The period of confinement of a patient to a hospital or other health facility.
Variation occurring within a species in the presence or length of DNA fragment generated by a specific endonuclease at a specific site in the genome. Such variations are generated by mutations that create or abolish recognition sites for these enzymes or change the length of the fragment.
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.
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.
Elements of limited time intervals, contributing to particular results or situations.
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.
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).
Hospital units providing continuous surveillance and care to acutely ill patients.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
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.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
A terminal section of a chromosome which has a specialized structure and which is involved in chromosomal replication and stability. Its length is believed to be a few hundred base pairs.
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.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
The confinement of a patient in a hospital.
Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.
Subsequent admissions of a patient to a hospital or other health care institution for treatment.
The sequence of PURINES and PYRIMIDINES in nucleic acids and polynucleotides. It is also called nucleotide sequence.
The distance between the anterior and posterior poles of the eye, measured either by ULTRASONOGRAPHY or by partial coherence interferometry.
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 process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.
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.
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.
Schedules of medical and nursing procedures, including diagnostic tests, medications, and consultations designed to effect an efficient, coordinated program of treatment. (From Mosby's Medical, Nursing & Allied Health Dictionary, 4th ed)
Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.
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)
The detection of RESTRICTION FRAGMENT LENGTH POLYMORPHISMS by selective PCR amplification of restriction fragments derived from genomic DNA followed by electrophoretic analysis of the amplified restriction fragments.
An infant during the first month after birth.
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.
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).
The loss of some TELOMERE sequence during DNA REPLICATION of the first several base pairs of a linear DNA molecule; or from DNA DAMAGE. Cells have various mechanisms to restore length (TELOMERE HOMEOSTASIS.) Telomere shortening is involved in the progression of CELL AGING.
Maintenance of TELOMERE length. During DNA REPLICATION, chromosome ends loose some of their telomere sequence (TELOMERE SHORTENING.) Various cellular mechanism are involved in repairing, extending, and recapping the telomere ends.
Hospitals engaged in educational and research programs, as well as providing medical care to the patients.
The order of amino acids as they occur in a polypeptide chain. This is referred to as the primary structure of proteins. It is of fundamental importance in determining PROTEIN CONFORMATION.
An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.
A disease or state in which death is possible or imminent.
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.
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).
Facilities which provide programs for rehabilitating the mentally or physically disabled individuals.
The repeating contractile units of the MYOFIBRIL, delimited by Z bands along its length.
The duration of a surgical procedure in hours and minutes.
Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.
In vitro method for producing large amounts of specific DNA or RNA fragments of defined length and sequence from small amounts of short oligonucleotide flanking sequences (primers). The essential steps include thermal denaturation of the double-stranded target molecules, annealing of the primers to their complementary sequences, and extension of the annealed primers by enzymatic synthesis with DNA polymerase. The reaction is efficient, specific, and extremely sensitive. Uses for the reaction include disease diagnosis, detection of difficult-to-isolate pathogens, mutation analysis, genetic testing, DNA sequencing, and analyzing evolutionary relationships.
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.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
A multistage process that includes cloning, physical mapping, subcloning, determination of the DNA SEQUENCE, and information analysis.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine).
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
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.
Surgery performed on the heart.
A parameter usually used in PRENATAL ULTRASONOGRAPHY to measure the length of the uterine neck (CERVIX UTERI). Cervical length or its shortening is used to identify and prevent early cervical opening and PRETERM BIRTH.
Institutions with an organized medical staff which provide medical care to patients.
Institutions with permanent facilities and organized medical staff which provide the full range of hospital services primarily to a neighborhood area.
Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)
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)
The properties, processes, and behavior of biological systems under the action of mechanical forces.
Loss of blood during a surgical procedure.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
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.
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
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 age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated as the time from the last day of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization.
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.
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
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.
Infection occurring at the site of a surgical incision.
The relationships of groups of organisms as reflected by their genetic makeup.
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.
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.
Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.
Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.
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)
Special hospitals which provide care for ill children.
Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.
The insertion of recombinant DNA molecules from prokaryotic and/or eukaryotic sources into a replicating vehicle, such as a plasmid or virus vector, and the introduction of the resultant hybrid molecules into recipient cells without altering the viability of those cells.
Physicians who are employed to work exclusively in hospital settings, primarily for managed care organizations. They are the attending or primary responsible physician for the patient during hospitalization.
Surgery performed on the digestive system or its parts.
Health care provided to a critically ill patient during a medical emergency or crisis.
The use of statistical and mathematical methods to analyze biological observations and phenomena.
Interventions to provide care prior to, during, and immediately after surgery.
Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
Review of the medical necessity of hospital or other health facility admissions, upon or within a short time following an admission, and periodic review of services provided during the course of treatment.
Disease having a short and relatively severe course.
A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments.
Major administrative divisions of the hospital.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.
An essential ribonucleoprotein reverse transcriptase that adds telomeric DNA to the ends of eukaryotic CHROMOSOMES.
The restriction of a characteristic behavior, anatomical structure or physical system, such as immune response; metabolic response, or gene or gene variant to the members of one species. It refers to that property which differentiates one species from another but it is also used for phylogenetic levels higher or lower than the species.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Incision into the side of the abdomen between the ribs and pelvis.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
The period following a surgical operation.
A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.
The genetic constitution of the individual, comprising the ALLELES present at each GENETIC LOCUS.
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.
Any infection which a patient contracts in a health-care institution.
Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Excessive, under or unnecessary utilization of health services by patients or physicians.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen.
Surgical removal of the vermiform appendix. (Dorland, 28th ed)
The regular and simultaneous occurrence in a single interbreeding population of two or more discontinuous genotypes. The concept includes differences in genotypes ranging in size from a single nucleotide site (POLYMORPHISM, SINGLE NUCLEOTIDE) to large nucleotide sequences visible at a chromosomal level.
Excision of the gallbladder through an abdominal incision using a laparoscope.
Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)
Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.
Deoxyribonucleic acid that makes up the genetic material of bacteria.
Sequences of DNA or RNA that occur in multiple copies. There are several types: INTERSPERSED REPETITIVE SEQUENCES are copies of transposable elements (DNA TRANSPOSABLE ELEMENTS or RETROELEMENTS) dispersed throughout the genome. TERMINAL REPEAT SEQUENCES flank both ends of another sequence, for example, the long terminal repeats (LTRs) on RETROVIRUSES. Variations may be direct repeats, those occurring in the same direction, or inverted repeats, those opposite to each other in direction. TANDEM REPEAT SEQUENCES are copies which lie adjacent to each other, direct or inverted (INVERTED REPEAT SEQUENCES).
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.
Pain during the period after surgery.
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 technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
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.
Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.
Genotypic differences observed among individuals in a population.
Hospitals located in metropolitan areas.
Any method used for determining the location of and relative distances between genes on a chromosome.
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Substances that reduce the growth or reproduction of BACTERIA.
The rate dynamics in chemical or physical systems.
A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)
A species of gram-negative, facultatively anaerobic, rod-shaped bacteria (GRAM-NEGATIVE FACULTATIVELY ANAEROBIC RODS) commonly found in the lower part of the intestine of warm-blooded animals. It is usually nonpathogenic, but some strains are known to produce DIARRHEA and pyogenic infections. Pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (ENTEROTOXIGENIC ESCHERICHIA COLI), etc.
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 long cylindrical contractile organelles of STRIATED MUSCLE cells composed of ACTIN FILAMENTS; MYOSIN filaments; and other proteins organized in arrays of repeating units called SARCOMERES .
Computer-based representation of physical systems and phenomena such as chemical processes.
The spatial arrangement of the atoms of a nucleic acid or polynucleotide that results in its characteristic 3-dimensional shape.
Operative procedures for the treatment of vascular disorders.
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.
Method of measuring performance against established standards of best practice.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes.
Hospitals controlled by various types of government, i.e., city, county, district, state or federal.
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.
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.
Special hospitals which provide care to the mentally ill patient.
Hospital department responsible for the organization and administration of psychiatric services.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
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)
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves directed into the body. The procedure may be applied with reference to the mother or the fetus and with reference to organs or the detection of maternal or fetal disease.
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.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
The arrangement of two or more amino acid or base sequences from an organism or organisms in such a way as to align areas of the sequences sharing common properties. The degree of relatedness or homology between the sequences is predicted computationally or statistically based on weights assigned to the elements aligned between the sequences. This in turn can serve as a potential indicator of the genetic relatedness between the organisms.
Measurements of the height, weight, length, area, etc., of the human and animal body or its parts.
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)
The physical measurements of a body.
Hospital department responsible for the flow of patients and the processing of admissions, discharges, transfers, and also most procedures to be carried out in the event of a patient's death.
Infection of the lung often accompanied by inflammation.
The property of objects that determines the direction of heat flow when they are placed in direct thermal contact. The temperature is the energy of microscopic motions (vibrational and translational) of the particles of atoms.
Surgical incision into the chest wall.
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.
Resistance and recovery from distortion of shape.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.
The sequential correspondence of nucleotides in one nucleic acid molecule with those of another nucleic acid molecule. Sequence homology is an indication of the genetic relatedness of different organisms and gene function.
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.
Suppurative inflammation of the pleural space.
The distance from the sole to the crown of the head with body standing on a flat surface and fully extended.
The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)
Endoscopic surgery of the pleural cavity performed with visualization via video transmission.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
Short sequences (generally about 10 base pairs) of DNA that are complementary to sequences of messenger RNA and allow reverse transcriptases to start copying the adjacent sequences of mRNA. Primers are used extensively in genetic and molecular biology techniques.
Models used experimentally or theoretically to study molecular shape, electronic properties, or interactions; includes analogous molecules, computer-generated graphics, and mechanical structures.
The technique that deals with the measurement of the size, weight, and proportions of the human or other primate body.
Microsatellite repeats consisting of three nucleotides dispersed in the euchromatic arms of chromosomes.
The hospital unit in which patients with acute cardiac disorders receive intensive care.
Widely used technique which exploits the ability of complementary sequences in single-stranded DNAs or RNAs to pair with each other to form a double helix. Hybridization can take place between two complimentary DNA sequences, between a single-stranded DNA and a complementary RNA, or between two RNA sequences. The technique is used to detect and isolate specific sequences, measure homology, or define other characteristics of one or both strands. (Kendrew, Encyclopedia of Molecular Biology, 1994, p503)
Muscular contractions characterized by increase in tension without change in length.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.
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.
Theoretical representations that simulate the behavior or activity of genetic processes or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.
Contractile tissue that produces movement in animals.
Plastic tubes used for drainage of air or fluid from the pleural space. Their surgical insertion is called tube thoracostomy.
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)
Acute inflammation of the APPENDIX. Acute appendicitis is classified as simple, gangrenous, or perforated.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
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.
Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.
The return of a sign, symptom, or disease after a remission.
Methods of creating machines and devices.
A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles.
The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.
The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment.
Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor.
Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
Surgery performed on the thoracic organs, most commonly the lungs and the heart.
A technique for identifying individuals of a species that is based on the uniqueness of their DNA sequence. Uniqueness is determined by identifying which combination of allelic variations occur in the individual at a statistically relevant number of different loci. In forensic studies, RESTRICTION FRAGMENT LENGTH POLYMORPHISM of multiple, highly polymorphic VNTR LOCI or MICROSATELLITE REPEAT loci are analyzed. The number of loci used for the profile depends on the ALLELE FREQUENCY in the population.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.

Regional survey of femoral neck fractures. (1/7364)

In the South-west Thames Region 2619 patients (2105 women and 514 men) were discharged with a diagnosis of femoral neck fracture in 1974. The equivalent of a 250-bedded hospital was occupied throughout the year. The incidence, average length of stay, and mortality rate rose with increasing age and there were differences in these indices in the five health areas. These results confirm the enormous burden placed on the hospital service by patients with fracture of the femoral neck but suggest that differences in practice in the five areas may contribute to the size of the problem.  (+info)

Incidence and duration of hospitalizations among persons with AIDS: an event history approach. (2/7364)

OBJECTIVE: To analyze hospitalization patterns of persons with AIDS (PWAs) in a multi-state/multi-episode continuous time duration framework. DATA SOURCES: PWAs on Medicaid identified through a match between the state's AIDS Registry and Medicaid eligibility files; hospital admission and discharge dates identified through Medicaid claims. STUDY DESIGN: Using a Weibull event history framework, we model the hazard of transition between hospitalized and community spells, incorporating the competing risk of death in each of these states. Simulations are used to translate these parameters into readily interpretable estimates of length of stay, the probability that a hospitalization will end in death, and the probability that a nonhospitalized person will be hospitalized within 90 days. PRINCIPAL FINDINGS: In multivariate analyses, participation in a Medicaid waiver program offering case management and home care was associated with hospital stays 1.3 days shorter than for nonparticipants. African American race and Hispanic ethnicity were associated with hospital stays 1.2 days and 1.0 day longer than for non-Hispanic whites; African Americans also experienced more frequent hospital admissions. Residents of the high-HIV-prevalence area of the state had more frequent admissions and stays two days longer than those residing elsewhere in the state. Older PWAs experienced less frequent hospital admissions but longer stays, with hospitalizations of 55-year-olds lasting 8.25 days longer than those of 25-year-olds. CONCLUSIONS: Much socioeconomic and geographic variability exists both in the incidence and in the duration of hospitalization among persons with AIDS in New Jersey. Event history analysis provides a useful statistical framework for analysis of these variations, deals appropriately with data in which duration of observation varies from individual to individual, and permits the competing risk of death to be incorporated into the model. Transition models of this type have broad applicability in modeling the risk and duration of hospitalization in chronic illnesses.  (+info)

The impact of a multidisciplinary approach on caring for ventilator-dependent patients. (3/7364)

OBJECTIVE: To determine the clinical and financial outcomes of a highly structured multidisciplinary care model for patients in an intensive care unit (ICU) who require prolonged mechanical ventilation. The structured model outcomes (protocol group) are compared with the preprotocol outcomes. DESIGN: Descriptive study with financial analysis. SETTING: A twelve-bed medical-surgical ICU in a non-teaching tertiary referral center in Ogden, Utah. STUDY PARTICIPANTS: During a 54 month period, 469 consecutive intensive care patients requiring mechanical ventilation for longer than 72 hours who did not meet exclusion criteria were studied. INTERVENTIONS: A multidisciplinary team was formed to coordinate the care of ventilator-dependent patients. Care was integrated by daily collaborative bedside rounds, monthly meetings, and implementation of numerous guidelines and protocols. Patients were followed from the time of ICU admission until the day of hospital discharge. MAIN OUTCOME MEASURES: Patients were assigned APACHE II scores on admission to the ICU, and were divided into eight diagnostic categories. ICU length of stay, hospital length of stay, costs, charges, reimbursement, and in-hospital mortality were measured. RESULTS: Mortality in the preprotocol and protocol group, after adjustment for APACHE II scores, remained statistically unchanged (21-23%). After we implemented the new care model, we demonstrated significant decreases in the mean survivor's ICU length of stay (19.8 days to 14.7 days, P= 0.001), hospital length of stay (34.6 days to 25.9 days, P=0.001), charges (US$102500 to US$78500, P=0.001), and costs (US$71900 to US$58000, P=0.001). CONCLUSIONS: Implementation of a structured multidisciplinary care model to care for a heterogeneous population of ventilator-dependent ICU patients was associated with significant reductions in ICU and hospital lengths of stay, charges, and costs. Mortality rates were unaffected.  (+info)

Reduction of laparoscopic-induced hypothermia, postoperative pain and recovery room length of stay by pre-conditioning gas with the Insuflow device: a prospective randomized controlled multi-center study. (4/7364)

OBJECTIVE: To assess the efficacy and safety of Insuflow (Georgia BioMedical, Inc.) filter heater hydrator device in reducing the incidence, severity and extent of hypothermia, length of recovery room stay and postoperative pain at the time of laparoscopy. DESIGN: Prospective, randomized, blinded, controlled multi-center study. Patients underwent gynecologic procedures via laparoscopy; surgeons, anesthesiologists and recovery room personnel assessed the results. SETTING: Seven North American institutions. PATIENTS: Seventy-two women for safety evaluation and efficacy studies. INTERVENTIONS: Intraoperative pre-conditioning of laparoscopic gas with the Insuflow device (treatment) or standard raw gas (control) during laparoscopic surgery and postoperatively. MAIN OUTCOME MEASURES: Incidence, severity and extent of hypothermia, postoperative pain perception and length of recovery room stay. RESULTS: The Insuflow group had significantly less intraoperative hypothermia, reduced length of recovery room stay and reduced postoperative pain. Pre-conditioning of laparoscopic gas by filtering heating and hydrating was well tolerated with no adverse effects. The safety profile of the Insuflow pre-conditioned gas showed significant benefits compared to currently used raw gas. CONCLUSIONS: Pre-conditioning laparoscopic gas by filtering heating and hydrating with the Insuflow device was significantly more effective than the currently used standard raw gas and was safe in reducing or eliminating laparoscopic-induced hypothermia, shortening recovery room length of stay and reducing postoperative pain.  (+info)

As-required versus regular nebulized salbutamol for the treatment of acute severe asthma. (5/7364)

Current British guidelines for the administration of beta2-agonists in acute severe asthma recommend regular nebulized therapy in hospitalized patients, followed by as-required (p.r.n.) use via hand-held devices after discharge. Since beta2-agonists do not possess anti-inflammatory activity in vivo, and are thus unlikely to influence the rate of recovery from an asthma exacerbation, it was hypothesized that patients given the short-acting beta2-agonist salbutamol on an as-required basis after admission to hospital would recover as quickly as those on regular treatment, but with potential reductions in the total dose delivered. Forty-six patients with acute severe asthma were randomly assigned to either regular prescriptions of nebulized salbutamol or to usage on a p.r.n. basis, from 24 h after hospital admission. The primary outcome measures were length of hospital stay, time to recovery, and frequency of salbutamol nebulization from 24 h after admission to discharge. Secondary outcome measures were treatment side-effects (tremor, palpitations), and patient satisfaction. Length of hospital stay was reduced in those patients allocated to p.r.n. salbutamol (geometric mean (GM) 3.7 days) versus regular salbutamol (GM 4.7 days). Time taken for peak expiratory flow to reach 75% of recent best was the same in both groups. There was a highly significant reduction in the number of times nebulized therapy was delivered to the p.r.n. group (GM 7.0, range 1-30) compared with the regular treatment group (GM 14.0, range 4-57; p=0.003; 95% confidence interval for ratio of GMs 1.29-3.09). In addition, patients reported less tremor (p=0.062) and fewer palpitations (p=0.049) in the p.r.n. group. Of the patients in the p.r.n. group who had received regular nebulized therapy on previous admissions (n=12), all preferred the p.r.n. regimen. Prescribing beta2-agonists on a p.r.n. basis from 24 h after hospital admission is associated with reduced amount of drug delivered, incidence of side-effects, and possibly length of hospital stay. This has implications for the efficient use of healthcare resources.  (+info)

Endoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcers. (6/7364)

BACKGROUND AND METHODS: After endoscopic treatment to control bleeding of peptic ulcers, bleeding recurs in 15 to 20 percent of patients. In a prospective, randomized study, we compared endoscopic retreatment with surgery after initial endoscopy. Over a 40-month period, 1169 of 3473 adults who were admitted to our hospital with bleeding peptic ulcers underwent endoscopy to reestablish hemostasis. Of 100 patients with recurrent bleeding, 7 patients with cancer and 1 patient with cardiac arrest were excluded from the study; 48 patients were randomly assigned to undergo immediate endoscopic retreatment and 44 were assigned to undergo surgery. The type of operation used was left to the surgeon. Bleeding was considered to have recurred in the event of any one of the following: vomiting of fresh blood, hypotension and melena, or a requirement for more than four units of blood in the 72-hour period after endoscopic treatment. RESULTS: Of the 48 patients who were assigned to endoscopic retreatment, 35 had long-term control of bleeding. Thirteen underwent salvage surgery, 11 because retreatment failed and 2 because of perforations resulting from thermocoagulation. Five patients in the endoscopy group died within 30 days, as compared with eight patients in the surgery group (P=0.37). Seven patients in the endoscopy group (including 6 who underwent salvage surgery) had complications, as compared with 16 in the surgery group (P=0.03). The duration of hospitalization, the need for hospitalization in the intensive care unit and the resultant duration of that stay, and the number of blood transfusions were similar in the two groups. In multivariate analysis, hypotension at randomization (P=0.01) and an ulcer size of at least 2 cm (P=0.03) were independent factors predictive of the failure of endoscopic retreatment. CONCLUSIONS: In patients with peptic ulcers and recurrent bleeding after initial endoscopic control of bleeding, endoscopic retreatment reduces the need for surgery without increasing the risk of death and is associated with fewer complications than is surgery.  (+info)

Hematocrit level and associated mortality in hemodialysis patients. (7/7364)

Although a number of clinical studies have shown that increased hematocrits are associated with improved outcomes in terms of cognitive function, reduced left ventricular hypertrophy, increased exercise tolerance, and improved quality of life, the optimal hematocrit level associated with survival has yet to be determined. The association between hematocrit levels and patient mortality was retrospectively studied in a prevalent Medicare hemodialysis cohort on a national scale. All patients survived a 6-mo entry period during which their hematocrit levels were assessed, from July 1 through December 31, 1993, with follow-up from January 1 through December 31, 1994. Patient comorbid conditions relative to clinical events and severity of disease were determined from Medicare claims data and correlated with the entry period hematocrit level. After adjusting for medical diseases, our results showed that patients with hematocrit levels less than 30% had significantly higher risk of all-cause (12 to 33%) and cause-specific death, compared to patients with hematocrits in the 30% to less than 33% range. Without severity of disease adjustment, patients with hematocrit levels of 33% to less than 36% appear to have the lowest risk for all-cause and cardiac mortality. After adjusting for severity of disease, the impact of hematocrit levels of 33% to less than 36% is vulnerable to the patient sample size but also demonstrates a further 4% reduced risk of death. Overall, these findings suggest that sustained increases in hematocrit levels are associated with improved patient survival.  (+info)

Minimally invasive aortic valve replacement through a transverse sternotomy: a word of caution. (8/7364)

OBJECTIVES: To compare aortic valve replacement (AVR) using a minimally invasive approach through a transverse sternotomy with the established approach of median sternotomy. DESIGN: Retrospective, case-control study. PATIENTS: Fourteen high risk patients (median age 78, Parsonnet score of 18%) who underwent AVR performed through a minimally invasive transverse sternotomy were compared with a historical group of patients matched for age, sex, and Parsonnet score who underwent AVR performed through a median sternotomy by the same surgeon. OUTCOME MEASURES: Cross clamp time, total bypass time, intensive care stay, postoperative in-hospital stay, morbidity, and mortality. RESULTS: There were two deaths in the minimally invasive group and none in the control group (NS). The cross clamp and total bypass times were longer in the minimally invasive group (67 and 92 minutes v 46 and 66 minutes, p < 0.001). There was a higher incidence of re-exploration for bleeding (14% v 0%) and paravalvar leaks (21% v 0%) in the minimally invasive group but these differences were not significant. The minimally invasive group had a longer postoperative in-hospital stay (p = 0.025). The incidence of mortality or major morbidity was 43% (six of 14) in the minimally invasive group and 7% (one of 14) in the matched pairs (p = 0.013). CONCLUSIONS: AVR can be performed through a transverse sternotomy but the operation takes longer and there is an unacceptably high incidence of morbidity and mortality.  (+info)

Patients and Methods: Surgically managed burn patients admitted between 2010-14 were included. Operative stay was defined as the time from admission until the last operation, postoperative stay as the time from the last operation until discharge. The difference in variation was analysed with F-test. A retrospective review of medical records was done to explore reasons for extended postoperative stay. Multivariable regression was used to assess factors associated with operative stay and postoperative stay.less thanbr /greater thanResults: Operative stay/TBSA% showed less variation than total duration/TBSA% (F test = 2.38, pless than0.01). The size of the burn, and the number of operations, were the independent factors that influenced operative stay (R2 0.65). Except for the size of the burn other factors were associated with duration of postoperative stay: wound related, psychological and other medical causes, advanced medical support, and accommodation arrangements before discharge, of which the ...
On multivariable lineal regression analyses, the study period (pre-IMCU-CS/post-IMCU-CS) remained significantly independently associated with a shorter ICU (standardized beta value -0077; 95% confidence interval, -0.259 to -0.038; P=.008) and in-hospital mean LoS (standardized beta value -0.066; 95% confidence interval, -0.135 to -0.016; P=.01). Likewise, the study period (pre-IMCU-CS/post-IMCU-CS) did not remain significantly independently associated with in-hospital mortality or 30-day readmission. The main cause of cardiac ICU readmission during hospitalization was respiratory failure; there was no difference in the incidence of cardiac ICU readmission between the study groups (P=.93, Table 4). The mean LoS in the IMCU-CS was 3.5±2.6 days. An analysis of clinical outcomes showed no significant differences in in-hospital mortality (4.9% vs 3.5%, P=.28) or 30-day readmission rate (4.3% vs 4.2%; P=.89) for pre-IMCU-CS compared with post-IMCU-CS, respectively.. In the pre-IMCU-CS period, only ...
Addressing issue of crowding in an Emergency Department (ED) typically takes the form of process engineering or single-faceted queue management strategies such as demand restriction, queue prioritization or staffing the ED. This work provides an integrated framework to manage queue dynamically from both demand and supply perspectives. More precisely, we introduce intelligent dynamic patient prioritization strategies to manage the demand concurrently with dynamic resource adjustment policies to manage supply. Our framework allows decision-makers to select both the demand-side and supply-side strategies to suit the needs of their ED. We verify through a simulation that such a framework improves the patients length-of-stay in the ED without restricting the demand.
PSU1 Adverse events commonly associated with opioid use: impact upon length of stay following surgical procedure [Abstract]. Value In Health 15 (4) , A73. 10.1016/j.jval.2012.03.404 ...
Healthcare | Unipart Expert Practices | Read about the benefits we have delivered to clients in terms of reducing patient length of stay in hospital
Information about how long people stay in care homes is needed to plan services, as length of stay is a determinant of future demand for care. As length of stay is proportional to cost, estimates are also needed to inform analysis of the long-term cost effectiveness of interventions aimed at preventing admissions to care homes. But estimates are rarely available due to the cost of repeatedly surveying individuals. We used administrative data from three local authorities in England to estimate the length of publicly-funded care homes stays beginning in 2005 and 2006. Stays were classified into nursing home, permanent residential and temporary residential. We aggregated successive placements in different care home providers and, by linking to health data, across periods in hospital. The largest group of stays (38.9%) were those intended to be temporary, such as for rehabilitation, and typically lasted 4 weeks. For people admitted to permanent residential care, median length of stay was 17.9 months. Women
Diabetes is not always the main reason for a hospitalization, but the researchers found that people with diabetes end up paying an average of $2,200 more for their stay in the hospital than people without the disease.. RELATED: Why we got fatter during the fat-free food boom. Dr. Francine Kaufman is a diabetes expert at Childrens Hospital Los Angeles. She was not involved with the study, but she explained why such stays are more expensive.. Its all complicated by the fact that somebody has diabetes, she said. Glucose has to be managed. The metabolic status of the patient is at greater risk, and its a more prolonged hospitalization when they do come ...
The MEDNAX Center for Research, Education, Quality and Safety, Optimizing Hospital Length of Stay, Quality Perspective, 6/18/2019 9:00:00 AM - 12/31/2021 11:59:00 PM, |p>Many questions still surround the optimization of length of stay, what filters to use and how to design and implement a quality improvement plan.  The purpose of this educational activity is to discuss quality improvement methodologies and how to use those methodologies to address clinical problems, such as optimizing length of stay in the NICU.  |/p>
Objective: To assess the changes in incidence, length of stay (LOS) and costs, of patients hospitalized for asthma exacerbations (AE) between 2002 and 2010.. Methods: We included all the pediatric patients (younger than 15 years old) hospitalized for AE between 2002 and 2010 (ICD9-CM codes 493.0x-493.9x). The data were collected from the National Hospital Discharge Database (entire population). We compared the incidence, LOS and costs per patient of this population in two points in the time 2002 and 2010.. Results: We included a total of 12,038 patients. Overall crude incidence decreased from 20.5 to 18.7 AE per 100.000 inhabitants from 2002 to 2010 (p,0.05). There was no difference for sex. The mean LOS was 3.71 (SD 2.28) days in 2001 and decreased progressively to 3.16 (SD 2.11) in 2010 (p,0.05). During the study period, the mean cost per patient decreased from 1558.53 (SD 443.63) to 1378.41 (SD 472.71) euros (p,0.05).. Conclusion: Our results suggest a decrease in the incidence of hospital ...
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Early discharge plus home based rehabilitation reduced length of initial hospital stay but did not improve health related quality of life in patients with acute stroke ...
Steps Toward a Smooth Hospital Stay : You know I was recently reflecting on my last hospital stay It began something like this OH MY GOD WHAT IS THAT STABBING PAIN IN MY CHEST ACK ITS RUNNING DOWN MY ARM GGGGGGGGGGAHHHHHHHHHHHI had a heart attack a goddamned myocardial infarction It fuckin HURTSo I got to stay in the hospital for a few days while the doctors reminded me not to be a fat fuck and to quit
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Why would I use median length of stay instead of average?Finding the median length of stay rather than the average helps give a picture of the middle value, which is less affected by extreme values that may not really be individual outliers. Finding the median is actually finding the number in the middle. In the sample below the first value represents the longest stay and would pull the average up. The median is found by lining up all the numbers in order and finding the one in the middle. If there is an even number of values in the list then two will be in the middle. In that case, the median is found by adding those two together and dividing by two. So for the sample below we would write: 1,3,4,5,5,13,18. The number in the middle is 5, so that is the median. Not surprisingly, it is shorter than the average, which is 7. You can use an Excel spreadsheet to help you find the median.. ...
We are a vital resource for medically complex, chronically ill or catastrophically injured patients. We are licensed and accredited to provide aggressive individual and specialized care to patients requiring a longer length of stay then an average hospital stay. While in our care, patients are treated with dignity, respect and compassion. We believe in involving the family in the care process as well. From treatment to discharge details, our entire team of caregivers diligently works with the patient and the family to ensure all aspects of care are addressed through treatment and recovery. ...
ICU and hospital length of stay (days) of the four quartiles of caloric intake, before (a, b) and after (c, d) adjustments for between-quartile differences in b
Tomorrow is my clinic day where I meet with my team to discuss the strategy for this next and FINAL chemo round. I think they will keep me on the antibiotics since they worked pretty well last time, but switch out the amoxicillan because I broke out in minor hives nearly every day. I told them when I was in the hospital that I could handle the hives because the antibiotics helped my other symptoms. I usually took a benadryl and the hives went away. I hope they keep me on antibiotics and maybe I can stay out of the hospital or repeat my short hospital stay again. I dont want any surprises on this last round and would prefer a repeat performance of round five. Im not even sure how to feel on this last round. I am relieved that the end is in sight, but I also know Ive got at least one more potential miserable IV stick in my future. Send your prayers my way for staying out of the hospital OR for having Okee be the nurse who starts my IV because she was so good last time ...
How long does allegra stay in your system - How long does Allegra-D stay in your system? 12 or 24 hours. Allegra-d 12 hours, stays for 12 hours, as well the 24 hours preparation, stays for 24 hours, its a combo medicine,
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Premier Inc. has identified 10 diagnoses with the biggest opportunity to curb variation within the ICU and reduce unnecessary length-of-stay.
The stays are amazingly light and stiff! Suggesting high quality, thin wall, tubular steel. Complete with plastic mudguards they weigh exactly 2.5lbs. The finish appears to be tough, gloss black, stove enamel in remarkably good condition. The Bluemels Olympic mudguards are of a sturdy gauge of plastic while remaining amazingly light. Smart, original reflectors are present. The stays and guards are held together with copper rivets. I havent attempted to polish them to confirm this but they certainly look like copper. Similar in colour to the Brooks saddle rivets ...
Average Length of Stay is one measure of use of health facilities, reported as an average number of inpatient days spent in a hospital
...Workhouse shuffle - Patients to be charged for hospital stay : Patients should be charged 10 to see their Doctor and a 10 hotel charge to stay the night in hospital a leading stinktank has said The fees could be among a raft of levies introduced to raise extra cash to fund the NHS rather than charge a
The basic unit of observation is the discharge abstract or the record of an inpatients stay in a psychiatrici or general hospital. The discharge abstract is completed at separation (discharge or death). Records are grouped into fiscal years based on the inpatients date of separation from the hospital. If an individual was hospitalized more than once in the same fiscal year, a separate record for each stay was submitted. Hence the basic units of observation are events, not unique patients. If an inpatient was admitted prior to the beginning of a fiscal year, the days stayed prior to the year of separation are included in the total days stayed for that event. ...
The basic unit of observation is the discharge abstract or the record of an inpatients stay in a psychiatrici or general hospital. The discharge abstract is completed at separation (discharge or death). Records are grouped into fiscal years based on the inpatients date of separation from the hospital. If an individual was hospitalized more than once in the same fiscal year, a separate record for each stay was submitted. Hence the basic units of observation are events, not unique patients. If an inpatient was admitted prior to the beginning of a fiscal year, the days stayed prior to the year of separation are included in the total days stayed for that event. ...
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Before your stay abroad you have to fill out the Agreement Stay Abroad and get it signed at the Destination Abroad Office. This will ensure that your placement is regarded as studienrelevant by the IES. You can book an appointment with Destination Abroad via MyStudy to discuss your placement proposal and get your Agreement Stay Abroad signed.. Download ...
Atlantic Health Systems hospitals aim to ensure that all necessary steps are in place for a smooth and safe transition back home after a patients hospital stay.
Effective 23 November 2014, it is now possible to apply for a Subclass 400 visa with a six month period of stay. The period of first entry may also…
Access the Latest United Kingdom In Patient Average Length Of Stay statistics, published by Organisation for Economic Co-operation and Development.
Thank you for choosing Hennepin County Medical Center for your health care needs. We understand that a hospital stay may be a stressful time for you and your family.
Hospitals, for example, are usually paid a flat fee for treating a patient with, say, pneumonia. The payment is the same no matter how many days the patient stays. The hospitals profit is higher when stays are short. But most doctors are paid on a fee-for-service basis, so they make more money when the patient gets more care ...
Intensive care doctors are responsible for large cost variations in the medical management of critically ill patients in the intensive care unit. Higher resource use however has no effect on patient length of stay or possible mortality.
Recovering from a recent hospital stay following an injury or illness can present many challenges. Often times, a family member, based on their experi...
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How to Stay Cool Using the Ice to Wrist Method. Using this great method, you can obtain a sense of blissful coolness using things you can find in your kitchen. Use this technique to help you stay cool during the summer. Get out the...
Just a question about the couple of days you stay in hospital after the baby is born. My last baby was in NICU straight after she was born for an extended period so I never had the experience of having her in the room with me immediately
Room for 1 person (s) with a shared bathroom. Ideal for an attendant or for a family stay. Taxes for your stay are NOT INCLUDED. ...
The Brown Center for the Study of Children at Risk released preliminary study results, comparing outcomes of children admitted to the single-family room NICU in its first 18 months (Women & Infants Hospital in Providence, RI), to those of children who stayed in the former open-bay NICU during its last two years of operation early returns show average LOS is down from 74 days to 56 days for infants less than 1,500 grams.. Single-family room NICU babies showing significant neuro-behavioral improvements compared to open-bay NICU babies, including:. ...
Participants are expected to stay for the whole period, arriving on Jun 24 and leaving on Jul 13. Shorter stays are discouraged.. ...
Participants are expected to stay for the whole period, arriving on Sep 05 and leaving on Sep 08. Shorter stays are discouraged.. ...
PURPOSE: The aim of this study is to better characterize the effect of the interval in time to the operating room on hospital length of stay and other post-surgical outcomes in adult patients with common emergency general surgery conditions who are admitted to the acute care surgical service at Boston Medical Center. METHODS: This is retrospective cohort study examining a total of 321 subjects taken from an emergency general surgery registry at Boston Medical Center from May 2014 thru May 2015. Variables analyzed included: demographic factors, Charlson Comorbidity Index scores, times to the operating room, hospital length of stays, post- operative complications, and in-hospital mortality. RESULTS: There were zero mortalities in this study and a 3.1% post-operative complication rate. There was a positive association between time to the operating room and hospital length of stay, even after controlling for covariates. It was found that those subjects who go to the operating room after 6 hours from ...
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The high cost of critical care resources has resulted in strategies to reduce the costs of ruling out low-risk patients by developing intermediate care units (IMCs). The aim of this study was to compare changes in total hospital costs for intensive care patients before and after the introduction of an IMC at the University Hospital Maastricht. The design was a comparative longitudinal study. The setting was a university hospital with a mixed intensive care unit (ICU), an IMC, and general wards. Changes in total hospital costs were measured for patients who were admitted to the ICU before and after the introduction of the IMC. The comparison of interest was the opening of a six-bed mixed IMC. The mean total hospital cost per patient increased significantly. Before the introduction of the IMC, the total hospital cost per patient was €12,961 (± €14,530) and afterwards it rose to €16,513 (± €17,718). Multiple regression analysis was used to determine to what extent patient characteristics
She provides background research for The Incidental Economist, and previously researched at Harvard School of Public Health in the Department of Health Policy and Management.You can follow her on Twitter: @jenmgilbert. Since the introduction of Medicares prospective payment system (PPS) in 1983, which pays hospitals a fixed price per admission diagnosis, U.S. hospitals have been financially incentivized to reduce inpatient length of stay (LOS). Consequently, average LOS has decreased dramatically according to studies of the National Hospital Discharge Survey.Despite average patient age and complexity increasing, the average LOS has dropped from 7.3 days in 1980 to 4.8 days in 2003.. One could imagine that the financial pressures to reduce LOS could lead to poorer patient outcomes, but past studies have shown mixed data on whether the two are correlated.. Shorter LOS has been associated with higher risk of readmission (more on this below), and mortality resulting from pulmonary embolism ...
Jimmy Kimmel, host of ABCs late-night talk show Jimmy Kimmel Live!, received the Courage to Care award from Childrens Hospital Los Angeles (CHLA) at the hospitals From Paris With Love gala event on Saturday evening, October 20. Kimmel was honored for his compassion and dedicated support for the hospital, which has made a difference in the lives of so many families, including Kimmels own.. In 2017, Kimmels infant son, Billy, received open-heart surgery at CHLA for a rare congenital heart defect, tetralogy of Fallot with pulmonary atresia. Following Billys successful operation, Kimmel shared with viewers an emotional account of his familys experience at CHLA.. He made an impassioned plea for affordable healthcare for all children with chronic health conditions. It was a bold use of his powerful program, and its effectiveness was driven by the fact that it was so personal. He spoke from his heart and from Billys. He waded into a controversial subject without hesitation, because he knew ...
Using a printed 3-D model as a guide, a Childrens Hospital Los Angeles cardiologist specially modified a stent to repair an 18-month-olds narrowed p
Two doctors who today make Glendale and La Cañada their homes were part of the Childrens Hospital Los Angeles 300th pediatric liver transplant that was per
Thriving after months of chemotherapy and a liver transplant at Childrens Hospital Los Angeles, Malakai is passionate about spreading positivity.
Childrens Hospital Los Angeles provides the most comprehensive childrens orthopedic care available in the Western United States.
The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs: A Prespecified Propensity-Matched Cohort Study.
Aim: To define regional patterns in post OLT LOS.. Methods: Using the UNOS database (06/2011) we reviewed data on 65,891 OLT recipients, 01/2000-12/2010. Patients excluded (n=11,784) were dual organ, and pediatric recipients, deaths ≤2 days, LOS,180 days or missing data. Variables were categorized (n=54,107): MELD score(≤10, 11-18,19-24, ≥25) Karnofsky score (0-30, 31-60, 61-100), cold ischemia time (CIT, hrs) (,6, 6-12, ,12≤20, ,20). Predictors of LOS were identified univariately, and multivariately using a linear regression model of Log2(LOS). Regional (R) differences in multivariate associations were assessed using parameters for interactions with region, and within regions. The LOS median ratio (MR) was used as a measure of relative change in median LOS.. Results: Mean LOS ranged from 13.3±14(Mean±SD) days in R6 to 19.5±20 days in R9. On multivariate analysis factors associated with ,10% increase LOS were: patient ventilated at OLT (LOS MR estimate 1.33, i.e. 33% increase in LOS), ...
For both mastectomy and prostatectomy patients, 75% of patients were discharged between 10 am and 12 noon and the median postoperative length of stay was 20 hours. There was a strong association between time of surgery and calculated length of stay. For mastectomies, having a surgery which begins at 6 pm vs 8 am results in an estimated decrease of 8.8 hours (95% CI, 8.3-9.3) in postoperative length of stay but only 1.2 hours (95% CI, 0.77-1.6) later time of discharge. For prostatectomies, the estimated difference is a decrease of 6.9 hours (95% CI, 6.4-7.4) for postoperative length of stay and 2.5 hours (95% CI, 2.0-3.0) later discharge time.. ...
Our study suggests that prior antibiotic exposure was associated with greater LOS following the onset of Gram-negative bacteremia complicated by severe sepsis or septic shock. This observation was confirmed in an adjusted analysis of LOS and in a multivariate analysis controlling for potential confounding variables. Not surprisingly, other important determinants of prolonged LOS in the multivariate analysis included pre-infection onset hospital LOS, inappropriate antibiotic therapy, severity of illness, and the lungs as the source of infection.. A likely explanation for the association we observed between hospital LOS and prior antibiotic exposure is the greater occurrence of antimicrobial resistance among the causative pathogen(s) associated with sepsis among patients having received prior antibiotic therapy. We previously demonstrated that prior antibiotic exposure was associated with a greater incidence of infection attributed to Gram-negative bacteria that were either antibiotic-resistant or ...
The average time spent in the hospital after an open colectomy (as distinguished from a laparascopic colectomy) is approximately eight to ten days: Proctocolectomy means that the entire colon and rectum are removed... The average hospital stay is 10 days. FAP Support Group http://www.fapsupportgroup.org/FAQ_s/What_is_the_treatment_for_FAP_/what_is_the_treatment_for_fap_.htm The Barcelona surgeons treated 219 patients, of whom 111 had LAC and 108 had conventional open colectomy (OC), which requires a foot-long incision. LAC patients had an average hospital stay of five days, compared to eight days for the OC (Open Colectomy) patients. Health Scout http://kevxml2a.infospace.com/_1_300313__info.alltel/health/hlt-story.htm&qid=507865&qt=4 However, the progress of recovery can vary greatly from patient to patient. One thing that affects recovery time is the patients state of health before the surgery; a person who is malnourished or gravely ill when surgery is performed (which is not uncommon ...
A casement stay is a metal bar used to hold a casement window in a specific open or closed position. Metal windows will normally have the stay included at the time of manufacture, while wooden windows will have them added after fitting. Different kinds of casement stay include peg type, telescopic and friction The peg type casement stay has one or two pins or pegs inside the rebate. The stay is a metal bar with holes that fit onto the peg, and allow the sash window to be held open in various positions. The peg nearest the hinge can then be used as a fulcrum. Disadvantages of peg type stays are that the stay handle may protrude dangerously into the room. Another issue is the limited opening that can be achieved. They also rattle in the wind. The mounting plate on the bar connects to the bottom rail of the sash window. The pegs will be connected to a small plate that can be called a pintie plate. The range of opening depends on the length of the bar and the position of the pins. There are locks ...
Methods Over 1 year to May 2011, 138 patients (60 male, 78 female) with mean (SD, range) age 65.5 (18.7, 19-95) years were admitted with CAP were identified. Selection for Telehealth was guided by initial CURB65 scores, patient competence/compliance with technology, social considerations and geographical factors as the provision was only within the area supported by Telford & Wrekin (T&W) PCT; patients were declined while on intravenous antibiotics. Remote monitoring (blood pressure, heart rate, respiratory rate, oxygen saturation, temperature) was via a Broomwell Health system (wrist watch concept) with twice daily planned data downloads managed and triaged through a HUB system filtering recordings to community based nurses. Data on LOS were skewed and non-parametric analysis of median (IQ) values undertaken to compare outcomes by area. ...
Patients who receive more hospital treatment tend to have worse underlying health, confounding estimates of the returns to such care. This paper compares the costs and benefits of extending the length of hospital stay following delivery using a discontinuity in stay length for infants born close to midnight. Third-party reimbursement rules in California entitle newborns to a minimum number of hospital days, counted as the number of midnights in care. A newborn delivered at 12:05 a.m. will have an extra night of reimbursable care compared to an infant born minutes earlier. We use a dataset of all California births from 1991-2002, including nearly 100,000 births within 20 minutes of midnight, and find that children born just prior to midnight have significantly shorter lengths of stay than those born just after midnight, despite similar observable characteristics. Furthermore, a law change in 1997 entitled newborns to a minimum of 2 days in care. The midnight discontinuity can therefore be used ...
The Particulars: Medicare reduces compensation rates for hospitals with high readmission rates. However, many hospitals can only track same-hospital readmissions. It has not been established if same-hospital readmission rates correlate with all-hospital readmission rates.. Data Breakdown: Study investigators evaluated 30-day same-hospital and all-hospital readmission rates for patients who underwent one of three common surgeries. When institutions in the worst performing quintile of same-hospital readmissions were evaluated based on all-hospital readmission, 95% were reclassified. When hospitals ranked in the top quintile of same-hospital readmissions were evaluated based on all-hospital readmission, 62% were reclassified, with 11% moving to a ranking in the worst quintile.. Take Home Pearls: Same-hospital readmission rates appear to be an unreliable predictor of all-hospital readmission rates. Novel approaches to accurately track postoperative readmissions in real-time are necessary to prevent ...
Research Diagnosis Related Groups (DRG) level mortality quality outcomes for Cedars-Sinai Medical Center located at 8700 Beverly Blvd, Los Angeles, CA, 90048
TY - JOUR. T1 - Standardization of care. T2 - Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. AU - Thiele, Robert H.. AU - Rea, Kathleen M.. AU - Turrentine, Florence E.. AU - Friel, Charles M.. AU - Hassinger, Taryn E.. AU - Goudreau, Bernadette J.. AU - Umapathi, Bindu A.. AU - Kron, Irving L.. AU - Sawyer, Robert G.. AU - Hedrick, Traci L.. AU - McMurry, Timothy L.. PY - 2015/4/1. Y1 - 2015/4/1. N2 - Background Colorectal surgery is associated with considerable morbidity and prolonged length of stay (LOS). Recognizing the need for improvement, we implemented an enhanced recovery (ER) protocol for all patients undergoing elective colorectal surgery at an academic institution. Study Design A multidisciplinary team implemented an ER protocol based on: preoperative counseling with active patient participation, carbohydrate loading, multimodal analgesia with avoidance of intravenous opioids, intraoperative goal-directed fluid ...
Using simple clinical and laboratory criteria, a significant proportion of hospitalized patients with community-acquired pneumonia (44%) can be treated with early switch and early discharge. This model did not affect patient outcome, decreased the length of hospitalization, and was associated with a …
Cost of a standard hospital stay is an indicator that measures the relative cost-efficiency of a hospitals ability to provide acute inpatient care. This indicator compares a hospitals total acute inpatient care expenses to the number of acute inpatient weighted cases related to the inpatients that it provided care for. The result is the hospitals average full cost of treating the average acute inpatient. A high cost of a standard hospital stay indicates a relatively high cost of treating the average acute inpatient; a low cost of a standard hospital stay indicates that the cost of treating the average acute inpatient is relatively low ...
Cost of a standard hospital stay is an indicator that measures the relative cost-efficiency of a hospitals ability to provide acute inpatient care. This indicator compares a hospitals total acute inpatient care expenses to the number of acute inpatient weighted cases related to the inpatients that it provided care for. The result is the hospitals average full cost of treating the average acute inpatient. A high cost of a standard hospital stay indicates a relatively high cost of treating the average acute inpatient; a low cost of a standard hospital stay indicates that the cost of treating the average acute inpatient is relatively low ...
Letterkenny University Hospital has moved to clarify that while the vacant Short Stay Ward is currently being used to house required services, its on a temporary basis.. The Radiology Rebuild Project began in October 2017 and in order to facilitate the project some staff and other accommodation had to be relocated.. Hospital Management have stated that should additional funding become available to open additional in-patient beds, they will immediately relocate from the Short Stay Ward.. Donegal Senator Padraig Mac Lochlainn is satisfied with the response but stressed there is no excuse for the Government not to grant the funding:. ...
Youll be in a special recovery area to be monitored carefully as you awaken after the anesthesia. You may need to spend the first night after surgery in an intensive care unit. The total hospital stay for most epilepsy surgeries is usually about three or four days.. When you awaken, your head will be swollen and painful. Most people need narcotics for the pain for at least the first few days. An ice pack on your head also may help. Most postoperative swelling and pain resolve within several weeks.. Youll probably not be able to return to work or school for approximately one to three months. You should rest and relax the first few weeks after epilepsy surgery and then gradually escalate your activity.. Its unlikely that you would need intensive rehabilitation as long as the surgery was completed without complications such as stroke, paralysis or loss of speech.. Depending on their underlying cause, some seizures can be resistant to medication, but theyre also the most likely to be helped by ...
Gaussian mixture distributions and Coxian phase type distributions have been popular choices model based clustering of patients length of stay data. This paper compares these models and presents an idea for a mixture distribution comprising of components of both of the above distributions. Also a mixed distribution survival tree is presented. A stroke dataset available from the English Hospital Episode Statistics database is used as a running example.. ...
In our multicenter study of a cohort of children hospitalized with bTARTIs, we have demonstrated that specific hospital and patient factors are associated with increased LOS and higher odds of 30-day all-cause revisit after hospitalization for a bTARTI, with most variation occurring at the discharge level. An admission age ,12 months, 4 or more CCCs, and chronic ventilator dependency were associated with both longer LOS and increased odds for 30-day revisit. Other variables (eg, public insurance, ICU admission, acute mechanical ventilation, and patient-level empirical anti-Pseudomonas antibiotics) were associated with longer LOS but not with increased revisit odds. Specific factors not associated with LOS or revisit included patient race, size of the hospital, number of cases, and hospital-level use of empirical anti-Pseudomonas antibiotics. The median LOS of 4 days seen in our study is higher than both the 2-day LOS seen in patients without CCCs hospitalized with community-acquired ...
Results In the pre-implementation cohort we included 651 children; 319 (49%) had a conventional CRP ordered at the discretion of the physician. In the post-implementation cohort we included 1376 children; 703 (51%) had bedside CRP and 223 (16%) conventional CRP testing. Bedside CRP reduced the median LOS to 148 minutes (interquartile range (IQR): 109-201); in the pre-implementation cohort this was 176 minutes (IQR: 132-231) (p,0.001). LOS of children with conventional CRP was similar between the two cohorts. Other important determinants of (log)LOS were hospitalisation (beta: 0.32 (se: 0.04), p,0.001), transfer to a different hospital (0.53 (0.04), p,0.001) and shift of presentation (daytime: 0.25 (0.03), p,0.001; evening: 0.19 (0.03), p,0.001); night = reference).. ...
A 30-day readmission happens when a patient who had a recent hospital stay needs to go back to the hospital within 30 days of hospital discharge for the same problem. This chart tells you how well Guthrie Robert Packer Hospital did at preventing 30-day readmissions for heart attack, heart failure, and pneumonia patients when compared to other hospitals across the U.S.. This chart take into account how sick a patient was when they were admitted to the hospital. ...
In light of the growing emphasis on meeting hospital emergency department (ED) quality measures, healthcare providers are faced with the challenge of identifying ways to reduce ED length of stay and wait times. Similarly, an emphasis on cost reduction has placed additional pressures on providers to improve timeliness of treatment and improve ED throughput. Studies examining key factors contributing to ED length of stay are critical to identifying how these challenges can be met.
Jalilvand, A.; Dewire, J.; Detty, A.; Needleman, B.; Noria, S., 2018: Baseline psychiatric diagnoses are associated with early readmissions and long hospital length of stay after bariatric surgery
TY - JOUR. T1 - Vasoactive-ventilation-renal score reliably predicts hospital length of stay after surgery for congenital heart disease. AU - Scherer, Bradley. AU - Moser, Elizabeth A.S.. AU - Brown, John W.. AU - Rodefeld, Mark D.. AU - Turrentine, Mark W.. AU - Mastropietro, Christopher W.. PY - 2016/11/1. Y1 - 2016/11/1. N2 - Objectives We aimed to further validate the vasoactive-ventilation-renal score as a predictor of outcome in patients recovering from surgery for congenital heart disease. We also sought to determine the optimal time point within the early recovery period at which the vasoactive-ventilation-renal score should be measured. Methods We prospectively reviewed consecutive patients recovering from cardiac surgery within our intensive care unit between January 2015 and June 2015. The vasoactive-ventilation-renal score was calculated at 6, 12, 24, and 48 hours postoperatively as follows: vasoactive-ventilation-renal score = ventilation index + vasoactive-inotrope score + Δ ...
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Good Samaritan Hospital in Los Angeles provides superb patient care in state-of-the-art facilities. Call today to schedule an appointment!
(HealthDay)-Patients admitted to the hospital on weekends for cervical spine fusion resulting from trauma have a greater length of stay and total hospital costs than their weekday counterparts, according to a study published in the Dec. 1 issue of Spine.
In response to deadly superbug outbreaks, the Food and Drug Administration recommended extra steps that hospitals can take to clean medical scopes while work
Seventy-five per cent of the study patients experienced a prolonged stay in the ED as defined by the recommended Canadian guidelines. After adjustment, the ED LOS was associated with an increased risk of AEs. Although the risk estimates appear modest, the odds increase 3% for any single AE, 4% for medication-related AEs and 5% for multiple AEs for every hour spent in the ED. In the current study, there were large baseline differences between those with and without a prolonged stay. The results suggest that the system of dealing promptly with high-acuity patients is generally effective. There was no difference in hospital disposition, LOS or mortality between the groups.. Slightly more than 14% of the study patients experienced at least one AE during their inpatient stay. Studies have described age-adjusted incidence rates in older patients ranging from 5.9% in the USA to a high of 40.7% in New Zealand.1 5 The current study included a homogeneous population of relatively healthy, ...
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It stays on for a different length of time each time its turned on. Sometimes will work for many hours per night - Mitsubishi VS-45607 45 Rear Projection question
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This is a wonderful inspirational message written by my sister s pastor in Lubbock, Texas. I think it is very applicable to Natural Healing...enjoy... Stay on the Wall If you have achieved, or are achieving, any measure of success, you will have your critics. Critics are hecklers, not helpers. They dont play in the game but tell others how they should play the game. I heard once
A study looking to determine if obesity is associated with an increased burden to the healthcare system in patients with orthopaedic polytrauma, examined 301 patients with polytrauma who had orthopaedic injuries and intensive care admission from 2006 to 2011. Routine thoracoabdominal computed tomographic scans measuring truncal adiposity volume were also used to create a truncal three-dimensional reconstruction BMI, with a BMI of less than 30 denoting patients without obesity, and over 30 denoting patients with obesity. Of the 301 patients, 21.6% were classified as having obesity. The researchers found a higher BMI was associated with longer hospital length of stay, more days spent in the intensive care unit, more frequent discharge to a long-term care facility, higher rates of orthopaedic intervention, and increased total hospital charges. The researchers also concluded that computed tomographic scans, routinely obtained at the time of admission, can be used to calculate truncal adiposity and ...
An analysis of data from Medicare beneficiaries who underwent hip replacement or subsequent follow-up corrective surgery between 1991 and 2008 indicates that the length of hospital stay after surgery declined during this ...
Average Length of Stay (ALS) reports the average number of nights that visitors expect to stay in Whistler. The results are weighted to reflect the different types of visitors to the resort community, including total number of day trips, second home owners, friends, family and paid accommodation visitors. The results are measured by summer and winter, where winter results are referred to by the year the winter began (i.e. Winter 2004/2005 is reported as 2004).. ...
One rare side effect of concussions can be blood clot formation in the brain, but Clintons short hospital stay suggests her condition is not as serious as that.
Find information about services that are available after your stay at a UPMC hospital including home care, long-term care, rehabilitation, and billing.
Hi guys, I just wanted to ask, is there a standard/ideal or policy on how long a patient is allowed to stay in the PACU? for example, should steps be taken in case a patient given spinal anesthesia
"Summary Information about ABTC lanes arrangements at airports, length of stay granted to APEC Cardholders and average foreign ... "Length of Stay". Fast Track Consultancy. Retrieved 2017-09-01. Cite web,url=http://www.moneyhub.co.nz/air-new-zealand-tips.html ... Multiple short term entry for a maximum stay of between 59 days to 90 days Expedited border crossing in all member economies, ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). "Egypt e-Visa Portal". ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Other countries require either a passport valid on arrival or a passport valid throughout the period of the intended stay. Many ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Agreement between the European Union and the Republic of Trinidad and Tobago on the short-stay visa waiver EU signs visa waiver ... www.vietseatourist.vn/News/category1/news-57/No-visa-required-for-tourists-to-Phu-Quoc-on-short-stay.html "Yemen Country ... "Advice & Services for travelling to and staying in Greenland". Ruling of 26 July 2011 regarding the documents and visas ...
Extendable length of stay. [1] Visa, Emigration and Immigration Directorate of Benin. Visa, Tourism Council of Bhutan. ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ... Other countries require either a passport valid on arrival or passport valid throughout the period of intended stay. Holders of ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... 19] Staying in Luxembourg for less than 90 days, Government of Luxembourg. [20] Travel Information Manual, International Air ... "Advice & Services for travelling to and staying in Greenland". Ruling of 26 July 2011 regarding the documents and visas ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. [21] Travel Information Manual, International Air ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Other countries require either a passport valid on arrival or a passport valid throughout the period of the intended stay. Many ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... www.vietseatourist.vn/News/category1/news-57/No-visa-required-for-tourists-to-Phu-Quoc-on-short-stay.html "Yemen Country ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... www.norway.org.au/Services/Visas-and-Residence-Permits/Visas-and-other-permits/Short-stay-visas/Short-stay-visas-for-travel-to- ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. [2] Visa, Emigration and Immigration Directorate of Benin. Visa, Tourism Council of Bhutan. ... In addition, Australian citizens intending to stay and work in Estonia for up to 90 days can do so without a visa as long as ... Australian citizens aged 18-30 (or 18-35 in some cases) are able to obtain a national long-stay 'D' visa and/or a residence ... Hungary allows Australian citizens who wish to stay for more than 90 days in the country to apply for a residence card from the ...
Females grow to 39 mm (1.5 in) in snout-vent length; males stay slightly smaller. Its brown colouration makes its perfectly ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... "Advice & Services for travelling to and staying in Greenland". Ruling of 26 July 2011 regarding the documents and visas ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. Available at international airports Wattay Vientiane, Pakse Savannakhet and Luang Prabang, and at ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. [2] Visa, Emigration and Immigration Directorate of Benin. Visa, Tourism Council of Bhutan. ... Following the stay in Hungary, if 3 months has already spent elsewhere in the Schengen area, he/she must then leave the ... New Zealand citizens aged 18-30 (or 18-35 in some cases) are able to obtain a national long-stay 'D' visa and/or a residence ... Estonia permits New Zealand citizens to stay and work in Estonia for more than 90 days but less than 6 months as long as they ...
Extendable length of stay. Travel Information Manual, International Air Transport Association (IATA). Travel Information Manual ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... "Advice & Services for travelling to and staying in Greenland". Do I need a visa for the Caribbean parts of the Kingdom?, ... Short-stay Schengen visa (90 days or less), Government of the Netherlands. Travel Information Manual, International Air ...
Extendable length of stay. [1] Visa, Emigration and Immigration Directorate of Benin. Visa, Tourism Council of Bhutan. ... Jan Mayen - permit issued by the local police required for staying for less than 24 hours and permit issued by the Norwegian ... Staying in Luxembourg for less than 90 days, Government of Luxembourg. Travel Information Manual, International Air Transport ... Other countries require either a passport valid on arrival or a passport valid throughout the period of the intended stay. Many ...
Length. 1.. "Stay with Me Tonight". *Frankie Banali. *Carlos Cavazo. *Spencer Proffer ... However, the only major single spawned from the album, "Stay with Me Tonight" made a small dent in the pop charts and the video ... The album also featured studio musicians Jimmy Waldo (keyboards) and Jimmy Johnson, who played bass on "Stay with Me Tonight" ...
Length. 3:25. Label. RCA. David Bowie singles chronology. "Stay" (1976) "Suffragette City" (1976) "Sound and Vision" (1977) ... "Stay" as the B-side, to promote the compilation album Changesonebowie in the UK. Co-produced by Bowie and Ken Scott, it was ... "Stay" as the B-side.[17] The single failed to chart.[2] ... "Stay" - 3:21. Personnel[edit]. Personnel per Kevin Cann and ...
Cable-stayed. Total length. 8,206 m (26,923 ft). Height. 306 m (1,004 ft). ... The total bridge length is 8,206 metres (26,923 ft). Construction began in June 2003, and the bridge was linked up in June 2007 ... With a span of 1,088 metres (3,570 ft), it was the cable-stayed bridge with the longest main span in the world in 2008-2012. ... Bridging a Great Divide - The Sutong Yangtze River Bridge holds the record for the World's Longest Cable-Stayed Bridge Wins ...
length of stay in the sauna. *positioning when in the sauna. Heating caused by direct radiation will be greatest closest to the ... Prolonged stay in a sauna may lead to the loss of electrolytes from the body, as after vigorous exercise. The risk of ... The sauna heater and rocks are very hot-one must stay well clear to avoid injury, particularly when water is poured on the ...
"Queen stays at arm's length". Archive.thisislancashire.co.uk. Retrieved 10 December 2010.. ...
Its five-span four-pylon cable-stayed portion of length 2,252 m (7,388 ft) is the world's third longest cable-stayed deck; only ... However, as the latter is also supported by bearings at the pylons apart from cable stays, the Rio-Antirrio Bridge deck might ... 3D accelerometers on the deck, pylons, stay cables, and on the ground to characterize wind movements and seismic tremors ... Linear variable differential transducer (LVDT) sensors on the stay cables to measure movement ...
The length of stay is decided by the amount owed. In England and Wales, 39 people were given an average of 20 days in 2014 ( ... if a TV licence has been purchased and the length of time a defendant was unlicensed. The following are regarded as 'factors ...
Not staying for any determined length of time. Passing through on the way to some place.. Unloaded. No ammunition in the ...
The length may vary from 1.5 to 2 m (59 to 79 in) or longer depending on the species and age. Four basic muscle masses-the ... The calf is fully developed by the 19th month, but stays in the womb to grow so that it can reach its mother to feed. At birth ... Generation length of the Asian elephant is 22 years.[47] Females produce sex pheromones. A principal component thereof, (Z)-7- ... Females stay on with the herd, but mature males are chased away.[45] ...
The Belgian won by two lengths. 1977 Tour of Flanders[edit]. The Ronde van Vlaandren museum in Oudenaarde has in its window a ... He would be well paid, he understood - "a fantastic offer."[8] But Maertens rode too fast for Merckx to stay with him. Gimondi ... Moser attacked twice again and Maertens stayed with him. Zoetemelk and Conti lost ground. Moser realised he had no chance in a ... spent three weeks under the surveillance of Dr Dejonckheere at the St-Joseph clinic at Ostend and that after treatment I stayed ...
Average length of hospital stay was 3.7 days-2.7 days for primary cervical fusion, 8.5 days for primary thoracic fusion, and ... The average length of hospital stay for spinal fusions is 3.7 days.[5] Some patients can go home the same day if they undergo a ... and length of stay in the hospital.[14] The following list gives examples of common types of fusion techniques performed at ... hospital stays in 2011 (a rate of 15.7 stays per 10,000 population), which accounted for 3.1% of all operating room procedures. ...
Zhan C, Miller MR (2003). "Excess length of stay, charges, and mortality attribute to medical injuries during hospitalization ... and poor design on negative effects including longer hospital stays. Numerous studies have demonstrated improved patient health ...
The length of stay after a birth is shorter at a birth center; sometimes just 6 hours after birth the mother and infant can go ... not use pain medication during labor and rooming in of the infant after birth Beds for family members to stay with the mother ...
... we will address how length of stay (LOS) improvements result in reduced costs, improved efficiency, and potentially increase in ... Lessons Learned in Length of Stay (LOS). Using Analytics & Key Best Practices to Drive Improvement. Health Solutions ... One of the primary measures of this improvement in efficiency is inpatient LOS (length of stay), which decreased steadily from ... and specifically reducing length of stay (LOS). In this article, we will address how LOS improvements result in reduced costs, ...
What Length of Stay is ideal?. There isnt one average or median length of stay thats right for every sheltering organization ... How can I calculate average length of stay?. The simplest way to calculate average length of stay is to simply add up all the ... Why would I use median length of stay instead of average?Finding the median length of stay rather than the average helps give a ... Absolutely and we hope you will! If youd like to calculate length of stay for just a particular part of overall shelter stay ...
At the center of the discussion was amending the ordinances to address how long an RV should be permitted to stay under the ...
... in-hospital length of stay (LoS) and outcomes. The main variables analyzed are defined as follows:*•. ICU stay: cardiac ICU in ... We analyzed the impact of an IMCU on length of stay (both ICU and in-hospital) and outcomes (in-hospital mortality and 30-day ... Mean and median of in-hospital length of stay grouping the study period into quarterly intervals. IMCU-CS, intermediate care ... Mean and median of in-hospital length of stay grouping the study period into quarterly intervals. IMCU-CS, intermediate care ...
Reduced average length of stay (AVLOS). Last updated. 3 Apr, 2017 10:32. Print. Print. Share. * LinkedIn ...
... is one measure of use of health facilities, reported as an average number of inpatient days spent in a ... Average lengths of stay vary and are measured by age, specific diagnosis, or sources of payment. ...
Title Length of stay or duration Post Im tryign to figure a way to do this and raking my brain. I have 3 feilds start date ... Length of stay or duration. Question asked by sly_1 on Feb 23, 2011. Latest reply on Feb 24, 2011 by philmodjunk ... if student starts his course mar 1st 2011 and the length of the course is 311 weeks and he comes 22.h hrs a week what day ... length of program = 22.5 hrs per week (whatever the student agrres to). Course finish date = ...
Read about the benefits we have delivered to clients in terms of reducing patient length of stay in hospital ... Unipart Expert Practices have recently helped a hospital Trust to reduce the average length of stay by 30% in key medical ...
ICU and hospital length of stay (days) of the four quartiles of caloric intake, before (a, b) and after (c, d) adjustments for ... Bottom Line: ICU, hospital and 28-day mortality and the length of stay (LOS) in ICU and in the hospital were compared between ... Bottom Line: ICU, hospital and 28-day mortality and the length of stay (LOS) in ICU and in the hospital were compared between ... Fig2: ICU and hospital length of stay (days) of the four quartiles of caloric intake, before (a, b) and after (c, d) ...
Insert stays into collar and place the magnet under your shirt to get the perfect collar every time. If youre looking for th ... These innovative and patented collar stays are crafted from corrosion-resistant, airport-friendly metal alloy and are paired ... Wurkin Stiffs Polo Stays, 16PCS. Sold Out Tame those curling polo collars with iron-on stays that fit beneath the collar ... HOW TO USE YOUR MAGNETIC COLLAR STAYS:. STEP 1: Just slip the stays into your collar. ...
One way to reduce costs is to reduce bed capacity, moving patients more rapidly through the hospital by reducing length of stay ... Different nations have used different strategies to reduce length of hospital stay. Some have used regulation and policy to ... in which hospitals receive a lump sum payment for an admission regardless of length of stay or resources consumed.1 Under this ... and forcing hospitals and healthcare professionals to reduce length of stay to accommodate patient demand. Other nations have ...
A length of stay of ,72 hours was also an important factor associated with the risk of readmission and, in particular, ... to 38 weeks (OR, 7.2; CL, 3.05 to 16.97) versus ≥40 weeks; jaundice during nursery stay (OR, 7.80; CL, 3.38 to 18.0); length of ... Length of Stay, Jaundice, and Hospital Readmission. M. Jeffrey Maisels, Elizabeth Kring ... The very strong association between length of stay and method of delivery is confounding and, because we were interested ...
It is useful to be able to predict an individuals expected length of stay or to model length of stay to determine factors that ... A variation in the calculation of ALOS can be to consider only length of stay during the period under analysis. Length of stay ... A common statistic associated with length of stay is the average length of stay (ALOS), a mean calculated by dividing the sum ... While the mean length of stay is useful from the point of view of costs, it may be a poor statistic in terms of representing a ...
... a Maryland hospitals new observation unit has lowered length of stay and reduced admission of patients to inpatient care. ... designed to treat patients for stays less than 48 hours has reduced its length of stay by more than eight hours and lowered the ... For emergency room patients, a Maryland hospitals new observation unit has lowered length of stay and reduced admission of ... ER Observation Unit Reduces Length of Stay 8 Hours. By Christopher Cheney , May 03, 2018 ...
... would stay away 24 hours i suppose), and be able to stay another 3 months? ... since im only allowed to stay 3 months, can i leave on the cheapest flight to who-cares-where and come straight back ( ...
Psychological comorbidity and length of stay in the general hospital.. Saravay SM1, Steinberg MD, Weinschel B, Pollack S, ... The current paper reports on a study of psychological comorbidity and length of stay that has been designed to avoid the ... Statistical analyses were performed for correlations between length of stay and test scores, rating scales, and demographic and ... This study confirms a significant correlation between psychological comorbidity and length of stay after correcting for the ...
The length of the average hospital stay has dropped since 1980, creating both real and ``false savings, a researcher for the ... The length of the average hospital stay has dropped since 1980, creating both real and "false" savings, a researcher for the ... But for some specific medical conditions the length of stay has been shortened, he said. ... The average hospital stay declined from 7.35 days in 1980 to 5.71 days in 1985, according to The New York Times, which reported ...
Factors associated with length of stay for pediatric asthma hospitalizations.. Shanley LA1, Lin H, Flores G. ... Asthma is a leading cause of pediatric hospitalizations, but little is known about factors associated with length of stay (LOS ... Criteria led discharge reduces length of hospital stay for children with acute asthma. [J Asthma. 2016] ...
Decreasing Length of Stay at Johns Hopkins All Childrens Hospital. Decreasing Length of Stay at Johns Hopkins All Childrens ... The teams combined efforts led to a 30 percent reduction in that metric and nearly a 30 percent drop in length of stay. ... The 24-Hour Care Progression Teams intensive quality improvement resulted in nearly a 30 percent reduction in length of stay, ...
... dosing for patients presenting to the emergency department with acute decompensated heart failure may shorten length of stay, a ... In an analysis of predicted average length of stay, patients who received adequate doses of diuretics had an average stay of ... At Overlook, the average length of stay for these patients was 4.72 days and the 30-day readmission rate was 23.6%. ... Adequate dosing was associated with a significantly shorter length of stay (P=0.044), according to Jacqueline Fearon-Clarke, MA ...
Its discrete visitors stay for an average of 67 minutes; its loyal visitors stay for 161 minutes. Excite ranks second in both ... Loyalty, Length Of Stay Make Yahoo! No.1 Portal. Jan 13, 2005 ... Its discrete visitors stay 45 minutes; its loyal visitors stay ... and how long they stay per visit," says Jill Frankle, IDC program manager for Internet and eCommerce Strategies. "As a result, ...
QuickStats: Average Length of Hospital* Stay, by Diagnostic Category --- United States, 2003. ... Only hospitals with an average length of stay of ,30 days for all patients (including mental hospitals) and general hospitals ... The average length of hospital stay for patients with these diagnoses ranged from 2.6 days for deliveries to 8.0 days for ...
My husband stayed with me ond day and drove me crazy. I sent him back to the court room and his bench. He could control other ... TRUST me, i thought i would want to stay for a longer time but you are ready to go home in a couple of days. I had my surgery ... Its a bit embarrassing to admit you have a crappy family, but if thats what it will take to let me stay longer, so be it. ... Personally, I wamt to stay as long as possible as I have no one to care for me afterwards, not to mention Im doing this out of ...
... *Download PDF Copy ... may be one additional factor that the patient can control in order to stay heathy and prepared for surgery and potentially ...
As the government shutdown gets set to become the longest in history, Senate Majority Leader Mitch McConnell isnt budging from his position that Democrats and the White House must resolve it.
Re: Length of hospital stay after fusion Kelly,. I have been very lucky with my fusion surgery. I now am able to do things I ... Re: Length of hospital stay after fusion Kelly:. I had a laminectomy C4-C7 and I was feeling great for the first 3.5 weeks, now ... Re: Length of hospital stay after fusion Hi Back,. I remember you from back before you had the baby. Congratulations!. And you ... Length of hospital stay after fusion It has been 9 months since I have been on this site, I was off having my darling little ...
... is there a standard/ideal or policy on how long a patient is allowed to stay in the PACU? for example, should steps be taken in ... Policy on length of stay in the PACU May the Nurses Force Be With You ... Hi guys, I just wanted to ask, is there a standard/ideal or policy on how long a patient is allowed to stay in the PACU? for ... The patient cant stay in PACU for 8 hours until it completely wears off......but I can hear the floor nurses complaining ...
The length of hospital stay (LOS) for older patients undergoing total hip or knee arthroplasty (THA/TKA) declined significantly ... Cite this: Fast-Track Total Hip, Knee Arthroplasty in Older People Cuts Length of Hospital Stay - Medscape - Jan 02, 2020. ... NEW YORK (Reuters Health) - The length of hospital stay (LOS) for older patients undergoing total hip or knee arthroplasty (THA ... Fast-Track Total Hip, Knee Arthroplasty in Older People Cuts Length of Hospital Stay News ...
Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections. Anthony Goudie, Linda Dynan, Patrick W ... Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections ... Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections ... Attributable Cost and Length of Stay for Central Line-Associated Bloodstream Infections ...
... identify the factors that are known to influence length of stay; and (iii) assess the impact of interventions on patient ... describe the nature of interventions that have been used to reduce length of stay in acute care hospitals; (ii) ... increased length of stay. Factors influencing the impact of interventions on length of stay included contextual factors and the ... OBJECTIVES: This study sought to (i) describe the nature of interventions that have been used to reduce length of stay in acute ...
... on 52,000 patients who had gastric bypass surgery and discharged from the hospital sooner than the average hospital stay ... Length of Hospital Stay Linked to Bariatric Surgery Mortality Risk. by Sheela Philomena on June 16, 2011 at 12:25 PM Obesity ... "Length of stay appeared to be the leading risk factor ahead of age, gender, race, body mass index (BMI) and obesity-related ... "A two-day length of stay appears reasonable for most people and results in a safety profile that rivals gallbladder or hip ...
Average Length of Stay Whistlers 2016 average visitor length of stay for summer 2016 and winter 2016/17 was 4.7 and 6.6 ... Average Length of Stay (ALS) reports the average number of nights that visitors expect to stay in Whistler. The results are ... Average length of stay (ALS) is an important economic indicator. Additional hours spent in the resort lead to greater ...
Russian laws do not limit the amount time that Edward Snowden can stay inside the transit zone of Moscows Sheremetyevo airport ... Russian laws do not limit length of Snowdens stay in transit zone Published time: 27 Jul, 2013 17:27 Edited time: 28 Jul, ... "Russian law does not stipulate the duration of time for which a foreign citizen may stay in the airports transit zone or ... Russian laws do not limit the amount time that Edward Snowden can stay inside the transit zone of Moscows Sheremetyevo airport ...
Length of stay in neonatal ICU can affect behavior of premature babies. Fundação de Amparo à Pesquisa do Estado de São Paulo ... Length of stay in neonatal ICU can affect behavior of premature babies Research by Brazilian scientists shows that emotional ... indicates that length of stay in the ICU is the factor that best explains some preterm babies behavioral problems relating to ... The researchers study of 100 preterm babies showed that longer stays in the neonatal ICU were a risk factor for behavioral ...
... and males stay longer when teachers are paid more across the state. The research is based on a new longitudinal dataset ... that female teachers stay longer when local teacher salaries increase relative to salaries available in other local employment ... "The Effects of School District Spending Priorities on Length of Stay in Teaching," Journal of Human Resources, University of ... The Effects of School District Spending Priorities on Length of Stay in Teaching. ...
... the costs and benefits of extending the length of hospital stay following delivery using a discontinuity in stay length for ... After Midnight: A Regression Discontinuity Design in Length of Postpartum Hospital Stays. Douglas Almond, Joseph J. Doyle, Jr. ... The midnight discontinuity can therefore be used to consider two distinct treatments: increasing stay length from one to two ... "After Midnight: A Regression Discontinuity Design in Length of Postpartum Hospital Stays," American Economic Journal: Economic ...
Reducing length of stay Reducing length of stay. Theme:. Quality improvement. Topic:. Quality. Resource type:. Improvement tool ...
... post-operative complications have a far greater impact on total cost than does how long the patient stays in the hospital, ... Pancreatic surgery complications impact hospital costs more than length of stay. Research from the UC Davis Comprehensive ... The exponential relationship between hospital length of stay and charges for patients with complications - in comparison to the ... "Rather than striving for shorter length of stay, quality efforts should go toward avoiding complications and decreasing ...
... post-operative complications have a far greater impact on total cost than does how long the patient stays in the hospital, ... Prolonged Length of Stays, Readmissions, and Discharge to Care Facilities Among Postoperative Patients With Advanced Cancer. - ... Pancreatic surgery complications impact hospital costs more than length of stay. Research from the UC Davis Comprehensive ... The exponential relationship between hospital length of stay and charges for patients with complications - in comparison to the ...
I asked them specifically if they had to do anything additional to stay that length of time, they were renting, and they said ... Extension of stay upon entry. Upon entry in Aruba, the following persons can apply for an extension of their stay for more than ... Last I knew a tourist is welcome to stay on the island for no more than 30 consecutive days. If you want to stay longer you are ... Last I knew a tourist is welcome to stay on the island for no more than 30 consecutive days. If you want to stay longer you are ...
  • The prospective payment system in U.S. Medicare for reimbursing hospital care promotes shorter length of stay by paying the same amount for procedures, regardless of days spent in the hospital. (wikipedia.org)
  • Adequate dosing was associated with a significantly shorter length of stay ( P =0.044), according to Jacqueline Fearon-Clarke, MA, of the Gagnon Cardiovascular Institute at Overlook Medical Center in Summit, N.J. (medpagetoday.com)
  • Rather than striving for shorter length of stay, quality efforts should go toward avoiding complications and decreasing mortality," Bold added. (ucdavis.edu)
  • Moderate ( p = 0.014) to severe disability ( p = 0.015) and history of congestive heart failure ( p = 0.027) in the primary analysis and pre-stroke residence in a care facility among patients who survived to discharge ( p = 0.013) were associated with a shorter length of stay. (mdpi.com)
  • Clinical-decision unit observation unit patients experienced a 35 percent shorter length of stay than medical-surgical observation patients, according to a study in the Journal of Hospital Medicine . (beckershospitalreview.com)
  • Introduction: The goal of our study is to evaluate if patients undergoing laparoscopic colectomy have a statistically shorter length of stay when compared to patients undergoing open colectomy. (sages.org)
  • 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)
  • 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)
  • On both margins, we find no effect of stay length on readmissions or mortality for either the infant or the mother, and the estimates are precise. (nber.org)
  • Mortality is an insufficient measure of ICU outcome when measured alone and length of stay may be seen as an indirect measure of morbidity related outcome. (scielo.br)
  • Statistically significant independent risk factors for mortality were emergency surgery, major surgery, high SAPS II scores, longer stay in ICU and in the hospital. (scielo.br)
  • In conclusion, prolonged ICU stay is more frequent in more severely ill patients at admission and it is associated with higher hospital mortality. (scielo.br)
  • Title: The Impact of Diabetes on Hospital Length of Stay, Cost, and Inpatient Mortality Following ORIF of Ankle Fractures: An Argument for Increased Hospital Reimbursement. (eurekalert.org)
  • Previous studies have looked at morbidity and mortality, surgical outcomes, hospital length of stay (LOS), and hospital charges early in the academic year as compared with other times of the year, but these investigations have yielded mixed results. (physiciansweekly.com)
  • The effect of July admission on intensive care mortality and length of stay in teaching hospitals. (physiciansweekly.com)
  • Notwithstanding this, the laparoscopic approach demonstrates a benefit in length of stay, mean operative time, and 30-day morbidity and mortality even after controlling for preoperative patient characteristics. (sages.org)
  • Statistical analyses were performed for correlations between length of stay and test scores, rating scales, and demographic and discharge data from the chart. (nih.gov)
  • Criteria led discharge reduces length of hospital stay for children with acute asthma. (nih.gov)
  • I need to bring back a calculation for Length of stay for a patient IF they have a discharge date and an admit date. (experts-exchange.com)
  • Kevin R. Scott, M.D., of the University of Pennsylvania, Philadelphia, and colleagues examined patient visits from 2000 through 2014, calculating length of stay (LOS) from arrival until ED discharge or admission, and comparing clerkship student presence with student absence from the ED. The study was conducted at 3 urban, academic EDs associated with the University of Pennsylvania Health System, Philadelphia. (medicalnewstoday.com)
  • While the study can't draw any conclusions about why poverty is associated with prolonged hospital stay in infants with NOWS, the researchers believe that " non-medical impediments to timely hospital discharge " play a role. (medindia.net)
  • Compared to patients staying ≥ 2 days, early discharge patients had significantly lower BMI, creatinine, and American Society of Anesthesiologists class, were more likely to be White, married, have private insurance, and were more likely to have a morning start and no postoperative upper gastrointestinal (UGI) swallow study. (springer.com)
  • Psychosocial variables contribute to length of stay and discharge destination after lumbar surgery independent of demographic and clinical variables. (springer.com)
  • Despite fears that early discharge will compromise care, new research finds that shorter hospitals stays can actually improve readmission or death rates. (fiercehealthcare.com)
  • Short-stay patients are also more likely to leave hospital on their planned discharge date and possibly have a greater chance of finding employment. (cochrane.org)
  • The patients who had a length of stay of less than six days were not at a higher risk of dying after discharge, researchers found. (modernhealthcare.com)
  • To help the administration manage hospital resources, the Hospital Length of Stay solution estimates the number of days the patient is expected to stay before discharge. (msdn.com)
  • This month I will focus on what can be thought of as the two components of "back end" throughput: effective management of length of stay (LOS) and patient discharge in the morning rather than late in the day. (the-hospitalist.org)
  • One CMS administrator told my consulting partner, Leslie Flores, that discharge summaries can't be dictated on a day prior to discharge because they have to include all information related to the hospital stay, including any relevant information from the night before discharge. (the-hospitalist.org)
  • When it comes to a specific type of pancreatic surgery, post-operative complications have a far greater impact on total cost than does how long the patient stays in the hospital, according to a published paper by UC Davis researchers. (ucdavis.edu)
  • In fact, the 34 patients with complications (38 percent) drove up the total average cost for all 89 patients far more dramatically than any difference in hospital length of stay. (ucdavis.edu)
  • The exponential relationship between hospital length of stay and charges for patients with complications - in comparison to the linear relationship for patients without - demonstrates that a complication has an impact on increased charges above and beyond that of a prolonged hospitalization, the authors conclude. (ucdavis.edu)
  • While the correlation between length of stay following elective surgical procedures and higher health care costs is not new, researchers from Vanderbilt University Medical Center in Nashville, Tennessee, concluded that diabetic patients undergoing such procedures have higher rates of complications due to the vascular conditions and risks of infections that often accompany diabetes. (endocrineweb.com)
  • M. Kathleen Figaro, MD, et al, evaluated data from the 2008 Healthcare Cost and Utilization Project Nationwide Inpatient Sample (29,589 patients with diabetes and 793,827 patients without diabetes), specifically looking at comorbidities and perioperative complications as they related to length of stay for diabetic patients in 13 procedures. (endocrineweb.com)
  • Overall, investigators concluded that diabetes patients incurred greater rates of complications, had higher hospital costs, and had longer lengths of stay than non-diabetes patients following 11 major elective procedures, either common or uncommon.1 In light of these findings, Dr. Figaro stressed the importance of preoperative opportunities for health care professionals to control blood glucose levels more effectively in an effort to decrease elective surgical complications in diabetic patients. (endocrineweb.com)
  • Though admission from the emergency department requires an often complex matrix of steps, previous Penn research shows that prolonged emergency department stays before admission called boarding -- is associated with myriad complications and shortcomings in care for acutely ill patients. (webwire.com)
  • Lucy's daughter had a short neonatal stay with few complications. (bliss.org.uk)
  • Specifically, whether it is associated with shortened length of stay and improvement in other complications of cirrhosis. (clinicaltrials.gov)
  • One way to reduce costs is to reduce bed capacity, moving patients more rapidly through the hospital by reducing length of stay. (bmj.com)
  • A common statistic associated with length of stay is the average length of stay (ALOS), a mean calculated by dividing the sum of inpatient days by the number of patients admissions with the same diagnosis-related group classification. (wikipedia.org)
  • For emergency room patients, a Maryland hospital's new observation unit has lowered length of stay and reduced admission of patients to inpatient care. (healthleadersmedia.com)
  • While patients are staying a shorter period in the hospitals they are going elsewhere and recuperating," he said. (deseretnews.com)
  • Farley said the decline has occurred even though hospitals are tending to admit patients who are sicker and who therefore stay longer. (deseretnews.com)
  • CHICAGO -- Ensuring adequate diuretic dosing for patients presenting to the emergency department with acute decompensated heart failure may shorten length of stay, a single-center study showed. (medpagetoday.com)
  • In an analysis of predicted average length of stay, patients who received adequate doses of diuretics had an average stay of 4.2 days, and those who received inadequate doses had an average stay of 5.2 days. (medpagetoday.com)
  • The average length of hospital stay for patients with these diagnoses ranged from 2.6 days for deliveries to 8.0 days for psychoses. (cdc.gov)
  • NEW YORK (Reuters Health) - The length of hospital stay (LOS) for older patients undergoing total hip or knee arthroplasty (THA/TKA) declined significantly over the past decade with the implementation of fast-track protocols, a new study shows. (medscape.com)
  • Patients who spent more time in the hospital but were discharged in less than 24 hours after an overnight stay, were two times more likely to die than patients who left after two days of recovery. (medindia.net)
  • Therefore, it is our priority to rehabilitate patients and reduce their length of stay. (ijn.com.my)
  • It shows how IJN patients' length of stay for the various procedures have decreased over the years. (ijn.com.my)
  • They observed a shorter postprocedural length of hospital stay (7.5 versus 9.9 days) in patients who received percutaneous surgery versus traditional TAVR surgery and no difference in vascular complication rates between the two procedures. (eurekalert.org)
  • Factors associated with increased length of stay included presence of neurological lateralisation in the primary analysis ( p = 0.004) and amongst patients who died ( p = 0.003 and p = 0.014 for ischaemic and haemorrhagic stroke, respectively). (mdpi.com)
  • Imagine also the scene in hospitals across the country - patients with similar histories being admitted for the same surgery but staying for remarkably different lengths of times, each facing different financial and social costs as a consequence. (hsj.co.uk)
  • It found that 17% of 599 elective surgical patients did not stay for their predicted length of time. (hsj.co.uk)
  • Results from a survey carried out by the trust, which showed discrepancies between predicted and actual length of stay of elective surgical patients, steered the design. (hsj.co.uk)
  • Depending on the responses, patients are graded into four bands - A for day case, B for short stay, C for in-patients and D, referral for treatment or investigation prior to listing. (hsj.co.uk)
  • The liver transplant team at London Health Sciences Centre (LHSC) has successfully and significantly reduced the hospital length of stay for patients without any increases to readmission rates. (lhsc.on.ca)
  • Previous to August 2017, the liver transplant team had a median length of stay of 18 days for liver transplant patients. (lhsc.on.ca)
  • Without comparative length of stay data available from Canada's seven liver transplant centres LHSC used data from the United States - where many liver transplant programs have set a suggested target length of stay for post-transplant patients of 18 days as a benchmark. (lhsc.on.ca)
  • Oftentimes, patients end up staying at HG while we try to find infirmary capacity for them, and that increases their length of stay and affects the ability for other patients to be brought to our hospital. (utmb.edu)
  • Improving the average length of stay (ALOS) and patient throughput-the process of moving patients through the treatment system-became a major focus for HG over a year ago, when the ALOS peaked at 9.66 days. (utmb.edu)
  • So we came up with several interventions and goals to ensure patients are in the hospital for the appropriate length of time. (utmb.edu)
  • In addition to daily POCR rounds, Ojo leads a length-of-stay meeting twice a week to discuss patients who have been in the hospital for five days or more. (utmb.edu)
  • Despite adjusting for factors that might influence length of stay disparities, the authors were unable to identify a reason for the differences, though they say factors such as socioeconomic status or severity of patients illnesses could play a role. (webwire.com)
  • For black patients in this group, the mean length of stay in emergency departments was 367 minutes, compared to 290 minutes for non-African American patients. (webwire.com)
  • The non-profit National Quality Forum, which works to develop national strategies for health care quality measurement and reporting recently approved a project that will establish several measures of emergency department waiting times (including amount of time before patients see a provider and overall length of stay). (webwire.com)
  • Length of stay was prolonged an average of 1.6 days (range, 1.1-2.0 days) per hospitalization for these 16 patients, or 0.4 day (range, 0.2-0.6 day) per hospitalization for all 62 patients. (nih.gov)
  • They found the average length of stay for CDU patients was 17.6 hours, compared to 26.1 hours for medical-surgical observation patients. (beckershospitalreview.com)
  • Their objective was to describe the trend in the post-operative disposition of patients and to also compare the length of stay and inpatient cost between those with private insurance and those with Medicare. (aahks.org)
  • Patients with Medicare stayed in the hospital longer than those with private insurance, which authors say may be due to the Medicare 3-day rule. (aahks.org)
  • Hospitals are discharging patients who have suffered severe heart attacks in less than a week, compared to hospital stays of more than six weeks for patients in the 1950s, according to a study by researchers at the University of Massachusetts Medical School. (modernhealthcare.com)
  • Body composition measurements identify patients with muscle mass depletion and excess body fat, both of which are significantly associated with increased length of stay. (ovid.com)
  • The research, led by Kenneth A. Egol, MD, a professor and vice chair of education in the Department of Orthoapedic Surgery at NYU Langone, showed patients with diabetes who undergo ankle fracture surgery have significantly longer lengths of stay and total hospital charges compared to non-diabetics, with worse trends seen among patients with complicated disease. (eurekalert.org)
  • The researchers found that patients with diabetes were more likely to incur significantly greater hospital charges (mean: $26,491 diabetes versus $20,428 nondiabetes) and have significantly longer lengths of stay (5.8 days diabetes compared with 3.9 days nondiabetes) compared to patients without diabetes. (eurekalert.org)
  • Length of Stay in ERs Reaches New High, Delays in Moving Admitted Patients Out. (blogspot.com)
  • Patients were labeled as to being outside the 75th percentile of surgical length of stay (SLOS). (sages.org)
  • Conclusion: Our data indicates that laparoscopic colectomy independently decreases length of stay when compared to patients who undergo open operation. (sages.org)
  • She says hospitalists are a valuable asset to the healthcare system because they stay in the hospital where they are available to review test results and have more time to speak with patients and families. (msbusiness.com)
  • In a 2005 study conducted by Mt. Sinai Hospital in New York, patients seen by hospitalists had a 16% reduced length of stay and reduced costs of over $700 per case. (msbusiness.com)
  • Releases of patients who have stayed at least one night in hospital, usually measured per 100,000 inhabitants. (reportlinker.com)
  • Does the presence of dysphagia in hospitalized patients result in prolonged hospital stay and increased morbidity? (enttoday.org)
  • Multimodal pain care after surgery can cut hospital stays for patients already taking opioids, according to a prospective pilot study presented at the 32nd Annual Meeting of the American Academy of Pain Medicine. (fiercehealthcare.com)
  • Do unemployment and payor category impact length of stay and hospital charges of spine fusion patients? (scirp.org)
  • Medela Healthcare today announces research results that prove patients managed with digital drainage system Thopaz™ had a significantly shorter air leak duration, chest tube duration and postoperative length of stay compared to those managed with traditional devices. (medela.com)
  • Results from a recent global study that included 400 patients, revealed improved ability to arise from bed, system convenience for patients and personnel and, most significantly, a one day reduction in hospital stay. (medela.com)
  • More than 35 years ago, when Dr. Kjaersgaard-Andersen first began his practice, if anyone had told him that at this point in his career, the average length of stay for patients following a total hip replacement or total knee replacement would be on average 1.8 days, he would not have taken them seriously. (healio.com)
  • This was the early landscape, and to improve from a 10-day length of stay, on average, the Danish working groups knew they needed to implement pain management programs that could get their patients mobile. (healio.com)
  • HealthDay News - For patients admitted to the intensive care unit (ICU), procalcitonin (PCT) testing on the first day of admission is associated with significantly lower length stay in the hospital and ICU, according to a study published in the January issue of CHEST . (empr.com)
  • Although many studies have shown that the length of hospital stay (LOHS) is a measurable and important stroke outcome, research has found limited evidence concerning the effect of depression on LOHS among patients who have experienced acute stroke. (dovepress.com)
  • Clinicians with stroke patients, take note: A history of repeated hospitalizations before, a long stay in the hospital after and a higher National Institutes of Health Stroke Score (NIHSS) may increase the risk of a patient returning within 30 days. (cardiovascularbusiness.com)
  • This seemed to follow the high median length of stay in patients who ultimately returned in the 30-day window. (cardiovascularbusiness.com)
  • Length of stay for hip replacement patients has fallen by 25 per cent during the past five years but variations between trusts remain, according to information company Dr Foster Intelligence. (hsj.co.uk)
  • Data shared with HSJ shows that in 2005-06 the median stay for patients undergoing elective hip replacements was 7.2 days but by 2009-10 this had fallen to 5.4 days. (hsj.co.uk)
  • Length of stay (LOS) is a term to describe the duration of a single episode of hospitalization. (wikipedia.org)
  • The aim of this systematic review is to investigate the effect of telehealth interventions on two indicators: hospitalization rate and length of stay. (ahima.org)
  • The median hospital stay was 16 days. (medindia.net)
  • Despite achieving a similar median length of stay, the liver transplant team believed there were opportunities to reduce length of stay. (lhsc.on.ca)
  • We started out with the goal to reduce our median length of stay by three days, and we wanted to do so by keeping the focus of our work on improving the patient experience. (lhsc.on.ca)
  • There isn't one average or median length of stay that's right for every sheltering organization or for every animal. (aspcapro.org)
  • Why would I use median length of stay instead of average? (aspcapro.org)
  • Finding the median length of stay rather than the average helps give a picture of the "middle" value, which is less affected by extreme values that may not really be individual outliers. (aspcapro.org)
  • St George's Healthcare Trust, the worst performer in 2005-06 at 13 days, reduced median stay by 3.5 days but was still in the bottom 10 four years later. (hsj.co.uk)
  • However, the proportion of trusts with median stays of eight days or more fell from 35 per cent in 2005-06 to just 6 per cent last year. (hsj.co.uk)
  • The results of prior studies that have reported an association between psychological and psychiatric comorbidity and longer hospital stays have been subject to different interpretations because of methodological design flaws. (nih.gov)
  • After Midnight: A Regression Discontinuity Design in Length of Postpartum Hospital Stays, " American Economic Journal: Economic Policy, vol 3(3), pages 1-34. (nber.org)
  • Consequently, in the developed world, hospital stays are now relatively short and large psychiatric hospitals or asylums have almost disappeared. (cochrane.org)
  • In high-income countries, over the last three decades, the length of hospital stays for people with serious mental illness has reduced drastically although considerable variation remains. (cochrane.org)
  • We included all randomised controlled trials comparing planned short/brief with long/standard hospital stays for people with serious mental illnesses. (cochrane.org)
  • Researchers conclude CDU length of stay decreases without increasing readmission rates. (beckershospitalreview.com)
  • An evidence-based pathway with such features as early patient identification, patient/professional education, primary care collaboration and patient engagement reduced lengths of stay, readmission rates and opioid dosage. (fiercehealthcare.com)
  • Primary analysis identified predictors of length of stay (LOS) in either haemorrhagic or ischaemic TACS. (mdpi.com)
  • Other nations have used incentives such as diagnosis related group (DRG) based hospital reimbursement, in which hospitals receive a lump sum payment for an admission regardless of length of stay or resources consumed. (bmj.com)
  • These correlations remained significant after the authors controlled for degree of physical impairment, emergency versus elective admission, and medical versus surgical service, which were themselves correlated with longer hospital stay. (nih.gov)
  • There was limited information that suggested that short-stay hospitalisation does not encourage a 'revolving door' pattern of admission to hospital and disjointed or poor care. (cochrane.org)
  • For psychiatrists, policy makers and health professionals it is important to know that short-stay hospitalisation does not lead to a 'revolving door' pattern of admission to hospital and poor or fragmented care. (cochrane.org)
  • Outcomes from these studies do suggest that a planned short-stay policy does not encourage a 'revolving door' pattern of admission and disjointed care for people with serious mental illness. (cochrane.org)
  • To evaluate the effect of short stay/brief admission hospital care with long stay/standard in-patient care in people with serious mental illness. (cochrane.org)
  • Use of PCT testing on the first day of ICU admission was associated with significantly lower hospital and ICU lengths of stay, as well as decreased total, ICU, and pharmacy cost of care," the authors write. (empr.com)
  • Whistler's 2016 average visitor length of stay for summer 2016 and winter 2016/17 was 4.7 and 6.6 respectively. (whistler.ca)
  • The average hospital stay declined from 7.35 days in 1980 to 5.71 days in 1985, according to The New York Times, which reported on the findings in Wednesday's editions. (deseretnews.com)
  • He cited the example of women who used to be admitted to hospitals for stays of three to five days for normal delivery of babies now being discharged one or two days after delivery. (deseretnews.com)
  • TRUST me, i thought i would want to stay for a longer time but you are ready to go home in a couple of days. (dailystrength.org)
  • Last I knew a tourist is welcome to stay on the island for no more than 30 consecutive days. (aruba.com)
  • If you scroll down in the link Jacki posted, the requirements are listed for stays of longer than thirty (30) days. (aruba.com)
  • For a stay of up to 180 days. (aruba.com)
  • Ask your surgeon about the healing process, the condition of improvements and the number of days you will need to stay in the hospital. (ijn.com.my)
  • Poverty was strongly related to excess hospital stay: each one-point increase in the 0-to-100 Area Deprivation Index was associated with 0.13 extra days in the hospital. (medindia.net)
  • The simplest way to calculate average length of stay is to simply add up all the days that animals remain in the shelter's care and then divide by the number of animals. (aspcapro.org)
  • In some cases, shelter software will report either the average length of stay (so you don't need to do any calculations) or the number of care days for each animal. (aspcapro.org)
  • The initial program includes 3.5-days of intensive presentation, discussion, and planning for jurisdictions to examine and address factors contributing to length of stay in post-adjudication placement, and strengthen policies and practices affecting length of stay. (georgetown.edu)
  • The mean length of stay in the ICU was 4.09 ± 10.23 days. (scielo.br)
  • Length of Stay" stated that if additional vessel use days are unavailable, a vessel may remain anchored for up to seven additional days without motorized operation at Blue Mouse Cove, Sandy Cove, or Bartlett Cove. (nps.gov)
  • This should reassure people with mental illness coming into hospital that a short stay (of less than 28 days) means they are no more likely to be readmitted, to leave hospital abruptly, or to lose contact with services after leaving hospital than if they received long-stay care. (cochrane.org)
  • Average hospital length of stay was 3.2 days, which accounted for 40% of the total cost. (diagnosticimaging.com)
  • Iliac artery stenting had a relatively short hospital stay of 2.25 days, but its high cost ( Euro 6860) reflected the high cost of materials, Konda said. (diagnosticimaging.com)
  • The lengths of stays have practically been cut in half since the 1980s when the average length of stay was 11.7 days. (modernhealthcare.com)
  • It is generally measured by dividing the total number of days stayed by all inpatients during a year by the number of admissions or discharges. (reportlinker.com)
  • This was the mandate Dr. Kjaersgaard-Andersen and working groups of Danish professionals faced when they published a survey in the Danish Medical Bulletin in 2004 that showed lengths of stay on average were about 10 days throughout the country. (healio.com)
  • Five years after Ontario vowed to curtail its use of solitary confinement, average inmate stays in segregation cells have grown longer, with one prisoner in Ottawa remaining in isolation for at least 835 days, according to newly released provincial data. (theglobeandmail.com)
  • In 2009-10, average stays around the country ranged from three to 10 days. (hsj.co.uk)
  • Northumbria Healthcare Foundation Trust halved its length of stay for the procedure to four days by 2009-10, the largest reduction at any trust. (hsj.co.uk)
  • Some have used regulation and policy to reduce the number of inpatient beds, restricting supply of beds, and forcing hospitals and healthcare professionals to reduce length of stay to accommodate patient demand. (bmj.com)
  • Nursing-led inpatient units were associated with improved outcomes but, if anything, increased length of stay. (rand.org)
  • Under this diagnosis-related groups (DRG) system, Medicare pays hospitals a flat rate per case for each inpatient hospital stay based on the DRG. (fticonsulting.com)
  • The authors suggested that revision of this rule could decrease health care costs by reducing the length of hospital stay prior to inpatient rehabilitation. (aahks.org)
  • Objective Length of stay (LOS) is a major driver of inpatient care costs. (bmj.com)
  • There are limited data available on factors associated with length of stay (LOS) in cases of acute ischemic stroke according to Poisson analysis, which is more appropriate than other methods. (dovepress.com)
  • To explore actionable information that can be used to reduce hospital acute care length of stay (LOS) and to assess racial and income disparities in LOS in an integrated healthcare network. (ajmc.com)
  • Reference: Mitchell BG and Gardner A. Prolongation of length of stay and Clostridium difficile infection: a review of the methods used to examine length of stay due to healthcare associated infections. (infectioncontroltoday.com)
  • In this work, we study HIE and length of stay (LOS) relationship using a large dataset from the Healthcare Cost and Utilization Project consisting of about 5.8 million treat-and-release visits made to 63 EDs in Massachusetts. (ssrn.com)
  • We measured crowding at 30-minute intervals throughout each patient's ED stay. (nih.gov)
  • A patient's length of stay is budgeted down to the hour. (msbusiness.com)
  • The implication of swallowing dysfunction on a patient's hospital stay is uncertain. (enttoday.org)
  • Hospitals are increasingly motivated to implement clinical care pathways as a method of improving quality of care, with a focus on elimination of excess resource utilization and shortening the hospital length of stay," said lead author Richard Bold, professor and chief of surgical oncology at the UC Davis Comprehensive Cancer Center . (ucdavis.edu)
  • Figaro MK, Jung K, Lim D, BeLue R. The impact of diabetes on length of stay and hospital costs after elective surgical procedures. (endocrineweb.com)
  • We evaluated National Surgical Quality Improvement Program (NSQIP) data to investigate if this is a valid assumption, and how mode of operation affects length of stay. (sages.org)
  • The latter is defined as a surgical operation or procedure which is performed with an overnight stay in an in-patient institution. (reportlinker.com)
  • The researchers' study of 100 preterm babies showed that longer stays in the neonatal ICU were a risk factor for behavioral problems. (eurekalert.org)
  • If the graph is derived from a straight average you could be skewed by fewer longer stays or lots shorter stays since then. (ambergriscaye.com)
  • Some argue that reduction in hospital stay leads to 'revolving door admissions' and worsening mental health outcomes despite apparent cost savings, whilst others suggest longer stays may be more harmful by institutionalising people to hospital care. (cochrane.org)
  • Thomas H, Agrawal S. Systematic review of 23-h (outpatient) stay laparoscopic gastric bypass surgery. (springer.com)
  • Risk factors for prolonged length of hospital stay and readmissions after laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. (springer.com)
  • Because most current literature tends not to adjust for biases in patient selection that could provide alternative explanation for length of stay, we aimed to control for this to provide a clear model of laparoscopic operation and length of stay. (sages.org)
  • There is a need to better understand the diverse literature on reducing the length of hospital stay. (rand.org)
  • H ealthcare systems will greatly enhance their financial status with a renewed focus on improving clinical performance, reducing clinical variation, and specifically reducing length of stay (LOS). (fticonsulting.com)
  • Cohn LH, Rosborough D, Fernandez J. Reducing costs and length of stay and improving efficiency and quality of care in cardiac surgery. (springer.com)
  • While all three drivers were essential to reducing lengths of stay, without a primary focus on pain treatment, Dr. Kjaersgaard-Andersen and his colleagues found the remainder of the drivers fall apart. (healio.com)
  • Systems interested in producing the best outcomes for youth and communities need to pay particular attention to how youth experience residential treatment-including both the length of time they are away from their homes and social supports, as well as the nature and quality of the services and approaches in the programs themselves. (georgetown.edu)
  • The goal of the Policy Academy is to guide and support teams from state and local jurisdictions to examine and address policies, practices, and other factors contributing to length of stay in post-adjudication placements and to develop strategic plans to improve outcomes for young people in those placements. (georgetown.edu)
  • Further investigation into outcomes of different levels and durations of oxygen desaturation is needed and would have the potential to reduce practice variability and shorten the length of stay. (nih.gov)
  • An analysis of more than 1.3 million emergency department visits found an increase in patient length of stay of approximately 5 minutes associated with the presence of medical students in the emergency department, which was statistically significant but likely too small to be of clinical relevance, according to a study in JAMA , a theme issue on medical education. (medicalnewstoday.com)
  • Riguzzi C, Hern G, Farnaz V, Herring A, Alter H. The July Effect: is emergency department length of stay greater at the beginning of the hospital academic year? (physiciansweekly.com)
  • It is useful to be able to predict an individual's expected length of stay or to model length of stay to determine factors that affect it. (wikipedia.org)
  • As general hospitals search for ways to cut costs without sacrificing efficiency, particular attention has been focused on factors that may prolong hospital stay. (nih.gov)
  • Factors associated with length of stay for pediatric asthma hospitalizations. (nih.gov)
  • Asthma is a leading cause of pediatric hospitalizations, but little is known about factors associated with length of stay (LOS) for asthma hospitalizations. (nih.gov)
  • Over 50% of the inpatients were not married, and their length of stay (LOS) was 22% longer compared with their married counterparts after controlling for confounding factors. (ajmc.com)
  • BACKGROUND: Available evidence on effective interventions to reduce length of stay in hospital is wide-ranging and complex, with underlying factors including those acting at the health system, organisational and patient levels, and the interface between these. (rand.org)
  • Factors influencing the impact of interventions on length of stay included contextual factors and the population targeted. (rand.org)
  • Identification of factors that determine length of stay (LOS) in total anterior circulatory stroke (TACS) has potential for targeted intervention to reduce the associated health care burden. (mdpi.com)
  • These results suggest that excess length of stay may be the result of non-medical factors linked to poverty and that early allocation of resources for at-risk families may help to reduce the overall length of stay ," according to the new research by Zachary A. Vesoulis, MD, and colleagues of Washington University School of Medicine, St. Louis. (medindia.net)
  • Poverty and other factors were analyzed for association with length of hospital stay. (medindia.net)
  • Patient factors systematically influence hospital length of stay in common orthopedic procedures. (springer.com)
  • Significant risk factors for staying longer in ICU were SAPS II, ASA physical status, amount of colloids, fresh frozen plasma units and packed erythrocytes units used during surgery. (scielo.br)
  • The decline has been very substantial and what has happened is that people (who once were admitted for) relatively short stays aren't getting into the hospitals," Farley said. (deseretnews.com)
  • A key indicator when analyzing clinical and financial solidity is the facility's clinically anticipated Medicare length of stay. (mcknights.com)
  • Babies with neonatal opioid withdrawal syndrome (NOWS) were associated with longer length of hospital stay. (medindia.net)
  • For infants with neonatal opioid withdrawal syndrome (NOWS) due to prenatal opioid exposure, poverty is a risk factor for prolonged length of hospital stay, reports a study in the Journal of Addiction Medicine , the official journal of the American Society of Addiction Medicine(ASAM). (medindia.net)
  • The aim of this significant study was to assess the impact of digital chest drainage devices that have objective data versus traditional drainage devices on duration of air leak, chest tube removal and hospital stay after lobectomy/segmentectomy. (medela.com)
  • This paper compares the costs and benefits of extending the length of hospital stay following delivery using a discontinuity in stay length for infants born close to midnight. (nber.org)
  • The term "average length of stay" (ALOS) is also applicable to other industries, e.g. entertainment, event marketing, trade show and leisure. (wikipedia.org)
  • Average length of stay (ALS) is an important economic indicator. (whistler.ca)
  • Average Length of Stay (ALS) reports the average number of nights that visitors expect to stay in Whistler. (whistler.ca)
  • if the balance is above the average then the average length of stay gets longer. (aspcapro.org)
  • How can I calculate average length of stay? (aspcapro.org)
  • For example, if you'd like to calculate the average length of time waiting for foster care, you can use the intake date as your starting point. (aspcapro.org)
  • WASHINGTON, July 23 /PRNewswire-USNewswire/ -- Average length of stay in the nation's emergency departments increased to four hours and seven minutes, and the nation's emergency physicians are very concerned about patient safety being jeopardized by long wait times. (blogspot.com)
  • Presenting the findings for the first time at the Society of Thoracic Surgeons 50th Annual Meeting in Orlando, Florida, Professor Frank Detterbeck, MD Chief of Thoracic Surgery Yale School of Medicine stated, "This randomized trial demonstrates a statistically significant reduction in hospital stay by one whole day by using the Thopaz digital chest drainage system. (medela.com)
  • The 24-Hour Care Progression Team's intensive quality improvement resulted in nearly a 30 percent reduction in length of stay, increasing patient satisfaction, opening up access and saving costs. (hopkinsmedicine.org)
  • There is an increasing focus on length of stay in bariatric surgery following an update to the Milliman Care Guidelines®, which recommended shortening the length of stay for gastric bypass to cut costs and improve resource utilization. (medindia.net)
  • The results suggest that for uncomplicated births, longer hospitals stays incur substantial costs without apparent health benefits. (nber.org)
  • If they don't have property in Aruba, they must have a declaration of guarantee from a resident of Aruba who will act as guarantor for and be liable for any costs incurred during their stay. (aruba.com)
  • Long stays are also costly: states spend approximately $150,000 per year for every youth in a juvenile facility. (jlc.org)
  • The publication aims to start a deeper conversation about state policies - including agency policy, state statute, and regulations - that can address the problem of unnecessarily long stays in juvenile facilities. (jlc.org)
  • The findings suggest that abstaining from alcohol while waiting for a transplant 'may be one additional factor that the patient can control in order to stay heathy and prepared for surgery and potentially optimizing their lung transplant outcome,' Dr. Lowery and colleagues wrote. (news-medical.net)
  • A two-day length of stay appears reasonable for most people and results in a safety profile that rivals gallbladder or hip replacement surgery. (medindia.net)
  • The finding, published in JAMA Surgery , challenges current cost-cutting strategies routinely used by administrators and insurers that emphasize shorter lengths of stay in the hospital. (ucdavis.edu)
  • Has the length of stay post-surgery been reduced? (ijn.com.my)
  • The duration of your hospital stay after the surgery depends on the exact condition or healing of the heart. (ijn.com.my)
  • PHILADELPHIA - New research from Penn Medicine shows that incisionless transcatheter aortic valve replacement (TAVR) surgery cuts length of hospital stay by 30 percent and has no impact on post-operative vascular complication rates when compared with conventional transfemoral TAVR, which requires an incision in the groin. (eurekalert.org)
  • Interventional procedures not only are less expensive than open surgery, but minimally invasive procedures also are ideal for helping to reduce hospital length of stay. (diagnosticimaging.com)
  • He refuses to tell us information that is important to us and easy for him to disclose, such as what hotel he and his wife are staying at the night before the surgery. (dcourier.com)
  • Different nations have used different strategies to reduce length of hospital stay. (bmj.com)
  • Although the overall evidence base was varied and frequently lacked a robust study design, we identified a range of interventions that showed potential to reduce length of stay. (rand.org)
  • The evidence was mixed with regard to the extent to which interventions seeking to reduce length of stay were associated with cost savings. (rand.org)
  • CONCLUSIONS: The design and implementation of an intervention seeking to reduce (directly or indirectly) the length of stay in hospital should be informed by local context and needs. (rand.org)
  • In Ten Strategies to Reduce Juvenile Length of Stay, Juvenile Law Center draws from a 50 state review of state statutes, conversations with national stakeholders and decision-makers, and input from preeminent researchers and scholars in the field. (jlc.org)
  • They are the top drivers guiding a successful initiative to reduce lengths of stay in Denmark during the past 10 to 15 years. (healio.com)
  • The primary goal at that time, driven by health care economics, was to reduce this length of stay. (healio.com)
  • A study conducted by researchers at the University of São Paulo's Ribeirão Preto School of Medicine (FMRP-USP) in Brazil, with support from the Sao Paulo Research Foundation - FAPESP , indicates that length of stay in the ICU is the factor that best explains some preterm babies' behavioral problems relating to emotional regulation, regardless of the degree of prematurity and the presence of bronchopulmonary dysplasia and retinopathy of prematurity (ROP). (eurekalert.org)
  • In their study of 129 Veterans Administration hospitals, published today in the Annals of Internal Medicine , researchers from Iowa City VA Medical Center found that the hospitals curbed length of stay by an annual 2 percent for 14 years, for a total 27 percent reduction. (fiercehealthcare.com)
  • Researchers at Cooper University Hospital in Camden, N.J., created a 20-bed CDU to determine if it affected length of stay. (beckershospitalreview.com)
  • A variation in the calculation of ALOS can be to consider only length of stay during the period under analysis. (wikipedia.org)
  • ALOS is used to determine the length of time an attendee is expected to spend on a site or in a venue and is part of the calculation used to determine the gross sales potential for selling space to vendors etc. and affects everything from parking to sanitation, staffing and food and beverage. (wikipedia.org)
  • We established the criteria based on certain diseases and certain conditions that we knew were typically short stays," says Kim Baker, PA-C, director of hospitalist and ICU services. (healthleadersmedia.com)
  • The team's combined efforts led to a 30 percent reduction in that metric and nearly a 30 percent drop in length of stay. (hopkinsmedicine.org)
  • The review aims to determine what length of stay in hospital is the most helpful and is now based on a 2012 search. (cochrane.org)
  • Neonates on withdrawal following opioid exposure during the intra-uterine period have a longer length of stay in hospitals due to poverty. (medindia.net)
  • No previous studies have examined how the use of pulse oximetry and supplemental oxygen therapy affects length of stay. (nih.gov)
  • Careful case management by the interdisciplinary team and a comprehensive approach to care can positively affect not only length of stay but also safe and successful discharges. (mcknights.com)
  • Cite this: Fast-Track Total Hip, Knee Arthroplasty in Older People Cuts Length of Hospital Stay - Medscape - Jan 02, 2020. (medscape.com)
  • Roux-en-Y gastric bypass 10-year follow-up: the found population. (springer.com)