Hospitalizations for certain chronic conditions are considered avoidable for adult Canadians given effective and timely primary care management. Individual-level risk factors such as income and health behaviours are not routinely collected in most hospital databases and as a result, are largely uncharacterized for avoidable hospitalization at the national level. The aim of this study was to identify and describe demographic, socioeconomic, and health behavioural risk factors for avoidable hospitalizations in Canada using linked data. A national retrospective cohort study was conducted by pooling eight cycles of the Canadian Community Health Survey (2000/2001-2011) and linking to hospitalization records in the Discharge Abstract Database (1999/2000-2012/2013). Respondents who were younger than 18 years and older than 74 years of age, residing in Quebec, or pregnant at baseline were excluded yielding a final cohort of 389,065 individuals. The primary outcome measure was time-to index avoidable ...
Older patients who experience more discontinuity of care in general practice are at higher risk of emergency hospital admissions. In a UK study of 10,000 randomly selected patients over age 65, medical records were linked with hospital episode statistics. The study used two research approaches: a prospective cohort approach to assess the general impact of continuity of care on emergency admission, and a nested case-control approach to test if seeing a different GP from usual increases the risk of emergency admission during the following 30 days. The prospective approach found a graded non-significant inverse relationship between continuity of care and risk of emergency hospitalization, though patients experiencing least continuity had a risk more than twice as high than those who had complete continuity. The retrospective approach found a graded inverse relationship between continuity of care and emergency hospitalization, with an odds ratio of 2.32 for those experiencing least continuity ...
Background: Non-hemorrhagic cerebrovascular disease (NH-CVD) is one of the leading causes of hospitalization in the United States (US). We describe the trends in NH-CVD hospitalizations in the US over a twelve-year period.. Methods: We abstracted and analyzed data for NH-CVD hospitalizations, from 1999 to 2010, from the National Hospital Discharge Survey - a national probability sample of hospitalizations at US non-federal short-stay hospitals. NH-CVD hospitalizations were defined as hospitalizations whose principal diagnoses were coded using the International Classification of Diseases, 9th Revision, Clinical Modification codes 433-438. NH-CVD hospitalization rates were calculated for those 15 years and older, as well as among demographic sub-groups defined by age, race, gender, and geographical region. A multivariate logistic regression was modeled, with NH-CVD hospitalization as the outcome and time period as the main predictor, while controlling for age, gender, race, region, and ...
Data & statistics on Asthma hospitalisations by Health Area and sex: Asthma hospitalisations by Health Area and sex, NSW 2006-07, Data on avoidable hospitalizations by gender and condition. Pneumonia and heart failure account for the largest proportion of avoidable hospitalizations for both sexes. For all conditions except appendix, gangrene, and ulcers, females have higher rates of avoidable conditions than males. For hypertension, asthma, hypokalemia, and pyelonephritis, the difference in female and male rates of avoidable ..., Childhood (|5 years) Asthma Hospitalization by Area and Sex...
This study quantified the rate of hospitalisations for children with an ID and/or ASD compared with the general population. Children diagnosed with ID and/or ASD experienced more hospitalisations than children with neither condition, and this effect persisted after taking into account birth year and preterm birth status. While overall hospitalisation rates differ by age, the rate of hospitalisation appears to decline with increasing age, particularly for the groups with a known biomedical cause and with severe ID of unknown cause, in contrast to the general population where the rate appears more constant. We also showed that the independent effect of preterm birth on hospitalisation rates after 1 year of age is both an increase in frequency and earlier median age at hospitalisation, and this is consistent across all case groups.. Recent studies in the USA17 and Denmark22 have investigated the hospitalisation burden for children with autism, and found that individuals with autism had ...
According to a study conducted by the Centers for Disease Control and Prevention (CDC), and published in the New England Journal of Medicine (NEJM), there are approximately 100,000 emergency hospitalizations for U.S. senior citizens (over age 65) every year related to adverse drug events (ADEs). The study determined that two-thirds of these emergency hospitalizations are associated with the misuse of a small group of medications, specifically, diabetes medications and blood thinners.. The CDC study, which is entitled Emergency Hospitalizations for Adverse Drug Events in Older Americans in the NEJM, concluded that four particular diabetes and blood thinning medications caused the majority of ADEs in older adults. These medications are Warfarin, insulin, anti-platelet drugs, and oral diabetes medications called oral hypoglycemic agents. Data collected between 2007 and 2008 from 58 hospitals nationwide concludes that the highest number of emergency hospitalizations, 33 percent, involved Warfarin, ...
The study found in elderly individuals an estimated 265,802 ED visits for ADE occurred yearly between 2007 and 2009. Hospitalization resulted in 37.5% of the ED visits, and 48.1% of the hospitalizations were in adults 80 years and older. ED visits resulting in hospitalization were more likely to involve unintentional overdose (65.7%) and five or more concurrent medications (54.8%). Four of the most commonly implicated medications resulting in hospitalization were warfarin (33.3%), insulins (13.9%), oral antiplatelet agents (13.3%) and oral hypoglycemic agents (10.7%); combined, the four medications resulted in two-thirds of the hospitalizations. Warfarin and antiplatelet agents mainly resulted in hemorrhagic events, and insulins and oral hypoglycemic events most commonly resulted in hypoglycemia. Only 1.2% of hospitalizations due to ADE were due to HEDIS high-risk medications and 6.6% due to Beer-criteria potentially inappropriate medications.3 ...
Frequent mental health hospitalizations are contingent on many variables. The purpose of this study was to gather provider opinions on frequent mental health hospitalizations. A qualitative design was utilized; ten providers participated in this study which explored factors of frequent mental health hospitalizations. Data were analyzed using content analysis. The findings indicated that all providers view medication management as a precipitating factor to psychiatric hospitalization. Findings indicate that support at discharge will greatly influence the success of the patron. The findings of this study indicate further need for education and advocacy in mental health. Findings suggest that stigma and limited community resources are key variables to frequent mental health hospitalizations. This study parallels data from previous research on this subject; however, patient opinions on frequent mental health hospitalizations are still absent.
Complications of liver cirrhosis (LC) are the main cause of hospital admissions in liver units. In areas where hepatitis C virus (HCV) is highly prevalent, most of these admissions are attributable to HCV-LC. We aimed to assess the impact of direct-acting antivirals (DAA) in the profile of liver disease patients admitted into a referral liver unit from a University Hospital.We registered hospital admissions due to LC in our Liver Unit from 2011-2014 (pre-DAA period) and from 2015-2019 (post-DAA period).From a total of 14,865 hospital admissions, 10,053 were due to LC (corresponding to 6,256 patients). The number and proportion of hospital admissions due to HCV-LC remained stable during the period 2011-2014 (525 per year, 48.8% of the total), but decreased progressively after 2015 (p,0.001), reaching less than 300 (27.1%) admissions in 2019. Similarly, HCV-LC accounted for 3,885 inpatient days per year (44.9%) during the pre-DAA period and decreased steadily after 2015 (p ,0.001), reaching only ...
Richard Simmons returns home following hospitalization. Richard Simmons has made it back home following a three day stay at the hospital to treat severe indigestion.
This page contains the abstract: Full Breast-feeding May Lower Hospitalizations for Infections During First Year of Life http://www.chiro.org/pediatrics/ABSTRACTS/Full_Breast-feeding_May_Lower_Hospitalizations.shtml
Background: Congestive heart failure (CHF) is a major cause of morbidity and mortality in USA with a huge economic burden on health care. This study was done to determine the trend of hospitalizations from CHF, length of stay, mean cost of hospitalization and discharge disposition over last decade (2002-2011).. Methods: We used Nationwide Inpatient Sample data to extract data for patients hospitalized with primary diagnosis of CHF using clinical classification software code of 108, corresponding to ICD 9 codes of 398.91, 428.0, 428.1, 428.20, 428.21, 428.22, 428.23, 428.30, 428.31, 428.32, 428.33, 428.40, 428.41, 428.42, 428.43, 428.9. NIS is a nationally representative survey of hospitalizations conducted by the Healthcare Cost and Utilization Project developed through a Federal-State-Industry partnership and sponsored by Agency for Healthcare Research and Quality. It represents 20% of all hospital data in US. Data was extracted for the years 2001-2011. Trend of rate of hospitalizations, mean ...
Research in the area of preventable hospitalization, hospital admissions that could otherwise be avoided, provides little guidance in terms of priority areas for change. This synthesis of multiple electronic databases searched systematically for studies related to preventable hospitalization identifies six priority areas for future action in three broad conceptual areas: person priorities (symptom management and supportive relationships), programme priorities (self-management supports and service delivery), and place priorities (local infrastructure and socio-economic opportunities). Attention to these priorities could help reduce preventable hospitalization while simultaneously improving health access and quality of care ...
HIV-infected and HIV-exposed, uninfected infants experience a high burden of infectious morbidity and mortality. Hospitalization is an important metric for morbidity and is associated with high mortality, yet, little is known about rates and causes of hospitalization among these infants in the first 12 months of life. Using data from a prevention of mother-to-child transmission (PMTCT) trial (India SWEN), where HIV-exposed breastfed infants were given extended nevirapine, we measured 12-month infant all-cause and cause-specific hospitalization rates and hospitalization risk factors. Among 737 HIV-exposed Indian infants, 93 (13%) were HIV-infected, 15 (16%) were on HAART, and 260 (35%) were hospitalized 381 times by 12 months of life. Fifty-six percent of the hospitalizations were attributed to infections; gastroenteritis was most common accounting for 31% of infectious hospitalizations. Gastrointestinal-related hospitalizations steadily increased over time, peaking around 9 months. The 12-month all
The Chronic Disease series of MICAs were developed to help elevate the chronic disease diagnosis categories to a more accessible location on the query page. The primary difference between the Inpatient Hospitalization MICA or ER MICA and the respective Chronic Disease Inpatient Hospitalization or Chronic Disease ER MICA is in the list of diagnosis categories. The Chronic Disease MICAs are limited to disease classifications that were identified by DHSS as appropriate for chronic disease categorization. This list is not necessarily exhaustive and should not be considered a complete list of all chronic diseases for inpatients or ER visits. Also note that Chronic Disease Inpatient Hospitalization MICA does not include Charge or Days of Care data types. Charge and Days of Care data types can only be found on the Inpatient Hospitalization MICA. For more information about how the Inpatient Hospitalization MICA or ER MICA is constructed use the following links:. ...
A system and method for determining patient hospitalization risk and treating patients is disclosed. The system and method may include extracting patient data from one or databases corresponding to a pool of patients having end stage renal disease; using a predictive model with the extracted patient data to generate, for each of the patients, a respective expected probability for hospitalization within a predetermined time period; identifying a subset of patients having respective expected probabilities that are higher than other patients in the pool of patients; identifying, for each patient, at least one factor from the patient data that increased the expected probability of hospitalization; and based on the identified factors, determining and executing clinical interventions to lower the probability of hospitalization within the subset of the pool of patients.
BACKGROUND: Etravirine (ETR), a non-nucleoside reverse transcriptase inhibitor (NNRTI) available in France since 2006, is indicated for antiretroviral-experienced HIV-infected adults, in combination with a ritonavir-boosted protease inhibitor (PI). To assess its clinical impact in routine care, we compared hospitalization rates according to ETR + PI prescription or not, among heavily treated HIV-1 infected individuals on failing regimens between 2005 and 2011. METHODS: From the French Hospital Database on HIV (ANRS CO4), we selected heavily treated individuals (prior exposure to at least 2 nucleoside reverse transcriptase inhibitor (NRTI), 2PI and 1 NNRTI) with viral load (VL) | 50 copies/mL who started a new antiretroviral (ARV) regimen between 2005 and 2011. Using an intention-to-continue-treatment approach, hospitalization rates were calculated for the individuals who received ETR + PI, during the months after initiating ETR + PI (ETR + PI) or for the individuals who received ETR + PI, in the
Measures of interest included hospitalization frequency, numbers of hospital days in special-care units (e.g., ICU/CCU) and overall, utilization of selected cardiovascular procedures, and costs of cardiovascular-related in-patient care. A cost was assigned to each cardiovascular hospitalization using cost-prediction models that were estimated using a large database containing admission-level information from 153 U.S. short-term, acute-care hospitals (HCIA, Inc.) (22). Data available for each hospital discharge included all International Classification of Diseases, Ninth Revision (ICD-9-CM) diagnoses and procedure codes, time spent in various units (e.g., ICU/CCU), services used, and total hospitalization cost. Four distinct models were developed, corresponding to the four cardiovascular primary admission causes designated on the study case-report form.. To select a master sample of hospital admissions for model estimation, all hospital stays in the HCIA database with a listed principalor ...
Patients with type 2 diabetes who take their oral medication only some of the time risk hospitalization. Using data from a managed care organization, researchers examined the link between nonadherence and subsequent hospitalization in 900 adult patients with type 2 diabetes. The results showed that, over a 12-month period, 28.9% of the patients were nonadherent to the antihyperglycemic regimen. The risk of hospitalization increased by >2-fold in patients with type 2 diabetes who had been nonadherent to their oral medications the year before. The investigators noted that hospitalization was a strong possibility even after considering the effect of other illnesses and the patients adherence to hypertension- and cholesterol-lowering medications. The study also showed that nonadherence to high blood pressure? and cholesterol-lowering medication, seen in 18.8% and 26.9% of the patients, respectively, was not significantly connected with an increased risk of hospitalization. (The findings were ...
Prolonged waiting times at the emergency department is associated with an enhanced risk of hospital admission or death among patients who do not receive the treatment on time.
Although easily identified from the main diagnosis coding of inpatient stays, ACSC lists have varied substantially from one study to the next, without a rigorous argument to justify the inclusion and exclusion criteria [4]. In our study, 25% of cases identified by inpatient main diagnoses were removed by applying exclusion criteria which detected surgery or severe comorbidities for which hospitalization was appropriate.. Age and gender were insufficient to predict PAH risk. Taking into account all possible clinical information is of utmost importance for a fair comparison between care providers groups or regions. Inpatient diagnoses, which are available in most developed countries, should therefore be used. We recommend supplementing diagnosis-based morbidities with drug-related information (often available from insurers data) because of the substantial change in expected rates. Inpatient diagnoses have a limited ability to describe the disease burden because only a minority of patients is ...
Objectives - There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population-based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.. Methods - Baseline data from the National Longitudinal Survey of Children and Youth (a population-based study of child health and well-being) were used. A weighted sample of 332 697 (unweighted n = 2184) children between the age of 12 and 24 months, whose biological mother reported data on hospitalization over the past year, were included. Logistic regression analyses were conducted to estimate the risk of hospitalization by sociodemographic and psychodynamic factors controlling for important biological covariates.. Results - The overall proportion of children who were hospitalized was 11.2%. After adjusting for prematurity, the only statistically significant biological factor ...
Prairie St. Johns Hospital offers an inpatient hospitalization program for children and adolescents that can help them stabilize mentally during a crisis.
U.S. Department of Health and Human Services Who Is Paying the Big Bills Very High Cost Pediatric Hospitalizations in California, 1987 Leighton Ku SysteMetrics/McGraw-Hill August 1990 PDF Version
In this community-based population of middle-aged white and black persons, those with prediabetes, undiagnosed diabetes, and diagnosed diabetes had significantly higher rates of all-cause hospitalization over a median of 20 years of follow-up compared with those without a history of diagnosed diabetes and normal HbA1c (,5.7%), even after adjustment for insurance status and comorbidities. Further, among persons with diagnosed diabetes, those with poor glycemic control, as assessed by HbA1c, had higher rates of all-cause hospitalization compared with those with lower HbA1c. Consistent with prior studies (19,20), hospitalization rates across diabetes/HbA1c categories were higher for older versus younger individuals. Even after adjustment, hospitalization rates were higher in blacks versus whites among persons with diagnosed diabetes, suggesting that blacks with diabetes experience a higher burden of morbidity from diabetes compared with their white counterparts. Men had higher rates of ...
Outside Medical Facilities Hospitalization Service All range of hospitalization: general wards, semi-private and private rooms, VIP rooms. 24/ 7 routine and emergency hospitalization of adults and children to multifield and specialized hospitals Mainstream hospitalization - resuscitation, therapy, surgery, cardiology,
A Pittsburgh physician says the Centers for Disease Control and Preventions (CDC) report of rising hospitalizations among adolescents ...
Hospitalizations and ICUs are on the rise across the state, according to Secretary of the California Health and Human Services Dr. Mark Ghaly. As of Nov. 10, hospitalizations are up 31.6% percent over the past 14 days in the state. ICUs have seen a 29.6 percent rise in ICUs in the state.. News Channel 3s Dani Romero spoke with county officials about the recent increase in hospitalizations.. We have had an increase in hospitalizations let say over the last month, which is somewhat alarming, but our capacity for ICU beds and overall beds is well within the capacity of our hospitals, said County Spokesperson Jose Arballo Jr.. (Note Data will continue to update past today). ...
Objective: Our objective was to address the above concerns of compliance and multimorbidity management in an affordable and scalable way. Guided by the triple aim, our solution uses the only technology that is accepted and embraced by our entire population-the telephone. In the case of the elderly high-risk population (generally 80 and older), they have telephones and use them to communicate with their families. In the case of the younger and more mobile at risk population, the mobile phone has become ubiquitous. The second key objective was to address the multiple conditions in each patients unique case mix. Our solution requires only a small amount of data entry including patient demographics, a listing of the multiple health conditions (chronic, acute, and behavioral), and an acuity rating such as low, medium, or high. The demographics and conditions can be prepopulated via integration with the health systems electronic medical record (EMR ...
Acute respiratory infections are the fourth cause of hospitalization in elderly. Hospital admissions due to pneumonia range from the 1.1 and 4 per 1,000 patients, increasing with age. Hospitalization causes a decline in physical and functional status. Physical impairment involves a higher risk of disability and mortality in elderly people. Various studies have examined the impact of hospitalization in patients with respiratory pathology, and it has been shown that hospitalization implies a significant physical impairment in patients admitted for pneumonia showing that this deterioration increases with age. That highlights the need of interventions in order to reduce the impact of hospitalization. The objective of this study is to examine whether a physical therapy intervention can reduce impairment in patients hospitalized due to pneumonia ...
Acute respiratory infections are the fourth cause of hospitalization in elderly. Hospital admissions due to pneumonia range from the 1.1 and 4 per 1,000 patients, increasing with age. Hospitalization causes a decline in physical and functional status. Physical impairment involves a higher risk of disability and mortality in elderly people. Various studies have examined the impact of hospitalization in patients with respiratory pathology, and it has been shown that hospitalization implies a significant physical impairment in patients admitted for pneumonia showing that this deterioration increases with age. That highlights the need of interventions in order to reduce the impact of hospitalization. The objective of this study is to examine whether a physical therapy intervention can reduce impairment in patients hospitalized due to pneumonia ...
Hospitalization rates for acute exacerbations of asthma were studied during a 10-yr period, from 1988-1997, in a geographically defined child population, in eastern Finland. During the study period, the annual hospitalization rates increased 2.3-fold. The increase was most likely due to the increased number of patients, i.e. to first admissions. This study shows that the re-admission rates declined significantly in all study groups, except for those aged ,2 yrs, during the study period. The reduction was clearest during the final years of the survey, which coincided with the increased use of inhaled steroids for paediatric asthma in the area.. Similar to previous findings, admissions increased, almost ten-fold during the 10 yrs, among children aged ,2 yrs 6, 11, 13. The median age of the hospitalized children decreased by 2 yrs during the study period 6. Consistent with the findings of Norwegian studies 6, 13, the results suggested that the onset of paediatric asthma has shifted to a younger age ...
Adults diagnosed with diabetes are at significantly increased risk for fracture-related hospitalization, says a Medscape Medical News article based on the results from an analysis of data from a large, community-based study. More than 15,100 patients between 45 and 64 years old participated in the Atherosclerosis Risk in Communities (ARIC) study, a 4-community study that began in 1987. There were a total of 1,078 fracture-related hospitalizations during the 20-year follow-up period. (Only fractures that resulted in inpatient hospitalization were captured in ARIC.) At baseline, 1,195 participants had been diagnosed with diabetes based on self-report, and 605 had undiagnosed diabetes according to their measured serum glucose values. Compared with the 13,340 study participants without diabetes, the incidence of fracture-related hospitalization was significantly greater among the group with diagnosed diabetes (6.6 vs 3.9 per 1,000 person-years of follow-up).. The incidence of fracture ...
Adults diagnosed with diabetes are at significantly increased risk for fracture-related hospitalization, says a Medscape Medical News article based on the results from an analysis of data from a large, community-based study. More than 15,100 patients between 45 and 64 years old participated in the Atherosclerosis Risk in Communities (ARIC) study, a 4-community study that began in 1987. There were a total of 1,078 fracture-related hospitalizations during the 20-year follow-up period. (Only fractures that resulted in inpatient hospitalization were captured in ARIC.) At baseline, 1,195 participants had been diagnosed with diabetes based on self-report, and 605 had undiagnosed diabetes according to their measured serum glucose values. Compared with the 13,340 study participants without diabetes, the incidence of fracture-related hospitalization was significantly greater among the group with diagnosed diabetes (6.6 vs 3.9 per 1,000 person-years of follow-up).. The incidence of fracture ...
According to an annual data report from the United States Renal Data System (USRDS), hospitalization and mortality rates for patients with chronic kidney disease continue to decline in the US.
Emergency and urgent hospitalizations are associated with an increased rate of cognitive decline in older adults, report researchers at Rush University Medical Center. The results of their study suggest that hospitalization may be a more of a major risk factor for long-term cognitive decline in older adults than previously recognized.
Taiwanese per capita health expenditures in 2006 were 31,661 New Taiwan dollars (NT dollars) [29]. A comparison of this amount with expenditures for potentially preventable hospitalisations in the first two years of life highlights the amount of resources spent on young childrens hospital care that may be avoided or reduced by adequate and timely ambulatory care as well as primary prevention. Three findings from this study are particularly noteworthy: (1) high hospital admission rates and lengths of stays for lower respiratory infections among young children in all income categories, (2) significantly higher hospital care use among young children in the poorest category for acute injuries and poisonings as well as for lower respiratory infections, and (3) substantial links of more use of well-child care with a shorter total length of stay and with lower episode severity for acute injuries and poisonings in the first two years of life. We have not found any published article that reports ...
In a lengthy Instagram post following her hospitalization two weeks ago, Tamar Braxton is opening up about her 11-year battle with mental health and feeling exploited by her network.
On Tuesday, Coweta County confirmed 6 new COVID-19 cases with 0 deaths and 1 hospitalization. Coweta has been below 10 cases for 9 of the last 10 days and below 20 for 26 days in March.. In the past 7 days, Coweta has logged 36 COVID cases (5.6 per day), 10 deaths and 3 hospitalizations.. For March, Coweta has posted 366 cases (12.2 per day) with 30 deaths (1.0 per day) and 28 hospitalizations (0.93 per day). For comparison, here are Februarys numbers and per day averages - 886 cases (31.6 per day), 41 deaths (1.5 per day), and 39 hospitalizations (1.4 per day).. The positive test rate of all persons tested in Coweta is 10.2 percent, and in the last two weeks has dropped to 3.2 percent.. Overall, Coweta has confirmed cumulative totals of 8391 cases, 180 deaths (with an additional 12 probable deaths) and 309 hospitalizations since the pandemic began. Coweta ranks 22nd in Georgia (out of 159 counties) in cumulative cases and 19th in deaths due to COVID.. The age group of 35-44 year olds had the ...
The U.S. hit a record number of coronavirus hospitalizations Tuesday and surpassed 1 million new confirmed cases in just the first 10 days of November amid a nationwide surge of infections that shows no signs of slowing.
The U.S. hit a record number of coronavirus hospitalizations Tuesday and surpassed 1 million new confirmed cases in just the first 10 days of November amid a nationwide surge of infections that shows no signs of slowing.
Excessive alcohol use is the most common cause of CLD. Other causes (e.g. acetaminophen use) are less common. CLD can develop over many years, in some cases 20-30 years, and data on hospitalizations can provide information on CLD risk at an earlier time point in the disease?s development than AR-CLD mortality. However CLD hospitalizations are not limited to alcohol-related conditions, and include all hospital stays where the primary diagnosis was determined to be CLD. Additionally, CLD hospitalizations measure number of hospital stays rather than individuals diagnosed with CLD (i.e. a person can be hospitalized more than once). The rate of CLD hospitalizations in 2016 (83.8 hospitalizations per 100,000) has increased 41.6% since 2010 (59.2 hospitalizations per 100,000). Women are at lower risk than men. Women who identify as Asian or Pacific Islander have the lowest rates whereas men who identify as American Indian have the highest rates ...
The rate of hospital admissions due to ambulatory care sensitive conditions (ACSCs) has widely been accepted as a measure for access and quality in primary care. Ambulatory care sensitive conditions represent a range of conditions for which hospitalization should be avoidable because the disease or condition has been prevented from occurring, or because individuals have had access to timely and effective primary care. The aim of the present study is to investigate the relationship between increasing physician density and ACSCs on the level of the 413 German counties and urban districts. We investigated the impact of increasing density of various groups of physicians on different ACSCs indication groups using a generalized linear regression model over four years (2005-2008). Non-linear infl uences on ACSCs rates of physician density were modelled and tested. We further controlled for lifestyle, life expectancy, age distribution, environmental factors, socio-economic factors and distances to ...
/PRNewswire/ -- Although adherence to hypertension medications was significantly associated with lower hospitalization rates, the total costs of care are...
To compare the frequency of hospitalization during the first six months of life between breast-fed and bottle-fed infants.. METHOD:. A descriptive cross-sectional study was conducted over twelve months, in hospital-based outpatient clinics. Mother-infant pairs, seen at the clinics during the study period, were enrolled. Infants were between the ages of 6-24 months and had been brought for routine check-ups, vaccinations or common childhood ailments. Subjects were recruited from babies with no congenital anomalies or chronic illnesses. Study team recorded necessary information about feeding practices, previous illnesses and hospitalizations on a structured questionnaire. Hospitalization rates in 3 groups of infants with different feeding methods i.e. predominant breastfeeding, partial breast-feeding, and bottle-feeding were compared. Results were analyzed using SPSS software, ANOVA was used for comparison of means between groups, and a p-value ,0.05 was regarded as significant.. RESULTS:. A total ...
Diseases of the respiratory system, including chronic obstructive pulmonary disease (COPD), were the third leading cause of hospitalizations in Simcoe Muskoka in 2017. There were more than 1,500 COPD hospitalizations in 2017, accounting for more than one-third of all respiratory system disease related hospitalizations.. The age-standardized hospitalization rate for COPD in Simcoe Muskoka for all ages and sexes in 2017 was 217 (206.1, 228.1) hospitalizations per 100,000 population, which was significantly higher than the Ontario rate of 177 (174.9, 179.0) hospitalizations per 100,000 population. There was a small but significant decreasing trend in the COPD hospitalization rates in Simcoe Muskoka over the 15-year period from 2003 to 2017. The provincial rates for COPD hospitalizations did not change significantly over this same period of time. The COPD hospitalization rates in Simcoe Muskoka have been consistently above the provincial rates over this time period; however, the gap has narrowed in ...
They also sought to distinguish between potentially avoidable hospitalizations related to chronic conditions, such as hypertension and asthma, and hospitalizations related to acute conditions, such as a perforated appendix or bacterial pneumonia. The researchers found that both race and insurance were strongly associated with risk for potentially avoidable hospitalizations. Black patients with chronic conditions had higher risks than whites for such hospitalizations, while black patients with acute conditions were slightly less likely than whites with similar conditions to experience a potentially avoidable hospitalization, according to the study. Blacks who had Medicare, other public health insurance or private health insurance, or were uninsured all had a higher risk of a potentially avoidable hospitalization than whites in the same categories, though the degree of risk varied by insurance category. The researchers call for further study into the finding that there were more potentially ...
Comparing hospitalization records with data reported to local boards of health presents a more accurate way to monitor how well communities track disease outbreaks, according to a paper published April 16 in the journal PLOS ONE by a research team led by Elena Naumova, Ph.D., professor of civil and environmental engineering and associate dean at Tufts University School of Engineering.. In a paper titled Hospitalization Records as a Tool for Evaluating Performance of Food and Water-Borne Disease Surveillance Systems: A Massachusetts Case Study, Naumova and the team examined healthcare statistics for Massachusetts residents 65 and older who were diagnosed with three different foodborne and waterborne illnesses-salmonella, campylobacteriosis, and giardiasis-from January 1991 to December 2004.. Statistics for diseases transmitted via food and water are monitored by the Massachusetts Department of Public Health and local boards of health through reports by health care providers, hospitals and ...
Since 2009, in Ontario, reportable disease surveillance data has been used for timely in-season estimates of influenza severity (i.e., hospitalizations and deaths). Due to changes in reporting requirements influenza reporting no longer captures these indicators of severity, necessitating exploration of other potential sources of data. The purpose of this study was to complete a retrospective analysis to assess the comparability of influenza-related hospitalizations and deaths captured in the Ontario reportable disease information system to those captured in Ontarios hospital-based discharge database. Hospitalizations and deaths of laboratory-confirmed influenza cases reported during the 2010-11 to 2013-14 influenza seasons were analyzed. Information on hospitalizations and deaths for laboratory-confirmed influenza cases were obtained from two databases; the integrated Public Health Information System, which is the provincial reportable disease database, and the Discharge Abstract Database, which
Reduction in avoidable hospitalizations of nursing home residents is a major concern to health care providers as well as payers. Not only are hospitalizations costly but also hospitalized nursing home residents experience functional and physical decline as a result of hospital transitions that can result in worsening health conditions or death. In 2012, the Missouri Quality Initiative (MOQI) was funded by the Centers for Medicare & Medicaid Services (CMS) Innovations Center and Medicare-Medicaid Coordination Office as a part of a national demonstration, Initiative to Reduce Avoidable Hospitalizations Among Nursing Facility Residents. While avoiding hospitalizations is important for both short- and long-stay nursing home residents, the CMS initiative focuses on long-stay residents. The CMS funded 7 sites across the United States with the purpose for each site ...
by Robert Herriman, Outbreak News Today. The number of influenza related hospitalizations in Ohio have skyrocketed this year to date as compared to the 4-year-average for the Buckeye state (see chart below).. According to the Ohio Department of Health, 1,919 such hospitalizations have been reported thus far during the 2014-15 flu season. In fact, during the previous week alone (Dec. 14-20), Ohio had 935 new confirmed influenza-associated hospitalizations - a dramatic increase over the previous weeks 529 new hospitalizations.. Influenza A (H3N2) is the predominant virus strain this flu season.. During the same period in 2013, Ohio saw 331 flu-related hospitalizations (H3N2 was not the predominant strain).. As a note of comparison, Ohio had 851 flu hospitalizations through Week 51 of the 2012-13 flu season when H3N2 was also predominant. The number of such hospitalizations for that entire flu season exceeded 5,000.. Cuyahoga County has been hit the hardest concerning flu hospitalizations, ...
BACKGROUND: Previous studies have observed that infectious intestinal disease (IID) related hospital admissions are higher in more deprived neighbourhoods. These studies have mainly focused on paediatric populations and are cross-sectional in nature. This study examines recent trends in emergency IID admission rates, and uses longitudinal methods to investigate the effects of unemployment (as a time varying measure of neighbourhood deprivation) and other socio-demographic characteristics on IID admissions for adults and children in England. METHODS: A longitudinal ecological analysis was performed using Hospital Episode Statistics on emergency hospitalisations for IID, collected over the time period 2012-17 across England. Analysis was conducted at the neighbourhood (Lower-layer Super Output Area) level for three age groups (0-14; 15-64; 65+ years). Mixed-effect Poisson regression models were used to assess the relationship between trends in neighbourhood unemployment and emergency IID admission rates,
WEDNESDAY, March 27, 2019 (HealthDay News) -- Weakened hearts grow weaker and fail when influenza rages throughout the land, a new study reports.. Hospitalizations for heart failure increased dramatically in months when the flu season was at its worst: For every 5 percent monthly increase in flu activity, researchers observed a 24 percent increase in hospitalization rates for heart failure.. On average, as many as 1 in 5 heart failure hospitalizations appear to be triggered by the flu during the months when influenza viruses are circulating widely.. It was especially pronounced during the most virulent seasons that we studied, said lead researcher Orly Vardeny, an investigator with the Minneapolis VA Center for Care Delivery and Outcomes Research. Those years had the most pronounced association between influenza and heart failure hospitalizations.. For example, researchers found a 22 percent increased risk of heart failure during the 2010-2011 season. The particularly nasty H3N2 strain of ...
Background/Objectives: A general lack of studies comparing the effect of both dynapenic abdominal obesity and sarcopenic obesity on worsening disability and hospitalization risk should be recognized. The aim of the current study was to evaluate, with a 5.5-year follow-up, the prognostic value of sarcopenic obesity and dynapenic abdominal obesity definitions on worsening disability and hospitalization risk in a sample of older adults.Subjects/Methods: In 177 women and 97 men aged 68-78 years, the following outcomes were evaluated at baseline: appendicular skeletal muscle mass (ASMM), percent fat mass (FM%), leg isometric strength, body mass index (BMI), lipid profile, vitamin D3, albumin, fibrinogen, glycemia, physical activity level, income, smoking status, and comorbidities. The rate of reported disabilities and hospitalization were also assessed at baseline, 1, 2, 3, and 5.5-years follow-up. The study population was classified into: (i) non-sarcopenic/obese (NS/O), sarcopenic/non-obese (S/NO),
Study Highlights: Stroke hospitalizations in South Carolina are increasing among middle-aged blacks. The disparity in South Carolina alone, was associated with $450 million in hospitalization charges over 10 years. The issue is not limited to the south as similar data has also been noted elsewhere.
The aim of the study was to evaluate the effects of universal mass vaccination (UMV) against rotavirus (RV) on the hospitalization rates, nosocomial RV infections and RV-gastroenteritis (GE)-associated secondary blood stream infections (BSI). The retrospective evaluation (2002-2009) by chart analysis included all clinically diagnosed and microbiologically confirmed RV-GE cases in a large tertiary care hospital in Austria. The pre-vaccination period (2002-2005) was compared with the recommended and early funded (2006-2007) and the funded (2008-2009) vaccination periods. Primary outcomes were RV-GE-associated hospitalizations, secondary outcomes nosocomial RV disease, secondary BSI and direct hospitalization costs for children and their accompanying persons. In 1,532 children with RV-GE, a significant reduction by 73.9% of hospitalized RV-GE cases per year could be observed between the pre-vaccination and the funded vaccination period, which was most pronounced in the age groups 0-11 months (by 87.8%), 6
Numerous studies have shown that gout hospitalizations have increased in the last decade. Also worrisome is a new studiy showing that patients admitted to the hospital are less likely to have received recommended urate-lowering treatment (ULT). (Abstract OP0262 - http://buff.ly/2roN7SF). Dehlin and Swedish researchers have analyzed the Western Swedish Health Care Region register to identify gout hospitalizations between 2000-2013. They found the annual hospitalization rate for gout increased from 12.2 to 16.7 per 100 000 adults, with a resultant 56% increase in healthcare costs.. Moreover, these patients were less likely to receive ULT - only 19 to 27% had been on ULT in the 6 months preceding their hospitalization. This considerable lack of treatment is seen as yet another reason for the growth in gout hospitalizations in Sweden.. A second study, examined whether nurse-led management of gout using EULAR guidelines and treat to target principles significantly improved patient outcomes compared ...
In the past decade, state-specific increases in the number of reported cases of coccidioidomycosis have been observed in areas of California and Arizona where the disease is endemic. Although most coccidioidomycosis is asymptomatic or mild, infection can lead to severe pulmonary or disseminated disease requiring hospitalization and costly disease management. To determine the epidemiology of cases and toll of coccidioidomycosis-associated hospitalizations in California, we reviewed hospital discharge data for 2000-2011. During this period, there were 25,217 coccidioidomycosis-associated hospitalizations for 15,747 patients and >$2 billion US in total hospital charges. Annual initial hospitalization rates increased from 2.3 initial hospitalizations/100,000 population in 2000 to 5.0 initial hospitalizations/100,000 population in 2011. During this period, initial hospitalization rates were higher for men than women, African Americans and Hispanics than Whites, and older persons than younger persons.
Conformal radiation therapies such as intensity-modulated radiation and stereotactic body radiation were used more commonly in the abdominal group (75% of patients), whereas just 48% of patients in the pelvic group received these advanced treatment techniques. Approximately 60% of patients in the abdominal group received concurrent chemotherapy, whereas 81% of patients in the pelvic group had concurrent chemotherapy.. Among 1,350 cases, data showed that the incidence of unplanned hospitalization within 30 days of radiation therapy was 12.3% (13.3% in the abdominal cohort and 10.7% in the pelvic cohort). The average length of stay was the same between the two cohorts (5 days); however, 25% of patients had an unplanned hospital stay of 10 days or longer, Dr. -Christopherson reported.. A secondary analysis of global costs in hospitalized vs nonhospitalized patients showed an increase of nearly $50,000 in median health-care costs among those hospitalized within 30 days of starting radiation therapy ...
Invasive candidiasis is a major nosocomial fungal disease in the United States associated with high rates of illness and death. We analyzed inpatient hospitalization records from the Healthcare Cost and Utilization Project to estimate incidence of invasive candidiasis-associated hospitalizations in the United States. We extracted data for 33 states for 2002-2012 by using codes from the International Classification of Diseases, 9th Revision, Clinical Modification, for invasive candidiasis; we excluded neonatal cases. The overall age-adjusted average annual rate was 5.3 hospitalizations/100,000 population. Highest risk was for adults >65 years of age, particularly men. Median length of hospitalization was 21 days; 22% of patients died during hospitalization. Median unadjusted associated cost for inpatient care was $46,684. Age-adjusted annual rates decreased during 2005-2012 for men (annual change -3.9%) and women (annual change -4.5%) and across nearly all age groups. We report a high mortality
Objective. To estimate the incidence and describe the epidemiologic characteristics of Kawasaki syndrome (KS) among children in the United States.. Methods. Hospital discharge records with a KS diagnosis among patients ,18 years of age were obtained from the 1997 and 2000 Kids Inpatient Database and weighted to estimate the number and rate of KS-associated hospitalizations for the United States.. Results. In 2000, ∼4248 hospitalizations associated with KS occurred in the United States, and the median age of patients at admission was 2 years. Children ,5 years of age accounted for 3277 of these KS hospitalizations (77%) and had a KS hospitalization rate of 17.1 per 100 000 children. This rate was similar to the 1997 rate of 17.6 per 100 000 children. The KS hospitalization rate was significantly higher for infants ,1 year of age than for children 1 to 4 years of age (19.8 and 16.4 per 100 000 children, respectively). The rate of KS hospitalizations among children aged ,5 years was highest ...
Kidney disease is the ninth leading cause of death in the United States (1). Nearly 26 million persons in the United States have chronic kidney disease (CKD), and another 20 million are at increased risk for CKD (2). End-stage renal disease (ESRD), which can be caused by either CKD or acute renal failure (ARF), results in approximately 85,000 deaths each year in the United States (3). The total annual cost of treating ESRD in the United States was approximately $33 billion in 2005 (3). Much of the care for CKD and ESRD is provided in the outpatient setting; however, the number of hospitalizations for ARF and chronic kidney failure (CKF) is substantial. In 2004, an estimated 221,000 hospitalizations with a first-listed discharge diagnosis of ARF and 19,000 with a first-listed discharge diagnosis of CKF occurred in the United States (4). To characterize national trends in kidney disease hospitalizations, CDC analyzed data from the National Hospital Discharge Survey (NHDS) for the period ...
MONDAY, Jan. 7, 2019 (HealthDay News) - For patients with chronic obstructive pulmonary disease (COPD) hospitalization, influenza vaccination is associated with a significant reduction in influenza-related hospitalization, according to a study published online Jan. 4 in CHEST.. Sunita Mulpuru, M.D., from the University of Ottawa in Ontario, Canada, and colleagues analyzed data from a national, prospective, multicenter cohort study involving patients with COPD hospitalized between 2011 and 2015. Patients received nasopharyngeal swabs that were tested for influenza. Data were analyzed for 4,198 hospitalized COPD patients with known vaccination status.. The researchers found that vaccinated versus unvaccinated individuals had a 38 percent reduction in influenza-related hospitalizations. Compared with influenza-negative patients, patients positive for influenza (38.5 percent) experienced significantly higher crude mortality (9.7 versus 7.9 percent) and critical illness (17.2 versus 12.1 percent). In ...
People discharged from hospital with heart failure have relatively poor outcomes. In this study, just over one in ten patients died before discharge, and of those discharged, 4% died within a month and one in five had an unplanned readmission. While unplanned readmission and post-discharge mortality rates did vary across hospitals, in our study this between-hospital variation did not account for a significant proportion of the total variation in outcomes once individual patient characteristics were accounted for. A range of patient characteristics were associated with a higher risk of unplanned readmission, including being male, prior hospitalisation for cardiovascular disease and for anemia, comorbidities at the time of admission, lower BMI and lower social interaction scores. Similarly, risk of 30-day mortality was associated with patient-level factors, in particular age and comorbidity.. Heart failure is one of the most common underlying medical conditions in patients readmitted to hospital ...
Between 2000 and 2005, there were 281,000 total preventable hospital pediatric admissions. After adjusting for the effects of time and county, the rate of ambulatory care sensitive conditions (ACSC) hospitalizations was significantly lower post-implementation of Childrens Health Initiatives (CHIs), versus pre-implementation for children of lower-income families, but not for children of higher-income families. We estimate that 6324 ACSC hospitalizations may have already been prevented in existing CHI counties after implementation, saving about $6.7 million over the 6 years, assuming $7000 per child hospitalization ...
Objective: To compare the rates of acute lower respiratory tract infection (ALRI) among children in north-west Queensland, according to age, sex and Indigenous status.. Design, setting and patients: Retrospective chart review of hospitalisations at Mt Isa Base Hospital, Queensland, from 1 January 2007 to 31 December 2011 among children , 15 years of age.. Main outcome measures: Rates of admission for bronchiolitis, pneumonia and bronchiectasis, calculated using population data from the Australian Bureau of Statistics.. Results: There were 356 admissions for ALRI, involving 276 children. Of the 162 children aged , 12 months old, 125 (77.2%) were Indigenous. Hospitalisations increased over the study period, and rates were significantly higher among Indigenous children compared with non-indigenous children (24.1 v 4.5 per 1000 population per year). There were 195 admissions of 164 children with pneumonia, 126 (76.8%) of whom were Indigenous. Annual rates for Indigenous children were higher than for ...
PLoS One. (https://www.ncbi.nlm.nih.gov/pubmed/31490961#) 2019 Sep 6;14(9):e0221479. doi: 10.1371/journal.pone.0221479. eCollection 2019. Burden of influenza-associated respiratory hospitalizations in the Americas, 2010-2015. Palekar RS (https://www.ncbi.nl
Ministry of Health (Singapore). Singapore MediClaims Database - Resident Population Inpatient Hospitalization and Outpatient Counts 2008 ...
Background-Impaired glucose tolerance (IGT) and metabolic syndrome are associated with increased risk of heart failure (HF). However, predictors associated with the increased risk of incident HF have not been well characterized. We aimed to identify independent predictors of incident HF hospitalization among patients with IGT. Methods and Results-In NAVIGATOR, 9306 research participants with IGT and one or more cardiovascular risk factors were randomized to valsartan versus placebo and nateglinide versus placebo in a 2x2 factorial manner, with a median follow-up of 6.5 years. Using a multivariable Cox proportional hazards model, we analyzed the relationships among baseline clinical factors and the outcome of incident HF hospitalization in patients without history of HF. Significant predictors were identified by forward selection. Increasing age, history of coronary heart disease, and atrial fibrillation or flutter were among several known independent predictors of incident HF hospitalization. ...
p>Institutionalized people represent 9 to 37% of the patients hospitalized in emergency. The aim of this study is to clarify practical conditions of decision and realization of an hospitalization in emergency from an institution.,/p>,p>This is a prospective and descriptive longitudinal study of the hospitalizations in emergency of institutionalized elderly during six months, from 11 nursing homes.,/p>,p>The patients hospitalized in emergency are old (86.7 ± 7.3 years), more than 80% are women, widows and dependent (GIR 3). Main reasons for hospitalization in emergency are falls in a third of cases and cardio-pulmonary failure (27%). The alert is given by nurses and auxiliary nurses in 60% of cases. The decision of hospitalization is medical in more than 80% of cases. The medical opinion is only on phone in 24.4% of cases. After hospitalizations, 85% of patients came back straight to their institution and 10% died during their stay at the hospital.,/p>,p>The terms of hospitalization in emergency ...
This manuscript describes the largest collection of COVID-19 cases among patients with rheumatic diseases, with 600 cases from 40 countries. We identified factors associated with higher odds of COVID-19 hospitalisation, including older age, presence of comorbidities and higher doses of prednisone (≥10 mg/day). We did not see an association between prior NSAID use or antimalarials and hospitalisation for COVID-19. We did find b/tsDMARD monotherapy to be associated with a lower odds of hospitalisation, an effect that was largely driven by anti-TNF therapies. Over half of the reported cases did not require hospitalisation, including many patients receiving b/tsDMARDs. The rate of hospitalisation was higher than in cohorts of general patients with COVID-19 but this likely reflects the mechanism by which we collected the case information and should not be interpreted as the true rate of hospitalisation among patients with rheumatic disease infected with SARS-CoV-2.. Prior to this report, there had ...
In addition to those persons, including the dependents of naval and Marine Corps personnel, now authorized to receive hospitalization at naval hospitals, hospitalization and dispensary service may be provided at naval hospitals and dispensaries outside of the continental limits of the United States and in Alaska, to the officers and employees of any department or agency of the Federal Government, to employees of a contractor with the United States or his subcontractor, to the dependents of such persons, and in emergencies to such other persons as the Secretary of the Navy may prescribe: Provided, That such hospitalization and dispensary service to other than the dependents of naval and Marine Corps personnel shall be permitted only where facilities are not otherwise available in reasonably accessible and appropriate non-Federal hospitals. The charge for hospitalization or dispensary service for persons other than dependents of naval and Marine Corps personnel as specified in this section shall ...
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TY - JOUR. T1 - Hospital admissions for stroke among the very old in the USA. AU - Tabereaux, Paul B.. AU - Brass, Lawrence M.. AU - Concato, John. AU - Bravata, Dawn M.. PY - 2008/9/1. Y1 - 2008/9/1. N2 - Background: We sought to describe the proportion of acute ischemic stroke admissions for very old patients (≥85 years), compare the characteristics of very old versus younger patients and identify factors among very old patients associated with adverse outcomes. Methods: The 2000 Healthcare Cost and Utilization Project data included acute ischemic stroke hospitalizations for patients ≥45 years. The combined outcome was in-hospital mortality or discharge to a long-term care facility. Results: Among 15,020 stroke hospitalizations, 20.4% were for very old patients. The outcome rate was higher in hospitalizations for very old patients (2,176/3,058, 71.2%; versus 5,748/11,962, 48%; p , 0.0001). More hospitalizations for very old patients were for women (73.5 versus 55.1%; p , 0.0001), fewer for ...
TY - JOUR. T1 - Greater risk of hospitalization in children with down syndrome and OSA at higher elevation. AU - Jensen, Kristin M.. AU - Sevick, Carter J.. AU - Seewald, Laura A S. AU - Halbower, Ann C.. AU - Davis, Matthew M.. AU - McCabe, Edward R B. AU - Kempe, Allison. AU - Abman, Steven H.. PY - 2015/5/1. Y1 - 2015/5/1. N2 - BACKGROUND: Children with Down syndrome (DS) are at high risk for OSA. Increasing elevation is known to exacerbate underlying respiratory disorders and worsen sleep quality in people without DS, but whether altitude modulates the severity of OSA in DS is uncertain. In this study, we evaluate the impact of elevation (1,500 m vs . 1,500 m) on the proportion of hospitalizations involving OSA in children with and without DS. METHODS: Merging the 2009 Kids Inpatient Database with zip-code linked elevation data, we analyzed diff erences in the proportion of pediatric hospitalizations (ages 2-20 years) involving OSA, pneumonia, and congenital heart disease (CHD), with and ...
Glade Run is pleased to offer acute partial hospitalization programming for youth ages 10-17 (as well as 18 - 21 year-old students who meet specific criteria) on our historic Zelienople campus. Acute partial hospitalization is a clinically enhanced day program that is provided to members clinical presentation requires intensive management by a multidisciplinary treatment team to deter inpatient hospitalization.. The program day in the Glade Run Acute Partial Hospitalization Program will begin in the classroom where clients will receive three hours (8:00AM-11:00AM) of instructional and therapeutic support.. Following instructional time, clients will have lunch and review progress, goals, expectations, and contract for safety with their Primary Clinician and Primary Group.. The afternoon portion of the acute partial will consist of three therapeutic skill groups (including; Recreation, Process, Creative Expression, Cognitive Behavioral Therapy, and Dialectical Behavioral Therapy), medication ...
Delaware health officials reported 196 coronavirus-related hospitalizations on Wednesday, the lowest this figure has been since mid-April.
On Sunday, there were 171 patients hospitalized with confirmed coronavirus infections, up almost 30% from June 29. Hospitalizations dropped slightly on Monday to 165 people. However, thats still higher than the 132 COVID-19 patients in hospitals a week ago, according to data from the Colorado Hospital Association.. Hospitalizations are an indicator of the severity of the pandemic, and help inform public health policy decisions, such as whether to roll back reopening. While young and adults and teenagers are at a lower risk of complications from COVID-19, they can still end up in the hospital because of the disease. They also can transmit the virus to others without experiencing symptoms themselves.. You would expect that would lead to fewer hospitalizations than if we were seeing an increase among an older age group, Miller said. Thats something thats on the positive side of things, but going forward, I think the question is will we see those infections spilling over to those older age ...
Objective to build up and validate the Drug Derived Difficulty Index (DDCI), a predictive model derived from drug prescriptions able to stratify the general population according to the risk of death, unplanned hospital admission, and readmission, and to compare the new predictive index with the Charlson Comorbidity Index (CCI). was compared to the CCI in terms of calibration, discrimination and reclassification. Setting 6 local health government bodies with 2.0 million citizens aged 40 years or above. Results One year and overall mortality rates, unplanned hospitalization rates and hospital readmission rates gradually improved with increasing ABT-737 DDCI score. In the overall human population, the model including age, gender and DDCI showed a high overall performance. DDCI expected 1-yr mortality, general mortality and unplanned hospitalization with an precision of 0.851, 0.835, and 0.584, respectively. If in comparison to CCI, DDCI demonstrated reclassification and discrimination properties ...
The nationwide rate of being hospitalized for heart failure is on the decline. A major new study has found the positive health news.
AstraZeneca announced new data showing a higher risk of respiratory syncytial virus (RSV) hospitalization during the 2015-2016 season vs. data from the pre
Mehmet Ali Cikrikcioglu, Pinar Soysal, Digdem Dikerdem, Mustafa Cakirca, Rumeyza Kazancioglu, Servet Yolbas, Hafize Erkal, Mehmet Hursitoglu, Tulin Kurt Karakose, Muharrem Kiskac, Mehmet Akkaya, Mehmet Zorlu, Muhammed Emin Akkoyunlu, Tufan Tukek ...
A unique policy that covers hospitalisation and Outpatient Department Expenses (including Dental treatment, cost of medicines and drugs) and enables optimum tax savings of up to Rs. 5099 u/s 80D. Policy Coverage This is a comprehensive Tax-Saving health plan and provides 2 covers: Basic Hospitalisation Cover Outpatient Department (OPD) Basic Hospitalisation Cover This covers inpatient hospitalisation expenses up to sum insured of Rs. 2 or Rs. 3 Lakhs (depending on the plan chosen). You can avail the cashless claim facility in any of the 4500+ network hospitals across India. Basic Hospitalisation cover includes: Medical expenses incurred as an inpatient during hospitalisation for more than 24 hours, including room charges, doctors / surgeons fee, medicines, diagnostic tests, etc. 30 days prior to hospitalization 60 days post hospitalization Pre-existing disease can be covered after the 2nd year provided the policy is renewed with us for three consecutive years. Technologically advanced ...
Using a standardized schedule of questions, this study examined (a) the prevalence of self-report of violent thoughts by patients hospitalized for mental disorders compared with nonpatients, (b) the persistence of violent thoughts after discharge, and (c) the relation between patients violent thoughts while hospitalized and violent acts within 20 weeks after hospital discharge. About 1/3 of the patients reported thoughts of violence while hospitalized, more than twice the proportion found among nonpatients. Reporting violent thoughts in hospital was significantly related to engaging in violent acts within 20 weeks after discharge for non-White patients, patients without major mental disorder but with substance abuse diagnoses, patients with high symptom severity, and patients whose reports of violent thoughts persisted after discharge. Reporting violent thoughts was significantly related to measures of psychopathy, anger, and impulsiveness.
Background: I am a 23 year old female working on recovery from anorexia nervosa. I was hospitalized in July of 2013 for medical stabilization at around 95 pounds, 57. In the hospital, I gained 12-15 pounds, and was discharged somewhere around 108-109 pounds with stable lab values. I admitted to a day treatment program where I ate 3 meals and 2 snacks in program, and then lived in a supervised, sober, transitional living home. I do not know exactly how many calories I was eating at the time, but I think it was at least 2000-2500 calories a day. I was not exercising at all, had not changed medications, had not been sick, and was not using any illicit substances. Routine labs came back with a total creatinine kinase of 1800+. I was told to ignore the CK values by my doctor, but the treatment team was concerned. The following day, I developed severe muscle pain--it was something between a burning feeling, a cramping feeling, and a feeling that I had been exercising vigorously and my muscles were ...
New study of patients who survive Acute Respiratory Distress Syndrome (ARDS) finds their subsequent quality of life has more to do with lifestyle factors than h
On October 8, 2020, Governor Greg Abbott issued Executive Order GA-32 to reopen certain venues to 75% capacity and allow resumption of elective surgeries in certain counties. Counties that reside in Trauma Service Areas (TSAs) with high COVID‑19 hospitalizations are excluded from these reopenings.. Per the GA-32, areas with high hospitalizations means any Trauma Service Area that has had seven consecutive days in which the number of COVID‑19 hospitalized patients as a percentage of total hospital capacity exceeds 15 percent, until such time as the Trauma Service Area has seven consecutive days in which the number of COVID‑19 hospitalized patients as a percentage of total hospital capacity is 15 percent or less. A county within a TSA that has high hospitalizations may still reopen up to 75% if the county meets attestation parameters established under GA-32.. GA-32 took effect on October 14, 2020.. ...
In a new study, Peiris and colleagues present the results of a study in which they obtained information on patients admitted to hospitals in Hong Kong during the period 1996 2000. They developed an appropriate statistical technique that allowed them to capture influenza-associated mortality even in the absence of a predictable seasonal pattern of influenza, and also controlled for potential confounding factors as variations in temperature and humidity. The researchers found that during influenza outbreaks, hospital admissions increased, not just for respiratory diseases such as pneumonia but also for cardiovascular conditions and diabetes. The increases were most noticeable for older people. Overall, influenza was responsible for 11.6% of admissions for respiratory disease, 1.5% of admissions for stroke, 1.8% of admissions for heart attacks, and 3.5% of admissions for diabetes. These figures are comparable with what has been found in developed countries outside the tropics ...
Objective:The objective of this study was to evaluate the impact of medication adherence on healthcare utilization and cost for 4 chronic conditions that are major drivers of drug spending: diabetes, hypertension, hypercholesterolemia, and congestive heart failure.Research Design:The authors conduct
Patients with heart failure (HF) routinely experience a course punctuated by recurrent hospitalizations. Following acute HF hospitalization, nearly 30% of patients are rehospitalized within 60 to 90 days (1). Approximately 45% of these hospitalizations are for recurrent/refractory HF symptoms, but a similar percentage is due to noncardiovascular causes (2). Because readmissions worsen patients quality of life (3), increase the risk for future adverse events (4), and constitute a substantial financial burden (5), interventions that reduce hospitalizations represent an unmet need that would benefit patients with HF, the medical community, payers, and society.. Public and private payers have targeted the reduction of readmissions as a pay-for-performance quality measure. In 2009, the Centers for Medicare & Medicaid Services began public reporting of HF readmission rates and then enacted financial penalties for poorly performing hospitals in 2010 (6). Although data suggest that many early ...