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.

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  • 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)
  • 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)
  • 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)
  • Additionally, length of stay in hospital can be linked to additional quality metrics such as patient satisfaction with health professionals, reduction in hospital readmissions, and even mortality. (wikipedia.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)
  • Discharge planning processes can be effective in reducing a patients length of stay in hospital. (wikipedia.org)
  • For example, for older people admitted with a medical condition, discharge planning has been shown to improve satisfaction, reduce the overall length of stay, and within 3 month period reduce the likelihood of readmission. (wikipedia.org)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Risk factors for prolonged length of hospital stay and readmissions after laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. (springer.com)
  • Index length of stay (LOS) and readmissions are viewed as important quality measures. (unboundmedicine.com)
  • Length of stay (LOS) is 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 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)
  • Whistler's 2016 average visitor length of stay for summer 2016 and winter 2016/17 was 4.7 and 6.6 respectively. (whistler.ca)
  • 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)
  • 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)
  • 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)
  • E.g. if I spend 60 days in Croatia followed by 30 days in Italy , do I still have 30 days left on my Croatian stay, or are they viewing their system this year as a quasi Schengen in preparation for next year (as Italy & Slovenia are Schengen countries)? (cruisersforum.com)
  • permits a stay of 90 days out of any 180 in Schengen countries (which include Greece and Slovenia). (cruisersforum.com)
  • Dear Mr Brown, Referring to your e-mail dated 25 February 2014 please be informed that nationals of Australia do not require a visa for entering and stay of up to 90 days in any 180 days the Republic of Croatia or for transit through its territory. (cruisersforum.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)
  • 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)
  • 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)
  • Objective: To review our open partial nephrectomy (OPN) experience and compare to known robotic partial nephrectomy (RPN) data to determine whether length of stay (LOS) and morbidity are significant drivers in the surgical approach employed for partial nephrectomy. (scirp.org)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Because the long-stay records with move-in or move-out dates outside of the data time window could not be included, the average length of stay for the long-stay group in this study may be underestimated. (corelogic.com)
  • Figure 1 shows the average length of stay for tenants with different CoreLogic SafeRent Scores. (corelogic.com)
  • Similarly, an overall positive correlation is evident in Figure 2, which shows that as the tenant age increases, so does the average length of stay. (corelogic.com)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Proponents of robotic partial nephrectomy (RPN) claim shorter hospital length of stay (LOS) and less morbidity as compared to OPN as justification for the increased costs of using this technology. (scirp.org)
  • 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)
  • 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)
  • 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)
  • 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)
  • "Russian law does not stipulate the duration of time for which a foreign citizen may stay in the airport's transit zone or liability for staying for a long time in an airport's transit zone without documents," the ministry told Interfax news agency. (rt.com)
  • The duration of your hospital stay after the surgery depends on the exact condition or healing of the heart. (ijn.com.my)
  • Since Republic of Croatia is not part of Schengen Area duration of stay in the Republic of Croatia is separated from the duration of stay in the Schengen member states. (cruisersforum.com)
  • 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)
  • 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)
  • 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)
  • 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)
  • This study confirms a significant correlation between psychological comorbidity and length of stay after correcting for the methodological pitfalls found in earlier studies. (nih.gov)
  • In a recent study, CoreLogic examined the correlation of a tenant's length of stay with the following three data fields from their rental application screening: the applicant's SafeRent Score™, monthly income, and age. (corelogic.com)
  • Figure 3 shows the correlation between the length of stay and monthly income. (corelogic.com)
  • In summary, we see a clear correlation between a tenant's length of stay and the CoreLogic SafeRent Score, age, and monthly income during screening. (corelogic.com)
  • There is further information within the application which may show a stronger correlation with the length of stay, such as length of stay in previous addresses, employment or occupation information, family size, etc. (corelogic.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)
  • 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)
  • 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)