death of women, specifically those who identify as Black or African ...
Neonatal mortality is affected by the quality of in-hospital care for the neonate. Neonatal mortality and postneonatal ... Neonatal mortality refers to death of a live-born baby within the first 28 days of life. Early neonatal mortality refers to the ... Perinatal mortality (PNM) refers to the death of a fetus or neonate and is the basis to calculate the perinatal mortality rate ... Fetal mortality refers to stillbirths or fetal death. It encompasses any death of a fetus after 20 weeks of gestation or 500 gm ...
About the Mortality Medical Data System Johansson, L. A.; Westerling, R. (2002), "Comparing hospital discharge records with ... The Mortality Medical Data System (MMDS) is used to automate the entry, classification, and retrieval of cause-of-death ... There are two Mortality Medical Indexing, Classification, and Retrieval components. SuperMICAR automates the MICAR data entry ... The system has facilitated the standardization of mortality information within the United States, and ACME has become the de ...
McNeil D (October 29, 2012). "Ghana: A grant meant to curb infant mortality focuses on getting mothers to the hospital". The ... List of countries by infant mortality rate List of countries by maternal mortality ratio Maternal mortality Miscarriage ... Infant mortality is the death of young children under the age of 1. This death toll is measured by the infant mortality rate ( ... Forms of infant mortality: Perinatal mortality is late fetal death (22 weeks gestation to birth) or death of a newborn up to ...
The second obstetrical clinic at Vienna General Hospital that instructed midwife students evidently had a lower mortality rate ... The mortality rate for newborn infants was also higher in the first clinic. Semmelweis compared mortality rates in Vienna with ... Contrary hereto, maternity hospitals in the United Kingdom were independent institutions; removed from general hospitals. The ... He argued that, as a rule, German and French maternity hospitals are associated with large general hospitals. Therefore, their ...
The infant mortality rate was approximately 30.42 deaths per 1,000 children in 2018. In 2014, there were 2.1 physicians per ... "Hospital beds (per 1,000 people) - World, Tajikistan, Low income , Data". data.worldbank.org. Retrieved 12 July 2020. "Births ... In the summer of 2021 coronavirus ravaged the country, and the Tajik president's sister reportedly died in a hospital of COVID- ... Tajikistan has experienced a sharp decrease in number of per capita hospital beds following the dissolution of the USSR (since ...
In 2019, the infant mortality rate was 4.2 deaths per 1,000 live births, with 20 physicians and 71 hospital beds per 10,000 ... "Statistics of Medical Care Institution's Status & Hospital Utilization 2019". 17 July 2020. "Infant mortality rate". Archived ... According to a recently published survey, out of 3,360 patients surveyed at a randomly chosen hospital, 75.1 per cent of the ... "Taiwanese Hospital Public Satisfaction Poll" (in Chinese). Taiwan Department of Health. October 2004. Archived from the ...
"The Keogh Mortality Review". NHS Choices. Retrieved 5 November 2013. "Keogh review: Hospital death rates". BBC News. 16 July ... 14 NHS Trusts which were persistent outliers in measures of hospital mortality were investigated: Basildon and Thurrock ... Blackpool Teaching Hospitals NHS Foundation Trust, Colchester Hospital University NHS Foundation Trust and The Dudley Group NHS ... Lancashire Hospitals NHS Trust George Eliot Hospital NHS Trust Medway NHS Foundation Trust North Cumbria University Hospitals ...
Medicare Hospital Mortality Information. U.S. Department of Health and Human Services, Health Care Financing Administration. ... Prior to his career in academics, he worked as the CEO and president of the North Carolina Baptist Hospital of 18 years before ... "Preslar To Retire at Medical Center; CEO Led Baptist Hospital for 19 Years". Atrium Health Wake Forest Baptist. Retrieved 2022- ...
Medicare Hospital Mortality Information. U.S. Department of Health and Human Services, Health Care Financing Administration. ... The hospital opened on October 10, 1872, as Wilkes-Barre City Hospital. The name changed to Wilkes-Barre General Hospital in ... Wilkes-Barre General Hospital is a for-profit hospital located in northeastern Pennsylvania. Wilkes-Barre specializes in ... Commonwealth Health Wilkes-Barre General Hospital is Northeastern Pennsylvania's largest community hospital with 412 beds and a ...
Neonate deaths are reflected in the type of care the hospital is providing, as well as birth defects and complications. Infant ... Child mortality is the mortality of children under the age of five. The child mortality rate, also under-five mortality rate, ... Wikiquote has quotations related to Child mortality. Scholia has a topic profile for Child mortality. "Child mortality ... Child mortality has been dropping as each country reaches a high stage of DTM. From 2000 to 2010, child mortality has dropped ...
The Summary Hospital-level Mortality Indicator (SHMI) reports on mortality at trust level across the NHS in England using a ... The same report highlighted that the hospital's HSMR mortality indicator was better than expected. The hospital has said that ... "Summary Hospital-level Mortality Indicator". NHS Digital. "Top 100 Apprenticeship Employers". Archived from the original on 14 ... "Aintree University Hospital NHS Foundation Trust / The Royal Liverpool and Broadgreen University Hospitals NHS Trust merger ...
"Black Hills Community Hospital". Region X hospital mortality information. Department of Health and Human Services. 1989. p. 179 ... Capital Medical Center on the west side of Olympia was named Black Hills Community Hospital from its opening in 1985 until 1991 ...
The mortality ratio for the University Hospitals of Morecambe Bay NHS Trust (which also runs hospitals in Lancaster and Kendal ... "South Cumbrian hospitals 'have worst mortality ratio'". BBC News. 20 October 2011. Retrieved 1 November 2011. Dominiczak, Peter ... "Barrow hospital maternity unit given recommendations". BBC News. 11 October 2011. Retrieved 1 November 2011. "FGH mortality ... The scandal was covered in a 2012 BBC Panorama episode titled "How Safe is Your Hospital?" with the Stafford Hospital scandal. ...
"Pacific Islander Hospitals in Queensland", p. 31. The Editor, "Mortality Among Polynesians Labourers in Queensland", The ... According to the hospital by-laws, patient burials were to be conducted by the hospital staff, with a permanent staff member ... The hospital complex, at the time of its construction, comprised a hospital building and a doctor's residence, built on the ... The hospital officially opened on 19 December 1883 and closed on 31 December 1888. One of only four central hospitals built for ...
Morbidity and Mortality Weekly Report. Susan Macqueen (June 18, 2012). The Great Ormond Street Hospital Manual of Children's ... The Great Ormond Street Hospital Manual of Children's Nursing Practices 2012 book found that "disposable nappies are effective ...
There were 66 general hospitals, 26 secondary hospitals, 49 nursing hospitals, and 4 rehabilitation hospitals. The ministry is ... "Infant mortality rate - Total". UN Inter-agency Group for Child Mortality Estimation. "Health at a Glance: Europe" (PDF). OECD ... Access to hospital treatment is normally by referral by a General Practitioner. Prescribable medicines are listed in the ... This set as priorities the reduction of mortality and increased life expectancy, improvements in the quality of life, and ...
147 cases were treated at the New York Hospital over a seven-week period. The mortality rate was 11%. "M993X.5.1529.1 , The ... The hospitals themselves had very little equipment and planks for bedding were not always available, meaning that it was spread ... Benson from Dublin, a man with experience working in fever hospitals in Ireland. He arrived on 21 May, volunteered to help the ... By this time, 695 people were already in hospital. Only two days afterwards the number of vessels reached thirty, with 10,000 ...
Journal of Hospital Infection. 66 (1), 95-97 (2007). Kosako Y, Tamura K, Sakazaki R, Miki K. Enterobacter kobei sp. nov., a new ... Morbidity and Mortality Weekly Report. 58, 256-260 (2009). Lucet JC, Decre D, Fichelle A et al. Control of a prolonged outbreak ... Infection Control and Hospital Epidemiology. 24, 490-494 (2003). Ren Y, Ren Y, Zhou Z et al. Complete genome sequence of ... Journal of Hospital Infection. 70, 7-14 (2008). van Nierop WH, Duse AG, Stewart RG, Bilgeri YR, Koornhof HJ. Molecular ...
Given that hospital case series can be selected on the basis of clinical factors such as presence of heart failure or admission ... Morbidity and Mortality Weekly Report. 69 (40): 1450-1456. doi:10.15585/mmwr.mm6940e1. PMC 7561225. PMID 33031361. Lu X, Zhang ... The Children's Hospital of Philadelphia. 20 May 2020. Archived from the original on 26 June 2020. "For parents: multisystem ... In France, the government reported on 29 April that around 15 children were in hospital in Paris with symptoms of Kawasaki ...
Bringing the Tabletop to the Hospital". Infection Control and Hospital Epidemiology. 25 (2): 146-155. doi:10.1086/502366. ISSN ... 2004;25:146-155 Henning KJ, What is syndromic surveillance? Morbidity and Mortality Weekly Report (Supplement). 2004;53:7-11 ... Bringing the Tabletop to the Hospital". Infection Control & Hospital Epidemiology. 25 (2): 146-155. doi:10.1086/502366. ISSN ... Henning, Kelly J. (2004). "What is Syndromic Surveillance?". Morbidity and Mortality Weekly Report. 53: 7-11. JSTOR 23315680. ...
Morbidity and Mortality Weekly Report. CDC. 52 (33): 788-791. PMID 12931077. Leinwand, D. (1 November 2006). "Jimson weed users ... chase high all the way to hospital". USA Today. Retrieved 15 February 2009. Pennachio, Marcello et al. (2010). Uses and Abuses ... Morbidity and Mortality Weekly Report. 59 (4): 102-104. PMID 20134399. Fatur, Karsten; Kreft, Samo (April 2020). "Common ...
The USNS Comfort hospital ship arrived in New York Harbor on March 30. Field hospitals were also set up in several places ... A survey conducted May 5-12 and reported in the Centers for Disease Control and Prevention's Morbidity and Mortality Weekly ... Myers, Meghann (March 27, 2020). "The Army Corps of Engineers has two or three weeks to get thousands of new hospital beds up ... Fink, Sheri (May 20, 2020). "Hospitals Move Into Next Phase as New York Passes Viral Peak". The New York Times. ISSN 0362-4331 ...
"Manhattan Hospital Listings". New York Hospitals. Retrieved March 20, 2019. "Best Hospitals in New York, N.Y." U.S. News & ... "Mortality in the United States, 2018". Centers for Disease Control and Prevention. January 2020. "New York-Presbyterian/ ... The campus also contains Morgan Stanley Children's Hospital, New York City's only stand-alone children's hospital. In addition ... Columbia University Irving Medical Center". New York-Presbyterian Hospital. Retrieved April 8, 2020. "The Hospitals: Overview ...
Over 90% of US hospitals with more than 300 beds have palliative care teams, yet only 17% of rural hospitals with 50 or more ... Kain M, Bennett H, Yi M, Robinson B, James M (August 2020). "30-day mortality following palliative radiotherapy". Journal of ... Evidence that hospital palliative care consult teams are associated with significant hospital and overall health system cost ... In the United States today, 55% of hospitals with more than 100 beds offer a palliative-care program, and nearly one-fifth of ...
"Effectiveness of neuraminidase inhibitors in reducing mortality in patients admitted to hospital with influenza A H1N1pdm09 ... She was a medical registrar at Tan Tock Seng Hospital. As a young doctor, Leo was interested in immunology, but after a chance ...
She had been on an extended trip to India and was admitted to a hospital there for an infected right hip. Detection of NDM-1 ... Morbidity and Mortality Weekly Report. 66 (1): 33. doi:10.15585/mmwr.mm6601a7. PMC 5687261. PMID 28081065. Rai, S; Singh, NP; ... Hospital officials confirmed that tests carried out after the patient's recovery were positive for the NDM-1 enzyme. An ... On 8 May 2012, the presence of NDM was found in a patient who died at Royal Alexandra Hospital in Edmonton, Alberta. The ...
February 2020). "Mortality impact of achieving WHO cervical cancer elimination targets: a comparative modelling analysis in 78 ... A radical abdominal trachelectomy with lymphadenectomy usually only requires a two- to three-day hospital stay, and most women ... "Incidence and mortality rates". Archived from the original on 12 September 2009. "Papscreen Victoria". Archived from the ... Expected scenarios for the reduction of mortality due to cervical cancer worldwide (and specially in low-income countries) have ...
The following is accuracy data from two hospitals: The accuracy of fetal sex discernment depends on: Gestational age Precision ... In one randomized trial, the children with greater exposure to ultrasound had a reduction in perinatal mortality, and was ... In 2004, Tine Gammeltoft interviewed 400 women in Hanoi's Obstetrics and Gynecology Hospital; each "had an average of 6.6 scans ... and perinatal mortality. One randomized controlled trial, however, came to the result of a higher perinatal death rate of ...
El Paso's newest hospital, The Hospitals of Providence Transmountain Campus opened in Northwest El Paso on January 27, 2017. ... and 10 refrigerated morgue trailers were installed to handle increased mortality. El Paso is also home to the Medical Center of ... The 106-bed teaching hospital is a collaboration between Texas Tech University Health Sciences Center El Paso and The Hospitals ... El Paso Children's Hospital, and Providence Memorial Hospital. University Medical Center is the only level I trauma center in ...
"Norovirus at Norfolk hospitals: Disruption continues". BBC News. January 12, 2012. Archived from the original on January 20, ... It is relatively common in developed countries and in low-mortality developing countries (20% and 19% respectively) compared to ... high-mortality developing countries (14%). Proportionately it causes more illness in people in the community or in hospital ... "Norovirus shuts wards and unit at three Sussex hospitals". BBC News. January 11, 2012. Archived from the original on January 15 ...
Welford, Mark R.; Bossak, Brian H.; Carter, Dee A. (22 December 2009). "Validation of Inverse Seasonal Peak Mortality in ... Key role of index cases and hospital transmission". Epidemics. 9: 40-51. doi:10.1016/j.epidem.2014.09.011. PMC 4258236. PMID ... "Extended interhuman transmission of monkeypox in a hospital community in the Republic of the Congo, 2003". The American Journal ...
He moved to London in the late 19th century and became a physician at the London Fever Hospital and at Charing Cross Hospital. ... and the mortality of such colon surgeries was unacceptably high. He died in London on 13 January 1937. He headed the British ...
... and even mortality. Discharge planning processes can be effective in reducing a patients length of stay in hospital. For ... regardless of days spent in the hospital. Additionally, length of stay in hospital can be linked to additional quality metrics ... The prospective payment system in U.S. Medicare for reimbursing hospital care promotes shorter length of stay by paying the ... "Discharge planning from hospital". Cochrane Database of Systematic Reviews (1): CD000313. doi:10.1002/14651858.CD000313.pub5. ...
A duty was owed: a legal duty exists whenever a hospital or health care provider undertakes care or treatment of a patient. A ... liability pressure lead to reductions of 5 to 9 percent in medical expenditures without substantial effects on mortality or ... Hospital costs associated with such medical errors were estimated at $324 million in October 2008 alone. Approximately 17,000 ... Less than one quarter of care takes place in hospitals. Across all care settings the numbers are higher. Another study notes ...
Lacroisade as authority for asserting that health conditions had improved and that mortality and disease rates had declined in ... "The marked improvement in health since the early days of the enterprise is forcibly presented by these official hospital ...
Literacy rate: 87.6% Infant mortality rate: 24.59 in 1,000 live births In 2006 the school system had 4 schools, 22 classrooms, ... The health system had 1 hospital with 14 beds and 2 public health clinics (SUS). Ranking on the Municipal Human Development ...
Infant mortality has fallen from 142 in 1985, to 60 in 2006. This was mainly due to the success of universal child immunisation ... There were 11 ill-equipped hospitals, manned mostly by foreign doctors, and 45 basic health units in 1974, the year Jigme ... Maternal mortality rate dropped from 7.7% in 1985 to 2.6% in 2006. Besides these human development indicators, material ...
This will help reduce infant mortality and lessen risks of polio in both adults and children. The Nigeria women project is ... and teaching hospital through solar hybrid mini grids and stand-alone solar systems. The North Core/Dorsale Nord Regional Power ...
Problems such as high infant mortality rates led to an increase in support for health reform[citation needed]. The Fianna Fáil ... Archbishop McQuaid was the chairman of some boards of directors of Dublin hospitals. He exercised considerable influence ... Health Act and intended to implement its provisions as part of a plan to reduce the alarmingly high rate of child mortality ( ... and control over the religious orders whose members made up much of the administrative and management staff in hospitals, ...
... whereas physician-facilitated hospital births produced the worst. The change in trend of maternal mortality can be attributed ... A maternity hospital is a hospital that specialises in caring for women while they are pregnant and during childbirth and ... about $2,500 in hospital. Childbirth routinely occurs in hospitals in many developed countries. Before the 20th century and in ... Mortality rates resulting from some infections may be high, for example the overall perinatal mortality rate associated with ...
... with cancer probably makes little or no difference to treatment failure and mortality compared with the standard hospital ( ... Patients who do not strictly fulfill the criteria of low-risk patients should be admitted to the hospital and treated as high- ... The prime purpose of this model was to avoid complications from an early hospital release. On the contrary, CISNE should not be ... Significantly higher mortality was reported for cefepime compared to all other antibiotics combined. Piperacillin/tazobactam ...
Fix and ship: No mortality penalty when STEMI patients transferred back to referring hospitals post-PCI UBC Faculty of Medicine ... Hospital buildings completed in 1889, Buildings and structures in New Westminster, Hospitals established in 1862, Hospitals in ... Royal Columbian Hospital was again ranked one of the top hospitals in the country in caring for infants in its NICU in the ... Royal Columbian Hospital (RCH) is the oldest hospital in British Columbia and one of the busiest in the Fraser Health Authority ...
John's Children's Hospital In Order To Improve Health Of Mothers, Babies In Central Illinois" (Press release). Springfield, ... In the 1990s, Barnes-Boyd co-chaired the Mayor's Advisory Committee on Infant Mortality. In 2006, Barnes-Boyd was named a ... In 1980, Barnes-Boyd became the assistant director of nursing at the University of Illinois Hospital and Clinics. She held the ... Barnes-Boyd earned her nursing degree from the Wesley-Passavant School of Nursing at Northwestern Memorial Hospital in Chicago ...
If found infected, a woman could be sentenced to a hospital or a "farm colony" until cured. By the end of the war 15,520 ... "Mortality in a Long-term Open Cohort of Prostitute Women". American Journal of Epidemiology. 159 (8): 778-785. doi:10.1093/aje/ ...
One of the new cases was hospitalised at St Mary's Hospital, while the other case with milder symptoms was said to be self- ... Morbidity and Mortality Weekly Report. 71 (32): 1018-1022. doi:10.15585/mmwr.mm7132e3. ISSN 0149-2195. PMC 9400536. PMID ... Botswana: In June, the Ministry of Health advised the population of Botswana to go to the nearest hospital in case of any ... Contaminated surfaces within hospitals and households may be infectious, with widespread contamination of surface and air ...
Only some successful surgeries have been performed as of now, and the mortality rate remains high. The prognosis of ectopia ... ISBN 978-1-4377-0755-7. "Ectopia Cordis". Children's Hospital Colorado. Walsh, Fergus (2017-12-13). "Baby has heart put back ... Due to the rarity and rapid postpartum mortality of ectopia cordis, limited treatment options have been developed. ...
In addition, infant mortality and maternal mortality are far more prevalent among the poor. For example, 98% of the 11,600 ... Of those admitted to hospital in the United States for heart failure, women and African Americans were more likely to reside in ... Mortality rates for African American children due to asthma are also far higher than that of other racial groups. For African ... Morbidity and Mortality Report. March 25, 2011. Centers for Disease Control and Prevention (September 2018). "Take on TB" (PDF ...
In the United Kingdom, the National Insurance Act 1911 provided coverage for primary care (but not specialist or hospital care ... India introduced a tax-payer funded decentralised universal healthcare system that helped reduce mortality rates and ... In Australia, the state of Queensland introduced a free public hospital system in 1946. Following World War II, universal ... Rather than focus on institutions such as hospitals, primary care, community care etc. the system focuses on the population ...
2009) used Medicare hospital claims based on the MedPAR records on hospitalizations for the period 1990-1993. For the 32 ... That is to say, patients that have a disease that is more connected in the network face higher mortality rates that those ... 2009) also established a connection between that the mortality associated with a given disease and its connectivity in the PDN ...
He left hospital on 12 April. The NHS was given access to emergency supplies of PPE and patients that did not need to remain in ... Retrieved 14 June 2022.{{cite web}}: CS1 maint: url-status (link) "Estimating excess mortality due to the COVID-19 pandemic: a ... This time span is counted from the day a subsequent test comes out negative after they have been treated in a hospital or at ... A patient of about 60 years of age had returned from Morocco few days earlier (via Italy) and was admitted to a hospital in ...
The latest NHS hospital data for England indicates that 23% of patients in hospital with COVID were admitted for other reasons ... It is shown to lower hospitalisation or mortality by 70% and to shorten the duration of COVID symptoms by four days. Figures ... Doctors at Addenbrookes Hospital believe the patient should be taken off life support, but her family disagree so the matter ... "Covid: Omicron hospital cases could surge, warns Whitty". 14 December 2021 - via www.bbc.co.uk. "Scots urged to limit ...
Taylor died of renal failure on August 29, 2018, at a Manhattan hospital at the age of 88. Circus Polka (1955) 3 Epitaphs (1956 ... morality and mortality. He is perhaps best known for his 1975 dance, Esplanade. In Esplanade Taylor was fascinated with the ...
Fertility and Infant Mortality in Developing Countries - A study of the Relative role of social and economic dimensions of ... As Director (PNDT) & Convenor of PNDT Act, 1994, Chand raided many hospitals and clinic all over India and shut them down for ... We have asked the census commissioner to come out with district-level infant, under-5 and maternal mortality once in three ...
... this additional step saves a worthwhile amount of time and energy for large laundry operations such as those of hospitals. Just ... "Effects of high and low temperatures on development time and mortality of house dust mite eggs". Experimental & Applied ...
A new report from Healthgrades shows that the inpatient mortality rate for stroke care, for example, can vary 17-fold within a ... Average Inpatient Mortality Rate, 1-Star Hospitals Average Inpatient Mortality Rate, 5-Star Hospitals ... Table 1. Differences in Inpatient Mortality Rates Between 1-Star and 5-Star Hospitals ... Among those within a 50-mile radius of Atlanta, for example, Piedmont Fayette Hospital posted an inpatient mortality rate of ...
... show the average length of stay among COVID-19 inpatient discharges by intubation or ventilator use and in-hospital mortality ... Additionally, data show the percentage of in-hospital deaths among confirmed COVID-19 discharges, with and without intubation ... Tabulated data show the percentage of confirmed COVID-19 encounters in which an in-hospital death occurred. Data are presented ... In-hospital Mortality Among Hospital Confirmed COVID-19 Encounters by Week From Selected Hospitals. COVID-19 Hospital Data ...
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... and overall mortality for the 56 hospital standardised mortality ratio (HSMR) diagnoses covering 80% of hospital deaths. ... Using care bundles to reduce in-hospital mortality: quantitative survey BMJ 2010; 340 :c1234 doi:10.1136/bmj.c1234 ... Problem To reduce hospital inpatient mortality and thus increase public confidence in the quality of patient care in an urban ... Design Eight care bundles of treatments known to be effective in reducing in-hospital mortality were used in the intervention ...
Fifty-six patients survived to hospital discharge. APACHE II scores were not helpful in prediction. Multiple logistic ... treated with mechanical ventilation to define the clinical features that predict in-hospital mortality. ... Factors determining in-hospital mortality Chest. 1991 May;99(5):1220-6. doi: 10.1378/chest.99.5.1220. ... treated with mechanical ventilation to define the clinical features that predict in-hospital mortality. Fifty-six patients ...
Hospital-based case-control study of risk factors of early neonatal mortality in the Gaza Strip ... Newly released in press article: Hospital-based case-control study of risk factors of early neonatal mortality in the Gaza ...
Study: History Of Marijuana Use Associated With Decreased In-Hospital Mortality In Trauma Patients. * by Paul Armentano, NORML ... Home,SCIENCE,Study: History Of Marijuana Use Associated With Decreased In-Hospital Mortality In Trauma Patients ... A team of researchers from the University of Arizona analyzed the in-hospital mortality rates of adults admitted into the ICU ... Posted in SCIENCETagged heart attack, hospitalization, mortality, trauma, traumatic barin injury Post navigation. Prev Never ...
The authors linked data on hospital mortality rates with hospital openness scores for 137 acute trusts in England in the period ... The diffusion of a culture of openness in hospitals is associated with lower hospital mortality, according to a study conducted ... They used the Summary Hospital-level Mortality Indicator (SHMI) as a measure of mortality and designed a standardized openness ... «The single component of our indicator that most affects mortality rates is good hospital procedures for reporting errors, ...
Mortality statistics are used internationally as a screening test for poor hospitals, but. they have fundamental methodological ... PenCHORD Seminar: Hospital Mortality Statistics What do they Mean? A Medicine seminar. ... He has published extensively on hospital mortality statistics and provided the first demonstration of how death rates could be ... facing an exceptionally high mortality statistic.. Mohammed A Mohammed is a Professor of Healthcare, Quality & Effectiveness in ...
This study presents the changes of in-hospital mortality rates following implementation of RRT, introduction of ... Effect of a rapid response team on the incidence of in-hospital mortality.. Citation Text:. Factora F, Maheshwari K, Khanna S, ... Results indicate a gradual decline of in-hospital mortality in the nine-year period following RRT introduction. ... Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi: 10.1213/ane. ...
The in-hospital mortality was 54.0% from July 2005 to April 2006, 41.1% from May to December 2006, 39.3% in 2007, 41.4% in 2008 ... Conclusion These results suggest reducing SS and SSh patient mortality is a complex process that involves multiple performance ... have been recommended to reduce morbidity and mortality. Materials and Methods A quasi-experimental study was conducted in a ...
Clinical risk score to predict in-hospital mortality in COVID-19 patients: a retrospective cohort study ... Clinical risk score to predict in-hospital mortality in COVID-19 patients: a retrospective cohort study ...
Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future ...
The primary outcome variable was total in-hospital mortality. In-hospital mortality within 3 days of admission was also ... Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med 117: 151-157, 2004 ... Because small hospitals were more likely than large hospitals to transfer patients with AKI to another short-term hospital (6.2 ... Weekend Hospital Admission, Acute Kidney Injury, and Mortality. Matthew T. James, Ron Wald, Chaim M. Bell, Marcello Tonelli, ...
All-cause mortality over mean follow-up of 1,529±1,121 days was revealed. Significantly more male patients died ... Conclusion: This study shows that males suffering from TTC reveal a higher long-term all-cause mortality rate than females over ... Keywords: Takotsubo cardiomyopathy, sex differences, outcome, mortality  ... have a higher mortality rate than the general population. It is still unclear whether sex differences may influence long-term ...
... after adjustment in a busy routine English hospital setting. Our results highlight the importance of hospitals complying with ... serum haemoglobin and hospital vs community attribution of acquisition of influenza. Conclusions Oseltamivir treatment given ... guidelines was shown to be effective in reducing the odds of mortality in inpatients with PCR-confirmed seasonal influenza A( ... cases diagnosed between 30 August 2016 and 17 March 2017 in an English university teaching Hospital. Oseltamivir treatment ...
Decrease in mortality rate and hospital admissions for acute myocardial infarction after the enactment of the smoking ban law ... Decrease in mortality rate and hospital admissions for acute myocardial infarction after the enactment of the smoking ban law ... Decrease in mortality rate and hospital admissions for acute myocardial infarction after the enactment of the smoking ban law ...
In-hospital mortality in the CKD group was 30% compared with 19.9% in the non-CKD group (P,.001). Following adjustment for ... Home Diseases and Conditions COVID-19 COVID-19 In-Hospital Mortality in Patients with CKD ... The study was designed to compare in-hospital mortality between patients with and without pre-existing CKD. Adjustments for ... In conclusion, the researchers said, "CKD is an independent risk factor for COVID-19 associated in-hospital mortality in ...
SAH mortality. In patients with aSAH, there was no difference in the in-hospital or short-term mortality rate in the 1 year ... Finally, we compared aSAH in-hospital mortality rate (aSAH mortality/aSAH admissions) before and during the COVID-19 pandemic ... A stable aSAH mortality rate may attest to the resilience of hospitals in the care of patients with aSAH during the pandemic. ... Mortality data were obtained for aSAH admissions and were defined as a patient with aSAH who died in-hospital or was being ...
Travel of pregnant women in emergency situations to hospital and maternal mortality in Lagos, Nigeria: a retrospective cohort ... Travel of pregnant women in emergency situations to hospital and maternal mortality in Lagos, Nigeria: a retrospective cohort ... Among those who died, 60.3% travelled ≤10 km directly from home, and 61.9% arrived at the hospital ≤30 mins. The median ... Methods We conducted a facility-based retrospective cohort study across 24 public hospitals in Lagos. Reviewing case notes of ...
Variation in hospital mortality in an Australian neonatal intensive care unit network ... Variation in hospital mortality in an Australian neonatal intensive care unit network ... Variation in hospital mortality in an Australian neonatal intensive care unit network ...
... women had higher mortality in STEMI and lower mortality in NSTEMI; and e) risk-adjustment models for in-hospital mortality were ... in-hospital crude mortality was significantly higher for women in all age groups; although the crude in-hospital mortality rate ... Compared with men, slightly higher total in-hospital mortality after MI in women may be the result of lower mortality in NSTEMI ... the risk-standardized in-hospital mortality ratio (RSMR) was defined as the ratio between predicted mortality (which ...
Hospitals, Teaching Humans Infant, Newborn Infant Mortality Social Class Socioeconomic Factors Urban Population ... Title : The challenge of neonatal mortality in an urban hospital. Personal Author(s) : Kendall, N Published Date : 1974 May-Jun ... A study of infant mortality from linked records : comparison of neonatal mortality from two cohort studies, United States, ... Title : A study of infant mortality from linked records : comparison of neonatal mortality from two cohort studies, United ...
There were 9 deaths (13.6%). Mortality was higher among the ESRD patients with one or more varicella complications compared to ... A retrospective data collection on patients with varicella infection and ESRD in Singapore General Hospital (SGH) from the year ... The association of health care utilization (total length of hospital stay, readmission related to varicella, intensive care ... Varicella is associated with high morbidity and significant mortality rate in ESRD patients. Varicella vaccination is ...
... presenting to Cambridge University Hospital. Routinely collected patient variables were ... Background Routinely collected hospital information could help to understand the characteristics and outcomes of care home ... residents admitted to hospital as an emergency.Methods This retrospective 2-year service evaluation included first emergency ... Conclusion Care home residents admitted to hospital as an emergency have high illness acuity and inpatient mortality. ...
Identifying patients who have a higher mortality risk from sepsis enables limited hospital resources to be prioritised for this ... to predict in-hospital mortality (IHM) among sepsis patients over a 30-day stay on the emergency ward. The technology does not ... by clinician-scientists at Duke-NUS Medical School combines traditional and new measurements to predict in-hospital mortality ... exclusive licence to commercialise technology for intelligently triaging sepsis patients using novel in hospital mortality risk ...
Community-acquired pneumonia, Children, Hospital admissions, Incidence, In-hospital mortality, Sex differences. ... The aim of this study is to examine trends from 2016 to 2019 in the incidence of hospitalizations and in-hospital mortality ( ... Sex-differences in incidence of hospitalizations and in hospital mortality of community-acquired pneumonia among children in ... Sex-differences in incidence of hospitalizations and in hospital mortality of community-acquired pneumonia among children in ...
Patterns of Cardiovascular Disease Mortality in Ghana: A 5-Year Review of Autopsy Cases at Korle-Bu Teaching Hospital. ... Patterns of Cardiovascular Disease Mortality in Ghana: A 5-Year Review of Autopsy Cases at Korle-Bu Teaching Hospital ... Patterns of Cardiovascular Disease Mortality in Ghana: A 5-Year Review of Autopsy Cases at Korle-Bu Teaching Hospital. ... mortality among autopsy cases at Korle Bu Teaching Hospital (KBTH) in Accra, Ghana from 2006 to 2010. Design: All ...
In-hospital mortality from liver resection for hepatocellular carcinoma: a simple risk score. Cancer. 2010 Apr 01; 116(7):1733- ... In-hospital mortality from liver resection for hepatocellular carcinoma: a simple risk score. ... In-hospital mortality from liver resection for hepatocellular carcinoma: a simple risk score. ...
The endpoints were mortality during mechanical ventilation and mortality after extubation. The overall in-hospital mortality ... To identify whether hemogram data can predict in-hospital mortality in patients with MC, we retrospectively investigated 188 ... significantly decreased mortality (OR = 0.236, p = 0.012). For predicting mortality after extubation, moderate-to-severe anemia ... demonstrated that both old age at MC onset and moderate-to-severe anemia are important predictors of in-hospital mortality in ...
  • Anesthesiologists continue to refine factors associated with morbidity and mortality after surgery. (asahq.org)
  • In the context of gestational age at birth, birth weight and neonatal pathological conditions, certain adverse early variables - such as decreasing gestational age, decreasing birth weight and critically compromised neonatal health status, specifically in the presence of surgical life-threatening conditions mainly related to immaturity and low birth weight - have been recognized for increasing risk of poorer health outcomes for neonatal and infant morbidity and mortality 2 2. (scielosp.org)
  • Thank you for participating in the Regularly Schedule Series: Emergency Medicine Morbidity and Mortality! (childrenscolorado.org)
  • Morbidity and mortality meetings are common but there are few reports of hospital-wide mortality-review processes to provide understanding of quality-of-care problems associated with patient deaths. (bmj.com)
  • In March of that year, the first report on XDR TB was published in Morbidity and Mortality Weekly Report. (cdc.gov)
  • I emailed Peter Cegielski, the team leader for drug-resistant TB at the US Centers for Disease Control and Prevention, and the senior author on the Morbidity and Mortality Weekly Report publication. (cdc.gov)
  • While the U.S. is experiencing a longevity revolution, at the same time our aging nation is triggering a Silver Tsunami of chronic age-related disease that bring with it increased national health care spending, high rates of morbidity and mortality, and declines in quality of life. (silverbook.org)
  • In a Morbidity and Mortality Weekly Report , the CDC compared excess deaths between urban and rural communities for the five leading causes of mortality in the United States. (bigthink.com)
  • Transfusions have also been linked to increased risk of morbidity and mortality - one study found blood transfusions were associated with a 66 percent increased risk of mortality when accounting for comorbidities and other factors during cardiac surgery. (premierinc.com)
  • The model at the time of intubation indicated mortality was related to systolic blood pressure less than 130 mm Hg, the presence of anterior myocardial infarction, use of calcium channel blockers, age, and absence of prior hospitalization for CPE. (nih.gov)
  • The aim of this study was to evaluate the prevalence of frailty in hospitalized older patients, as determined by the CHS and SOF indexes, and to determine the extent that frailty can predict delirium and falls during hospitalization, and mortality 6 months after discharge. (biomedcentral.com)
  • The authors sought to characterize the effect of the triple low state (low MAP and low BIS during a low MAC fraction) on duration of hospitalization and 30-day all-cause mortality. (asahq.org)
  • Mortality, hospitalization, and population were collected at the DATASUS. (bvsalud.org)
  • This is a phase 3, randomized, double-blind, placebo-controlled study to evaluate sotatercept when added to maximum tolerated background PAH therapy on time to first event of all-cause death, lung transplantation, or PAH worsening related hospitalization of ≥24 hours, in participants with WHO FC IV PAH or WHO FC III PAH at high risk of mortality. (clinicaltrials.gov)
  • In pre-specified subgroup analyses, the association between statin use and reduced mortality persisted among those with and without a prior MI/stroke hospitalization and among those categorized as frail and not frail. (ijpds.org)
  • There are three sets of figures presented on this page, which show results related to in-hospital mortality for confirmed COVID-19 encounters, average length of stay, and intubation or ventilator use among COVID-19 in-hospital deaths. (cdc.gov)
  • adjusted mortality (from hospital episode statistics) was compared to the preceding year for the 13 diagnoses targeted by the intervention care bundles, 43 non-targeted diagnoses, and overall mortality for the 56 hospital standardised mortality ratio (HSMR) diagnoses covering 80% of hospital deaths. (bmj.com)
  • The proportionate mortality ratio (PMR) for CVD increased with age, rising steeply in mid-life to peak in the very old, accounting for almost 50% of deaths examined by age 85 years. (ucl.ac.uk)
  • The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). (bvsalud.org)
  • A total of 38,201 deaths and 75,893 stroke-related hospital admissions were reported. (frontiersin.org)
  • Results - A total of 333,344 patients were studied, of whom 2826 died within 30 days of surgery (overall crude mortality rate 8.5 deaths per 1000). (ices.on.ca)
  • We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in-hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. (cdc.gov)
  • Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths. (cdc.gov)
  • Despite these concerns, mortality rates will remain an important quality indicator for several reasons: death is a highly visible and usually undesirable outcome, most deaths occur in hospitals 6 , 7 and increased mortality rate can be caused by poor-quality care. (bmj.com)
  • A natural step for hospitals tracking mortality rates is to create processes to investigate deaths and determine if care could be improved. (bmj.com)
  • Cold weather has been identified as a major cause of weather-related deaths in the U.S. Although the effects of cold weather on mortality has been investigated extensively, studies on how cold weather affects hospital admissions are limited particularly in the Southern United States. (cdc.gov)
  • NCHS released a report last week that presents 2013 U.S. final mortality data on deaths and death rates by demographic and medical characteristics. (cdc.gov)
  • The U.S. infant mortality rate plateaued during 2000-2005, then declined from 6.86 infant deaths per 1,000 live births in 2005 to 6.14 in 2010. (cdc.gov)
  • Tubercular diseases have contributed no less than 19 deaths and the mortality in the female ward has been exceptionally high this year. (nls.uk)
  • Preventable deaths for all five leading mortality causes are "consistently higher" in rural communities. (bigthink.com)
  • 1 - 7 Although this observation may be due to unmeasured differences in severity of illness among patients who present to the hospital at different times, others have hypothesized that differences in processes of care on weekends may explain these outcomes. (asnjournals.org)
  • The characteristics of patients with AKI admitted on weekends were for the most part similar to those admitted on weekdays, although statistically significant differences in the distributions of several demographic, clinical, and hospital characteristics were observed ( Table 1 ). (asnjournals.org)
  • Differences in in-hospital mortality after STEMI versus NSTEMI by sex. (revespcardiol.org)
  • Conflicting results have been reported on the possible existence of sex differences in mortality after myocardial infarction (MI). (revespcardiol.org)
  • The aim of this study was to analyze sex difference trends in sex-related differences in mortality for STEMI and NSTEMI. (revespcardiol.org)
  • Differences in mortality persisted after ART initiation, with a trend towards significance. (biomedcentral.com)
  • Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific infant mortality rates. (cdc.gov)
  • Despite these differences, PMR had a neutral effect on all-cause mortality. (bl.uk)
  • The first set of figures shows the percentage of confirmed COVID-19 hospital encounters with a discharge status of in-hospital death. (cdc.gov)
  • An in-hospital death is defined by an encounter with a discharge status of died or died in a medical facility. (cdc.gov)
  • The second set of figures shows the percentage of intubation or ventilator use among confirmed COVID-19 inpatient discharges with a discharge status of in-hospital death. (cdc.gov)
  • 8,535 inpatient discharges with a discharge status of died in the hospital. (cdc.gov)
  • Fifty-six patients survived to hospital discharge. (nih.gov)
  • Approximately half of new VTE cases occur during a hospital stay or within 90 days of an inpatient admission or surgical procedure, and many are not diagnosed until after discharge ( 5,6 ). (cdc.gov)
  • Despite that recognition, the number of secondary diagnoses of VTE in hospital patients has increased ( 7 ), and during 2007-2009, an average of nearly 550,000 adult hospital stays each year had a discharge diagnosis of VTE ( 8 ). (cdc.gov)
  • Data sources currently include vital statistics, the National Health Interview Survey, the National Hospital Discharge Survey, and Medicare claims data for end-stage renal disease. (cdc.gov)
  • Data sources for the surveillance system include vital statistics, the National Health Interview Survey (NHIS), the National Hospital Discharge Survey (NHDS), and Medicare claims data. (cdc.gov)
  • Of the 437 infants in the study (median gestational age at birth 37 weeks, median birth weight 2,760 grams), 28 (6.4%) patients died before hospital discharge. (scielosp.org)
  • In the multivariate analysis, APACHE II score at ICU admission and discharge were the only mortality predictors. (biomedcentral.com)
  • These data come from hospital records but recording a cause of injury in hospital admission or discharge records is not required in all states. (cdc.gov)
  • 6 months mortality [Time Frame: from hospital discharge date until 6 months of follow-up in surviors from ICU stay. (who.int)
  • Conclusions: In the absence of populationbased data, hospital records may serve as a useful tool in epidemiologic surveillance of disease. (ucl.ac.uk)
  • CONCLUSIONS: Low PaO2/FiO2 ratio, hypoxemia and hypocapnia are associated with higher mortality following OHCA. (qub.ac.uk)
  • Conclusions: Adherence to guideline-recommended preventive medications was associated with lower risk of in-hospital mortality in non-reperfused STEMI patients. (rug.nl)
  • Conclusions - Similar to previous studies in distinct health care systems, patients in Ontario undergoing elective surgery on the weekend experienced an increased risk of 30-day postoperative mortality. (ices.on.ca)
  • Conclusions Our institution-wide mortality review found many quality gaps among decedents, in particular inadequate discussion of goals of care. (bmj.com)
  • Conclusions The relationship between 10-year total CVD and CVD mortality is dependent on age and sex, and cannot be estimated using a fixed multiplier. (bmj.com)
  • Acute on chronic kidney injury increases odds of in-hospital mortality in CKD patients hospitalized with COVID-19. (docwirenews.com)
  • The risk of the patient dying increases 17 times if he or she goes to the facility with the highest inpatient mortality rate for stroke treatment compared with the facility boasting the lowest rate. (medscape.com)
  • Among those within a 50-mile radius of Atlanta, for example, Piedmont Fayette Hospital posted an inpatient mortality rate of 0.5% for stroke care, which is the lowest rate in the area. (medscape.com)
  • Problem To reduce hospital inpatient mortality and thus increase public confidence in the quality of patient care in an urban acute hospital trust after adverse media coverage. (bmj.com)
  • Conclusion Care home residents admitted to hospital as an emergency have high illness acuity and inpatient mortality. (rcpe.ac.uk)
  • The challenge of neonatal mortality in an urban hospital. (cdc.gov)
  • These wide divergences emerge in an annual report scrutinizing clinical performance in 31 of the most common procedures and conditions at more than 4500 hospitals. (medscape.com)
  • For any particular procedure or condition, Healthgrades uses a star system to assign hospitals to 3 tiers: 5 stars indicate institutions with clinical outcomes statistically better than expected, 3 stars are given to those with outcomes that are statistically as expected, and those with outcomes worse than expected receive 1 star. (medscape.com)
  • A confirmed COVID-19 hospital encounter is defined as an any listed International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnosis code of B97.29 and/or U07.1. (cdc.gov)
  • Lessons learnt Implementing care bundles can lead to reductions in death rates in the clinical diagnostic areas targeted and in the overall hospital mortality rate. (bmj.com)
  • We reviewed 88 episodes of cardiogenic pulmonary edema (CPE) treated with mechanical ventilation to define the clinical features that predict in-hospital mortality. (nih.gov)
  • Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. (ahrq.gov)
  • We hypothesized that patients admitted with AKI on weekends would experience higher in-hospital mortality independent of demographic and clinical characteristics, including severity of illness. (asnjournals.org)
  • Sociodemographic and clinical data were collected from hospital records. (ugr.es)
  • CHASM Collaborating Hospitals' Audit of Surgical Mortality The Clinical Excellence Commission's Collaborating Hospital's Audit of Surgical Mortality (CHASM) Casebook 2018 is now available electronically. (usanz.org.au)
  • The addition of key condition-specific clinical data points at the time of hospital admission will dramatically improve model performance. (bvsalud.org)
  • 5 Although mortality is a more robust clinical outcome, cardiovascular morbidity is equally relevant to providers of healthcare, policy makers and insurance companies. (bmj.com)
  • The data sources included the Clinical Practice Research Datalink, Hospital Episode Statistics and Office of National Statistics Death registration datasets. (bl.uk)
  • The NHEFS was designed to investigate the relationships between clinical, nutritional, and behavioral factors assessed in the first National Health and Nutrition Examination Survey (NHANES I) and subsequent morbidity, mortality, and hospital utilization, as well as changes in risk factors, functional limitation, and institutionalization. (cdc.gov)
  • Our team is leading a multi-country network of clinical research centers from Sub-Saharan Africa, South East Asia, the UK, and the USA dedicated to identifying risk factors that increase mortality, hospital readmission, and poor recovery in children who are malnourished and suffering from acute infection. (washington.edu)
  • By implementing the American Heart Association's Get With The Guidelines-Stroke initiative, Saint Vincent Hospital continues to track and measure our success in meeting evidenced-based clinical guidelines," said Jeffrey M. Welch, CEO of Saint Vincent Hospital. (stvincenthospital.com)
  • Research has shown that hospitals adhering to clinical measures through the Get With The Guidelines quality improvement initiative can often see fewer readmissions and lower mortality rates. (stvincenthospital.com)
  • Introduction Prompt access to emergency obstetrical care (EmOC) reduces the risk of maternal mortality. (lse.ac.uk)
  • We assessed institutional maternal mortality by distance and travel time for pregnant women with obstetrical emergencies in Lagos State, Nigeria. (lse.ac.uk)
  • Conclusion Our evidence shows that distance and travel time influence maternal mortality differently for referred women and those who are not. (lse.ac.uk)
  • Larger scale research that uses closer-to-reality travel time and distance estimates as we have done, rethinking of global guidelines, and bold actions addressing access gaps, including within the suburbs, will be critical in reducing maternal mortality by 2030. (lse.ac.uk)
  • Preventability of maternal near miss and mortality in Rwanda: A case series from the University Teaching Hospital of Kigali (CHUK). (duke.edu)
  • OBJECTIVE: Assess the primary causes and preventability of maternal near misses (MNM) and mortalities (MM) at the largest tertiary referral hospital in Rwanda, Kigali University Teaching Hospital (CHUK). (duke.edu)
  • 1] Descriptive statistics were used to show qualitative and quantitative outcomes of the maternal near miss and mortality. (duke.edu)
  • Ending preventable maternal, newborn and child mortality: regional technical advisory group meeting. (who.int)
  • Under the Regional Flagship project on ending preventable maternal and childmortality with a focus on reducing newborn mortality, the WHO Regional Directorfor South-East Asia has appointed the Technical Advisory Group (‎SEAR-TAG)‎ toprovide guidance to national governments, implementing partners and otherstakeholders on how best to accelerate implementation of strategies, and monitorthese. (who.int)
  • The maternal mortality rate in Delhi has also decreased marginally. (indianexpress.com)
  • In an era of decrease in maternal/child mortality among United Nation member countries, namely Portugal 3 3. (scielosp.org)
  • Health system determinants of infant, child and maternal mortality: A cross-sectional study of UN member countries. (scielosp.org)
  • Admission to the hospital on weekends is associated with increased mortality for several acute illnesses. (asnjournals.org)
  • We used logistic regression models to examine the adjusted odds of in-hospital mortality associated with weekend versus weekday admission. (asnjournals.org)
  • The risk for death with admission on a weekend for AKI was more pronounced in smaller hospitals (adjusted OR 1.17, 95% CI 1.03 to 1.33) compared with larger hospitals (adjusted OR 1.07, 95% CI 1.01 to 1.13). (asnjournals.org)
  • Increased mortality was also associated with weekend admission among patients with AKI as a secondary diagnosis across a spectrum of co-existing medical diagnoses. (asnjournals.org)
  • Admission to hospital on weekends has been associated with increased mortality compared with weekday admissions among patients with certain medical conditions. (asnjournals.org)
  • We sought to determine if admission to hospital on the weekend with a diagnosis of AKI was associated with higher in-hospital mortality than admission on a weekday using nationally representative data from U.S. acute care, nonfederal hospitals between 2003 and 2006. (asnjournals.org)
  • The association of health care utilization (total length of hospital stay, readmission related to varicella, intensive care unit admission) and mortality with complication due to varicella were tested using chi-square and Mann-Whitney test for categorical and continuous outcomes respectively. (biomedcentral.com)
  • The derived crude and direct standardized age-sex adjusted mortality and hospital admission rates were calculated. (frontiersin.org)
  • Adherence to guideline-recommended preventive medications was defined as the combined administration of aspirin, clopidogrel, anticoagulants and statins after hospital admission. (rug.nl)
  • We performed a case control study to determine whether the eosinophil count at ICU admission was a predictor of hospital mortality. (biomedcentral.com)
  • In our study, eosinophil count at ICU admission was not associated with increased hospital mortality. (biomedcentral.com)
  • The primary aim of this study was to determine whether the eosinophil count at ICU admission is a hospital mortality predictor. (biomedcentral.com)
  • For both groups, we collected basic sociodemographic variables, diagnosis at ICU admission, daily eosinophil count during ICU stay, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) scale and in-hospital death. (biomedcentral.com)
  • Impacts of cold weather on emergency hospital admission in Texas, 2004-2013. (cdc.gov)
  • Methods We conducted a facility-based retrospective cohort study across 24 public hospitals in Lagos. (lse.ac.uk)
  • Methods This retrospective 2-year service evaluation included first emergency admissions of any older adult (≥75 years) presenting to Cambridge University Hospital. (rcpe.ac.uk)
  • We hypothesized that PaCO2 would significantly modify the oxygenation-mortality relationship.METHODS: This was an observational cohort study using data from OHCA survivors admitted to adult critical care units in England, Wales and Northern Ireland from 2011 to 2018. (qub.ac.uk)
  • Methods: We conducted a cohort study using data obtained from the Jakarta Acute Coronary Syndrome (JAC) Registry database from a tertiary care academic hospital in Indonesia. (rug.nl)
  • We aimed to assess the association between adherence to guideline-recommended preventive medications and in-hospital mortality among this high-risk patient population.Methods: We conducted a cohort study using data obtained from the Jakarta Acute Coronary Syndrome (JAC) Registry database from a tertiary care academic hospital in Indonesia. (rug.nl)
  • Methods CVD mortality and total CVD (fatal plus non-fatal CVD requiring hospitalisation) were analysed using Kaplan-Meier estimates among 24 014 men and women aged 39-79 years without baseline CVD or diabetes mellitus in the prospective population-based European Prospective Investigation of Cancer and Nutrition-Norfolk cohort. (bmj.com)
  • Adjustments for confounders and identification of patient characteristics associated with mortality were established using logistic regression. (docwirenews.com)
  • We calculated crude and adjusted (multilevel logistic regression) mortality. (revespcardiol.org)
  • Poisson regression analysis was used to study temporal trends for in-hospital mortality. (revespcardiol.org)
  • Multivariate logistic regression analysis for predicting mortality during mechanical ventilation showed that old age at MC onset (OR = 1.039, p = 0.022), moderate-to-severe anemia (OR = 5.851, p = 0.001), and extreme leukocytosis (OR = 5.659, p = 0.022) before intubation were strong predictors of mortality, while acute management with plasma exchange or double-filtration plasmapheresis (PE/DFPP) significantly decreased mortality (OR = 0.236, p = 0.012). (biomedcentral.com)
  • Logistic regression analyses were performed to assess the relationship between hospital mortality and oxygenation and PaCO2. (qub.ac.uk)
  • Multiple logistic regression was used to identify independent preoperative and intraoperative factors associated with 30-day post-operative mortality. (scielosp.org)
  • After adjustments for measured characteristics using logistic regression modeling, exposure to the combination of preventive therapies was associated with a statistically significant lower risk for in-hospital mortality (adjusted odds ratio: 0.46, 95% confidence interval: 0.30-0.70). (rug.nl)
  • Independent predictors of mortality were assessed from the variables used in the Parsonnet score by multivariate regression analysis. (who.int)
  • Cox regression was used to compare mortality between the study groups. (ijpds.org)
  • Oleh Akchurin, MD , and colleagues at Weill Cornell Medicine, New York New York, conducted a retrospective cohort study of patients with and without CKD consecutively admitted with COVID-19 to three affiliated hospitals in New York City. (docwirenews.com)
  • Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. (ahrq.gov)
  • The independent predictors of mortality determined for the total data were low ejection fraction (odds ratio [OR] ‑ 1.7), preoperative intra‑aortic balloon pump (OR ‑ 10.7), combined procedures (OR ‑ 5.1), dialysis dependency (OR ‑ 23.4), and re‑operation (OR ‑ 9.4). (who.int)
  • The third set of figures shows the average length of stay for confirmed COVID-19 inpatient discharges, by intubation or ventilator use and in-hospital mortality status. (cdc.gov)
  • A model using additional variables available 24 hours later showed that mortality was related only to the need for vasopressor medication at 24 hours, and systolic blood pressure at intubation less than 130 mm Hg. (nih.gov)
  • Establishing ASA score 3 or above and necrotizing enterocolitis/gastrointestinal perforation as independent risk factors for early mortality in neonatal surgery may help clinicians to more adequately manage this high risk population. (scielosp.org)
  • Ciccocioppo, R & Corazza, GR 2018, ' In-hospital mortality for toxic megacolon ', Internal and Emergency Medicine . (elsevier.com)
  • According to the data released by the Registrar General of India, the national birth rate in 2018 stood at 20, and death and infant mortality rates stood at 6.2 and 32, respectively. (indianexpress.com)
  • The NHCS results provided on COVID-19 hospital use are from UB-04 administrative claims data from March 18, 2020 through November 29, 2022 from 29 hospitals that submitted inpatient data and 29 hospitals that submitted ED data. (cdc.gov)
  • Results indicate a gradual decline of in-hospital mortality in the nine-year period following RRT introduction. (ahrq.gov)
  • Our results highlight the importance of hospitals complying with relevant guidelines for prompt seasonal influenza PCR testing and ensuring standard oseltamivir treatment to all PCR-confirmed cases of seasonal influenza. (eurosurveillance.org)
  • Studies assessing the effect of altitude on stroke have provided conflicting results, some analyses suggest that long-term chronic exposure could be associated with reduced mortality and lower stroke incidence rates. (frontiersin.org)
  • Objective To describe the implementation and results from an institution-wide mortality-review process. (bmj.com)
  • mortality for the last 30 years and the unfavourable conditions under which the asylum has been working, the results achieved during the year may be considered satisfactory. (nls.uk)
  • Results: The overall mortality was 6.3% (56 patients), 7.1% (34 patients) for CABG, 4.3% (16 patients) for valve surgery and 16.2% (6 patients) for combined procedures. (who.int)
  • Cite this: Big Gaps Found in Hospital Mortality, Complication Rates - Medscape - Oct 22, 2013. (medscape.com)
  • A team of researchers from the University of Arizona analyzed the in-hospital mortality rates of adults admitted into the ICU over a five-year period, of which 2,678 were matched (1,339: marijuana positive, 1,339 marijuana negative). (norml.org)
  • Hospital openness, defined as «an environment in which staff freely speak up if they see something that may negatively affect a patient and feel free to question those with more authority», has already been linked with many positive outputs, such as better patient safety or better understanding of patients' care goals, but this is the first time that an association with mortality rates has been demonstrated. (infectioncontroltoday.com)
  • The authors linked data on hospital mortality rates with hospital openness scores for 137 acute trusts in England in the period 2012-14. (infectioncontroltoday.com)
  • First, fostering openness translates into lower mortality rates: a one-point increase in the standardized openness score is associated with a 6.48 percent decrease in hospital mortality rates. (infectioncontroltoday.com)
  • «The single component of our indicator that most affects mortality rates is good hospital procedures for reporting errors, near misses, and incidents», Dr. Toffolutti says. (infectioncontroltoday.com)
  • Reference: Veronica Toffolutti, David Stuckler, A Culture of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts, in Health Affairs 38, NO. 5 (2019), DOI: 10.1377/hlthaff.2018.05303. (infectioncontroltoday.com)
  • He has published extensively on hospital mortality statistics and provided the first demonstration of how death rates could be monitored in primary care, following the Shipman Inquiry. (exeter.ac.uk)
  • This study presents the changes of in-hospital mortality rates following implementation of RRT, introduction of anesthesiologist-led RRT, and other policy changes. (ahrq.gov)
  • In 2019, Discovery Health published a risk adjustment model to determine standardised mortality rates across South African private hospital systems, with the aim of contributing towards quality improvement in the private healthcare sector . (bvsalud.org)
  • Mortality Rates From COVID-19 Are Lower In Unionized Nursing Homes. (semanticscholar.org)
  • However, it is not known if the presence of health care worker unions in nursing homes is associated with COVID-19 mortality rates. (semanticscholar.org)
  • Resident Mortality And Worker Infection Rates From COVID-19 Lower In Union Than Nonunion US Nursing Homes, 2020-21. (semanticscholar.org)
  • Examination of data on nursing home-level union status from the Service Employees International Union for all forty-eight continental US states from June 8, 2020, through March 21, 2021 found that unions were associated with 10.8 percent lower resident COVID-19 mortality rates, as well as 6.8-percent lower worker CO VID-19 infection rates. (semanticscholar.org)
  • An ecological analysis of all stroke hospital admissions, mortality rates, and disability-adjusted life years in Ecuador was performed from 2001 to 2017. (frontiersin.org)
  • Hospital mortality has been a key quality measure since Nightingale created league tables comparing mortality rates for London hospitals in the mid-19th century, 1 , 2 Mortality rates are reported publicly in many jurisdictions as indicators of hospital quality but there continues to be legitimate criticisms of using mortality rates as a measure of quality. (bmj.com)
  • The World Health Organization has stated that there is no health improvement when cesarean operation rates exceed 10% , yet there are many hospitals with rates over 30%, which means that, at least, two out of three women had a caesarean that could have been avoided. (orgasmicbirth.com)
  • SINGAPORE, 23 September 2022 - Duke-NUS Medical School and TIIM Healthcare have signed an exclusive IP licensing agreement that will enable the latter to commercialise an innovative new technology designed to help hospital emergency care providers quickly and efficiently identify sepsis patients at higher risk of dying. (duke-nus.edu.sg)
  • 1 hospital in New England based on U.S. News & World Report Best Hospitals for 2022-2023. (massgeneral.org)
  • La información en esta página debería ser considerada como ejemplos de información de antecedentes para la temporada de influenza 2021-2022 para la práctica médica respecto del uso de medicamentos antivirales contra la influenza. (cdc.gov)
  • IMSEAR at SEARO: Perinatal mortality at Srinagarind Hospital. (who.int)
  • Pengsaa K, Taksaphan S. Perinatal mortality at Srinagarind Hospital. (who.int)
  • Classifying stillbirths in a tertiary care hospital of India: International Classification of Disease-perinatal Mortality (ICD-PM) versus cause of death-associated condition (CODAC) system. (bvsalud.org)
  • Risk-adjusted data from the July 2021 ACS NSQIP Semiannual Report , which presents data from the 2020 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. (massgeneral.org)
  • Consecutive pneumonia hospitalizations from six diverse hospitals in north Texas from 2009 to 2010. (the-hospitalist.org)
  • This will enable us to conduct research exploring prospective associations between built environment, air pollution and incident respiratory mortality and respiratory health (including asthma, respiratory allergies, acute upper and local respiratory infections, influenza and pneumonia, lung disease, lung cancer). (ukbiobank.ac.uk)
  • Outcome variables included in hospital delirium and falls, and 6-month mortality. (biomedcentral.com)
  • The main outcome measure was in-hospital mortality. (rug.nl)
  • Variables studied were age and gender of the patients, hospital size and type and the year in which treatment was performed and the outcome on in-hospital mortality. (ru.nl)
  • The main study outcome was the ratio of 10-year total CVD to 10-year CVD mortality stratified by age and sex. (bmj.com)
  • The primary outcome was a 30-day mortality. (surgjournal.com)
  • Novel technology invented by clinician-scientists at Duke-NUS Medical School combines traditional and new measurements to predict in-hospital mortality among patients presenting with sepsis at emergency departments. (duke-nus.edu.sg)
  • The team has piloted a novel scoring system incorporating HRV, HRnV, vital signs and quick sequential organ failure assessment (qSOFA) to predict in-hospital mortality (IHM) among sepsis patients over a 30-day stay on the emergency ward. (duke-nus.edu.sg)
  • To identify whether hemogram data can predict in-hospital mortality in patients with MC, we retrospectively investigated 188 myasthenic crisis events from the Chang Gung Research Database between April 2001 and March 2019. (biomedcentral.com)
  • IMSEAR at SEARO: Does Parsonnet scoring model predict mortality following adult cardiac surgery in India. (who.int)
  • Aims and Objectives: To validate the Parsonnet scoring model to predict mortality following adult cardiac surgery in Indian scenario. (who.int)
  • In-hospital mortality of COVID-19 patients hospitalized with ST-segment elevation myocardial infarction: A meta-analysis. (nih.gov)
  • Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. (ahrq.gov)
  • BACKGROUND: Outcomes following out of hospital cardiac arrest (OHCA) are poor. (qub.ac.uk)
  • The study, called American Hospital Quality Outcomes 2014: Healthgrades Report to the Nation , is available on the organization's Web site . (medscape.com)
  • Background Routinely collected hospital information could help to understand the characteristics and outcomes of care home residents admitted to hospital as an emergency. (rcpe.ac.uk)
  • There were no sex diferences in hospital outcomes. (ucm.es)
  • The aim was to determine the preoperative and intraoperative factors associated with 30-day post-operative mortality and describe mortality outcomes following neonatal surgery under general anesthesia in our center. (scielosp.org)
  • Compared to traditional broad-spectrum antibiotics, first-line use of fidaxomicin, a targeted treatment, in all CDI patients provides improved outcomes in terms of recurrence rate, all-cause mortality and cost effectiveness, compared to use in selected patients only. (hospitalpharmacyeurope.com)
  • This study builds on the growing evidence that adopting fidaxomicin as first-line treatment for all patients with CDI, rather than reserving it for more severe cases, provides more optimal outcomes in terms of recurrence, all-cause mortality and cost effectiveness compared to older treatments - vancomycin and metronidazole. (hospitalpharmacyeurope.com)
  • The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has recognized Massachusetts General Hospital as one of 90 ACS NSQIP participating hospitals across the country that have achieved meritorious outcomes for surgical patient care in 2020. (massgeneral.org)
  • Using the Nationwide Inpatient Sample, a large database of admissions to acute care, nonfederal hospitals in the United States, we identified 963,730 admissions with a diagnosis of AKI between 2003 and 2006. (asnjournals.org)
  • During a 4-year period, we identified 963,730 admissions with a diagnosis of AKI within acute care, nonfederal U.S. hospitals. (asnjournals.org)
  • The median length of hospital stay of 7 days was similar for weekend and weekday admissions with AKI. (asnjournals.org)
  • Declines were observed in aSAH admissions (−6.4% (95% CI −7.0% to −5.8%), p=0.0001) during the first year of the pandemic compared with the prior year, most pronounced in high-volume SAH and high-volume COVID-19 hospitals. (bmj.com)
  • A relative increase in ruptured aneurysm coiling was noted in low-coiling volume hospitals of 41.1% despite a decrease in SAH admissions in this tertile. (bmj.com)
  • Conclusion: The incidence of hospital admissions for CAP was higher among boys than among girls and rose signifcantly from 2016 to 2019. (ucm.es)
  • This study aimed to examine impacts of cold weather on emergency hospital admissions (EHA) in 12 major Texas metropolitan statistical areas (MSAs) for the 10-year period, 2004-2013. (cdc.gov)
  • Myasthenic crisis (MC), which is characterized by respiratory failure and the requirement of mechanical ventilation in patients with MG, is still a medical emergency despite the decrease in mortality with the advances in acute management. (biomedcentral.com)
  • While the percentage of mortality among civil patients increased from 7.43 in 1914 to 11.24 in the year under report, the percentage among criminals has shown a decrease from 6.77 in 1914 to 4.64 in 1915. (nls.uk)
  • CHARLOTTE, N.C. (July 20, 2017) - A nationwide analysis of 645 hospitals found a 20 percent decrease in blood utilization across 134 diagnoses that account for 80 percent of red blood cell use, according to Premier Inc. The analysis illustrates the strength of having comparative data analytics to drive performance improvement. (premierinc.com)
  • Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. (ahrq.gov)
  • CHASM is a not a performance-based program, but one of peer review and reflection conducting expert, independent assessments on surgical mortality. (usanz.org.au)
  • Specifically, no data are available on predictors of post-operative mortality in neonates undergoing general anesthesia for a broad range of surgical pathologies. (scielosp.org)
  • The goal of ACS NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation for surgeons to apply what is known as the "best scientific evidence" to the practice of surgery. (massgeneral.org)
  • We included data from patients 18 years or older admitted to the medical or surgical ICU in a university hospital in northern of Mexico. (biomedcentral.com)
  • Healthcare-associated infections (HAIs) are acquired while receiving medical or surgical care for other conditions in hospitals, physician offices, long-term care facilities, and other healthcare settings. (silverbook.org)
  • While transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of aortic stenosis, a new study in the American Journal of Cardiology showed that there may be a high risk of in-hospital mortality for patients who undergo surgical aortic valve replacement (SAVR) after TAVR. (ctsnet.org)
  • This study demonstrated that both old age at MC onset and moderate-to-severe anemia are important predictors of in-hospital mortality in patients with MC, and extreme leukocytosis is another crucial predictor of mortality during mechanical ventilation. (biomedcentral.com)
  • The occurrence of low MAP during low MAC fraction was a strong and highly significant predictor for mortality. (asahq.org)
  • In this retrospective review of a large database from a single institution, the occurrence of low mean arterial pressure during low minimum alveolar concentration fraction was a strong and highly significant predictor for mortality, and when combined with low bispectral index, the mortality risk was even greater. (asahq.org)
  • Comparison of survival overall and after ART initiation of HIV-infected infants, by place of diagnosis (hospital vs. Prevention of Mother-to-Child Transmission [PMTCT] site): Kaplan-Meier Survival Analysis. (biomedcentral.com)
  • their mortality is compared in this graphic using Kaplan-Meier curves. (biomedcentral.com)
  • Objectives: Our study examined age and sex patterns of cardiovascular disease (CVD) mortality among autopsy cases at Korle Bu Teaching Hospital (KBTH) in Accra, Ghana from 2006 to 2010. (ucl.ac.uk)
  • The most recent ESC guidelines on cardiovascular disease (CVD) prevention suggest that there is a fixed relationship between CVD mortality and the total burden of CVD events, defined as the composite of fatal and non-fatal CVD. (bmj.com)
  • Higher Mortality Among Lean Patients With NAFLD Despite a lower incidence of cirrhosis and diabetes mellitus, and similar incidence of cancer and cardiovascular disease, this study revealed a higher mortality rate among lean patients with NAFLD. (medscape.com)
  • Effect of the change The standardised mortality ratio (SMR) of the targeted diagnoses and the HSMR both showed significant reductions, and the non-targeted diagnoses showed a slight reduction. (bmj.com)
  • We investigated the ratio of total CVD to CVD mortality in a large population-based cohort. (bmj.com)
  • In the multivariate analysis, age and endovascular repair were the most important independent predictors of in-hospital mortality. (ru.nl)
  • Odds were also significantly higher for women travelling to hospitals in suburban (3.60, 95% CI 1.59 to 8.18) or rural (2.51, 95% CI 1.01 to 6.29) areas. (lse.ac.uk)
  • Importance - Previous research has demonstrated that patients undergoing elective surgery on the weekend had an adjusted risk of 30-day mortality that was significantly higher than that of patients operated upon during the week. (ices.on.ca)
  • Undergoing elective surgery on the weekend was associated with a 1.96 times higher odds of 30-day mortality than weekday surgery (95% confidence interval, 1.36-2.84) in a propensity-matched analysis. (ices.on.ca)
  • In this seminar we will learn about these limitations and consider how to make best use of these statistics, especially when facing an exceptionally high mortality statistic. (exeter.ac.uk)
  • Varicella is associated with high morbidity and significant mortality rate in ESRD patients. (biomedcentral.com)
  • the high mortality and disability generated by the event have implications for health management and care. (scielo.br)
  • Participants with symptomatic PAH (WHO FC III or FC IV at high risk of mortality) who present with idiopathic or heritable PAH, PAH associated with connective tissue diseases (CTD), drug- or toxin-induced, post-shunt correction PAH, or PAH presenting at least 1 year following the correction of congenital heart defect. (clinicaltrials.gov)
  • 8) CDI is associated with high-mortality (5,6,7) and cost burden, (9) therefore reducing the incidence and recurrence of CDI is a priority for clinicians, payers and health authorities alike. (hospitalpharmacyeurope.com)
  • A CDI recurrence adds an additional £20,249 on top of the £13,146 spent to treat the initial infection due to prolonged hospital stay, ICU stay, high cost drugs and the surgery necessary to tackle it, as seen in the real-world evidence. (hospitalpharmacyeurope.com)
  • The ACS NSQIP recognition program commends a select group of hospitals for achieving a meritorious composite score in either an "All Cases" category or a category which includes only "High Risk" cases. (massgeneral.org)
  • Subjects - Individuals undergoing elective, intermediate, intermediate-risk to high-risk all describe the noncardiac surgery exposure at all acute care hospitals in Ontario, Canada, between 2002 and 2012 were included. (ices.on.ca)
  • infections are associated with a high mortality rate. (cdc.gov)
  • A new NCHS report investigates the reasons for the United States' high infant mortality rate when compared with European countries. (cdc.gov)
  • 1 , 2 It is suggested that in high-risk individuals with a 10-year CVD mortality risk of ≥5%, as estimated using Systematic COronary Risk Evaluation (SCORE), total CVD is threefold higher, and possibly more in young men, and less in women and in older individuals. (bmj.com)
  • The star grades are based on an analysis of 3 years' worth of risk-adjusted mortality and complication rate data from the Centers for Medicare & Medicaid Services. (medscape.com)
  • Visitors can drill down further to find more precise performance data for a hospital. (medscape.com)
  • The National Hospital Care Survey (NHCS), conducted by the National Center for Health Statistics (NCHS), collects data on patient care in hospital-based settings to describe patterns of health care delivery and utilization in the United States. (cdc.gov)
  • Settings currently include inpatient facilities and emergency departments (ED). The survey collects electronic data, Uniform Bill (UB-04) administrative claims or electronic health records, for all encounters in a calendar year from a nationally representative sample of 608 hospitals. (cdc.gov)
  • Even though the data are not nationally representative, they can provide insight on the impact of COVID-19 on various types of hospitals throughout the country. (cdc.gov)
  • A previous analysis of Canadian data demonstrated that patients with a primary diagnosis of "renal failure" experienced a 34% higher risk of adjusted in-hospital mortality when admitted on a weekend compared with a weekday. (asnjournals.org)
  • A retrospective data collection on patients with varicella infection and ESRD in Singapore General Hospital (SGH) from the year 2005 to 2016 was performed. (biomedcentral.com)
  • The time-series model was shown to be most effective in predicting mortality, exemplifying the importance of providing time-series data that can detail the progress/decline of the patient. (tamu.edu)
  • Hospital quality initiative public reporting: hospital care compare and provider data catalog. (medlineplus.gov)
  • We abstracted data from hospital records, and an independent, blinded medical team reviewed these data to validate cause of death. (cdc.gov)
  • The Tracking Network uses data from the U.S. Census Bureau , hospital and emergency department databases, and death certificate data to get state and local data about CO poisonings. (cdc.gov)
  • This limits the ability to compare mortality data across locations. (cdc.gov)
  • This is the most recent data on the early mortality of acute type A aortic dissection within the first forty-eight hours from onset. (ctsnet.org)
  • We shall request data from all hospital records, cancer registry and death record that has been linked to UK Biobank. (ukbiobank.ac.uk)
  • Data were retrieved from the hospital data system. (bvsalud.org)
  • Patients on haemodialysis (HD) have 14-16 fold increased risk of mortality from pulmonary infections as compared with general population [ 5 ]. (biomedcentral.com)
  • and their colleagues from Duke-NUS Medical School-uses selected heart rate variability measurements, specifically HRV and HRnV 1 , to assess the severity of sepsis in patients presenting with the condition in hospital emergency departments. (duke-nus.edu.sg)
  • Identifying patients who have a higher mortality risk from sepsis enables limited hospital resources to be prioritised for this group and timely interventions for the prevention and treatment of complications. (duke-nus.edu.sg)
  • Aim of this study is to evaluate the prevalence of frailty and to determine the extent that frailty predicts delirium, falls and mortality in hospitalized older patients. (biomedcentral.com)
  • The overall in-hospital mortality of 6.4% is within the prevalence reported for developed countries. (scielosp.org)
  • however it can lead to severe complications and mortality both in immunocompromised and immunocompetent patients as well. (biomedcentral.com)
  • Low mean arterial pressure (MAP) and deep hypnosis have been associated with complications and mortality. (asahq.org)
  • In-hospital mortality was higher in men, but the long-term effects of COVID-19 merit further research. (ugr.es)
  • Higher average resident age, lower percentage of Medicare residents, small size, for-profit ownership, and chain organization affiliation were associated with higher resident COVID-19 mortality percentage. (semanticscholar.org)
  • Overall, the implementation of prevention and control measures by nursing homes are insufficient during the epidemic in China and more medical staff, adequate resource, cooperation with hospitals, and higher transformational leadership of manager are required to improve the implementation rate. (semanticscholar.org)
  • Our findings suggest that living at higher elevations offers a reduction or the risk of dying due to stroke as well as a reduction in the probability of being admitted to the hospital. (frontiersin.org)
  • In-hospital cardiopulmonary resuscitation (CPR) for chronic kidney disease (CKD) patients is shown to have lower survival1 and a higher proportion of survivors on maintenance. (annals.edu.sg)
  • Even then, country hospitals and trauma centers often lack specialists and advanced equipment. (bigthink.com)
  • Patients admitted with AKI on a weekend were more likely to receive mechanical ventilation [odds ratio (OR) 1.20, 95% confidence interval (CI) 1.14 to 1.26] irrespective of hospital size ( P interaction 0.67). (asnjournals.org)
  • The endpoints were mortality during mechanical ventilation and mortality after extubation. (biomedcentral.com)
  • Time Frame: from initiacion from mechanical ventilation until 28-day hospital stay. (who.int)
  • In conclusion, the researchers said, "CKD is an independent risk factor for COVID-19 associated in-hospital mortality in elderly patients. (docwirenews.com)
  • CONCLUSION: With the limitations of a national registry aside, the introduction of endovascular aneurysm repair seems to have had a small but significant impact on in-hospital mortality following infrarenal AAA repair. (ru.nl)
  • Because the availability of resources for patient assessment, diagnosis, and management are known to vary with hospital characteristics, we also hypothesized that this association would be most pronounced in smaller hospitals, characterized by fewer beds and lower levels of staffing. (asnjournals.org)

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