Hospital Mortality
Intensive Care Units
Retrospective Studies
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.
Hospitals, Teaching
APACHE
Hospitals, University
Prospective Studies
Patient Admission
Treatment Outcome
Postoperative Complications
Intensive Care
Hospital Costs
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).
Cohort Studies
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.
Infant Mortality
Hospitals, General
Cause of Death
Risk Factors
Hospital Bed Capacity
Follow-Up Studies
Logistic Models
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.
Risk Adjustment
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, Low-Volume
Risk Assessment
Sepsis
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.
Survival Rate
Survival Analysis
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, High-Volume
Severity of Illness Index
Respiration, Artificial
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).
Prognosis
Hospitals, Group Practice
Age Factors
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.
Surgery Department, Hospital
Emergencies
Myocardial Infarction
Coronary Artery Bypass
Epidemiologic Methods
Multivariate Analysis
Emergency Service, Hospital
Incidence
Diagnosis-Related Groups
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.
Chi-Square Distribution
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.
Patient Discharge
Surgical Procedures, Operative
Hospitals, Special
Hospitals, District
Outcome Assessment (Health Care)
Centers for Medicare and Medicaid Services (U.S.)
Acute Kidney Injury
Cardiology Service, Hospital
Registries
Hospitals, Private
Child Mortality
Maternal Mortality
Predictive Value of Tests
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.
Multiple Organ Failure
Quality of Health Care
Heart Valve Prosthesis
Proportional Hazards Models
Odds Ratio
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.
Comorbidity
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.
Financial Management, Hospital
Shock, Septic
Heart Valve Prosthesis Implantation
Hospital Charges
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.
Age Distribution
Sex Factors
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.
Medical Records Department, Hospital
Surgical Procedures, Elective
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.
Hospital Planning
Reoperation
Quality Indicators, Health Care
Inpatients
Trauma Severity Indices
Patient Readmission
Regression Analysis
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.
Morbidity
Sex Distribution
Respiratory Insufficiency
Kaplan-Meier Estimate
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)
Hospital Records
Hospital Units
Organ Dysfunction Scores
Heart Valves
Risk
Outliers, DRG
Outcome and Process Assessment (Health Care)
Aortic Valve
Medicare
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)
Netherlands
Emergency Medical Services
Aortic Rupture
Spain
France
Health Services Research
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)
Endocarditis
Glasgow Coma Scale
Emergency Treatment
Pancreaticoduodenectomy
Heart Failure
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.
Trauma Centers
Aneurysm, Dissecting
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.
Libraries, Hospital
Pneumonia, Ventilator-Associated
ROC Curve
Hematoma, Subdural, Acute
Wounds and Injuries
Renal Replacement Therapy
Databases as Topic
Cardiopulmonary Bypass
Medical Audit
Models, Statistical
Databases, Factual
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.
Cardiovascular Diseases
Outpatient Clinics, Hospital
Aortic Aneurysm, Thoracic
Heart Valve Diseases
Ventilator Weaning
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.
Preoperative Care
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)
Intubation, Intratracheal
Heart Arrest
Perinatal Mortality
Statistics, Nonparametric
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)
Heart Diseases
Forecasting
American Hospital Association
Postoperative Care
Renal Dialysis
Respiratory Distress Syndrome, Adult
Biological Markers
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.
Heart Defects, Congenital
Obstetrics and Gynecology Department, Hospital
Hospital Information Systems
Thrombolytic Therapy
Coronary Care Units
Aortic Aneurysm, Abdominal
Community-Acquired Infections
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.
Food Service, Hospital
Acute Lung Injury
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).
Death Certificates
Noninvasive Ventilation
Bioprosthesis
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.
Pregnancy
Blood Vessel Prosthesis Implantation
Prevalence
Neoplasms
Intraoperative Complications
Renal Insufficiency
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.
Coronary Disease
Australia
Fetal Mortality
Poisson Distribution
Questionnaires
Bacteremia
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.
Clinical Protocols
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)
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High Level of Mortality Expected for New Dot-coms - Computerworld
Risk adjusted mortality rate
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 ...
Perioperative mortality
... 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. ...
Risk of mortality
"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 ...
Maternal mortality in India
... 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 ...
Maternal mortality in the United States
... 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: ...
Black maternal mortality in the United States
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 ...
Perinatal mortality
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 ...
Mortality Medical Data System
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 ...
Infant mortality
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 ...
Historical mortality rates of puerperal fever
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 ...
Tajikistan
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 ...
Taiwan
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 ...
Keogh Review
"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 ...
Len Preslar
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- ...
Wilkes-Barre General Hospital
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 ...
Child mortality
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 ...
Aintree University Hospitals NHS Foundation Trust
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 (Washington)
"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 ...
Furness General Hospital scandal
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 Hospital and Cemetery site
"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 ...
Barrier cream
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 ...
Health in Lithuania
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 ...
1847 North American typhus epidemic
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 ...
Enterobacter cloacae
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 ...
Multisystem inflammatory syndrome in children
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 ...
Kelly J. Henning
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. ...
Datura
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 ...
Timeline of the COVID-19 pandemic in New York City
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 ...
Washington Heights, Manhattan
"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 ...
Palliative care
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 ...
Yee-Sin Leo
"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 ...
New Delhi metallo-beta-lactamase 1
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 ...
Cervical cancer
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 ...
Obstetric ultrasonography
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, Texas
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
"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 ...
Human-to-human transmission
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 ...
William Hunter (surgeon)
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 ...
Length of stay
... 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. ...
Medical malpractice in the United States
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 ...
Henry Larcom Abbot
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 ...
Cumari
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 ...
Jigme Singye Wangchuck
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 ...
Nigeria and the World Bank
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 ...
Mother and Child Scheme
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, ...
Childbirth
... 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 ...
Febrile neutropenia
... 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 ...
Royal Columbian Hospital
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 ...
Cynthia Barnes-Boyd
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 ...
Prostitution in the United States
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/ ...
2022 monkeypox outbreak
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 ...
Ectopia cordis
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. ...
Diseases of poverty
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 ...
Universal health care
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 ...
Phenotypic disease network (PDN)
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 ...
COVID-19 pandemic in Europe
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 ...
Timeline of the COVID-19 pandemic in the United Kingdom (July-December 2021)
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 ...
Paul Taylor (choreographer)
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 ...
Rattan Chand
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 ...
Clothes dryer
... 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 ...
Big Gaps Found in Hospital Mortality, Complication Rates
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 ...
COVID-19 Hospital Data - In-hospital mortality among confirmed COVID-19 encounters by week
... 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 ...
Browsing by Subject "Hospital Mortality"
Using care bundles to reduce in-hospital mortality: quantitative survey | The BMJ
... 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 ...
Acute cardiogenic pulmonary edema treated with mechanical ventilation. Factors determining in-hospital mortality
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 ...
WHO EMRO | Newly released in press article: Hospital-based case-control study of risk factors of early neonatal mortality in...
Study: History Of Marijuana Use Associated With Decreased In-Hospital Mortality In Trauma Patients - NORML
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 ...
When Doctors and Nurses Can Disclose and Discuss Errors, Hospital Mortality Rates Decline
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, ...
Medicine : Seminars : PenCHORD Seminar: Hospital Mortality Statistics What do they Mean?
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 ...
Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet
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. ...
Decreasing Mortality in Severe Sepsis and Septic Shock Patients by Implementing a Sepsis Bundle in a Hospital Setting | PLOS ONE
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 | BMJ Open
Association of serum magnesium level change with in-hospital mortality | BMJ Evidence-Based Medicine
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 ...
Weekend Hospital Admission, Acute Kidney Injury, and Mortality | American Society of Nephrology
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, ...
Article Metrics] Sex differences of in-hospital outcome and long-term mortality in pati | TCRM
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 ...
Eurosurveillance | Influenza-associated mortality in hospital care: a retrospective cohort study of risk factors and impact of...
... 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 ... Decrease in mortality rate and hospital admissions for acute myocardial infarction after the enactment of the smoking ban law ...
COVID-19 In-Hospital Mortality in Patients with CKD - Docwire News
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 ...
Global impact of the COVID-19 pandemic on subarachnoid haemorrhage hospitalisations, aneurysm treatment and in-hospital...
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 ... 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 | ADC Fetal & Neonatal Edition
Differences in in-hospital mortality after STEMI versus NSTEMI by sex. Eleven-year trend in the Spanish National Health Service...
... 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 ...
The challenge of neonatal mortality in an urban hospital.
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 ...
Incidence and mortality rates of varicella among end stage renal disease (ESRD) patients in Singapore General Hospital, a 12...
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 ...
Care home residents admitted to hospital through the emergency pathway: characteristics and associations with inpatient...
... 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. ...
Duke-NUS grants TIIM Healthcare exclusive licence to commercialise technology for intelligently triaging sepsis patients using...
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 ...
Sex-differences in incidence of hospitalizations and in hospital mortality of community-acquired pneumonia among children in...
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 ... 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. | Profiles RNS
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. ...
Hemogram parameters can predict in-hospital mortality of patients with Myasthenic crisis | BMC Neurology | Full Text
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 ...
Morbidity and mortaHospitalizationDeathsDifferencesDischargeConclusionsHospitalized with COVID-19Inpatient mortalityNeonatal mortalityClinicalMaternalAdmissionMethodsRegressionCohort studyPredictors of mortalityIntubationRisk Factors2018ResultsRates2022Perinatal2021PneumoniaOutcomePredictMyocardial InfarctionCardiacOutcomesAdmissionsDecreaseSurgicalPredictorKaplan-MeierCardiovascular DiseaseDiagnosesPopulation-based cohortIndependent predictorsSignificantly higherOdds of 30-dayHighDataPulmonarySepsisPrevalenceComplications and mortalityHigherCentersMechanical ventilationConclusionCharacteristics
Morbidity and morta9
- 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)
Hospitalization6
- 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)
Deaths15
- 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)
Differences8
- 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)
Discharge13
- 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)
Conclusions6
- 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)
Hospitalized with COVID-191
- Acute on chronic kidney injury increases odds of in-hospital mortality in CKD patients hospitalized with COVID-19. (docwirenews.com)
Inpatient mortality4
- 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)
Neonatal mortality1
- The challenge of neonatal mortality in an urban hospital. (cdc.gov)
Clinical16
- 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)
Maternal12
- 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)
Admission14
- 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)
Methods6
- 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)
Regression9
- 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)
Cohort study2
- 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)
Predictors of mortality1
- 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)
Intubation2
- 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)
Risk Factors1
- 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)
20182
- 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)
Results7
- 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)
Rates17
- 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)
20223
- 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)
Perinatal3
- 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)
20211
- 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)
Pneumonia2
- 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)
Outcome5
- 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)
Predict5
- 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)
Myocardial Infarction1
- In-hospital mortality of COVID-19 patients hospitalized with ST-segment elevation myocardial infarction: A meta-analysis. (nih.gov)
Cardiac2
Outcomes7
- 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)
Admissions7
- 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)
Decrease3
- 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)
Surgical7
- 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)
Predictor3
- 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)
Kaplan-Meier2
- 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)
Cardiovascular Disease3
- 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)
Diagnoses1
- 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)
Population-based cohort1
- We investigated the ratio of total CVD to CVD mortality in a large population-based cohort. (bmj.com)
Independent predictors1
- In the multivariate analysis, age and endovascular repair were the most important independent predictors of in-hospital mortality. (ru.nl)
Significantly higher2
- 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)
Odds of 30-day1
- 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)
High11
- 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)
Data15
- 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)
Pulmonary1
- Patients on haemodialysis (HD) have 14-16 fold increased risk of mortality from pulmonary infections as compared with general population [ 5 ]. (biomedcentral.com)
Sepsis2
- 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)
Prevalence2
- 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)
Complications and mortality2
- 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)
Higher5
- 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)
Centers1
- Even then, country hospitals and trauma centers often lack specialists and advanced equipment. (bigthink.com)
Mechanical ventilation3
- 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)
Conclusion2
- 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)
Characteristics1
- 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)