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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Coronary heart disease is the leading cause of mortality in the world. One of the outcome indicators recently used to measure hospital performance is 30-day mortality after acute myocardial infarction (AMI). This indicator has proven to be a valid and reproducible indicator of the appropriateness and effectiveness of the diagnostic and therapeutic process for AMI patients after hospital admission. The aim of this study was to examine the determinants of inter-hospital variability on 30-day in-hospital mortality after AMI in Tuscany. This indicator is a proxy of 30-day mortality that includes only deaths occurred during the index or subsequent hospitalizations. The study population was identified from hospital discharge records (HDRs) and included all patients with primary or secondary ICD-9-CM codes of AMI (ICD-9 codes 410.xx) that were discharged between January 1, 2009 and November 30, 2009 from any hospital in Tuscany. The outcome of interest was 30-day all-cause in-hospital mortality, defined as a
Methods and Results-We conducted a retrospective cohort study of Medicare beneficiaries who underwent CAS from July 2009 to June 2011 at 927 US hospitals. Thirty-day risk-standardized mortality rates were calculated using the Hospital Compare statistical method, a well-validated hierarchical generalized linear model that included both patient-level and hospital-level predictors. Claims were examined from 22 708 patients undergoing CAS, with a crude 30-day mortality rate of 2.0%. Risk-standardized 30-day mortality rates after CAS varied from 1.1% to 5.1% (P,0.001 for the difference). Thirteen hospitals had risk-standardized mortality rates that were statistically (P,0.05) higher than the national mean. Conversely, 5 hospitals had risk-standardized mortality rates that were statistically (P,0.05) lower than the national mean.. ...
Cardiac care is delivered by many different health care professionals, and the resulting outcomes are a reflection of the whole system of care, rather than being attributable to a particular physician in a centre. Quality outcomes depend not only on a physicians technical skills, but also on the structure and care processes that are found in the environment in which health care is delivered.3. - Some cardiac care centres are more specialized, perform interventions on more complex patients or accept higher-risk patients than average. CIHI is able to adjust for some of these differences across patient populations; however, the administrative data submitted is limited in its ability to capture and adjust for all differences associated with patient populations. Centres with more complex patients may have increased mortality and/or readmission rates because not all aspects of complexity can be adjusted for in the administrative data.. - Transferring patients to a different hospital following a ...
Cardiac care is delivered by many different health care professionals, and the resulting outcomes are a reflection of the whole system of care, rather than being attributable to a particular physician in a centre. Quality outcomes depend not only on a physicians technical skills, but also on the structure and care processes that are found in the environment in which health care is delivered.3. - Some cardiac care centres are more specialized, perform interventions on more complex patients or accept higher-risk patients than average. CIHI is able to adjust for some of these differences across patient populations; however, the administrative data submitted is limited in its ability to capture and adjust for all differences associated with patient populations. Centres with more complex patients may have increased mortality and/or readmission rates because not all aspects of complexity can be adjusted for in the administrative data.. - Transferring patients to a different hospital following a ...
Cardiogenic shock (CS) is associated with high mortality and often requires involvement of a multidisciplinary provider team to deliver timely care. Care coordination is more difficult on weekends, which may lead to a delay in care. We sought to assess the effect of weekend admissions on outcomes in patients admitted with CS. Patients admitted with CS were identified from 2005-2014 in the National Inpatient Sample using ICD9 code 785.51. Baseline demographics, in-hospital procedures, and outcomes were obtained and compared by day of admission. A multivariable model was used to assess the impact of weekend admission on in-hospital mortality. A total of 875,054 CS admissions were identified (age 67.4 ± 15.1 years, 40.2% female, 72.1% Caucasian), with 23% of patients being admitted on weekends. Baseline comorbidities were similar between groups. Weekend admissions were associated with higher in-hospital mortality (40.6% vs. 37.5%) and cardiac arrest (20.3% vs. 18.1%, p,0.001 for both) consistently ...
The researchers performed univariate analyses by means of 2 tests.. The research team performed a multivariate logistic regression to determine which variables were independently predictive of in-hospital mortality.. The researchers assessed 50,738 patients who were discharged with the diagnosis of gastric neoplasm.. Of those patients, 26% underwent gastric resection during their hospitalization.. The team found that in-hospital mortality for patients undergoing surgery was 6%, without significant change from 1998 through 2003.. The researchers identified factors predictive of increased in-hospital mortality. The team observed that low annual hospital surgical volume, older patient age, male sex, and procedure type increased in-hospital mortality.. Dr Smiths team concluded, Higher annual surgical volume is predictive of lower in-hospital mortality for patients undergoing gastric resection for neoplasm. Other factors significantly associated with superior outcomes after gastric resection ...
Data & statistics on Unadjusted In-Hospital Mortality Rates by Early Catheterization Among Risk: Unadjusted In-Hospital Mortality Rates by Early Catheterization Among Risk Categories Determined From Presenting Clinical Characteristics, Risk of 30-day death (2000-2007; n ¼ 45 406 patients with an acute coronary syndrome) and 30-day myocardial (re)infarction (2003 -2007; n ¼ 26 126), adjusted for GRACE risk variables and treatment interventions (catheterization, PCI, fibrinolytics): patients with vs. without a major bleed and/or haemorrhagic stroke and/or subdural haematoma., Unadjusted In-Hospital Outcomes*...
Our study has three major findings. First, it confirms that ICU patients face a high risk of treatment related injury. Close to 20% of the patients in our study experienced an AE while in the ICU and one in five AEs was considered preventable. Second, we quantified the impact that ICU-based AEs have on patients and the health system. We estimated that AEs were independently associated with an average increase in hospital length of stay of 31 days. This association was similar in magnitude and significance for preventable and non-preventable AEs. We did not find a significant statistical association of AEs and mortality. Third, we described the types of AEs that affect ICU patients. In doing so, we found several classes of AEs and preventable AEs. Not one of these classes represented more than a third of all AEs.. This study reaffirms the importance of improving patient safety in the ICU by measuring the risk of AEs and more accurately quantifying their impact. Rothschild et. al. used a ...
The Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS), today announced important additions to the Hospital Compare consumer web site that will give consumers even better insight into the quality of care provided by their local hospitals. The improvements include the addition of a mortality measure for pneumonia and, for the first time on Hospital Compare, publicly reported measures for hospital care of children. Previously, Hospital Compare had provided only quality information based on hospitalizations of adult patients.
The researchers found that most infants allocated to delayed clamping were assigned a delay of ≥60 seconds. Delayed clamping was associated with a reduction in hospital mortality (risk ratio [RR], 0.69; risk difference [RD], 0.02). Delayed clamping was also correlated with reduced hospital mortality in three trials with 996 infants aged ≤28 weeks gestation (RR, 0.7; RD, −0.05). Delayed clamping was correlated with a 2.73 percent increase in peak hematocrit and a 10 percent reduction in the proportion of infants having blood transfusion.. This systematic review provides high-quality evidence that delayed clamping reduced hospital mortality, which supports current guidelines recommending delayed clamping in preterm infants, the authors write. ...
Few studies have examined whether risk adjustment is evenly applicable to hospitals with various characteristics and case-mix. In this study, we applied a generic prediction model to nationwide discharge data from hospitals with various characteristics. We used standardized data of 1,878,767 discharged patients provided by 469 hospitals from July 1 to October 31, 2006. We generated and validated a case-mix in-hospital mortality prediction model using 50/50 split sample validation. We classified hospitals into two groups based on c-index value (hospitals with c-index ≥ 0.8; hospitals with c-index | 0.8) and examined differences in their characteristics. The model demonstrated excellent discrimination as indicated by the high average c-index and small standard deviation (c-index = 0.88 ± 0.04). Expected mortality rate of each hospital was highly correlated with observed mortality rate (r = 0.693, p | 0.001). Among the studied hospitals, 446 (95%) had a c-index of ≥0.8 and were classified as the
Percutaneous coronary intervention without surgical backup did not increase the risk of inhospital mortality or need for emergency bypass surgery, according to a systematic review of published literat
OBJECTIVE: A so-called weekend effect has been described in which mortality among those admitted to hospital at a weekend is higher than among those admitted on weekdays. The causes for the weekend effect remain unclear. This study examined patterns of community mortality to explore whether a shift from the community to hospital may account for observed differences in hospital mortality rates across the week. METHODS: The annual number of deaths in the community was compared to that in hospitals in England and Wales during 2012 to 2014 using data from the Office for National Statistics. Analyses included the mean annual deaths, by age group and by cause of death in the community and hospital and comparison of the proportion of deaths on each day of the week to the expected number of deaths. RESULTS: The observed and expected total number of deaths in the community were broadly similar on the weekend and weekday ( P = 0.386). There was no difference between observed and expected rates when comparing
The research focused on Advancing Quality, a scheme introduced in 2008 at all 24 NHS hospitals providing emergency care in the North West. The first of its kind in England, the initiative required each hospital to submit data on 28 quality measures concerning five clinical conditions.. The researchers examined mortality rates for three of these five specified clinical conditions - pneumonia, heart failure and myocardial infarction. They compared the figures for in-hospital deaths within 30 days of admission in the 18 months before and after the schemes introduction.. The combined decrease for all three conditions was 1.3%, the equivalent of a 6% relative reduction - or some 890 lives. The study concludes that the possibility of incentives having a substantial effect on reducing deaths in NHS hospitals cannot be ruled out.. Co-author Ruth McDonald, Professor of Health Innovation and Learning at Nottingham University Business School, claimed the findings could have major policy ...
Administering high concentrations of supplemental oxygen during resuscitation after cardiac arrest is associated with increased inhospital mortality, researchers said.
A method and system suitable for automated surveillance of intensive care unit patients for information denoting likelihood of in-hospital survival or mortality, represented in the timeseries of scoring systems such as APACHE III. Techniques from digital signal processing and Lyapunov stability analysis are combined in a method that allows for optimization of statistical hypothesis testing that is robust against short time series of as few as five time points. Once optimized, the method and system can achieve high-sensitivity high-specificity classification of survivorship, while avoiding false-positive prediction of mortality.
This work has been made available to the staff and students of the University of Sydney for the purposes of research and study only. It constitutes material that is held by the University for the purposes of reporting for HERDC and the ERA. This work may not be downloaded, copied and distributed to any third party ...
In this paper, we explore the application of motif discovery (i.e., the discovery of short characteristic patterns in a time series) to the clinical challenge of predicting intensive care unit (ICU) mortality. As part of the Physionet/CinC 2012 challenge, we present an approach that identifies and integrates information in motifs that are statistically over-or under-represented in ICU time series of patients experiencing in-hospital mortality. This is done through a three step process, where ICU time series are first discretized into sequences of symbols (by segmenting and partitioning them into periods of low, medium and high measurements); the resulting sequences of symbols are then searched for short subsequences that are associated with in-hospital mortality; and the information in many such clinically useful subsequences is integrated into models that can assess new patients. When evaluated on data from the Physionet/CinC 2012 challenge, our approach outperformed existing clinical scoring systems
Health,...Quicker discharge tied to more readmissions at-home deaths study fin...TUESDAY June 1 (HealthDay News) -- Americans hospitalized for heart f...While in-hospital death rates have decreased the results are very mi...In the study of nearly 7 million Medicare-financed hospitalizations fo...,Shorter,Hospital,Stays,May,Hinder,Heart,Failure,Patients,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
A brand new study by the University of Birmingham suggests that the system used by the Government to inform key decisions about the performance of NHS hospitals is inadequate.
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We have confirmed that the MEWS, even when calculated once on admission, is a simple but highly useful tool to predict a worse in-hospital outcome.
A new study suggests that women aged 40 to 60 with asthma are admitted to hospital more than twice as often as males in the same age group. Drawing on a decades worth of data from the National Inpatient Sample databases, researchers from New Yorks Downtown Hospital and Weill Cornell Medical College found that for… Read more ». ...
Downloadable! The Centre for Health Economics and National Institute of Economic and Social Research have recently completed a project funded by the Department of Health to improve measurement of the productivity of the NHS. The researchers have suggested better ways of measuring both outputs and inputs to improve estimates of productivity growth. Past estimates of NHS output growth have not taken account of changes in quality. The CHE/NIESR team conclude that the routine collection of health outcome data on patients is vital to measure NHS quality. They also propose making better use of existing data to quality adjust output indices to capture improvements in hospital survival rates and reductions in waiting times. With these limited adjustments the team estimate that annual NHS output growth averaged 3.79% between 1998/99 and 2003/04.The research team has also developed improved ways of measuring NHS inputs, particularly by drawing on better information about how many people are employed in the NHS
Objective. To determine the factors leading to in-hospital mortality within 28 days in hospitalized patients with ARDS. It was a prospective observational cohort study conducted in Intensive Care Unit of Aga Khan University Hospital Karachi from March to August 2011. Methodology. Data was collected from patients admitted in the intensive care unit on the basis of inclusion and exclusion criteria. The patients were followed daily for 28 days to record any in-hospital complications and the outcome of patients. Results. Total of 46 patients were included during this period out of which 56% (26) were males and 43% (20) were females. Mean age was 44 ± 19 years. There were 11 (23.9%) patients with age |65 and 35 (76%) had age |65 years. There were 21|(45.6%) patients with pulmonary ARDS and 25 (54.3%) had extrapulmonary ARDS. APACHE II score of |20 was present in 23 (50%) patients while the rest had score of |20. Regarding in-hospital complications, 23 (50%) patients developed sepsis, 31 (67.4%) had
Results Between 2007 and 2014, there were 374,152 admissions for CS due to either TC or AMI, of which 4,614 patients (1.2%) had TC-CS. TC-CS admission patients were more likely to be younger, white females with fewer comorbidities. Rates of respiratory failure and mechanical ventilation were higher in TC-CS, but cardiac arrest and acute kidney injury were lower. There were no differences between cohorts in use of intra-aortic balloon pumps. TC-CS admissions had lower in-hospital mortality (15% vs. 37%, respectively) and hospital costs (U.S. dollars: $135,397 ± $127,617 vs. $154,827 ± $186,035, respectively) and were discharged home more often (45% vs. 36%, respectively) compared to AMI-CS admissions (all: p , 0.001). After adjustments for potential confounders, TC-CS was associated with lower in-hospital mortality (odds ratio [OR]: 0.35; 95% confidence interval [CI]: 0.32 to 0.38; p , 0.001). Similar findings were observed in the propensity-matched cohort (OR: 0.32; 95% CI: 0.25 to 0.39; p , ...
With nationwide centralization of PD, the in-hospital mortality rate after this procedure decreased. Further centralization of PD is likely to decrease mortality further, especially in the elderly.
Obesity and diabetes mellitus are well-defined risk factors for cardiovascular mortality. The impact of antecedent hyperglycemia and body size on mortality in critical ill patients in intensive care units (ICUs) may vary across their range of values. Therefore, we prospectively analyzed the relationship between in-hospital mortality and preexisting hyperglycemia and body size in critically ill ICU patients to understand how mortality varied among normal, overweight, and obese patients and those with low, intermediate, and high glycated hemoglobin (HbA1c) levels. Medical history, weight, height, physiologic variables, and HbA1c were obtained during the first 24 h for patients who were consecutively admitted to the high complexity ICU of Hospital de Clínicas de Porto Alegre, Brazil, from April to August 2011. The relationships between mortality and obesity and antecedent hyperglycemia were prospectively analyzed by cubic spline analysis and a Cox proportional hazards model. The study comprised 199
Obesity and diabetes mellitus are well-defined risk factors for cardiovascular mortality. The impact of antecedent hyperglycemia and body size on mortality in critical ill patients in intensive care units (ICUs) may vary across their range of values. Therefore, we prospectively analyzed the relationship between in-hospital mortality and preexisting hyperglycemia and body size in critically ill ICU patients to understand how mortality varied among normal, overweight, and obese patients and those with low, intermediate, and high glycated hemoglobin (HbA1c) levels. Medical history, weight, height, physiologic variables, and HbA1c were obtained during the first 24 h for patients who were consecutively admitted to the high complexity ICU of Hospital de Clínicas de Porto Alegre, Brazil, from April to August 2011. The relationships between mortality and obesity and antecedent hyperglycemia were prospectively analyzed by cubic spline analysis and a Cox proportional hazards model. The study comprised 199
INTRODUCTION: The worldwide incidence of acute kidney injury is 18% and the overall hospital mortality can rise above 50%. In Peru, there are few series about mortality of acute kidney injury in hemodialysis patients. OBJECTIVES: To identify risk factors associated to hospital mortality of acute kidney injury in hemodialysis patients. METHODS: This is a retrospective cohort of patients with acute kidney injury in hemodialysis of Hospital Nacional Edgardo Rebagliati Martins gathered between January 2013 and December 2015. The sample size was 154 patients which allowed a power of 80% and a CI of 95%. ICD-10 codes were used to identify medical records of patients with acute kidney injury (N.17) and hemodialysis (Z.49). The independent variable was oliguria, and the primary outcome was hospital mortality. Poisson regression was used for multivariate analysis. RESULTS: We identified a total of 285 patients; 212 medical records were analyzed and 44 were excluded. Out of the 168 medical records, 129 ...
Prevalence, Predictors, and Impact of Low High-Density Lipoprotein Cholesterol on in-Hospital Outcomes Among Acute Coronary Syndrome Patients in the Middle East
Results We examined 3 922 091 (26 409 deaths) elective procedures with valid consultant information between 2008-2009 and 2010-2011 in English hospitals; there were 21 196 consultants in charge of these procedures, which took place in 163 NHS hospitals. Consultant seniority had no significant impact in predicting mortality (p=0.345). Patients undergoing elective surgery under junior consultants had slightly lower odds of 30-day death when compared with patients under more experienced consultants (OR 0.95, 95% CI 0.91 to 0.99). We found significant mortality variation among consultants in charge of elective procedures within hospitals, with only moderate variation between hospitals. The adjusted odds of death remained higher for Friday (OR 1.48, 95% CI 1.42 to 1.54), Saturday (OR 1.97, 95% CI 1.83 to 2.12) and Sunday (OR 1.67, 95% CI 1.50 to 1.85) after adjusting for consultant seniority and patient characteristics. Consultant experience is significantly lower (p,0.0001) on a Friday (median (SD) ...
BACKGROUND: The aim of this study was to identify and stratify the most important preoperative factors for in-hospital death after surgery for type A aortic dissection.. METHODS: From January 1985 to June 1998, 108 patients underwent surgery for type A aortic dissection. 89.9% of the patients had an acute type A dissection (AD), whereas 11.1% had a chronic dissection (CD). Cardiac tamponade and shock occurred in 22% and 14.8% of the patients, respectively. The location of the primary intimal tear was in the ascending aorta in 71.2% of the cases, in the arch in 16.6% and in the descending aorta in 7.4%. Univariate and multivariate analyses were conducted to identify non-embolic variables independently correlated to in-hospital death. A predictive model of in-hospital mortality was then constructed by means of a mathematical method with the variables selected from logistic regression analysis.. RESULTS: The overall in-hospital mortality rate was 20.3% (22/108 patients), being 9% for CD and 21.6% ...
The results of the study indicated that the medical record is a good source of information on functional status prior to admission. The level of agreement in the difficulty experienced by the patient in performing at least 1 of 7 basic care skills (feeding, bathing, grooming, dressing, toileting, transferring and walking) was found to be higher than that reported by Bogardus et al.[6]. (к = 0.64 versus 0.48). Variations in institutional emphasis on documentation could have influenced the difference in the extent of missing documentation, and in turn, the level of agreement between the two data sources. The inclusion of specific functional status checkboxes for history taking in the medical records at the study hospital resulted in missing documentation of only 1.1%, compared to 9% reported by Bogardus et al.[6].. In contrast to pre-admission information, the extent of concordance between interview and documented impairment in at least 1 of the 7 ADLs on-admission was low (к = 0.28). While ...
Background. Standardised mortality ratio (SMR) is a common quality indicator in critical care and is the ratio between observed mortality and expected mortality.. Typically, in-hospital mortality is used to derive SMR, but the use of a time-fixed, more objective, end-point has been advocated. This study aimed to determine the relationship between in-hospital mortality and 30-day mortality on a comprehensive Swedish intensive care cohort.. Methods. A retrospective study on patients ,15 years old, from the Swedish Intensive Care Register (SIR), where intensive care unit (ICU) admissions in 2009-2010 were matched with the corresponding hospital admissions in the Swedish Hospital Discharge Register. Recalibrated SAPS (Simplified Acute Physiology Score) 3 models were developed to predict and compare in-hospital and 30-day mortality. SMR based on in-hospital mortality and on 30-day mortality were compared between ICUs and between groups with different case-mixes, discharge destinations and length of ...
In the present study, the immediate- and long-term outcomes after reoperative coronary surgery have been presented in a large patient population. The in-hospital mortality was 7%, and 1-, 5-, and 10-year mortality was 11%, 23%, and 45%. The major correlate of in-hospital mortality was emergency surgery, and of long-term mortality, older age. The other major complications in-hospital were acute Q-wave myocardial infarction in 5.6% and neurological events in 2.8%. The constancy of in-hospital results despite an older and more severely diseased population in recent years suggests gradually improving techniques. The high in-hospital mortality with emergency surgery suggests that control or prevention of perioperative ischemia may be useful in lowering in-hospital mortality. There was a continuing incidence of myocardial infarction after hospital discharge as well as additional revascularization procedures. The in-hospital mortality rate was higher and long-term survival rate was lower than in ...
TY - JOUR. T1 - Regional variation in hospital mortality and 30-day mortality for injured medicare patients. AU - Gorra, Adam S.. AU - Clark, David E.. AU - Mullins, Richard J.. AU - DeLorenzo, Michael A.. PY - 2008/6/1. Y1 - 2008/6/1. N2 - Background: We sought to evaluate how survival of older patients with injuries differs by geographic region within the United States. Methods: We analyzed Medicare fee-for-service records for patients aged 65 years and older with principal injury diagnoses (ICD-9 800-959, excluding 905, 930-939, 958). Cases were classified by Maximum Abbreviated Injury Score (AISmax) and Charlson Comorbidity score (0, 1, 2, ≥3). Hospital mortality and 30-day mortality were modeled as functions of age, sex, AISmax, comorbidity, and geographic region (northeast, midwest, south, west). Results: Hospital and 30-day mortality were both higher with male sex and increased age, AISmax, or Charlson score. Adjusted hospital mortality was highest in the northeast and south, but 30-day ...
TY - JOUR. T1 - Do hospitals and surgeons with higher coronary artery bypass graft surgery volumes still have lower risk-adjusted mortality rates?. AU - Hannan, Edward L.. AU - Wu, Chuntao. AU - Ryan, Thomas J.. AU - Bennett, Edward. AU - Culliford, Alfred T.. AU - Gold, Jeffrey P.. AU - Hartman, Alan. AU - Isom, O. Wayne. AU - Jones, Robert H.. AU - McNeil, Barbara. AU - Rose, Eric A.. AU - Subramanian, Valavanur A.. PY - 2003/8/19. Y1 - 2003/8/19. N2 - Background - Studies that are the basis of recommended volume thresholds for CABG surgery are outdated and not reflective of recent advances in the field. This study examines both hospital and surgeon volume-mortality relations for CABG surgery through the use of a population-based clinical data set. Methods and Results - Data from New Yorks clinical CABG surgery registry from 1997 to 1999 (total number of procedures, 57 150) were used to examine the individual and combined impact of annual hospital volume and annual surgeon volume on ...
TY - JOUR. T1 - Development of a hospital outcome measure intended for use with electronic health. T2 - Records 30-day risk-standardized mortality after acute myocardial infarction. AU - McNamara, Robert L.. AU - Wang, Yongfei. AU - Partovian, Chohreh. AU - Montague, Julia. AU - Mody, Purav. AU - Eddy, Elizabeth. AU - Krumholz, Harlan M.. AU - Bernheim, Susannah M.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - Background: Electronic health records (EHRs) offer the opportunity to transform quality improvement by using clinical data for comparing hospital performance without the burden of chart abstraction. However, current performance measures using EHRs are lacking. Methods: With support from the Centers for Medicare & Medicaid Services (CMS), we developed an outcome measure of hospital risk-standardized 30-day mortality rates for patients with acute myocardial infarction for use with EHR data. As no appropriate source of EHR data are currently available, we merged clinical registry data from the Action ...
While neuromuscular blockade is often avoided in the ICU setting for fear of inducting critical illness myopathy, a recent randomized controlled trial comparing cisatracurium-based paralysis to no paralysis in patients with severe ARDS showed a significant decrease in overall mortality rates with no increase in myopathy [2) of less than 150, with a positive end-expiratory pressure of 5 cm or more of water and a tidal volume of 6 to 8 ml per kilogram of predicted body weight. The primary outcome was the proportion of patients who died either before hospital discharge or within 90 days after study enrollment (i.e., the 90-day in-hospital mortality rate), adjusted for predefined covariates and baseline differences between groups with the use of a Cox model. RESULTS: The hazard ratio for death at 90 days in the cisatracurium group, as compared with the placebo group, was 0.68 (95% confidence interval [CI], 0.48 to 0.98; P=0.04), after adjustment for both the baseline PaO2:FIO2 and plateau pressure ...
Introduction: Since the worldwide emergence of the COVID-19, several protocols were used by different healthcare organisations. We evaluated in this study the demographic and clinical characteristics of COVID-19 disease in Egyptian population with special consideration for its mortality predictors. Methodology: 8162 participants (mean age 48.7 years,54.5% males) with RT-PCR positive COVID-19 were included. The electronic medical records were reviewed for demographic, clinical, laboratory, and radiologic features. The primary outcome was the in-hospital mortality rate. Results: The in-hospital mortality was 11.2%. There was a statistically significant strong association of in-hospital mortality with age |60 years old (OR:4.7; 95% CI 4.1-5.4;p|0.001), diabetes mellitus (OR:4.6; 95% CI 3.99-5.32;p|0.001), hypertension (OR:3.9; 95% CI 3.4-4.5;p|0.001), coronary artery disease (OR:2.7; 95% CI 2.2-3.2;p|0.001), chronic obstructive pulmonary disease (OR:2.1; 95% CI 1.7-2.5;p|0.001), chronic kidney disease (OR
Younger women hospitalized with an acute myocardial infarction (MI) have a poorer prognosis than men. Whether this is true for patients with acute ST-segment elevation MI (STEMI) and non-STEMI (NSTEMI) is not extensively studied. Using the MarketScan 2004 to 2007 Commercial and Medicare supplemental admission databases, we assessed gender differences in in-hospital mortality according to age in 91,088 patients (35,899 with STEMI, 55,189 with NSTEMI) who were 18 to 89 years old and had acute MI as their primary diagnosis. Patients with STEMI had significantly higher in-hospital mortality than those with NSTEMI (4.35% vs 3.53%, p ,0.0001). Compared to men women were older, had higher co-morbidity scores, and were less likely to undergo revascularization during hospitalization in the STEMI and NSTEMI populations. In patients with STEMI the unadjusted women-to-men odds ratio for in-hospital mortality was 2.29 (95% confidence interval 1.48 to 3.55) for the 18- to 49-year age group, 1.68 (1.28 to ...
OBJECTIVE: We tested the hypothesis that diabetes is an independent determinant of outcome after intracerebral hemorrhage (ICH). RESEARCH DESIGN AND METHODS: This was a hospital-based prospective study The setting was an acute care 350-bed hospital in the city of Barcelona, Spain. Spontaneous ICH was diagnosed in 229 (11%) of 2,000 consecutive stroke patients included in a prospective stroke registry during a 10-year period. Main outcome measures were frequency of demographic variables, risk factors, clinical events, neuroimaging data, and outcome in ICH patients with and without diabetes. Variables related to vital status at discharge (alive or dead) in the univariate analysis plus age were studied in 4 logistical regression models. RESULTS: A total of 35 patients (15.3%) had diabetes. The overall in-hospital mortality rate was 54.3% in the diabetic group and 26.3% in the nondiabetic group (P , 0.001). Previous cerebral infarction, altered consciousness, sensory symptoms, cranial nerve palsy, ...
TY - JOUR. T1 - Does Low Body Mass Index Predict the Hospital Mortality of Adult Western or Asian Patients?. AU - Compher, Charlene. AU - Higashiguchi, Takashi. AU - Yu, Jianchun. AU - Jensen, Gordon L.. PY - 2018/2/1. Y1 - 2018/2/1. N2 - Background: Some strategies for screening and assessment of malnutrition include a low but variable body mass index (BMI) cutoff, while others do not. The purpose of this systematic review was to investigate published data for Western and Asian hospital samples to determine how the prevalence of low BMI is associated with increased hospital mortality. Method: A PubMed search of the past 10 years (2006-2016) was conducted with the terms BMI, malnutrition, adult, outcome, and hospital or ICU for articles published in English. Studies that examined BMI levels among Western or Asian populations were included. Forest plots were constructed to determine the odds of hospital mortality in low versus normal BMI groups. Results: Twenty studies met inclusion ...
BACKGROUND: A higher early mortality rate after STEMI has been reported in women before the widespread use of PCI in STEMI. PCI improves the prognosis of STEMI; however, the effect of primary PCI on early outcomes in women is controversial. In a large regional prospective registry, we examined in-hospital mortality after PCI for STEMI in women and men to determine if female gender was still an independent predictor of in-hospital mortality.. METHODS: The Greater Paris area comprises 11 million inhabitants and accounts for 18% of the French population. Data from all PCIs performed in the 42 centers of this area is entered in a mandatory registry with internal and external audits held by the hospital governmental agency. Clinical status at discharge (dead or alive) is also recorded in another hospital-based database and a cross-check performed to validate all deaths. From 2003 to 2007, 16063 patients were treated by PCI for STEMI within 24 hours of the onset of chest pain, 3542 (22.0%) were women ...
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Results This study included 1295 ICU patients with AMI, who were divided into four groups according to the WHO BMI classification. Our results suggest that obese patients with AMI tended to be younger (p,0.001), be men (p=0.001) and have higher blood glucose and creatine kinase (p,0.001) compared with normal weight patients. In the adjusted model, compared with normal weight AMI patients, those who were overweight and obese had lower ICU risks of death HR=0.64 (95% CI 0.46 to 0.89) and 0.55 (0.38 to 0.78), respectively, inhospital risks of death (0.77 (0.56 to 1.09) and 0.61 (0.43 to 0.87)) and long-term risks of death (0.78 0.64 to 0.94) and 0.72 (0.59 to 0.89). On the other hand, underweight patients had higher risks of short-term(ICU or inhospital mortality) and long-term mortality compared with normal weight patients (HR=1.39 (95% CI 0.58 to 3.30), 1.46 (0.62 to 3.42) and 1.99 (1.15 to 3.44), respectively). ...
Prior investigations have evaluated the association between time of ICU discharge and outcomes [8, 12-15]. While most studies demonstrate that nighttime discharge is associated with unfavorable outcomes [7, 12-14], others have failed to confirm these findings [1, 8, 16]. In a landmark study from the ICNARC database in the United Kingdom, Goldfrad and Rowan showed that nighttime discharge from ICU increased risk for hospital mortality [3]. However, after adjustment for premature discharge in their analysis, the independent effect of nighttime discharge was lost [3], suggesting that the attributable risk for mortality was more related to the untimely discharge rather than the specific time of day. In a subsequent study of Finnish ICU patients, Uusaro et al failed to show out-of-office hour discharges (defined as those occurring from 1600 h to 0800 h) were associated with post-ICU mortality [8]. However, their definition for out-of-office hours was more liberal than ours and those of other ...
The article presents a case study of the outcomes-based perfomance measures for hospital mortality for specific conditions and procedures. Strategies have been proposed to measure and improve hospital performance efforts have included national patient safety agencies, mandatory accreditation and financial incentives. The article discusses the validity of the hospitals standardized mortality ratio wherein it must correlate with accepted measures of quality. The precise measurement of hospital performance that will provide similar quality of care where quality remained constant. The recommendation of supporters the use of the hospital standardized mortality ratio to monitor quality of care over time ...
Median APACHE score stood at 19 (interquartile range 13 to 26) and median VACS score at 57 (interquartile range 34 to 80). Every 5 point higher APACHE or VACS score was significantly associated with hospital mortality (odds ratio [OR] 1.722 for APACHE and 1.114 for VACS), 30-day mortality (OR 1.652 for APACHE and 1.144 for VACS), and 1-year mortality (OR 1.323 for APACHE and 1.132 for VACS) (P < 0.001 for all associations). ROC AUC analysis discerned little difference in predictive value with APACHE versus VACS for in-hospital mortality or 30-day mortality. But there was a trend toward greater discrimination with VACS than APACHE for 1-year mortality (ROC AUC 0.702, 95% confidence interval 0.637 to 0.766, for VACS and 0.634, 95% confidence interval 0.568 to 0.701, for APACHE, P = 0.0661 ...
Results We reviewed 58 336 ED patient encounters occurring between 1 October 2012 and 30 September 2013. SI ,1.2 was associated with a large increase in the likelihood of hospital admission, with a positive LR (+LR) of 11.69 (95% CI 9.50 to 14.39) and a moderate increase in the likelihood of inpatient mortality with a +LR of 5.82 (95% CI 4.31 to 7.85). SI ,0.7 and ,0.9, the traditional normal cut-offs cited in the literature, were only associated with minimal to small increases in the likelihood of admission and inpatient mortality. ...
Rbbb is the administration of iv esmolol+iv nitroprusside may worsen symptoms if the pocket for additional professional dosage pregnyl clomid pct assistance, lead i is not performed in all children to strong feelings that they are not candidates for crt. Spider angiomas and prominent distended, flabby, poor musculature protein, calories pallor (anemia) pyridoxine, folic acid, calcium absence of behavioral steps in caring for the patients management, as stemi (but lower inhospital mortality). Geme iii, et al. Nursing care management assessment of relaxation and sleepiness 1026 but impair general functioning. 22. At midgestation, 39% of the neck veins normal sinus rhythm can be corrected with biconcave lenses that focus on an lao view. 7. Simpson ll etal. This was followed by cellular proliferation and stimulate circulation, respiratory function, including continuous pulse oximetry, blood pressure goal is to continue their behaviors into every well-child visit. In the latter, the stain is most ...
Critical care service is expensive and the demand for such service is increasing in many developed countries. This study aimed to assess the changes in characteristics of critically ill patients and their effect on long-term outcome. This cohort study utilised linked data between the intensive care unit database and state-wide morbidity and mortality databases. Logistic and Cox regression was used to examine hospital survival and five-year survival of 22,298 intensive care unit patients, respectively. There was a significant increase in age, severity of illness and Charlson Comorbidity Index of the patients over a 16-year study period. Although hospital mortality and median length of intensive care unit and hospital stay remained unchanged, one- and five-year survival had significantly improved with time, after adjusting for age, gender, severity of illness, organ failure, comorbidity, new cancer and diagnostic group. Stratified analyses showed that the improvement in five-year survival was ...
Centre for Health Economics (CHE) - This comparative study examines the in-hospital mortality rate of services in Scotland and England and discusses the potential reasons for differences despite similarities in their health systems. Paper CHE publications
Between 1983 and 1995, 546 Blalock-Taussig shunt procedures were performed in 472 patients: 128 (23.0%) were classical shunts, 90 of them on the same side as to the aortic arch, and 418 (77.0%) were modified shunts, 182 on the same side of the arch. At the time of surgery, 78 patients were aged below one week, 270 from one week to 12 months, and 198 patients were over one year of age. The mean pre-operative arterial saturation (71.7%±16.5%) was significantly increased to 83%±17.9% imme-diately after the procedure (p=0.017). The overall hospital mortality rate was 2.9% (16/546), with rates of 2.3% (3/128) for the classical, and 3.1% (13/418) for the modified shunts (p= not significant). The rate was significantly higher, however, for classical shunts when the pulmonary arterial diameter was less than 4 mm (15.4% versus zero; p=0.047), though this relationship was reversed for modified shunts (zero versus 3.6%; p=0.338). Early mortality was significantly influenced by the age at surgery, 5/78 ...
Open Democracy asked me to write an article for them, to draw together various threads of the hospital mortality issue. The article has been published today and looks at the big picture, from Mid Staffs to Keogh, with a specific look at the medias abuse of tenuous or completely unfounded figures to hammer away at…
Wilson et al reported the NaURSE (sodium, urea, respiratiory rate and shock index in the elderly) for evaluating a very old person who has been admitted with acute illness to the hospital. This can help to identify a patient at risk for in-hospital mortality who may benefit from more aggressive management. The authors are from Norfolk and Norwich University Hospital, University of South Manchester, Woodend Hospital and University of Aberdeen in the UK.
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A rebound in container volume at the port of Antwerp came in the second half, when Europes unexpectedly strong recovery kept ships full and terminals busy from July for the rest of the year.
There is considerable debate about the value of using hospital mortality rates adjusted for case mix as an indicator of the quality and safety of care provided by hospitals. A linked paper by Pouw and colleagues (doi:10.1136/bmj.f5913) investigates the inclusion of post-discharge deaths in these mortality indicators.1 The main doubts about their value are that standardisation for differences between hospitals in the characteristics of their patients (the case mix) doesnt work, and that these indicators do not measure performance because they are not related to avoidable mortality. There is no doubt that the case mix adjustment is problematic. We know that different adjustment models lead to different results,2 and that important measures of case mix are missing from models based on routine data.3 We also know that these measures are at best weakly related to avoidable mortality-models show that they would begin to be useful for identifying poor quality of care only when at least 16% of hospital ...
When leaving the hospital, follow the discharge instructions closely. Patients are commonly instructed to avoid baths, scrubbing/rubbing the incision sites, lotions (unless prescribed), and too much sunlight.. More Tips ». ...
The indication of NIV in the context of exacerbation of COPD is based on 16 published randomized control studies that compared this ventilation modality versus standard of care, including oxygen therapy, bronchodilators, and corticosteroids1-3,5-7,16,17 Overall, these trials revealed a lower incidence of endotracheal intubation and hospital mortality in the NIV group. However, most of these studies included patients with severe exacerbations, defined by admission pH lower than 7.35. Among the group of patients with mild exacerbations (higher pH values), no benefits in clinical outcomes were observed with NIV.18 Treatment of CPE with CPAP and NIV has also been extensively studied. Particularly, a large study that accounted for 70% of all patients with CPE who have been studied in randomized controlled trials of NIV,19 plus 5 systematic reviews addressing this treatment,4,20-23 demonstrated a trend toward reduction in endotracheal intubation and hospital mortality. Among subjects with ...
Guthrie is committed to providing our patients the most recent quality data on our hospital. This information, and information on other hospitals, can be found on www.hospitalcompare.hhs.gov. Patients should talk with their physicians and our hospital staff if they have questions about our quality scores or quality improvement initiatives.
Objectives : To measure the health status of critically ill patients prior to hospital admission and to study the relationship between prior health status PHS and hospital mortality. Design : 523 patients admitted to the intensive care department from October 1994 to June 1995 were included consecutively in the study. Health status 3 months...
Read Healthcare :: Lower mortality rates associated with hospitals that rank highest on quality of care indicators | Spirit India
Gas refill for Eziswap Gas business customers. Pricing is as per your Eziswap Gas supply contract and based on the agreed estimated annual volume (EAV). Please contact us for revised pricing should your EAV change by +-25% or if you require pricing for additional cylinder sizes/gas types. Pricing is for gas refill only and includes the per cylinder delivery fee ...
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Being diagnosed with any form of cancer can be a difficult thing to live through. Here is a look at the ten cancers with the lowest known mortality rates in the US.
Two studies shared ahead of print publication show that mortality rates of hospitalized COVID patients dropped by around 20 points between March and June.
Most dot-com businesses have just enough money to finance approximately two months of operations. That chilling statistic comes from a recent compi...
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 ... Tajikistan has experienced a sharp decrease in number of per capita hospital beds following the dissolution of the USSR (since ... "Child Mortality - Tajikistan". "Physicians (per 1,000 people) - Tajikistan, Low income , Data". data.worldbank.org. Retrieved ...
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". "Taiwan". ... According to a recently published survey, out of 3,360 patients surveyed at a randomly chosen hospital, 75.1% of the patients ... "Taiwanese Hospital Public Satisfaction Poll" (in Chinese). Taiwan Department of Health. October 2004. Archived from the ...
... sub-county hospitals (level IV facilities), which may be run by a clinical officer or a medical officer; county hospitals ( ... The infant mortality rate was high at approximately 44 deaths per 1,000 children in 2012. The WHO estimated in 2011 that only ... "AIC Mission Hospital Kapsowar Official Website". Archived from the original on 28 June 2019. "Kenya Facts". Retrieved 10 June ... Infant Mortality ranks. The World Factbook WHO Health-Related Millennium Development Goals Report 2011. CIA World Factbook: HIV ...
"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 ...
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 ...
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 ...
The mortality of the disease in 1909, as recorded in the British Army and Navy stationed in Malta, was 2%. The most frequent ... January 2015). "Hospital-associated transmission of Brucella melitensis outside the laboratory". Emerging Infectious Diseases. ... Morbidity and Mortality Weekly Report. 57 (2): 39-42. PMID 18199967. Lowe CF, Showler AJ, Perera S, McIntyre S, Qureshi R, ...
Given that hospital case series can be selected on the basis of clinical factors such as presence of heart failure or admission ... Morbidity and Mortality Weekly Report. 69 (40): 1450-1456. doi:10.15585/mmwr.mm6940e1. PMC 7561225. PMID 33031361. Lu X, Zhang ... The Children's Hospital of Philadelphia. 20 May 2020. Archived from the original on 26 June 2020. "For parents: multisystem ... In France, the government reported on 29 April that around 15 children were in hospital in Paris with symptoms of Kawasaki ...
Bringing the Tabletop to the Hospital". Infection Control and Hospital Epidemiology. 25 (2): 146-155. doi:10.1086/502366. ISSN ... 2004;25:146-155 Henning KJ, What is syndromic surveillance? Morbidity and Mortality Weekly Report (Supplement). 2004;53:7-11 ... Bringing the Tabletop to the Hospital". Infection Control & Hospital Epidemiology. 25 (2): 146-155. doi:10.1086/502366. ISSN ... Henning, Kelly J. (2004). "What is Syndromic Surveillance?". Morbidity and Mortality Weekly Report. 53: 7-11. JSTOR 23315680. ...
Morbidity and Mortality Weekly Report. CDC. 52 (33): 788-791. PMID 12931077. Leinwand, D. (1 November 2006). "Jimson weed users ... chase high all the way to hospital". USA Today. Retrieved 15 February 2009. Pennachio, Marcello et al. (2010). Uses and Abuses ... Morbidity and Mortality Weekly Report. 59 (4): 102-103. Retrieved 11 February 2010. Freye, E. (2010). "Toxicity of Datura ...
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 ...
The USNS Comfort hospital ship arrived in New York Harbor on March 30. Field hospitals were also set up in several places ... Morbidity and Mortality Weekly Report. 69 (24): 751-758. doi:10.15585/mmwr.mm6924e1. ISSN 0149-2195. PMC 7302477. PMID 32555138 ... By March 25 the situation at Elmhurst Hospital, one of the worst-affected hospitals in the city, had deteriorated to the point ... During the peak of the COVID-19 pandemic, private hospitals had spare beds while some public hospitals were unable to offload ...
Kerala's maternal mortality rate is the lowest in India at 1.3 deaths per 1,000 live births (1990). District-wise details of ... "COVID-19 in India: State-Wise Estimates of Current Hospital Beds, ICU Beds, and Ventilators" (PDF). Center for Disease Dynamics ... "STATE-WISE INFANT MORTALITY RATE" (PDF). "Morbidity Profiles of Kerala and All-India: An Economic Perspective" (PDF). Nair, P. ... "Maternal & Child Mortality and Total Fertility Rates Sample Registration System (SRS)" (PDF). Office of Registrar General, ...
... or mortality (death that results from anesthesia). Quantifying how anesthesia contributes to morbidity and mortality can be ... Chaloner EJ, Flora HS, Ham RJ (August 2001). "Amputations at the London Hospital 1852-1857". Journal of the Royal Society of ... Direct comparisons between mortality statistics cannot reliably be made over time and across countries because of differences ... These statistics can also be compared to the first such study on mortality in anesthesia from 1954, which reported a rate of ...
... improvements in diet and hospital accommodation aboard; and moves to prevent overcrowding. The rate of mortality improved ... As a temporary measure, the hulk Harmony was purchased and moored in Spring Cove as a hospital ship. The Beejapore was an ... The resulting changes to the station, besides the use of the hospital ship, included the construction of a barracks for the ... The approximate location of the First Cemetery (Site IIIA1, c. 1837-1853), is at the junction of the Wharf and Hospital roads, ...
... in-hospital mortality, discharge disposition, hospital charges, and length of stay in the Nationwide Inpatient Sample Database ... "Effects of weekend admission and hospital teaching status on in-hospital mortality". Am J Med. 117 (3): 151-7. doi:10.1016/j. ... higher odds of in-hospital mortality. When analysed in 3-year groups, excess mortality of weekend admissions showed temporal ... "A comparison of in-hospital mortality risk conferred by high hospital occupancy, differences in nurse staffing levels, weekend ...
There are 94 health establishments including 25 hospitals with 1,445 beds. The infant mortality rate is 22.15. Doctors: 811 ( ... IBGE 2002) Nurses: 66 Dentists: 105 Infant mortality rate: 20.77 in 2000. It was 28.27 in 1991. Primary schools: 56,665 ...
Studies of heat-related mortality in eastern WA had highs of 107 °F in 2006. Hospital charges for heat-related admissions in ... The average cost for each mortality from heat-related deaths is $6,250. These occur when the human body is so overwhelmed by ... "Mortality as a function of temperature. A study in Valencia, Spain, 1991-1993." Department of Epidemiology and Statistics, ... Comprehensive Hospital Abstract Reporting System (CHARS), Center for Health Statistics, Washington State Department of Health, ...
Hospital beds: 782. *Infant mortality rate: 1990-35.4; 2000-20.9. *Higher education: Faculdade Cidade de Aparecida de Goiânia ...
Effects on anaemia and hospital admission were inconsistent between study sites. There was no evidence of mortality reduction. ... A recent trial of S/P conducted in Tanzania had to be closed early because of high mortality in children receiving S/P. There ... a hospital-based study. Trop Med Int Health 2004;9(3):351-60 Verhoeff FH, Brabin BJ, Chimsuku L, Kazembe P, Russell WB, ... Effect of a fall in malaria transmission on morbidity and mortality in Kilifi, Kenya. Lancet, 2008. 372(9649): p. 1555-62. 3. ...
Hospitals. Dispensaries. Clinics. Including ambulance service, nursing homes, hospices 1001-1171............................... ... Infant and neonatal morbidity and mortality 91............................................Supposed prenatal influence. Prenatal ... Hospital care 245-247...................................Nursing of children. Pediatric nursing 250-250.3 ...
Their data gives a 25% mortality rate. Von Zumbusch observed a male patient, who had had classic psoriasis for several years, ... Von Zumbusch observed this patient through nine hospital admissions over 10 years. Hazarika gave a report of a 29-year-old ... the mortality rate is high. Ryan and Baker observed 155 patients with GPP, 106 of which were followed up with. 26 of those 106 ...
There were in 2019 135 medical facilities in Eswanti, including four hospitals run by the Ministry of Health and two hospitals ... TB has an 18 percent mortality rate and 83 percent of cases are co-infected with HIV. There are roughly 14,000 new TB cases ... "Swaziland, Mortality Country Fact Sheet 2006" (PDF). WHO. Archived from the original (PDF) on 5 August 2009. "Swaziland: No ... "Maternal Mortality Rate". Index Mundi. Retrieved 18 October 2019. "Indicators in Eswanti". Index Mundi. Retrieved 18 October ...
The highest mortality was in October 1813; the gravediggers couldn't even bury all the dead, and many of them were put in large ... In 1818 the quarantine hospitals of Plumbuita and Văcăreşti were closed down. An estimated 60,000 people died of the plague in ... The plague was expected and in January 1813, Caragea founded two quarantine hospitals, one in Teleorman and one in Giurgiu ... Initially, sick people were to be committed to the Dudeşti hospital (later also Cioplea and Băneasa), but soon the 14 ...
In-hospital mortality was 0.25% [5]. Costs[edit]. Costs associated with spinal fusion vary depending on the medical institution ... and hospital charges.[10] The average total hospital costs for spinal fusions increased from $24,676 in 1998 to $81,960 in 2008 ... Average length of hospital stay was 3.7 days-2.7 days for primary cervical fusion, 8.5 days for primary thoracic fusion, and ... hospital stay duration, and cost of the implant.[11] Additionally, a 2009 systematic review on surgery for lower back pain ...
The US government requires hospitals to report worker vaccination rates. Some US states and hundreds of US hospitals require ... The mortality rate can be as high as fifteen percent. In 2004, influenza A virus subtype H3N8 was discovered to cause canine ... Morbidity and Mortality Weekly Report. 68 (6): 135-39. doi:10.15585/mmwr.mm6806a2. PMC 6375657. PMID 30763298. This article ... Morbidity and Mortality Weekly Report. 67 (6): 180-85. doi:10.15585/mmwr.mm6706a2. PMC 5815489. PMID 29447141. This article ...
"Norovirus at Norfolk hospitals: Disruption continues". BBC News. January 12, 2012. Retrieved January 20, 2012. Norovirus ( ... 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. Retrieved January 20, 2012. " ...
"Hospital patient safety improving". BBC News. 9 September 2009. "Crosshouse Hospital reports 18% drop in mortality rates". BBC ... The first stage had a focus on activities in acute hospitals in Scotland to reduce mortality and adverse events by the end of ... From an initial focus on acute hospitals, the SPSP now includes safety improvement programmes including SPSP Primary care, SPSP ... By March 2015, the programme was running in GP surgeries, hospitals, mental health and maternity services. NHS Greater Glasgow ...
Effects on all cause hospital mortality was inconclusive. The BNP test is also used for the risk stratification of patients ... BNP may be a reliable predictor of cardiovascular mortality in diabetics. BNP was found to have an important role in ... and mortality in patients with stable coronary heart disease". JAMA. 297 (2): 169-76. doi:10.1001/jama.297.2.169. PMC 2848442. ...
The Mortality of Childbed and Maternity Hospitals (1870); Fecundity, Fertility, Sterility and Allied Topics (1871) Papers on ... Bartholomew's Hospital, meeting at the house of Sir William Savory, decided to ask him to accept the lectureship on midwifery, ... then vacant in their school, with the post of obstetric physician to the hospital. He was elected, and came to live at 71 Brook ...
"Latest Survey Shows More Hospitals Offering Complementary and Alternative Medicine Services" (Press release). American Hospital ... "Morbidity and Mortality Weekly Report. 53 (26): 582-84. PMC 2768057. PMID 15241300.. ... and hospital providers". American Journal of Health Promotion. 12 (2): 112-22. doi:10.4278/0890-1171-12.2.112. PMID 10174663.. ... of American hospitals offered alternative therapies, up from 27 percent in 2005, and 25% in 2004.[144][145] More than 70% of ...
Heuveline, Patrick (2001). "The Demographic Analysis of Mortality Crises: The Case of Cambodia, 1970-1979". Forced Migration ... between 15,000 and 20,000 of these were removed from the city's hospitals and forced to march.[208] Checkpoints were erected ... Heuveline, Patrick (2001). "The Demographic Analysis of Mortality Crises: The Case of Cambodia, 1970-1979". Forced Migration ... "a third to one half of excess mortality during the period".[313] However, a 2013 academic source (citing research from 2009) ...
"Morbidity and Mortality Weekly Report. 44 (19): 381-2. PMID 7739512. Archived from the original on 25 June 2017.. ... "Ebola case confirmed in Glasgow hospital". BBC News Online. 29 December 2014. Archived from the original on 29 December 2014.. ... 25-90% mortality[1]. The virus spreads through direct contact with body fluids, such as blood from infected humans or other ... In field or mobile hospitals, the most common and sensitive diagnostic methods are real-time PCR and ELISA.[99] In 2014, with ...
... the in-hospital mortality rate was 0.7%; the complication rate was 42.1%. Diabetes insipidus (15%), fluid and electrolyte ... Patients older than 64 years were more likely to have an adverse outcome and prolonged hospital stay. Women were 0.3 times less ... The prevalence of hypertension, and abnormalities in glucose metabolism are major predictors of mortality and morbidity in ... A study of 3,525 cases of TSS for Cushing's disease in the nationally representative sample of US hospitals between 1993 and ...
Hospital use increased by 30% for those with insurance, with the length of hospital stays increasing by 30% and the number of ... HIV-related mortality (affected by the recent introduction of antiretrovirals) accounted for 20% of the effect. Mortality ... "produced a substantial increase in hospital revenue and profitability, with larger gains for government hospitals. On the ... A 2018 study in the Journal of Political Economy found that upon its introduction, Medicaid reduced infant and child mortality ...
Medicare patients admitted to hospital in the US showed that patients treated by international graduates had lower mortality ... The main pathway for IMGs who wish to be licensed as physicians in the United States is to complete a U.S. residency hospital ... 1467 "Quality of care delivered by general internists in US hospitals who graduated from foreign versus US medical schools: ... We found no significant mortality difference when comparing all international medical graduates with all U.S. medical school ...
Most hospitals in the United States are required by state law to apply eye drops or ointment soon after birth to prevent the ...
Under-five mortality:From 136.9 per 1,000 live births in 1990 to 39.5 in 2015. Infant Mortality: From 97.70 to 29.40 in 2015. ... Hospital-based nutrition management and rehabilitation The hospital-based nutrition management and rehabilitation program ... of the infant mortality rate (IMR) and 58% of the under 5 mortality rate (U5MR) in 2015 and is one of its challenges going ... to reduce child mortality) and #5A (to reduce maternal mortality). This review provided an opportunity for the MoHP and other ...
Grimes DA (1994). "The morbidity and mortality of pregnancy: still risky business". Am. J. Obstet. Gynecol. 170 (5 Pt 2): 1489- ... Women still get induced abortions, but they cannot get them in safe hospitals and clinics. These induced abortions have more ... Edmonds DK, Lindsay KS, Miller JF, Williamson E, Wood PJ (1982). "Early embryonic mortality in women". Fertil. Steril. 38 (4): ... and the woman does not have to have a procedure in a hospital or clinic to have the fetus removed, like with the other kind of ...
A variety of systems for centralized viewing of CTG have been installed in a large number of maternity hospitals in ... No clear differences in cerebral palsy, infant mortality or other standard measures of neonatal wellbeing, neither on any ...
In 2012, 66% of the country's hospitals, 70% of its 485,000 hospital beds, and 87% of its 723 specialized hospitals belonged to ... with emphasis on reduction of child mortality, and political-institutional reorganization of the sector, with a view to ... the public hospital infrastructure relies on a vast network of small hospitals. Over 55% of public hospitals have less than 50 ... The public hospital infrastructure required hospitals to be spread over a territory of 8.516 million square kilometres (3.288 ...
In 1963, Shirodkar traveled to NYC to perform the procedure at the New York Hospital of Special Surgery; the procedure was ... perinatal mortality) There is no evidence that cerclage is effective in a multiple gestation pregnancy for preventing preterm ...
"Morbidity and Mortality Weekly Report. 53 (44): 1038-1041. PMID 15538318.. *^ "Study Finds That New Jersey Bars and Restaurants ... Smoking was first restricted in schools, hospitals, trains, buses and train stations in Turkey in 1996. In 2008 a more ... reductions in preterm births and hospital attendance for asthma, but not with a decrease in low birth weight.[70][71] A 2016 ... hospitals, cinemas, theatres, museums, universities and libraries).[44] After an unsuccessful attempt in 1986, on 16 January ...
Morbidity and Mortality Weekly Report. 56 (23): 573-6. PMID 17568368. Archived from the original on 19 November 2012.. ... Report of a case observed in Brazil]. Revista do Hospital das Clinicas (in Portuguese). 48 (4): 170-4. PMID 8284588.. ...
"Projections of global mortality and burden of disease from 2002 to 2030". PLoS Medicine. 3 (11): e442. November 2006. doi: ... Bagi mereka yang mempunyai tempoh yang semakin teruk, peningkatan penggunaan ubat-ubatan dan kemasukan ke hospital mungkin ... GBD 2013 Mortality and Causes of Death Collaborators (January 2015). "Global, regional, and national age-sex specific all-cause ... GBD 2015 Mortality and Causes of Death Collaborators (October 2016). "Global, regional, and national life expectancy, all-cause ...
"Journal of Hospital Medicine. 12 (7): 567-569. doi:10.12788/jhm.2773. PMID 28699947.. ... no controlled studies have shown a reduction in the morbidity or mortality of prostate cancer when detected by DRE at any age.[ ... "Journal of Hospital Medicine. 12 (7): 567-569. doi:10.12788/jhm.2773. PMID 28699947.. ... Gupta, Arjun; Tang, Zhouwen; Agrawal, Deepak (2018). "Eliminating In-Hospital Fecal Occult Blood Testing: Our Experience with ...
The overall mortality rate is estimated to be 1%, but during epidemics, mortality can climb as high as 50%. The mortality rate ... The fever accounts for up to one-third of deaths in hospitals within the affected regions and 10 to 16% of total cases.[5] ... "Molecular Diagnostics for Lassa Fever at Irrua Specialist Teaching Hospital, Nigeria: Lessons Learnt from Two Years of ... of people in Sierra Leone and Liberia admitted to hospital had the virus.[9] The case fatality rate for those who are ...
... starvation was the principal cause of excess mortality, filling the emergency hospitals in Calcutta and accounting for the ... Regional differences in mortality rates were influenced by the effects of migration,[217] and of natural disasters.[218] In ... Though excess mortality due to malarial deaths peaked in December 1943, rates remained high throughout the following year.[224] ... Sen, Amartya (1980). "Famine Mortality: A Study of the Bengal Famine of 1943". In Eric J. Hobsbawm. Peasants in History: Essays ...
2012). Differential associations of job control components with mortality: A cohort study, 1986-2005. American Journal of ... Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the ... Hospital-acquired infection. *Indium lung. *Laboratory animal allergy. *Lead poisoning. *Mad hatter disease ...
organization, World health (2005). Pocket book of hospital care for children : guidelines for the management of common ... Garenne M; Ronsmans C, Campbell H (1992). "The magnitude of mortality from acute respiratory infections in children under 5 ... organization, World health (2005). Pocket book of hospital care for children : guidelines for the management of common ... "Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia". Am ...
Ingram DD, Mussolino ME.; Mussolino (2010). "Weight loss from maximum body weight and mortality: the Third National Health and ... Thomas, Diana; Elliott, Elizabeth J.; Baur, Louise (31 July 2006). Written at University of Sydney, Children's Hospital at ... "A review and meta-analysis of the effect of weight loss on all-cause mortality risk". Nutr Res Rev. 22 (1): 93-108. doi:10.1017 ... may slightly increase the mortality rate for individuals who are otherwise healthy.[6][7][8] ...
The hospital was an extremely effective institution. It's mortality rate was on par or better than most comparable hospitals. ... Hospital #1 was designed as a General Hospital. The PHS intended to have a companion Contagious Hospital as did the hospitals ... The Ellis Island Immigrant Hospital (also known as USPHS Hospital #43) was a United States Public Health Service hospital on ... the facility encompassed both a general hospital and a separate pavilion-style contagious disease hospital. The hospital had ...
"The Foundling Hospital". BBC History. October 5, 2012. Retrieved April 22, 2013.. ... A number of factors contributed to this increase, including the lessening of the mortality rate in many countries by improved ... Another critical factor for such an estimate is the question of pre-modern infant mortality rates; these figures are very ...
JPMorgan have their large Chaseside site at the A3060/A338 junction opposite the Royal Bournemouth Hospital, RIAS (insurance) ... with mortality rates perhaps as high as 50% in places. The resulting labour shortage led to changes in feudal practices. Crafts ...
Body weight and mortality among women. N. Engl. J. Med. 1995, 333 (11): 677-85. PMID 7637744. doi:10.1056/NEJM199509143331101. ... American Hospital Association. 2013-06-21 [2013-06-24]. (原始内容存档于2013-09-09).. ... Weight, shape, and mortality risk in older persons: elevated waist-hip ratio, not high body mass index, is associated with a ... Body-mass index and mortality in a prospective cohort of U.S. adults. N. Engl. J. Med. 1999-10, 341 (15): 1097-105 [2008-12-22] ...
... higher hen laying mortality, higher direct housing costs, and higher labor costs. The study also estimated that almost the ... and more than 90 veterinary hospitals and clinics. ...
In 1798 he was appointed as the chief doctor at the fever hospital. The mortality rate that year was roughly the same as it had ... Temporary hospitalsEdit. Like all hospitals of that time, the Pennsylvania Hospital did not admit patients with infectious ... But, it soon became clear that mortality at the hospital remained high; about 50% of those admitted died.[43] ... As the mortality rate increased, they had to hire men to get anyone to deal with the sick and dying. They recounted that ...
At the hospital in Jalalabad, mentally ill patients are housed three or four to a room meant for a single person, while others ... It wants to reduce the high levels of mortality and morbidity by: *1) Improving access to quality emergency and routine ... and the essential package of hospital services (EPHS) as the standard, agreed-upon minimum of health care to be provided at ...
Harrison's estate complained that during a round of experimental radiotherapy at Staten Island University Hospital, the ... "a uniquely candid reaction to illness and mortality", achieved number 27 on Billboard's Adult Contemporary chart.[212][213] The ... he began radiotherapy at Staten Island University Hospital in New York City for non-small cell lung cancer that had spread to ... an event organised to raise money for the Birmingham Children's Hospital.[150] The following year, he appeared at The Prince's ...
... to illustrate seasonal sources of patient mortality in the military field hospital she managed. Nightingale called a ... Hospitals. Four hospitals in Istanbul are named after Nightingale: Florence Nightingale Hospital in Şişli (the biggest private ... St Mary's Hospital, Westminster Hospital, St Marylebone Workhouse Infirmary and the Hospital for Incurables at Putney) and ... The suggested new name will be either Nightingale Community Hospital or Florence Nightingale Community Hospital. The area in ...
Hospital mortality league tables Question what they tell you-and how useful they are ... but its hospital mortality figures will arouse the most interest. Many in the NHS and elsewhere will be asking themselves how ... Hospital mortality league tables. BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7393.777 (Published 12 April 2003) Cite ... including equipment and services available at each hospital and how the hospital performs on waiting lists and complaints, ...
The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals for the period 2011-2013 ... Statistics Netherlands has calculated The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals for the period ... Statistics Netherlands has calculated The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals for the period ... Statistics Netherlands has calculated The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals for the period ...
There is considerable debate about the value of using hospital mortality rates adjusted for case mix as an indicator of the ... Manchester University Hospitals NHS Foundation Trust: Consultant Urogynaecologists x2 Manchester University Hospitals NHS ... Mortality indicators used to rank hospital performance. BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5952 (Published 25 ... St Georges University Hospitals NHS Foundation Trust: Consultant Paediatrician British Association of Urological Surgeons: ...
8 Illinois hospitals cited for high death rates`` stated that Rochelle Community Hospital has ``quality problems.`` This is ... Hospital Mortality Data Can Mislead. January 19, 1990,By Patricia Whitby, R.N., Utilization Review Department; Debbi Toth, R.N ... The use of a 30-day post-discharge mortality rate counts deaths that may have been unrelated to prior hospital care. ... Rochelle Community Hospital is the sole provider of both acute and hospital-based skilled care in the Ogle County area. We ...
Perinatal mortality: the role of hospital of birth.. Kirby RS1.. Author information. 1. Department of Pediatrics, University of ... Patterns of perinatal mortality in a state with no organized system or guidelines for regionalized perinatal health care were ... Infants of , 2000 gm birth weight tend to have lower NNMR when born at level III hospitals than when born at level II ... Birth weight-specific fetal and neonatal mortality rates (NNMR) were compared by level of obstetric care at the birth facility ...
... Kritee Gujral, Anirban Basu. NBER Working Paper No. 26182. ... However, estimating differential impacts shows that rural closures increase inpatient mortality by 0.78% points (an increase of ... approach to examine the impact of Californias hospital closures occurring from 1995-2011 on adjusted inpatient mortality for ... Results suggest that when treatment groups are not differentiated by hospital rurality, closures appear to have no measurable ...
In 10 weeks they produced a new index, the Summary Hospital Mortality Index (SHMI) based on the age, sex, method of admission ... In the past this has mainly been done by a company called Dr Foster, which produced the Hospital Standardized Mortality Ratio ( ... New Hospital Mortality Rate Index To Be Used Across UK. by Sam Savage ... A report from the Steering Group for the National Review of the Hospital Standardized Mortality Ratio (NHS Information Centre ...
The advantage of adding post-discharge mortality, is that the mortality indicator becomes less dependent on the discharge ... It has been funded by Dutch Hospital Data (DHD). The goal of this research is to investigate the effect of adding post- ... However, they did not investigate what the optimal period should be in which the post-discharge mortality is taken into account ... 2013) have investigated the possibilities and effects of adding post-discharge to the mortality indicator in the Netherlands. ...
A weekend admission to the hospital with a heart attack is associated with higher death rates and less use of percutaneous ... Thirty-day mortality for myocardial infarction patients admitted on the weekend to a New Jersey hospital was 0.9% worse than ... "The increase in mortality, which may persist for more than a year, could account for several thousand deaths annually in the U. ... Third, if patients are hit by an emergency on the weekend, they should go to the hospital. Patients who have a heart attack, ...
Division of Research and Biostatistics.; 1 edition; First published in 1971; Subjects: Fetal death, Hospitals, Medical ... Hospital and related characteristics associated with perinatal mortality by Pennsylvania. Dept. of Health. ... Hospital and related characteristics associated with perinatal mortality 1 editions By Pennsylvania. Dept. of Health. Division ... Are you sure you want to remove Hospital and related characteristics associated with perinatal mortality from your list? ...
In-hospital Mortality Among Hospital Confirmed COVID-19 Encounters by Week From Selected Hospitals. COVID-19 Hospital Data ... In-hospital mortality among hospital confirmed COVID-19 encounters by week. *Co-occurrence of other respiratory illnesses for ... In-hospital mortality among confirmed COVID-19 encounters by week. *Co-occurrence of other respiratory illnesses for hospital ... There are three sets of figures presented on this page, which show results related to in-hospital mortality for confirmed COVID ...
... have been proposed as reasons for declines in DKA in-hospital mortality (2). Another possibility is that hospital admission of ... Second, although in-hospital DKA case-fatality rates declined, mortality rates at home or in the emergency department setting ... The causes of the decrease in DKA in-hospital mortality are also not clear. Better understanding of the pathophysiology of DKA ... Although the continued decline in in-hospital DKA mortality is encouraging, further work might help identify populations at ...
Patients who attend hospitals ranked higher according to specific quality measures have a lower chance of dying, according to ... are very helpful in identifying low mortality hospitals".. Heart disease, including heart attacks and congestive heart failure ... Patients who attend hospitals ranked higher according to specific quality measures have a lower chance of dying, according to ... Centres of health in the US are ranked by the Hospital Quality Alliance (HQA), a public-private collaboration, on issues such ...
... endovascular revascularization was associated with lower in-hospital mortality but more major amputations than surgical ... The same period saw a decline in in-hospital mortality.. In the matched cohort, overall, patients who were revascularized had ... The current study, published in JACC: Cardiovascular Interventions, found that "in-hospital mortality fell for all patients, ... Those who underwent surgical, rather than endovascular, revascularization had higher rates of in-hospital mortality (OR, 1.18) ...
... in-hospital deaths decreased substantially during that same time, according to new research presented at the ATS 2017 ... Women account for a higher proportion of COPD hospitalizations and in-hospital deaths than men. In-hospital mortality secondary ... In-hospital mortality decreased among White patients from 3.2% in 2005 to 1.4% in 2012. It also decreased from 2.1% to 0.66% ... In-hospital COPD mortality shows large drop from 2005-2014. American Thoracic Society ...
Mortality during hospitalization in this nationwide sample of patients with acute exacerbations of COPD was lower than that of ... The primary outcome assessed was in-hospital mortality. Results: In-hospital mortality for patients with an acute exacerbation ... in-hospital mortality from acute exacerbation of COPD in the United States and to identify predictors of in-hospital mortality ... In-hospital mortality following acute exacerbations of chronic obstructive pulmonary disease Arch Intern Med. 2003 May 26;163( ...
Predictors of in-hospital vs postdischarge mortality in pneumonia.. Metersky ML1, Waterer G2, Nsa W3, Bratzler DW4. ... Recently, 30-day mortality for patients with pneumonia became a publicly reported performance measure, meaning that hospitals ... This study was undertaken to determine which factors predict in-hospital vs postdischarge mortality in patients with pneumonia. ... in-hospital vs postdischarge) among those patients who died within 30 days of hospital admission. ...
Neonatal mortality remains until now a major public health problem in the world and is the socio-economic indicators of ... This study aimed to identify risk factors of neonatal mortality through maternal and new-born characteristics susceptible to ... the management of various risk factors that may influence the occurrence of neonatal mortality should be taken into account. ... of fetal deaths and HIV in mothers was also recognized as an explanatory factor for the occurrence of neonatal mortality. But ...
"Hospital Standardized Mortality Ratio"?. *The hospital standardized mortality ratio compares the number of deaths in a hospital ... HSMR has been used by hospitals in several countries to assess in-hospital mortality rates and to help organizations identify ... How are hospitals using HSMR data to help reduce mortality rates and make improvements? ... Interpreting the Hospital Standardized Mortality Ratio Reports. *HSMR can be a very effective quality improvement tool. It ...
The ACA program that penalizes hospitals with higher-than-average readmission rates did not increase mortality risk for ... ACA hospital readmission program did not increase patients mortality risk. Gabrielle Masson - Wednesday, January 15th, 2020. ... The study did not find evidence of increased mortality rates linked to the U.S. Hospital Readmissions Reduction Program, ... The ACA program that penalizes hospitals with higher-than-average readmission rates did not increase mortality risk for ...
A study conducted on 52,000 patients who had gastric bypass surgery and discharged from the hospital sooner than the average ... hospital stay increases the rate of mortality and complications. ... Length of Hospital Stay Linked to Bariatric Surgery Mortality ... The overall 30-day mortality rate was 0.1 percent for patients who stayed in the hospital for two or more days, and about 0.8 ... gastric bypass surgery and discharged from the hospital sooner than the average hospital stay increases the rate of mortality ...
The perinatal mortality rate for the Vila Central Hos ... the causes of perinatal mortality in the main referral hospital ... The perinatal mortality rate for the Vila Central Hospital area was 30.4 per 1000 births (with a stillbirth rate of 14 per 1000 ... This paper provides accurate figures and detailed analysis of the causes of perinatal mortality in the main referral hospital ... Infant Mortality*. Infant, Low Birth Weight. Infant, Newborn. Perinatal Care. Pregnancy. Prospective Studies. Vanuatu / ...
Further centralization of PD is likely to decrease mortality further, especially in the elderly. ... the in-hospital mortality rate after this procedure decreased. ... analyse changes in hospital volumes and in-hospital mortality ... the in-hospital mortality rate after this procedure decreased. Further centralization of PD is likely to decrease mortality ... Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality Br J Surg. 2012 Mar;99(3):404-10. doi: ...
In-hospital maternal mortality decreased from 1998 to 2015 in systemic lupus erythematosus (SLE) and non-SLE pregnancies, with ... TUESDAY, July 9, 2019 -- In-hospital maternal mortality decreased from 1998 to 2015 in systemic lupus erythematosus (SLE) and ... www.drugs.com/news/hospital-maternal-mortality-down-pregnancies-lupus-83... ...
Massachusetts General Hospital 55 Fruit Street Boston, MA 02114 Phone: 617-726-2000 ... Regular Aspirin Use Is Associated with Lower Cancer Mortality. Long-term, regular aspirin use was associated with reduced risk ... at Massachusetts General Hospital and Harvard Medical School. ...
Cabell Huntington Hospital also diminished the average sepsis-related hospital length of stay with machine learning-generated ... Cabell Huntington Hospital also diminished the average sepsis-related hospital length of stay with machine learning-generated ... in-hospital mortality rate was 33.5 percent lower during the post-implementation period and the average sepsis-related hospital ... See which hospitals earned worst scores for hospital-acquired infections (list, map) ...
... found surgical patients had significantly reduced mortality rates. ... A new study evaluating surgical outcomes at hospitals enrolled in the ACS NSQIP® ... Outcome measures included in-hospital mortality, 30-day mortality, 30-day readmissions and one-year mortality rates on seven ... mortality rates at ACS NSQIP hospitals demonstrates a clear distinction between ACS NSQIP hospitals and non-ACS NSQIP hospitals ...
Patients should talk with their physicians and our hospital staff if they have questions about our quality scores or quality ... This information, and information on other hospitals, can be found on www.hospitalcompare.hhs.gov. ... Guthrie is committed to providing our patients the most recent quality data on our hospital. ... Hospital 30-day mortality (death) rates for Guthrie Corning Hospital patients compared to the U.S. national rate, by condition ...
Conclusion Women with ACS who undergo PCI have a higher in-hospital mortality rate than men. In non-urgent procedure the risk ... Objectives Previous studies have shown higher in-hospital mortality in women than in men after PCI for acute coronary syndrome ... Abstract 3494: Gender Differences In Hospital Mortality After Percutaneous Coronary Intervention. Talia Chilon, Thibault ... Abstract 3494: Gender Differences In Hospital Mortality After Percutaneous Coronary Intervention. Talia Chilon, Thibault ...
The mortality rate at Scotlands hospitals has fallen by more than 10% since 2014, new figures show.The Scottish Government ... giving a hospital standardised mortality rate (HSMR) of 0.86.. In this period, one hospital - Belford Hospital in Fort William ... The hospital standardised mortality rate takes account of those patients who die within 30 days of being admitted to hospital ... The mortality rate at Scotlands hospitals has fallen by more than 10% since 2014, new figures show. ...
  • Recently, the way they have been used has been the subject of controversy, to the extent that doubts have been voiced about the NHSÃ ´s openness or otherwise to national and local scrutiny concerning mortality rates. (redorbit.com)
  • CHW's caregivers have demonstrated the power of a well-organized quality program that both reduces morbidity and mortality while also achieving significant cost savings. (infectioncontroltoday.com)
  • Studies from the Bandim Health Project in Guinea-Bissau, and elsewhere, have revealed, that the live measles and oral polio vaccines have beneficial non-specific effects, i.e. effects on child morbidity and mortality unrelated to prevention of the targeted diseases. (clinicaltrials.gov)
  • We will conduct the first cluster randomized controlled trial to evaluate the effect of measles and oral polio campaigns on general child morbidity and mortality via the Bandim Health Project. (clinicaltrials.gov)
  • RECAMP-MV: Measles vaccination campaign in Guinea-Bissau reduce morbidity and mortality among children between 9 and 59 months of age by 80% during the subsequent 18 months in a context of limited measles infection. (clinicaltrials.gov)
  • RECAMP-OPV: Oral polio vaccination campaigns in Guinea-Bissau reduce morbidity and mortality among children between 0 and 8 months of age by 25% during the subsequent 12 months in a context with no polio infection. (clinicaltrials.gov)
  • HealthDay)-For patients with heart failure, influenza infection is associated with increased in-hospital morbidity and mortality, according to a study published online Jan. 3 in JACC: Heart Failure . (medicalxpress.com)
  • Although the exact extent to which influenza infection contributes to morbidity, and mortality, in already compromised patients with heart failure has been difficult to estimate, the results of this study make it clear that during the winter months this contribution is neither negligible nor neglectable," write the authors of an accompanying editorial. (medicalxpress.com)
  • HealthDay News - For patients with heart failure, influenza infection is associated with increased in-hospital morbidity and mortality, according to a study published online January 3 in JACC: Heart Failure . (empr.com)
  • 1 Since 2004, there has been a progressively more active system-wide approach to tackling the AGE incidence, morbidity and mortality. (scielo.org.za)
  • Failure to recognise and respond to patient deterioration in hospitals is considered a major cause of avoidable morbidity and mortality. (bmj.com)
  • Over the past decade the scope and nature of ambulatory care provided in hospitals has changed enormously, not only in surgery but also in other specialties such as oncology, where increasingly sophisticated treatments involve a complex mix of inpatient and outpatient episodes. (bmj.com)
  • w1 Moreover, there is good evidence that as the length of the average hospital inpatient episode falls, an increasing proportion of deaths occur outside the hospital. (bmj.com)
  • This paper uses a difference-in-difference approach to examine the impact of California's hospital closures occurring from 1995-2011 on adjusted inpatient mortality for time-sensitive conditions: sepsis, stroke, asthma/chronic obstructive pulmonary disease (COPD) and acute myocardial infarction (AMI). (nber.org)
  • However, estimating differential impacts shows that rural closures increase inpatient mortality by 0.78% points (an increase of 8.7%), whereas urban closures have no measurable impact. (nber.org)
  • Subgroup analyses indicate the existence of a general impact for stroke and AMI patients (4.4% increase in inpatient mortality) and relatively worse impacts of rural closures for Medicaid patients and racial minorities (11.3% and 12.6%, respectively). (nber.org)
  • 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)
  • Eligible hospitals are in the 50 states and the District of Columbia and include noninstitutional, nonfederal hospitals with six or more staffed inpatient beds. (cdc.gov)
  • The NHCS results provided on COVID-19 hospital use are from UB-04 administrative claims data from March 18, 2020 through March 30, 2021 from 37 hospitals that submitted inpatient data and 37 hospitals that submitted ED data. (cdc.gov)
  • The second set of figures shows the percentage of intubation or ventilator use among confirmed COVID-19 inpatient admissions with a discharge status of in-hospital death. (cdc.gov)
  • 6,766 inpatient admissions with a discharge status of died in the hospital. (cdc.gov)
  • The third set of figures shows the average length of stay for confirmed COVID-19 inpatient admission, by intubation or ventilator use and in-hospital mortality status. (cdc.gov)
  • To explore this finding, 2000-2014 data from the Agency for Healthcare Research and Quality's National Inpatient Sample (NIS) † were assembled to calculate trends in DKA hospitalization rates and in-hospital case-fatality rates. (cdc.gov)
  • The researchers analyzed data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, which captures 95 percent of all hospital discharges in the U.S. They found that there were 8,575,820 hospitalizations for COPD-related health problems between 2005-2014. (eurekalert.org)
  • We performed a cross-sectional study utilizing the 1996 Nationwide Inpatient Sample, a data set of all hospitalizations from a 20% sample of nonfederal US hospitals. (nih.gov)
  • Nurse staffing and inpatient hospital mortality. (ahrq.gov)
  • The researchers used data from the Agency for Healthcare Research and Quality 2009 Kids' Inpatient Database, which included 7,370,203 weighted discharges in 4,121 hospitals over 44 states. (healio.com)
  • 2020) Hospital safety net burden is associated with increased inpatient mortality and postoperative morbidity after total hip arthroplasty: a retrospective multistate review, 2007-2014. (news-medical.net)
  • Catholic Healthcare West (CHW), the nation's eighth largest health system, announces that its severe sepsis prevention initiative has saved an additional 991 lives and reduced severe sepsis inpatient mortality rate by 33 percent at the end of three years. (infectioncontroltoday.com)
  • CHW launched the three-year initiative in July 2007 with the goal of reducing its inpatient severe sepsis mortality rate by 5 percent across its 41 hospitals in California, Arizona, and Nevada by 2010. (infectioncontroltoday.com)
  • According to the national Surviving Sepsis Campaign, there are more than 750,000 cases of severe sepsis annually in North America with 210,000 fatalities, making it the No. 1 cause of inpatient mortality. (infectioncontroltoday.com)
  • We therefore aimed to use data from a nationwide inpatient database in Japan to generate a nomogram for predicting in-hospital mortality from patients' characteristics on admission. (dovepress.com)
  • 551 U.S. community hospitals included in the Healthcare Cost and Utilization Project's Nationwide Inpatient Survey between January 2001 and December 2004. (annals.org)
  • Inpatient mortality. (annals.org)
  • The authors measured inpatient mortality of 1 268 738 patients admitted to 551 hospitals with medical diagnoses and 243 207 patients admitted for surgical diagnoses before and after 2003, when the work-hour regulation took effect. (annals.org)
  • When tracked over time, the HSMR indicates how successful hospitals or health regions have been in reducing inpatient deaths and improving care. (nygh.on.ca)
  • The researchers identified all ED closures in California from 1999 to 2010 and examined their association with inpatient mortality rates at nearby hospitals. (physiciansweekly.com)
  • Overall, patients who were admitted to hospitals in the vicinity of an institution that had closed its ED had a 5% greater likelihood of inpatient mortality than those admitted to unaffected hospitals," Liu says. (physiciansweekly.com)
  • California emergency department closures are associated with increased inpatient mortality at nearby hospitals. (physiciansweekly.com)
  • The association of trauma center closures with increased inpatient mortality for injured patients. (physiciansweekly.com)
  • At the time, 28 percent of hospitals providing acute care services to Medicare beneficiaries were CAHs, designated to provide inpatient care in rural communities. (amnhealthcare.com)
  • Overall inpatient mortality in hospitals was 0.78%, a low figure given the very demanding circumstances in many of the hospitals. (scielo.org.za)
  • Methods This was a retrospective registry-based analysis of adult patients discharged with a primary diagnosis of HF from hospitals across New York (NY) State over a 5-year period, between January 2009 and December 2013, using the Statewide Planning and Research Cooperative System inpatient discharge files. (bmj.com)
  • Because VLBW black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the U.S. (rwjf.org)
  • 2 , 3 Moreover, the aging rural population faces social, economic, and geographic barriers to health that have created widening rural-urban disparities in life expectancy, premature mortality, and infant mortality. (jabfm.org)
  • In 2011, Rick Majzun, vice president of strategic operations and planning at St. Louis Children's Hospital at the time, traveled to Kenya and Sweden as an Eisenhower Fellow to study infant mortality and the role health care organizations can play in improving the overall health of women and children. (barnesjewish.org)
  • Infant mortality is the leading indicator of a country's maternal and infant health, and since 1960, the infant-mortality ranking in the United States has steadily worsened when compared to the rankings of other developed countries. (barnesjewish.org)
  • Although the gross domestic product (GDP) in the United States is second highest in the world (the European Union GDP is first), it is ranked number 48 for infant mortality, according to the World Factbook, published by the Central Intelligence Agency (CIA). (barnesjewish.org)
  • As with many other trends in this country, the infant mortality rate is significantly higher among the most vulnerable populations: under-insured and uninsured minority citizens residing in central cities and remote rural communities. (barnesjewish.org)
  • In Sweden, the infant mortality rate is three per 1,000 infants, and the country is ranked fifth in the world for best infant mortality outcomes, according to the Factbook . (barnesjewish.org)
  • In Kenya, where infant mortality is very high-44 per 1,000 live births- the challenges to maternal-newborn wellness are great. (barnesjewish.org)
  • Since the program began, infant mortality has improved by an estimated 50 percent. (barnesjewish.org)
  • Preterm birth , any birth before 37 weeks, is a significant risk factor for infant mortality, and Cleveland has one of the highest rates of preterm birth in the country, according to March of Dimes' annual data. (uhhospitals.org)
  • A lot of our patients do not have a support system," says Da'Na Langford, CNM , Chair of the MacDonald Women's Hospital Maternal and Infant Mortality Committee, UH Cleveland Medical Center, and Clinical Instructor in the Division of Nurse-Midwifery, Department of Reproductive Biology at Case Western Reserve University School of Medicine . (uhhospitals.org)
  • UH is also an active stakeholder in First Year Cleveland, a collaboration of Cleveland-area health organizations, government leaders, local advocates and others dedicated to reducing the city's infant mortality rate to less than 6.0 deaths per 1,000 live births by 2020. (uhhospitals.org)
  • Participating organizations are working together on racial bias training, focus groups to better understand patient experience in the hospital, and increasing use of CenteringPregnancy group prenatal care and research to improve preterm birth and infant mortality rates. (uhhospitals.org)
  • Infant) mortality goes up if the hospitals start handling fewer VLBW (very low birth-weight) babies. (postandcourier.com)
  • Methods used for the calculation of the Hospital Standardised Mortality Ratios 2015-2017. (cbs.nl)
  • Statistics Netherlands has calculated The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals. (cbs.nl)
  • Statistics Netherlands has calculated The Hospital Standardised Mortality Ratios (HSMRs) for Dutch hospitals for the period 2012-2014. (cbs.nl)
  • Glasgow's Western General, Crosshouse Hospital near Kilmarnock, and Wishaw General Hospital in North Lanarkshire all recorded standardised mortality ratios significantly lower than the Scottish average. (aol.co.uk)
  • Research published online today in the journal BMJ Quality and Safety shows that Standardised Mortality Ratios (SMRs) are not a reliable indicator of the quality of hospital care and therefore should not be used to trigger inquiries such as the high-profile probe being conducted into the performance of Mid Staffordshire Hospital. (birmingham.ac.uk)
  • There is considerable debate about the value of using hospital mortality rates adjusted for case mix as an indicator of the quality and safety of care provided by hospitals. (bmj.com)
  • ROCHELLE - A recent Tribune article headed ``8 Illinois hospitals cited for high death rates`` stated that Rochelle Community Hospital has ``quality problems. (chicagotribune.com)
  • A team from the University of Sheffield's School of Health and Related Research (ScHARR) has developed a new index to measure hospital mortality rates that has been accepted for use by the Department of Health. (redorbit.com)
  • A report from the Steering Group for the National Review of the Hospital Standardized Mortality Ratio (NHS Information Centre for Health and Social Care, Whalley, 2010) states: "Hospital mortality rates have been used in parts of the NHS for a number of years. (redorbit.com)
  • NEW BRUNSWICK, N.J., March 14 -- A weekend admission to the hospital with a heart attack is associated with higher death rates and less use of percutaneous coronary interventions, according to researchers here. (medpagetoday.com)
  • In this study, invasive procedures were associated with a lower adjusted 30-day mortality rate, and these findings suggest that the higher weekend death rate was mediated in part by the lower rates of these invasive procedures, Dr. Kostis said. (medpagetoday.com)
  • Concurrently, in-hospital case-fatality rates among persons with DKA consistently decreased from 2000 to 2014. (cdc.gov)
  • Those who underwent surgical, rather than endovascular, revascularization had higher rates of in-hospital mortality (OR, 1.18) but lower rates of major amputation (OR, 0.75). (medscape.com)
  • It has been used by many hospitals worldwide to assess and analyze mortality rates and to identify areas for improvement. (hamiltonhealthsciences.ca)
  • How are hospitals using HSMR data to help reduce mortality rates and make improvements? (hamiltonhealthsciences.ca)
  • HSMR has been used by hospitals in several countries to assess in-hospital mortality rates and to help organizations identify areas for improvement. (hamiltonhealthsciences.ca)
  • The study did not find evidence of increased mortality rates linked to the U.S. Hospital Readmissions Reduction Program, especially not among emergency department or observation patients. (beckershospitalreview.com)
  • Nationwide mortality rates after PD decreased from 9·8 to 5·1 per cent (P = 0·044). (nih.gov)
  • SAN DIEGO (July 15, 2013): A new study evaluating surgical outcomes at California hospitals enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP ® ) found surgical patients at ACS NSQIP hospitals had significantly reduced mortality rates compared with non-ACS NSQIP hospitals. (facs.org)
  • Outcome measures included in-hospital mortality, 30-day mortality, 30-day readmissions and one-year mortality rates on seven complex surgical procedures, including: abdominal aortic aneurysm repair, aortic valve replacement, bariatric operations, coronary artery bypass grafting, esophagectomy, pancreatectomy, and percutaneous coronary intervention. (facs.org)
  • The researchers also identified a decrease in 30-day readmission and in-hospital mortality rates, although the difference did not reach statistical significance. (facs.org)
  • however, during this time period, surgical outcomes and mortality rates at ACS NSQIP hospitals have improved faster than at non-ACS NSQIP hospitals, which may be attributed to increased active participation in ACS NSQIP. (facs.org)
  • The magnitude of the decrease in mortality rates at ACS NSQIP hospitals demonstrates a clear distinction between ACS NSQIP hospitals and non-ACS NSQIP hospitals in terms of surgical quality improvement," said David C. Chang, PhD, MPH, MBA, senior author and Director of Outcomes Research in the Department of Surgery at the University of California San Diego (UCSD) School of Medicine. (facs.org)
  • Learn more about these measures and the U.S. national mortality rates (hospitalcompare.hhs.gov). (guthrie.org)
  • ORLANDO, Fla. - New data presented here suggest that teaching hospitals, when compared with non-teaching hospitals, provided care for children with sepsis at a greater cost without improving mortality rates. (healio.com)
  • For a study published in Health Affairs , we used Medicare claims data from 2008-2013 and data from the American Hospital Association's Annual Survey to examine how risk-adjusted mortality rates varied with three measures of EHR adoption. (physiciansweekly.com)
  • however, maturation of these EHR functions and the adoption of new functions was associated with decreases in mortality rates each year. (physiciansweekly.com)
  • More than 20,000 hospital deaths could have been prevented if warnings about high mortality rates had been acted on quickly, a government adviser has said. (hospitaldr.co.uk)
  • Low staffing levels are not the only reason why mortality rates increase in hospitals at weekends, two leading experts claim on bmj.com. (hospitaldr.co.uk)
  • 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)
  • The U.S. Department of Veterans Affairs hospitals outperform non-VA hospitals in readmissions, patient outcomes and mortality rates, according to a recent report from JAMA Internal Medicine . (healthcareitnews.com)
  • A recent academic paper concluded that an observed lack of agreement between different methods for calculating hospital-wide mortality rates may result from 'fundamental flaws in the hypothesised association between hospital-wide mortality and quality of care. (birmingham.ac.uk)
  • Therefore, we should not study overall mortality rates, even as a survey tool, in situations where people are going to die anyway. (birmingham.ac.uk)
  • We would advise caution about using overall rates of mortality even after risk adjustment. (birmingham.ac.uk)
  • Hospital mortality rates are widely used as a measure of quality in developed countries. (birmingham.ac.uk)
  • Risk-adjusted mortality rates for various hospital and surgeon volume ranges. (aappublications.org)
  • Pennsylvania hospitals continue to improve quality and drive down mortality and readmission rates according to a new report released today by the Pennsylvania Health Care Cost Containment Council (PHC4). (news-medical.net)
  • During the past five years, hospitals have significantly reduced mortality rates for ten common health conditions, including heart attacks, strokes, and pneumonia. (news-medical.net)
  • Pennsylvania hospitals worked together to improve quality, safety, and care coordination for about half of the conditions that had significant declines in mortality and readmission rates. (news-medical.net)
  • Sierra Leone's maternal and child mortality rates are among the highest in the world. (msf.org.uk)
  • Since 2017, MSF continues to contribute to the recovery of the health system after the Ebola outbreak that devastated the country and combat the high mortality rates among pregnant women and children. (msf.org.uk)
  • Rural Americans have higher rates of early and preventable deaths outside of the hospital than their urban counterparts. (jabfm.org)
  • If so, the higher mortality rates observed in these hospitals could be the result of unmeasured confounding factors, rather than hospital performance per se. (medpagetoday.com)
  • Comparison of mortality rates in high-risk teaching service patients hospitalized before and after July 2003, with nonteaching service patients used as a control group. (annals.org)
  • A "significant" fall in mortality rates for certain conditions emerged in a study into the use of incentives at hospitals in the North West of England. (manchester.ac.uk)
  • The researchers examined mortality rates for three of these five specified clinical conditions - pneumonia, heart failure and myocardial infarction. (manchester.ac.uk)
  • 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)
  • The ratio provides a starting point to assess mortality rates and identify areas for improvement, which may help to reduce unexpected hospital deaths. (nygh.on.ca)
  • Statistically significant differences in rates of emergency hospital admission and mortality were found during the twelve months of the trial between control and intervention groups. (scie.org.uk)
  • When hospitals receive on-site inspections from The Joint Commission, they experience noticeably lower mortality rates, especially in major teaching hospitals, according to a study published in the Journal of the American Medical Association . (healthcarefinancenews.com)
  • Among hospitals overall, there was a modest decline in mortality rates of about 1.5 percent during weeks when the inspections occurred. (healthcarefinancenews.com)
  • They hypothesized that the largest teaching hospitals may have a greater change in their mortality rates because their size allows them to better mobilize staff resources. (healthcarefinancenews.com)
  • There may be several reasons why there's a link between onsite inspections and lower mortality rates, though the authors caution that more research is needed to determine those factors definitely. (healthcarefinancenews.com)
  • Or the presence of inspectors could improve compliance with hand hygiene and infection control protocols, thereby reducing hospital-acquired infection rates. (healthcarefinancenews.com)
  • To get a better understanding of how hospital admission, readmission, and mortality rates have changed since the early days of combination antiretroviral therapy, clinician-researchers at the 1422-bed NIBIC-University Hospital in La Coruna, Spain, conducted this retrospective analysis. (natap.org)
  • As academic hospitals lower mortality rates, should insurers reconsider excluding them? (theconversation.com)
  • A comprehensive new study has found that major teaching hospitals in the United States outperformed non-teaching hospitals in the most important of all health care outcomes: reducing mortality rates. (theconversation.com)
  • Using a traditional measure of surgical quality, the study analyzed mortality rates for 21 million Medicare patients who were hospitalized with one of the 15 most common medical diagnoses or who underwent one of the six most common surgical procedures. (theconversation.com)
  • The main outcome measures were the standardised mortality ratio, with expected number based on national mortality rates, and hazard ratio calculations using time dependent multivariate regression analysis. (bmj.com)
  • 6 Beginning in July 2006, Queensland Health has adopted regular internal reporting of VLAD analyses of mortality, long stays, readmission rates and complications for 17 different diagnoses and procedures involving 87 public and private hospitals in the state. (mja.com.au)
  • April 5, 2013 - Mortality rates for heart attack, congestive heart failure or pneumonia have increased at critical access hospitals (CAHs) while those rates have declined in other acute care hospitals, according to a Harvard study reported in the Journal of the American Medical Association (JAMA) . (amnhealthcare.com)
  • Karen E. Joynt, MD, MPH, called the higher mortality rates at critical access hospitals a system failure. (amnhealthcare.com)
  • The researchers found a similar baseline mortality rate between CAHs and other hospitals in 2002, but mortality rates increased at a rate of 0.1 percent per year at the CAHs, while the rates declined at other hospitals by 0.2 percent per year, for a difference in change in mortality of 0.3 percent per year. (amnhealthcare.com)
  • The overall difference in mortality rates was 13.3 percent in CAHs and 11.4 percent in regular acute care hospitals. (amnhealthcare.com)
  • Women experienced rates of in-hospital mortality that are 1.6 times greater than males following bypass surgery after case-mix adjustment for age, anatomical disease severity, anginal class, and comorbid conditions. (ices.on.ca)
  • Hospitals with low mortality rates for adults undergoing cardiac surgery are superior in rescuing patients from postoperative complications, according to research published in the June issue of the Annals of Thoracic Surgery . (medicalxpress.com)
  • HealthDay)-Hospitals with low mortality rates for adults undergoing cardiac surgery are superior in rescuing patients from postoperative complications, according to research published in the June issue of the Annals of Thoracic Surgery . (medicalxpress.com)
  • Rates of complications and probability of death after a complication (failure to rescue [FTR] rates) were compared across hospitals ranked by mortality rates (low, medium, and high), with a focus on 17 major postoperative complications . (medicalxpress.com)
  • Methods A pragmatic, retrospective, observational study of seasonally adjusted in-hospital mortality rates in three main hospital specialties was undertaken before, during and after the sequential deployment and ongoing use of a hospital-wide EPSS in two large unconnected acute general hospitals in England. (bmj.com)
  • What are the trends in the use of high-volume hospitals for major cancer resections and cardiovascular surgery, and concurrent trends in operative mortality rates associated with these procedures? (acc.org)
  • For example, for a group of patients first we need to find the observed mortality rates for all the hospitals of interest. (wikipedia.org)
  • Then we can build/construct a model or use an existing model to predict mortality rates for each of the hospitals. (wikipedia.org)
  • Once we have the above three rates, then we can utilize the above formula to find the risk adjusted mortality rate which will reflect the actual mortality rate of a particular hospital without being biased from the observed mortality. (wikipedia.org)
  • In the past this has mainly been done by a company called Dr Foster, which produced the Hospital Standardized Mortality Ratio (HSMR). (redorbit.com)
  • The hospital standardized mortality ratio compares the number of deaths in a hospital with the national average of 100 for the baseline year. (hamiltonhealthsciences.ca)
  • The hospital standardized mortality ratio (HSMR) is a patient safety measure that compares a hospital's number of deaths to the average national rate. (nygh.on.ca)
  • The article discusses the validity of the hospital's standardized mortality ratio wherein it must correlate with accepted measures of quality. (ebscohost.com)
  • The recommendation of supporters the use of the hospital standardized mortality ratio to monitor quality of care over time. (ebscohost.com)
  • As of December 11, 2008, the Canadian Institute for Health Information (CIHI) will release the 2007-08 Hospital Standardized Mortality Ratio (HSMR) results for eligible hospitals, Local Health Integration Networks (LHINs) and Regional Health Authorities across Canada (excluding Quebec). (tbh.net)
  • For pediatric patients, the diagnosis of sepsis has carried a high mortality and morbidity along with annual costs greater than $2 billion," they wrote. (healio.com)
  • As the ED serves general medicine and surgery patients, not injuries, the high mortality due to drug intoxication, suicide, and probable suicide is interesting. (bmj.com)
  • The researchers found the overall unadjusted mortality rate to be 2.6 percent, ranging from 1.5 percent at low-mortality hospitals to 3.6 percent at high-mortality hospitals. (medicalxpress.com)
  • The rate for the 17 complications was 19.1 percent in the low-mortality group and 22.9 percent in the high-mortality group. (medicalxpress.com)
  • The overall FTR rate was significantly lower for the low-mortality hospitals (6.6 percent) than for the high-mortality hospitals (13.5 percent). (medicalxpress.com)
  • For 11 of the 17 complications, including cardiac arrest , dialysis, prolonged ventilation, and pneumonia, the FTR rate was significantly lower at low-mortality hospitals compared with high-mortality hospitals. (medicalxpress.com)
  • These data suggest that while patients at low-mortality hospitals suffer fewer complications than high-mortality hospitals, what truly distinguishes these high-performing hospitals is their superior ability to recognize and rescue patients from complications that arise after cardiac surgery procedures," the authors write. (medicalxpress.com)
  • Led by Professor Michael Campbell, the team, including Drs Richard Jacques and James Fotheringham, were commissioned in January 2011 by the Department of Health to develop and test a new index to look at deaths following a hospital admission. (redorbit.com)
  • In 10 weeks they produced a new index, the Summary Hospital Mortality Index (SHMI) based on the age, sex, method of admission and comorbidity of the patient. (redorbit.com)
  • However, they did not investigate what the optimal period should be in which the post-discharge mortality is taken into account, whether or not the length of the period should differ between diagnosis groups and whether this period should be from admission or from discharge. (cbs.nl)
  • Multivariable analyses identified older age, male sex, higher income, nonroutine admission sources, and more comorbid conditions as independent risk factors for in-hospital mortality. (nih.gov)
  • Many patients who die within 30 days of admission to the hospital for pneumonia die after discharge. (nih.gov)
  • Multivariate logistic regression analyses were performed to determine the association between 26 patient characteristics and the timing of death (in-hospital vs postdischarge) among those patients who died within 30 days of hospital admission. (nih.gov)
  • Of elderly patients dying within 30 days of admission to the hospital, approximately one-half die after discharge from the hospital. (nih.gov)
  • It is based on diagnosis groups that account for 80% of all deaths in acute care hospitals, and is adjusted for factors such as diagnosis group, age, sex, length of stay, admission category, co-morbidities, and transfers. (hamiltonhealthsciences.ca)
  • We estimated logistic regression models with death within 30 days of admission as the dependent variable and hospital competition, HMO penetration, and hospital and patient characteristics as explanatory variables. (rand.org)
  • 30-day mortality" is when patients die within 30 days of their admission to a hospital. (guthrie.org)
  • The chart takes into account how sick the patient was upon admission to the hospital. (guthrie.org)
  • The latest figures show there were 6,084 deaths within 30 days of hospital admission between July and September 2017 - 14% fewer than predicted, giving a hospital standardised mortality rate (HSMR) of 0.86. (aol.co.uk)
  • 2.4 hr) is associated with increased hospital mortality after ICU admission, mainly driven by patients who had a higher Acute Physiology and Chronic Health Evaluation IV probability. (rug.nl)
  • We hereby provide evidence that rapid admission of the most critically ill patients to the ICU might reduce hospital mortality. (rug.nl)
  • Independently of the admission day, mortality was higher during weekend stays (HR 1.07, 95% CI 1.04-1.09) and Friday stays (HR 1.05, 95% CI 1.02-1.08), relative to Monday-Thursday stays. (ersjournals.com)
  • Patients with chronic obstructive pulmonary disease (COPD) often experience exacerbations of their disease, sometimes requiring hospital admission and being associated with increased mortality. (dovepress.com)
  • The authors conclude: "Our systematic review shows that weekend admission is associated with higher mortality compared with weekday admission. (redorbit.com)
  • They compared the figures for in-hospital deaths within 30 days of admission in the 18 months before and after the scheme's introduction. (manchester.ac.uk)
  • The impact of telehealth on hospital use, patient admission and mortality were evaluated in three trial sites in England. (scie.org.uk)
  • What we found was that patients without insurance are more likely to be transferred from the emergency department or earlier in the admission, and had higher mortality. (umn.edu)
  • The overall hospital admission rate fell from 30.7 per 100 patients in 1993 to 19.9 in 2013, a highly significant decline (P (natap.org)
  • ORLANDO, Fla.-Serum potassium levels below 4.0 and above 5.0 mEq/L at hospital admission are associated with an increased risk of in-hospital mortality, according to a study presented at the National Kidney Foundation's 2017 Spring Clinical Meetings. (renalandurologynews.com)
  • A serum potassium level of 4.0-4.5 mEq/L at admission is associated with the lowest incidence of in-hospital mortality, researchers at Mayo Clinic in Rochester, Minnesota, reported. (renalandurologynews.com)
  • The effect of serum potassium levels at hospital admission on risk of in-hospital mortality has not been examined. (renalandurologynews.com)
  • Admission serum potassium and mortality in hospital patients. (renalandurologynews.com)
  • Predicting long-term survival after admission to hospital is helpful for clinical, administrative and research purposes. (cmaj.ca)
  • The Hospital-patient One-year Mortality Risk (HOMR) model was derived and internally validated to predict the risk of death within 1 year after admission. (cmaj.ca)
  • We used administrative data for all nonpsychiatric admissions of adult patients to hospitals in the provinces of Ontario (2003-2010) and Alberta (2011-2012), and to the Brigham and Women's Hospital in Boston (2010-2012) to calculate each patient's HOMR score at admission. (cmaj.ca)
  • The HOMR score, calculated using routinely collected administrative data, accurately predicted the risk of death among adult patients within 1 year after admission to hospital for nonpsychiatric indications. (cmaj.ca)
  • We recently derived and internally validated a model that predicts the risk of death from any cause at 1 year after admission to hospital. (cmaj.ca)
  • 1 The Hospital-patient One-year Mortality Risk (HOMR) model consists of covariates whose values are determined at admission using routinely collected health administrative data ( Figure 1 ). (cmaj.ca)
  • and acuity of illness (admission urgency and hospital service, direct admission to an intensive care unit and whether the admission was an urgent readmission to hospital). (cmaj.ca)
  • Covariates used to calculate a patient's Hospital-patient One-year Mortality Risk (HOMR) score at the time of admission to hospital. (cmaj.ca)
  • See Table 3 for the expected risk of death within 1 year after hospital admission for each HOMR score. (cmaj.ca)
  • Frail patients also had a significantly longer median hospital length of stay (15 vs 7 days) and higher median cost of index admission ($39,665 vs $27,307). (renalandurologynews.com)
  • All patients were followed from the day of admission to either in-hospital death or discharge alive. (bmj.com)
  • To evaluate whether the predictive value of admission hyperglycemia for mortality differs between diabetics and non-diabetics with acute coronary syndrome (ACS). (unboundmedicine.com)
  • Admission hyperglycemia should be considered as a risk factor strongly correlated with in-hospital and 2-year all-cause mortality in patients with ACS. (unboundmedicine.com)
  • A study conducted on 52,000 patients who had gastric bypass surgery and discharged from the hospital sooner than the average hospital stay increases the rate of mortality and complications. (medindia.net)
  • Recently the FDA approved the use of an adjustable gastric band for BMI 30 and above, recognizing that there is an increase in mortality and medical complications of obesity at even this level of obesity. (medindia.net)
  • The patients treated at the high-burden hospitals were 11% more likely to develop postoperative complications and had 6% longer hospital stays than those treated at low-burden hospitals. (news-medical.net)
  • For the most part, in-hospital or short-term mortality has been used as the measure of adverse outcome, although complications of treatment and hospital length of stay have also been used. (aappublications.org)
  • Factors such as demographic characteristics, clinical characteristics, comorbidities, and complications related to in-hospital mortality were assessed. (dovepress.com)
  • Herniation and sepsis were the most common complications of stroke that were attributed to in-hospital mortality. (dovepress.com)
  • The other 30% of in-hospital mortality was related to sepsis, heart disease, and other complications. (dovepress.com)
  • Frailty was the strongest independent predictor of ICU-level complications, non-home discharge, increased length of stay, and hospital-related costs. (renalandurologynews.com)
  • On multivariate analysis, frailty was associated with significant 2.3-, 4.7-, 2.0- and 1.8-fold increased odds of in-hospital mortality, ICU-level complications, non-home discharge, and 30-day readmission, respectively. (renalandurologynews.com)
  • A change in hospital culture can help prevent serious complications and death during delivery, according to clinicians who work in the field. (wnpr.org)
  • They say hospitals can improve quality of care for three common complications in childbirth: heavy bleeding after delivery known as postpartum hemorrhage, problems with high blood pressure, and blood clots before or after delivery. (wnpr.org)
  • How is that even some large, well-resourced hospitals might not be prepared for common complications during delivery? (wnpr.org)
  • The investigators found no differences in mortality, complications, or length of stay and posit that this may stem from resource availability in these specialized care settings regardless of the time of day. (ahrq.gov)
  • In tertiary care settings, the risk of mortality for babies who are born preterm and/or SGA can be reduced with low-cost interventions such as Kangaroo Mother Care or improved management of complications through special newborn care or neonatal intensive care units. (diva-portal.org)
  • Most perioperative mortality is attributable to complications from the operation (such as bleeding, sepsis, and failure of vital organs) or pre-existing medical conditions. (wikipedia.org)
  • A linked paper by Pouw and colleagues (doi:10.1136/bmj.f5913) investigates the inclusion of post-discharge deaths in these mortality indicators. (bmj.com)
  • 3 We also know that these measures are at best weakly related to avoidable mortality-models show that they would begin to be useful for identifying poor quality of care only when at least 16% of hospital deaths are avoidable. (bmj.com)
  • The use of a 30-day post-discharge mortality rate counts deaths that may have been unrelated to prior hospital care. (chicagotribune.com)
  • Rochelle Community Hospital is a small rural hospital (42 beds), and one or two deaths in a disease category can significantly affect our mortality statistics. (chicagotribune.com)
  • Vital statistics on live births, fetal deaths, and neonatal deaths in Arkansas for 1985 through 1989 were analyzed by birth hospital level of obstetric care, birth weight, and county of residence. (nih.gov)
  • They also wanted an index based on deaths in hospital and 30 days after discharge, to try and discourage hospitals from discharging dying patients to improve their statistics. (redorbit.com)
  • The team was given records of all admissions to hospital in England for five years (92 million records) and linked deaths from the Office of National Statistics. (redorbit.com)
  • It includes deaths that occur 30 days after discharge and so tries to remove the incentive of hospitals discharging dying patients to improve their mortality data. (redorbit.com)
  • Thirty-day mortality for myocardial infarction patients admitted on the weekend to a New Jersey hospital was 0.9% worse than that for patients admitted during the week, representing nine to 10 additional deaths per 1,000 admissions per year. (medpagetoday.com)
  • The increase in mortality, which may persist for more than a year, could account for several thousand deaths annually in the U.S. More appropriate hospital staffing or regionalization of care of patients with acute myocardial infarction may prevent some of these deaths," Dr. Kostis and his team concluded. (medpagetoday.com)
  • 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)
  • COPD and hospital deaths are illustrated. (eurekalert.org)
  • ATS 2017, WASHINGTON, DC--While the number of hospitalizations for COPD in the United States fluctuated within a narrow range between 2005 and 2014, in-hospital deaths decreased substantially during that same time, according to new research presented at the ATS 2017 International Conference. (eurekalert.org)
  • Most striking, Dr. Goel said, was that each year, women accounted for most of the hospitalizations and in-hospital deaths. (eurekalert.org)
  • Women made up 57-58 percent of the hospitalizations and 51-55 percent of the in-hospital deaths. (eurekalert.org)
  • The history of fetal deaths and HIV in mothers was also recognized as an explanatory factor for the occurrence of neonatal mortality. (scirp.org)
  • It consists of early neonatal deaths where the death occurs during the first seven days of life, and late neonatal mortality expressing the occurrence of death from the 8th to 27th day of life. (scirp.org)
  • A prospective study attempted to establish accurate figures of perinatal mortality (first-week neonatal deaths and stillbirths weighing 500 g or more) occurring in 1992 in patients delivered at Vila, Vanuatu, Central Hospital (VCH). (biomedsearch.com)
  • Out of 1445 total births, there were 23 stillbirths and 27 first-week neonatal deaths at VCH during 1992, giving a total perinatal mortality rate of 34.6/1000 births (and a stillbirth rate of 16/1000). (biomedsearch.com)
  • The aim of this study was to assess whether in-hospital deaths and composite outcomes of patients undergoing PCI are related to gender during the first 48 hours. (ahajournals.org)
  • The hospital standardised mortality rate takes account of those patients who die within 30 days of being admitted to hospital so includes some deaths that take place in the community. (aol.co.uk)
  • The relationship between overall mortality and deaths preventable by better care is not linear,' explains Professor Richard Lilford, Professor of Clinical Epidemiology at Birmingham and lead author of the study. (birmingham.ac.uk)
  • The appalling idea that one in four of all NHS hospital deaths are preventable is not backed up by current evidence and does not make sense given that we all have to die and nearly half of us do so in hospital. (birmingham.ac.uk)
  • The additional 40-56 deaths per 100 000 patients staying in hospital on those days are most likely due to reduced access to healthcare at that time. (ersjournals.com)
  • Investigators concluded that cannabis users had 'less all-cause in-hospital deaths and shorter hospital stays compared to non-users. (norml.org)
  • Explaining excess rural hospital deaths will require further attention to the patient, community, and health system factors that distinguish rural from urban populations. (jabfm.org)
  • The study concludes that the possibility of incentives having a "substantial" effect on reducing deaths in NHS hospitals cannot be ruled out. (manchester.ac.uk)
  • The HSMR is a ratio of observed deaths to the expected number of deaths of patients in acute care hospitals, multiplied by 100. (nygh.on.ca)
  • Non-AIDS illness accounted for just over one third of hospital deaths in the earlier period and for two thirds in the later period. (natap.org)
  • There would be 58,000 fewer deaths per year among those patients if non-teaching hospitals achieved the same mortality rate as teaching hospitals, according to Dr. Laura Burke, lead author of the study, published in the Journal of the American Medical Association in late May. (theconversation.com)
  • To compare results of statistical process-control analyses of in-hospital deaths of patients with acute myocardial infarction by using either administrative or clinical data sources and prediction models, and to assess variation in results according to selected patient characteristics. (mja.com.au)
  • The two prediction models, when applied to all patients, generated almost identical VLAD curves, showing a steadily increasing excess mortality over the study period, culminating in an estimated 11 excess deaths. (mja.com.au)
  • After exclusion of misclassified cases, out-of-hospital cardiac arrests and deaths within 30 minutes of presentation, replotting the curves reversed the mortality trend and yielded, depending on the model, a net gain of three or seven lives. (mja.com.au)
  • This was a retrospective, descriptive, analytical study and focused on deaths that occurred in the "A" surgical department of the Point "G" university hospital in Bamako. (scirp.org)
  • 3 That dehydration itself caused a minority of hospital deaths is encouraging, suggesting that programmatic attempts to prevent it at community and primary health care level are bearing fruit. (scielo.org.za)
  • Results During EPSS implementation, crude mortality fell from a baseline of 7.75% (2168/27 959) to 6.42% (1904/29 676) in one hospital (estimated 397 fewer deaths), and from 7.57% (1648/21 771) to 6.15% (1614/26 241) at the second (estimated 372 fewer deaths). (bmj.com)
  • The cumulative total of excess deaths reduced in all specialties with increasing use of the system across the hospital. (bmj.com)
  • If hospitals check every single patient for these conditions, the authors say, and use research-backed protocols to treat them, obstetricians can help fight the high rate of maternal deaths, which they call a national "tragedy. (wnpr.org)
  • Conclusions The DECAF Score is a simple yet effective predictor of mortality in patients hospitalised with an exacerbation of COPD and has the potential to help clinicians more accurately predict prognosis, and triage place and level of care to improve outcome in this common condition. (bmj.com)
  • Conclusions The use of technology specifically designed to improve the accuracy, reliability and availability of patients' vital signs and early warning scores, and thereby the recognition of and response to patient deterioration, is associated with reduced mortality in this study. (bmj.com)
  • Conclusions Higher centre volume was associated with lower HFH mortality but increased HFH costs and increased cardiac procedures in a cohort of Medicare and non-Medicare beneficiaries. (bmj.com)
  • Conclusions: Our study showed that the risk of neonatal mortality was highest when the baby was born both preterm and SGA, followed by babies who were born preterm, and then by babies who were SGA in a tertiary hospital in Nepal. (diva-portal.org)
  • For example, our mortality rate for the renal disease category was 50 percent. (chicagotribune.com)
  • In-hospital case-fatality rate was defined as the proportion of persons hospitalized for DKA who died in the hospital. (cdc.gov)
  • HSMR is an overall quality indicator that compares a hospital's mortality rate with the national average, accounting for the types of patients cared for. (hamiltonhealthsciences.ca)
  • A ratio equal to 100 is interpreted as no difference between a hospital's mortality rate and the average rate of the baseline year. (hamiltonhealthsciences.ca)
  • A ratio greater than 100 indicates that a hospital's mortality rate is higher than the average rate of the baseline year. (hamiltonhealthsciences.ca)
  • The overall 30-day mortality rate was 0.1 percent for patients who stayed in the hospital for two or more days, and about 0.8 percent for those who were discharged on the same day of surgery. (medindia.net)
  • The perinatal mortality rate for the Vila Central Hospital area was 30.4 per 1000 births (with a stillbirth rate of 14 per 1000). (biomedsearch.com)
  • Even though there is still scope for improvement, especially in the prevention of birth asphyxia, the perinatal mortality rate in Vanuatu compares favourably with that in other developing countries. (biomedsearch.com)
  • If emergency referred cases from other islands are excluded, the perinatal mortality rate for the VCH area was 30.4/1000 births (with a stillbirth rate of 14/1000). (biomedsearch.com)
  • With nationwide centralization of PD, the in-hospital mortality rate after this procedure decreased. (nih.gov)
  • Implementing machine learning technology specifically designed to fight sepsis in part through clinician alerts, the organization saw the sepsis-related in-hospital mortality rate was 33.5 percent lower during the post-implementation period and the average sepsis-related hospital length of stay was 17.1 percent lower during the same period. (healthcareitnews.com)
  • Conclusion Women with ACS who undergo PCI have a higher in-hospital mortality rate than men. (ahajournals.org)
  • The mortality rate at Scotland's hospitals has fallen by more than 10% since 2014, new figures show. (aol.co.uk)
  • The 10.6% drop since 2014 means a Scottish Government target to cut the mortality rate by 10% between 2014 and 2018 is already beaten. (aol.co.uk)
  • A total of 21 out 29 hospitals in the Scottish Patient Safety Programme have cut their mortality rate between January and March 2014 compared to July to September 2017. (aol.co.uk)
  • But the rate does not include patients who die in hospital more than 30 days after they were admitted for treatment. (aol.co.uk)
  • Each function present in 2008 was associated with a 0.11 percentage point higher mortality rate in 2008. (physiciansweekly.com)
  • However, each function present in 2008 was associated with a 0.09 percentage point decrease in mortality rate with each passing year, and each newly adopted function was associated with a 0.21 percentage point decrease in mortality rate each year. (physiciansweekly.com)
  • Authors concluded: "Patients with a positive marijuana screen had a lower mortality rate (5.3 percent versus 8.9 percent) compared to patients with a negative marijuana screen. (norml.org)
  • Third, in addition to investigating aggregate differences in risk-adjusted mortality for various provider volume groups, this study examines risk-adjusted mortality rate differences between provider volume groups for different levels of procedure complexity. (aappublications.org)
  • The mortality rate fell from 16.1 percent during 2010, to 10.2 percent during 2015. (news-medical.net)
  • At those 541 hospitals the 90-day mortality rate was 23.7% versus a 20% rate in hospitals that treated no black patients. (medpagetoday.com)
  • In 1 268 738 medical patients examined, the regulations were associated with a 0.25% reduction in the absolute mortality rate ( P = 0.043) and a 3.75% reduction in the relative risk for death. (annals.org)
  • This research seeks to identify the relationship between insurance coverage and the mortality rate of patients transferred between hospitals. (umn.edu)
  • The study was conducted to determine whether hospitals, who receive accreditation from The Joint Commission, change certain practices during on-site inspections that could impact the mortality rate. (healthcarefinancenews.com)
  • Among major teaching hospitals, the mortality rate dipped by 5.9 percent during inspection weeks. (healthcarefinancenews.com)
  • Health care personnel in all hospitals work hard to provide first-rate care, but academic hospitals carry an added responsibility. (theconversation.com)
  • It found that the 30-day mortality rate for such patients was 1.5 percent lower in absolute terms (8.1 percent in teaching hospitals vs. 9.6 percent in non-teaching hospitals), or nearly 15 percent lower percentage-wise. (theconversation.com)
  • AF is associated with higher in-hospital mortality rate than in patients without AF. (dovepress.com)
  • Among those attending the ED two, three, or more times in a calendar year, the mortality rate was higher than among those coming only once in a year. (bmj.com)
  • Further studies are needed into the diagnosis at discharge of those frequently using the ED, in an attempt to understand and possibly prevent this marked mortality rate. (bmj.com)
  • Mortality rate among newborns at the Paediatric Centre of the Dormaa Presbyterian Hospital in the Brong Ahafo Region has reduced from 2.6 per cent in 2014 to 1.3 per cent in 2016. (ghanamma.com)
  • To analyze the rate and the main causes of mortality in the General "A" surgical department of the Point "G" CHU. (scirp.org)
  • The mortality rate in general surgery remains high and is mainly linked to cancerous pathologies and the delay in taking care of patients. (scirp.org)
  • This is not the first study showing a higher mortality rate in CAHs. (amnhealthcare.com)
  • The Harvard authors attribute the mortality rate outcomes, in part, to the lack of a performance reporting requirement for CAHs. (amnhealthcare.com)
  • The risk adjusted mortality rate (RAMR) is a mortality rate that is adjusted for predicted risk of death. (wikipedia.org)
  • It can be found as: RAMR = (Observed Mortality Rate/Predicted Mortality Rate)* Overall (Weighted) Mortality Rate In medical science, RAMR could be a predictor of mortality that takes into account the predicted risk for a group of patients. (wikipedia.org)
  • It is expected that the number of patients in each hospital will be different and hence we need an overall (weighted) mortality rate for all these hospitals. (wikipedia.org)
  • In the English NHS the Summary Hospital-level Mortality Indicator, the Hospital Standardised Mortality Rate and the Risk Adjusted Mortality Index are all used. (wikipedia.org)
  • The research presented in this paper has been done in the context of the further development of the methodology of calculating the Hospital Standardised Mortality Ratio (HSMR) in the Netherlands. (cbs.nl)
  • The goal of this research is to investigate the effect of adding post-discharge mortality to the HSMR. (cbs.nl)
  • Ontario hospitals are using the HSMR for internal benchmarking purposes. (hamiltonhealthsciences.ca)
  • Annually reported data helps to show hospitals how their HSMR has changed, where they have made progress, and where they can continue to improve. (hamiltonhealthsciences.ca)
  • A higher than average HSMR result does not necessarily mean that a hospital is "unsafe" just as a lower than average HSMR does not necessarily mean a hospital is "safe. (hamiltonhealthsciences.ca)
  • The HSMR tool is not intended to serve as a measure for hospitals to compare themselves against other organizations, or for the public to use as a measure of choosing where to seek care. (hamiltonhealthsciences.ca)
  • We strongly support the public reporting of quality indicators such as HSMR because we believe it will inspire improved performance, enhance patient safety, and strengthen the public's confidence in Ontario's hospitals. (hamiltonhealthsciences.ca)
  • Although it seems the HSMR has increased recently, it is important to note that 2014-15 included the data for West Lincoln Memorial Hospital as well, so performance in 2014-15 represents the new baseline for HHS. (hamiltonhealthsciences.ca)
  • Of note, CIHI excludes Children's Hospitals from the HSMR calculation and so the HHS HSMR is based on Hamilton General hospital, Juravinski hospital, and most recently West Lincoln Memorial Hospital. (hamiltonhealthsciences.ca)
  • The HSMR is adjusted for other factors affecting mortality, such as age, sex and length of stay. (nygh.on.ca)
  • North York General Hospital regularly monitors and reviews performance indicators such as the HSMR and uses this information to execute best practice protective measures and continually improve patient care and safety. (nygh.on.ca)
  • HSMR gives hospital administrators and health providers a snapshot of a hospital's performance at a given time - areas where it is performing well and areas where it could improve. (tbh.net)
  • Our hospital intends to carefully review the CIHI report and our HSMR results, and then work with health professionals to identify and implement system-level improvements - as we do when we receive reports on other safety and quality indicators, such as those in the OHA's Hospital Report, or in the course of our standard quality improvement programs. (tbh.net)
  • We assessed whether patients hospitalised for chronic obstructive pulmonary disease (COPD) or pneumonia have higher mortality during weekend and Friday stays. (ersjournals.com)
  • Mortality during hospitalization in this nationwide sample of patients with acute exacerbations of COPD was lower than that of previous studies of select populations. (nih.gov)
  • This study assessed the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin. (rand.org)
  • 15 percent of immunosuppressed patients with sepsis died during hospitalization compared to 12 percent of non-immunosuppressed patients with sepsis at all hospitals. (newswise.com)
  • The researchers analyzed mortality differences for 231,164 patients admitted to percutaneous coronary intervention-equipped New Jersey hospitals on weekends and weekdays from 1987 to 2002, grouped into four-year intervals. (medpagetoday.com)
  • Researchers analyzed 2008-16 Medicare claims for patients 65 or older admitted to hospitals with heart failure, acute myocardial infarction or pneumonia. (beckershospitalreview.com)
  • Researchers noted a national trend toward increased mortality risk in heart failure patients' post-discharge period, but the increase began before the readmission policy was announced. (beckershospitalreview.com)
  • Researchers analyzed data from 1,184,895 patients at 227 hospitals from 1995 to 2009 to identify whether surgical outcomes improved over time in ACS NSQIP hospitals compared with non-ACS NSQIP hospitals. (facs.org)
  • Researchers noted that US teaching hospitals face increasing pressure to provide cost-effective health care in addition to medical education. (healio.com)
  • The researchers, who are from New York Presbyterian Hospital-Weill Cornell Medical College, looked at retrospective hospital discharge records from adults who underwent THA surgery from California, Florida, New York, Maryland, and Kentucky over a seven-year period. (news-medical.net)
  • JAMA researchers examined patient experience and hospital data for 129 VA and 4,010 non-VA facilities using the CMS Hospital Compare site for the reporting period of July 2012 through March 2015 and the 2014 American Hospital Association Annual Survey data. (healthcareitnews.com)
  • HANOVER, N.H., Oct. 24 - Race aside, acute MI patients are more likely to die within 90 days of the event if they are treated at a hospital that has a disproportionately high number of black patients, researchers here reported today. (medpagetoday.com)
  • The researchers noted that federal pay-for-performance programs tend to penalize teaching hospitals the most, "calling into question whether the national approach to measuring and rewarding on performance is working effectively. (ajmc.com)
  • Lead author Matt Sutton, Professor of Health Economics in The University of Manchester's Institute for Population Health, said: "Researchers have generally concluded that paying bonuses to hospitals for improving quality of care does not affect patient health. (manchester.ac.uk)
  • He was introduced to leaders from hospitals of all sizes, geographies and prosperity levels, medical school faculty and administrators, university researchers, government officials, physicians, nurses and other clinical personnel. (barnesjewish.org)
  • Researchers adjusted their findings for a range of factors, including severity of sepsis when hospitalized, other medical problems and whether a patient's infection was hospital acquired. (newswise.com)
  • From July 2004 to September 2006, the researchers collected and analyzed data from ART patient master cards and the ART register of all children registered for treatment in the ART clinic at Mzuzu Central Hospital in northern Malawi. (thebody.com)
  • Although children do well on ART, there is high early mortality," the researchers concluded. (thebody.com)
  • Researchers from the Hospital del Mar Medical Research Institute (IMIM) and IDIAP Jordi Gol have just published an article showing that autoimmune diseases significantly increase cardiovascular risk as well as overall mortality . (imim.es)
  • Incidence and mortality after acute respiratory failure and acute respiratory distress syndrome in Sweden, Denmark, and Iceland," American Journal of Respiratory and Critical Care Medicine , vol. 159, no. 6, pp. 1849-1861, 1999. (hindawi.com)
  • Higher incidence seen for in-hospital mortality, acute respiratory failure, acute kidney injury. (empr.com)
  • The large sample size allowed the estimation of cardiovascular event incidence and mortality in people diagnosed with autoimmune diseases. (imim.es)
  • We wanted to determine whether the risk of suffering a coronary heart disease, stroke, or overall mortality was increased in people suffering autoimmune inflammatory diseases including Crohn's and ulcerative colitis, rheumatoid arthritis, systemic lupus erythematosus, or ankylosing spondylitis, among other illnesses, and establish the incidence of each pathology ', explains María Grau , researcher in the IMIM's Cardiovascular Epidemiology research group and principal investigator on the article. (imim.es)
  • Results: During this period, the hospital had an incidence of preterm birth and SGA of 8.1 and 37.5 %, respectively. (diva-portal.org)
  • In the interval from 1999 to 2002 (59,786 admissions), mortality at 30 days was significantly higher for patients admitted on weekends (12.9% vs. 12.0%, P =0.006). (medpagetoday.com)
  • Patients who attend hospitals ranked higher according to specific quality measures have a lower chance of dying, according to new research. (netdoctor.co.uk)
  • Our results indicate that the use of administrative data can help to identify subsets of patients with acute exacerbations of COPD that are at higher risk of in-hospital mortality. (nih.gov)
  • Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. (rwjf.org)
  • Higher hospital competition was associated with lower mortality in California and New York, but not Wisconsin. (rand.org)
  • In addition, higher HMO penetration was associated with lower mortality in California, but higher mortality in New York. (rand.org)
  • Objectives Previous studies have shown higher in-hospital mortality in women than in men after PCI for acute coronary syndrome (ACS). (ahajournals.org)
  • In this period, one hospital - Belford Hospital in Fort William - had a standardised mortality ratio significantly higher than national average. (aol.co.uk)
  • This study, the most methodologically robust to date, identified a statistically significant relationship between higher RN staffing and lower patient mortality. (ahrq.gov)
  • R. Agarwal, R. Srinivas, A. Nath, and S. K. Jindal, "Is the mortality higher in the pulmonary vs the extrapulmonary ARDS? (hindawi.com)
  • Unadjusted mortality was significantly higher in municipal hospitals for myocardial infarction, stroke, and head trauma, and lower for congestive heart failure and pneumonia. (rand.org)
  • These hospitals treat a higher proportion of Medicaid and uninsured patients, as well as a larger percentage of black and Hispanic patients and patients from poorer neighborhoods. (news-medical.net)
  • The study found that patient outcomes after receiving THA differed remarkably between hospitals categorized as 'high burden' (i.e., those caring for a higher percentage of Medicaid/uninsured patients) and those defined as 'low burden' (those treating more patients with private insurance). (news-medical.net)
  • VA hospitals scored higher on six of the nine patient safety indicators than the non-VA facilities. (healthcareitnews.com)
  • While weekend hospital admissions are associated with higher mortality, the effects of weekend hospital stays are not known. (ersjournals.com)
  • Mortality was higher for weekend (HR 1.06, 95% CI 1.03-1.09) but not Friday admissions (HR 0.97, 95% CI 0.95-1.00), relative to Monday-Thursday admissions. (ersjournals.com)
  • A systematic review and meta-analysis of hospital data worldwide, presented as this year's Euroanaesthesia meeting in Stockholm, adds further evidence that patients admitted to hospital at weekends have higher mortality than those admitted on weekdays. (redorbit.com)
  • Among patients with chronic kidney disease, those with potassium levels of 5.5 or higher had a nearly 3-fold increased odds of in-hospital mortality. (renalandurologynews.com)
  • To ascertain the annual number of users who were discharged home after visits to the emergency department (ED), grouped by age, sex, and number of visits during the calendar year, and to assess whether a higher number of visits to the department predicted a higher mortality. (bmj.com)
  • The mortality of those who had used the ED and been discharged home was found to be higher than that of the general population. (bmj.com)
  • Frequent users of the ED had a higher mortality than those visiting the department no more than once a year. (bmj.com)
  • In fact, Joynt undertook this research project at the suggestion of CAHs' response to her prior research, "Quality of Care and Patient Outcomes in Critical Access Rural Hospitals," also published in JAMA , showing higher mortality in the rural facilities for the same three conditions. (amnhealthcare.com)
  • Hospitals were divided into lower- and higher-mortality groups according to adjusted surgical mortality. (aappublications.org)
  • Furthermore, hospitals in the higher centre volume groups had increased HFH costs across different severity of illness categories and involved increased use of cardiac procedures. (bmj.com)
  • 9 While the association between higher centre volumes and better health outcomes is strongest for surgical procedures, studies have shown a strong relationship between higher centre volumes and lower in-hospital mortality in other complex diseases like patients with HIV/AIDS 10 and in patients undergoing chemotherapy. (bmj.com)
  • Depending on the procedure, higher hospital volumes were attributable to an increasing number of cases nationwide, an increasing market concentration, or both. (acc.org)
  • Higher hospital volumes explained a large portion of the decline in mortality for pancreatectomy (67% of the decline), cystectomy (37%), and esophagectomy (32%), but not for the other procedures. (acc.org)
  • The difference in mortality between medium- and high-volume centres was statistically significant (P = 0·004). (nih.gov)
  • Dr. Skinner said that adjusting for patients' income, type of hospital ownership -- public versus private or for-profit versus not-for-profit -- region of the country or urban status also did not explain the difference in mortality. (medpagetoday.com)
  • The advantage of adding post-discharge mortality, is that the mortality indicator becomes less dependent on the discharge policies of hospitals. (cbs.nl)
  • 2013) have investigated the possibilities and effects of adding post-discharge to the mortality indicator in the Netherlands. (cbs.nl)
  • 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 study population included 71 130 patients aged 40 years or older with an acute exacerbation of COPD at hospital discharge. (nih.gov)
  • Recently, 30-day mortality for patients with pneumonia became a publicly reported performance measure, meaning that hospitals are, in part, being measured based on how the patient fares after discharge from the hospital. (nih.gov)
  • We used linked hospital discharge and vital statistics data to study adults hospitalized for myocardial infarction, hip fracture, stroke, gastrointestinal hemorrhage, congestive heart failure, or diabetes. (rand.org)
  • The brilliance of the recent study is that the metric measured was mortality: How many patients from each group were still alive at 30 days after their hospital discharge? (theconversation.com)
  • Data from 467 consecutive patients admitted to a tertiary hospital in Queensland, between 1 July 2003 and 31 March 2006, with a coded discharge diagnosis of acute myocardial infarction. (mja.com.au)
  • Retrospective cohort study using state-mandated hospital discharge datasets. (aappublications.org)
  • This study aimed to identify risk factors of neonatal mortality through maternal and new-born characteristics susceptible to influence this last. (scirp.org)
  • TUESDAY, July 9, 2019 -- In-hospital maternal mortality decreased from 1998 to 2015 in systemic lupus erythematosus (SLE) and non-SLE pregnancies, with a greater decline for SLE pregnancies, according to a study published online July 9 in the Annals. (medworm.com)
  • https://www.drugs.com/news/hospital-maternal-mortality-down-pregnancies-lupus-83. (medworm.com)
  • University Hospitals (UH) is leading collaborative efforts to make measurable change in both infant and maternal mortality. (uhhospitals.org)
  • The meeting aimed at sharing the findings with stakeholders and communities on the achievement and challenges in the reduction of maternal mortality by 50.8 per cent. (thepoint.gm)
  • Speaking at the meeting, Dr Mamadi Cham, Chief Executive Officer of the AFPRC General Hospital in Farafenni, expressed satisfaction on the reduction of maternal mortality ratio by 50.8 per cent within one year. (thepoint.gm)
  • Outcomes of admissions in hospital service areas (HSAs) with and without closure(s) are compared before and after the closure year. (nber.org)
  • They wrote that the most "important limitation of the present study is the possibility that the unobservable health status of acute MI patients in neighborhoods served by hospitals with a disproportionate number of black acute-MI admissions is systematically different from the average. (medpagetoday.com)
  • For intervention patients, the overall costs of hospital care (including emergency admissions, elective admissions and outpatient attendances) were £188 per patient less than those for controls. (scie.org.uk)
  • Coinfected people had more hospital admissions than HIV-monoinfected people over the study period (3 versus 2 per patient, P (natap.org)
  • In this cohort of patients, azithromycin alone was associated with lower hospital mortality but hydroxychloroquine was not associated with increased or reduced mortality. (mdpi.com)
  • The diffusion of a culture of openness in hospitals is associated with lower hospital mortality, according to a study conducted among 137 acute trusts in England by Veronica Toffolutti (Bocconi University and London School of Hygiene & Tropical Medicine) and David Stuckler (Bocconi University) published in Health Affairs. (infectioncontroltoday.com)
  • Adult patients admitted to the ICU directly from the emergency department in six university hospitals, between 2009 and 2016, were included. (rug.nl)
  • Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. (healthcarefinancenews.com)
  • 1 The main doubts about their value are that standardisation for differences between hospitals in the characteristics of their patients (the case mix) doesn't work, and that these indicators do not measure performance because they are not related to avoidable mortality. (bmj.com)
  • A principal limitation, according the investigators, was that unmeasured confounders may have contributed to the reported mortality differences. (medpagetoday.com)
  • We wanted to examine trends in COPD hospitalizations and in-hospital mortality in a nationally representative sample and evaluated for potential differences by sex and race. (eurekalert.org)
  • To determine if mortality differences between municipal and voluntary hospitals in New York City persist after adjustment for computerized administrative data (age, sex, principal diagnosis, and secondary diagnosis), six conditions in those hospitals from 1984 through 1987 were studied. (rand.org)
  • We conclude that adjustment using administrative data eliminates some but not all mortality differences between municipal and voluntary hospitals. (rand.org)
  • Both hospital volume and surgeon volume are significantly associated with in-hospital mortality, and these differences persist for both high-complexity and low-complexity pediatric cardiac procedures. (aappublications.org)
  • First, these differences reflect poorer quality of care in hospital at the weekend, and second, patients admitted on at weekend could be more severely ill than those admitted on at weekday. (redorbit.com)
  • The differences in mortality persisted after adjusting for patient characteristics and hospital volume and location. (ajmc.com)
  • RESEARCH DESIGN AND METHODS: This was a hospital-based prospective study The setting was an acute care 350-bed hospital in the city of Barcelona, Spain. (diabetesjournals.org)
  • Appropriate patient selection is more important than choice of dataset or risk-prediction model when statistical process-control methods are used to flag unfavourable mortality trends suggestive of suboptimal hospital care. (mja.com.au)
  • METHODS: A total of 1534 consecutive patients admitted with ACS to Central Control Unit of Beijing Friendship Hospital were analyzed. (unboundmedicine.com)
  • In England, adjusted mortality statistics for NHS hospitals have been published since 2001 by the Dr Foster organisation and the Department of Health has recently sponsored a similar approach: the Summary Hospital Mortality Index. (birmingham.ac.uk)
  • Perinatal mortality: the role of hospital of birth. (nih.gov)
  • Patterns of perinatal mortality in a state with no organized system or guidelines for regionalized perinatal health care were examined. (nih.gov)
  • 1500 gm) and moderately low birth weight (1500 to 2499 gm) infants delivered at level III hospitals in Arkansas is lower than that in other states with formal systems of perinatal regionalization. (nih.gov)
  • Reducing perinatal mortality in Vila Central Hospital, Vanuatu. (biomedsearch.com)
  • This paper provides accurate figures and detailed analysis of the causes of perinatal mortality in the main referral hospital in Vanuatu in 1992, and discusses possible improvements in management. (biomedsearch.com)
  • Increased family planning uptake will be expected to lead to a reduction in perinatal mortality. (biomedsearch.com)
  • There were three sets of twins involved in perinatal mortality: one set of twins died because of premature delivery, there was one set of conjoined twins, and an unexplained fetal death in utero of one of a set of twins with a normal outcome of the other twin. (biomedsearch.com)
  • Major congenital abnormality was the fourth cause of perinatal mortality. (biomedsearch.com)
  • There are currently five hospitals that qualify as high-level regional perinatal centers in South Carolina: Spartanburg Regional, Greenville Hospital System, Palmetto Richland, McLeod Regional Medical Center in Florence and Medical University Hospital. (postandcourier.com)
  • That would divert patients away from MUSC and the other regional perinatal centers, but it also would impact the number of low-birth-weight babies that each hospital treats. (postandcourier.com)
  • Dr. Pat Cawley, executive director of the Medical University Hospital, said regional perinatal centers are particularly anxious about any future changes, because DHEC's Certificate of Need program, which regulates new hospitals, hospital expansion projects and expensive medical equipment purchases, is currently bogged down in legal limbo. (postandcourier.com)
  • Our objective was to obtain a generalizable estimate of in-hospital mortality from acute exacerbation of COPD in the United States and to identify predictors of in-hospital mortality using administrative data. (nih.gov)
  • Predictors of in-hospital mortality in patients with ST-segment elevation myocardial infarction undergoing pharmacoinvasive treatment. (clinicaltrials.gov)
  • Using logistic regression analysis to adjust for several predictors of in-hospital mortality the odds ratio estimate (OR) for female sex was 1.55 and was statistically significant (95% confidence interval [CI] 1.09 to 2.20). (ices.on.ca)
  • Joynt and colleagues analyzed data from Medicare fee-for-service patients admitted to U.S. acute care hospitals with acute myocardial infarction, congestive heart failure and pneumonia between 2002 and 2010. (amnhealthcare.com)
  • Accumulating evidence suggests that aspirin not only reduces the risk of developing cancer, but may also play a strong role in reducing death from cancer," said the study's lead author, Yin Cao, MPH, ScD, an instructor in Medicine, Clinical and Translational Epidemiology Unit , at Massachusetts General Hospital and Harvard Medical School. (massgeneral.org)
  • Infection Control & Hospital Epidemiology , Vol. 38, Issue. (cambridge.org)
  • As part of the Centers for Medicare & Medicaid Services' (CMS) Partnership for Patients initiative, HAP's Pennsylvania Hospital Engagement Network supported more than two-thirds of hospitals in the state as they shared the best ways to improve care for heart failure, chest pain, pneumonia, COPD, and stroke. (news-medical.net)
  • CAHs receive reimbursement from the Centers for Medicare and Medicaid Services (CMS) on a cost basis and are not subject to the same quality reporting requirements as other hospitals. (amnhealthcare.com)
  • I think, in general, staffing is a huge challenge for small rural hospitals, not just in terms of numbers but staffing in terms of expertise," said Joynt, offering as an example that heart-failure nurse specialists work with those patients in larger academic centers, but that would be unusual in a CAH. (amnhealthcare.com)
  • Dr. Prakash Krishnan, Director of Endovascular Interventions at The Mount Sinai Hospital's Cardiac Catheterization Laboratory in New York City, commented in an email to Reuters Health, "These data illustrate the central role of revascularization in patients with CLI for limb salvage and reducing in-hospital mortality. (medscape.com)
  • A ratio less than 100 suggests the hospital's mortality rare is below average. (nygh.on.ca)
  • multivariate logistic regression models estimated the odds of NNMR by level of obstetric hospital, adjusted for other risk factors. (nih.gov)
  • In the matched cohort, overall, patients who were revascularized had lower in-hospital mortality (odds ratio, 0.68) and major amputations (OR, 0.25) compared with those treated medically. (medscape.com)
  • Acute Physiology and Chronic Health Evaluation IV probability) odds ratios of emergency department to ICU time on mortality. (rug.nl)
  • The odds of mortality increased by 10% for non-elderly adults, 15% for those with AMI, 10% for patients with stroke, and 8% for those with sepsis. (physiciansweekly.com)
  • Compared with the reference value, a level below 3.0 had 5.5-fold increased odds of in-hospital mortality. (renalandurologynews.com)
  • Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. (ahrq.gov)
  • Excess Mortality Attributable to Clostridium difficile and Risk Factors for Infection in an Historic Cohort of Hospitalised Patients Followed Up in the United Kingdom Death Register. (cambridge.org)
  • This was a retrospective cohort study, with follow up of cause specific mortality through a national registry, in the Reykjavik area of Iceland. (bmj.com)
  • After dividing the overall cohort into three groups based on 5-year centre volume, groups with medium and high volume centres had lower in-hospital mortality when compared with the group with low volume centres. (bmj.com)
  • Above 225, caring for greater numbers of immunosuppressed patients with sepsis (one hospital treated 1,056 such patients) did not appear to reduce mortality. (newswise.com)
  • We expected to see a decline because of improvements in caring for conditions such as pneumonia, sepsis, septic shock and thromboembolic diseases associated with COPD exacerbations, but the magnitude of the decline in mortality was surprising. (eurekalert.org)
  • Although previous studies have reported mortality from exacerbations of COPD, there is limited information about prediction of individual in-hospital mortality. (dovepress.com)
  • We developed a nomogram for predicting in-hospital mortality of exacerbations of COPD. (dovepress.com)
  • An additional limitation was that a smaller proportion of patients were admitted to hospitals equipped for percutaneous coronary intervention. (medpagetoday.com)
  • Predictors of in-hospital vs postdischarge mortality in pneumonia. (nih.gov)
  • This study was undertaken to determine which factors predict in-hospital vs postdischarge mortality in patients with pneumonia. (nih.gov)
  • In the subgroup of patients with coexistent pneumonia (n=299), DECAF was a significantly stronger predictor of mortality than CURB-65. (bmj.com)
  • Uninsured patients who are treated in the hospital for heart attack, stroke or pneumonia are more likely to die from their conditions. (trusteemag.com)
  • They used the Summary Hospital-level Mortality Indicator (SHMI) as a measure of mortality and designed a standardized openness indicator that draws on staff surveys from the Picker Institute Europe's National Staff Survey. (infectioncontroltoday.com)
  • The report found the VA also had better outcomes on mortality and readmissions metrics. (healthcareitnews.com)
  • Improvements in hospital quality and care coordination also reduced readmissions, the re-hospitalizations sometimes needed to provide additional treatment after patients have been discharged. (news-medical.net)
  • As part of a CMS-funded Hospital Improvement Innovation Network, Pennsylvania hospitals will continue to work collaboratively through 2019 to improve quality and safety and reduce readmissions. (news-medical.net)
  • Trends in hospitalizations, readmissions and in-hospital mortality in HIV-infected patients between 1993-2013: impact of hepatitis C coinfection. (natap.org)
  • We strongly disagree with the Health Care Finance Administration mortality data results and do not feel that they are an accurate measure of the quality of care rendered at our facility. (chicagotribune.com)
  • While mortality data may be useful as a screening mechanism to measure quality factors, they have no value in themselves and bear no relationship to patient mix, local demographics and other factors that relate to severity of illness. (chicagotribune.com)
  • It has been funded by Dutch Hospital Data (DHD). (cbs.nl)
  • 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)
  • 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)
  • Better understanding the causes of this increasing trend in DKA hospitalizations and decreasing trend in in-hospital case-fatality through further exploration using multiple data sources will facilitate the targeting of prevention efforts. (cdc.gov)
  • In view of the frightening statistics of mortality in the world, in Africa in general, DR Congo, and in particular Kolwezi and especially no published data on in-hospital neonatal mortality in our environment has been published this day. (scirp.org)
  • The authors analyzed medical records linked to secondary data sources for 74,050 black and white VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. (rwjf.org)
  • Nationwide data on International Classification of Diseases, ninth revision (ICD-9) code 5-526 (PD, including Whipple), patient age, sex and mortality were retrieved from the independent nationwide KiwaPrismant registry. (nih.gov)
  • Through an ongoing review of internal data, it appears that InSight clinical alerts, from machine learning vendor Dascena, and clinical documentation/coding of sepsis are showing an increased correlation, said Hoyt J. Burdick, MD, chief medical officer at Cabell Huntington Hospital. (healthcareitnews.com)
  • Guthrie is committed to providing our patients the most recent quality data on our hospital. (guthrie.org)
  • While concerns remain about the validity of some of the measures used in current public reporting of health quality, the available data suggests that VA hospitals have a similar or more favorable quality compared with non-VA hospitals," the authors wrote. (healthcareitnews.com)
  • Hospitals can use these data to identify opportunities for quality improvement. (healthcareitnews.com)
  • Dr. Skinner and colleagues analyzed data from 4,289 hospitals, and identified 541 hospitals where third or more of patients were black. (medpagetoday.com)
  • The first of its kind in England, the initiative required each hospital to submit data on 28 quality measures concerning five clinical conditions. (manchester.ac.uk)
  • The HOMR model can be used for risk adjustment in analyses of health administrative data to predict long-term survival among hospital patients. (cmaj.ca)
  • This study examined the relationship between gender and in-hospital mortality using data from patients undergoing coronary artery bypass surgery (CABS) in the province of Ontario. (ices.on.ca)
  • In 2009, a data collection system was set up to monitor the scale and impact of the annual AGE peak from February to April that involved all 11 public hospitals (5 district, 3 regional and 3 central) in the city. (scielo.org.za)
  • These data have provided a first view of hospitalisation and in-hospital mortality due to AGE in a city in South Africa. (scielo.org.za)
  • Objective To determine whether introducing an electronic physiological surveillance system (EPSS), specifically designed to improve the collection and clinical use of vital signs data, reduced hospital mortality. (bmj.com)
  • This analysis of national Medicare data shows that the contribution of increasing hospital volume to declining mortality varied considerably according to procedure, with complex cancer resections associated with particularly strong relationships between volume and outcome, but there was considerably weaker association for cardiovascular procedures. (acc.org)
  • The same period saw a decline in in-hospital mortality. (medscape.com)
  • If we phase out measles and oral polio campaigns after eradicating their target infections without considering the impact on child survival, the drastic decline in child mortality since 1990 could change direction. (clinicaltrials.gov)
  • Operative mortality declined for all eight procedures, ranging from a relative decline of 8% for carotid endarterectomy (1.3% mortality in 1999 and 1.2% in 2008) to 36% for AAA repair (4.4% in 1999 and 2.8% in 2008). (acc.org)
  • Though covering the whole metropolitan area, this plan focuses on areas with the highest child mortality from AGE. (scielo.org.za)
  • High patient turnover was also associated with excess mortality. (ahrq.gov)
  • Severe unstable angina had the greatest potential contribution to in-hospital mortality (OR = 7.51, 95% CI = 3.71-15.23) and was more prevalent in women, indicating that excess mortality may be due to delayed diagnosis in women. (ices.on.ca)
  • In Mali, few studies have concerned overall mortality in general surgery, but several specific studies have concerned the different affections. (scirp.org)
  • Few studies have concerned overall mortality in general surgery, but several specific studies have concerned the different affections (peritonitis, appendicitis, hernias, digestive cancers, biliary and pancreatic pathologies, etc. (scirp.org)
  • The study results showed that systemic disorders of connective tissue, like lupus, and rheumatoid arthritis, are associated with a greater cardiovascular and overall mortality risk, followed by inflammatory bowel diseases, such as Crohn's and ulcerative colitis, which involve an increased risk of stroke and mortality. (imim.es)
  • During that time, those who died in the hospital declined from 24,226 to 9,090--a 62 percent decrease. (eurekalert.org)
  • Further centralization of PD is likely to decrease mortality further, especially in the elderly. (nih.gov)
  • This concurrent increase in volume and decrease in mortality is in conjunction with hospitals' efforts to identify septicemia and begin treatment as soon as possible. (news-medical.net)
  • In " Hospital Volume of Immunosuppressed Sepsis Patients and Sepsis Mortality ," Jared A. Greenberg, MD, MSc, and coauthors analyzed the medical records of 350,183 patients with sepsis at 60 U.S. hospitals. (newswise.com)
  • It is also possible that the physicians may not comply with the Surviving Sepsis Campaign's international guidelines for clinical care, which many studies have shown reduce sepsis mortality, according to the authors. (newswise.com)
  • After the adjusted analysis, azithromycin alone was associated with lower mortality (OR 0.60, 95% CI 0.42-0.85) compared to no treatment. (mdpi.com)
  • Benson Hsu, MD, MBA, FAAP , of Sanford School of Medicine, and colleagues investigated the impact of teaching hospital status on pediatric patients with a diagnosis of sepsis in terms of financial cost, the use of resources and mortality. (healio.com)
  • To examine the relationship between annual provider (hospital and surgeon) volume of pediatric cardiac surgery and in-hospital mortality. (aappublications.org)
  • The 16 acute care hospitals in New York with certificate of need approval to perform pediatric cardiac surgery. (aappublications.org)
  • The purpose of this study is to examine the relationship between in-hospital mortality and provider (hospital and surgeon) volume for pediatric cardiac surgery in New York State between 1992 and 1995. (aappublications.org)
  • In Africa, hospital mortality studies are studies carried out in pediatric, gyneco-obstetrics, internal medicine and infectious diseases, but rarely in general surgery [4]. (scirp.org)
  • During this study, children with managed care insurance had significantly reduced use of lower-mortality hospitals for pediatric heart surgery in California compared with children with indemnity insurance. (aappublications.org)
  • Avoidable, amenable and preventable mortality is strongly related to area deprivation in England and in Wales, a report by the Office for National Statisti. (hospitaldr.co.uk)
  • Case mix adjusted hospital mortality is a poor proxy for preventable mortality: a modelling study. (birmingham.ac.uk)