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 ...

This study was conducted to assess the reliability of self-reported hospitalization data, as well as the appropriateness of using self-reported data in evaluating the effectiveness of the Maine Ambulatory Diabetes Education and Follow-Up (ADEF) program. A Maine Blue Cross/Blue Shield (BC/BS) inpatient claims file was used as the reference source to verify self-reported hospitalization data. For a sample of 99 BC/BS subscribers who attended the ADEF program, 77% of the study participants accurately self-reported hospitalization patterns over a 12-mo time period before attending the education program, and 81% of the participants accurately self-reported hospitalization patterns during a posteducation follow-up time period. The reference BC/BS claims data documented a reduction in hospitalizations for the study participants similar to that reported using the ADEF self-reported hospitalization data. The Maine Diabetes Control Project used the self-reported hospitalization data in combination with ...

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 ...

Copyright © 2019 Alliance for Natural Health- USA. Permission granted to forward, copy, or reprint with date and attribution (including link to original content) to http://anh-usa.org. Except where otherwise noted, content on this site is licensed under a Creative Commons Attribution-NoDerivs 3.0 license. Any medical information contained in this site is for informational use only. It is not for use in self-diagnosis or treatment. Please consult with a qualified physician concerning the prudence of and before undertaking any change in diet, treatment for disease, use of any drug, or cessation in use of any prescribed drug. We are 100% committed to protecting your private information. ...

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 ...

Over 1.4 million hospitalizations for mental health conditions occur annually in the United States (3.4% of all hospitalizations), and more than half are for major depressive disorder (MDD). Remarkably, of the 30 antidepressant and antipsychotic medications available to treat MDD, nearly 50% are primarily metabolized by the liver enzyme encoded by the CYP2D6 gene. The CYP2D6 gene is notable for common sequence and structural polymorphisms which markedly affect the enzymes capacity, causing a decrease or increase in drug metabolism in 60% of patients, and creating challenges for therapeutic management. The metabolic alterations caused by CYP2D6 gene polymorphisms may require longer hospitalizations due to trial-and-error prescribing, which delays improvement in health status and consumes resources. Reliable genotype testing is now available to detect an array of 21 gene alterations. Prescribing psychotropics using knowledge of the patients CYP2D6 gene status is potentially cost ...

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 ...

All cause hospitalization included all hospitalizations as CV hospitalization, which was defined as any hospitalization due to CV events including HF, myocardial infarction, arrhythmia, angina pectoris and non-CV hospitalizations which was defined as any hospitalization due to non-CV events including renal dysfunction, hyperkalaemia, malignant tumor and pulmonary disease. All-cause mortality was defined as any CV mortality, Non-CV mortality, including malignant tumor, pulmonary disease and trauma.CV mortality was defined as death due to HF, myocardial infarction, cardiac arrhythmia, stroke or cerebral vascular accident, other CV cause (such as aneurysm or pulmonary embolism). Hazard ratio of Eplerenone versus placebo for first occurrence of the event was obtained from a Cox proportional hazards model ...

This article highlights the value of effective primary care in preventing hospitalizations and assessing what physicians attribute as causes of these potentially avoidable hospitalization. This article also sought to debunk the myth that the majority of hospitalizations can be prevented by primary care, a view that those in the medical field hold often, at least in the United States. Furthermore, the experiences of international researcher are useful in noticing patterns that may be applicable in the United States and other countries. However, because each healthcare system is unique in its operation and its challenges, background of the German healthcare system would have illuminated the applicability of the study to other healthcare systems, such as that of the United States, where we will be future providers. This context is important to appropriately categorize high-risk patients in other healthcare systems, as factors that contribute to the categorization of ambulatory care-sensitive ...

Our prospective surveillance in a district in Kenya is one of the first to report directly-measured rates of influenza-associated hospitalization in African adults and children.4 In developing countries, sentinel hospital surveillance can provide data for describing influenza epidemiology and seasonality, characterizing the circulating strains of influenza virus (to guide vaccinations) and monitoring influenza pandemics. Such surveillance can seldom be used to define the burden of influenza, however, because it often occurs in referral hospitals, where the denominator population is difficult to define and the health-seeking patterns may not be representative of the norm.21,22. The rate of influenza-associated hospitalization that we report in children of Bondo district who were aged < 5 years (i.e. 143.7 cases per 100 000 child-years) is lower than the corresponding values reported in South Africa, Thailand and the United States.23-25 In urban Soweto, South Africa, for example, 309 annual cases ...

Background: For End Stage Renal Disease Patients (ESRD) waitlisted for a deceased donor kidney, hospitalization is associated with lower likelihood of transplantation and worse outcomes. Hospitalization for these patients may also add to higher Medicare costs. However, risk factors for hospitalization among patients waitlisted for kidney transplantation have not been investigated.. Methods: We used United States Renal Data System Medicare-linked data on waitlisted ESRD patients between 2005 and 2009 with continuous enrollment in Medicare Parts A & B (n=27,594) to examine the association between annual hospitalization rate and a variety of demographic, clinical, and social factors. We used multivariable ordinal logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CI).. Results: Nationally, factors associated with significantly increased hospitalization rates among waitlisted individuals included black race, panel reactive antibody,0, female sex, public insurance at ESRD ...

Dementia is an irreversible chronic disease with wide-ranging effects on patients, caregivers and families lives. Hospitalizations are significant events for people with dementia. They tend to have poorer outcomes compared to those without dementia. Most of the previous studies focused on diagnoses leading to hospitalizations using claims data. Further factors (e.g. context factors) for hospitalizations are not reproduced in this data. Therefore, we investigated the factors leading to hospitalization with an explorative, qualitative study design. We interviewed informal caregivers (N = 12), general practitioners (GPs, N = 12) and formal caregivers (N = 5) of 12 persons with dementia using a semi-structured interview guideline. The persons with dementia were sampled using criteria regarding their living situation (home care vs. nursing home care) and gender. The transcripts were analyzed using the method of structuring content analysis. Almost none of the hospitalizations, discussed with the (in-

Little is known about the etiology of hospitalizations among HF patients. Fang et al. (21) examined hospitalizations from the National Hospital Discharge Survey from 1979 through 2004. They found that the proportion of hospitalizations with HF as a first-listed diagnosis remained at approximately 30% over the study period. However, there was a decline in the proportion of admissions due to coronary or other cardiovascular diseases, and an increase in the proportion due to noncardiovascular diseases. Curtis et al. (8) examined hospital readmission rates among Medicare beneficiaries hospitalized with HF from 2001 through 2005 and found that approximately 27% of readmissions were due to HF. This analysis did not include patients without a prior HF hospitalization and only examined the first readmission, and thus cannot provide information on the total burden of hospitalizations. To date, the cause of hospitalization among community HF patients, and potential temporal changes, remain unclear.. The ...

Influenza vaccine effectiveness against influenza-related hospitalization during a season with mixed outbreaks of four influenza viruses: a test-negative case-control study in adults in Canada Academic Article ...

TY - JOUR. T1 - Respiratory hospitalisation of infants supplemented with docosahexaenoic acid as preterm neonates. AU - Atwell, Kerryn. AU - Collins, Carmel. AU - Sullivan, Thomas. AU - Ryan, Philip. AU - Gibson, Robert. AU - Makrides, Maria. AU - McPhee, Andrew. PY - 2013/1. Y1 - 2013/1. N2 - Aim: To determine the effect of neonatal docosahexaenoic acid (DHA) supplementation in preterm infants on later respiratory-related hospitalisations. Methods We enrolled 657 infants in a multicentre, randomised, controlled trial designed to study the long-term efficacy of higher dose dietary DHA in infants born ,33 weeks gestation. Treatment was with high DHA (∼1%) compared with standard DHA (∼0.3%) in breast milk or formula, given from the first week of life to term equivalent. Parent-reported hospital admissions to 18 months corrected age were recorded. The proportion of children hospitalised for lower respiratory tract (LRT) conditions and the mean number of hospitalisations per infant were ...

Background: institutionalisation following acute hospital admission is common and yet poorly described, with policy documents advising against this transition. Objective: to characterise the individuals admitted to a care home on discharge from an acute hospital admission and to describe their assessment. Design and setting: a retrospective cohort study of people admitted to a single large Scottish teaching hospital. Subjects: 100 individuals admitted to the acute hospital from home and discharged to a care home. Methods: a single researcher extracted data from ward-based case notes. Results: people discharged to care homes were predominantly female (62%), widowed (52%) older adults (mean 83.6 years) who lived alone (67%). About 95% had a diagnosed cognitive disorder or evidence of cognitive impairment. One-third of cases of delirium were unrecognised. Hospital stays were long (median 78.5 days; range 14-231 days) and transfers between settings were common. Family request, dementia, mobility, ...

Eisai Inc. presented the latest clinical results on FYCOMPA® (perampanel) CIII, at the 2019 American Academy of Neurology Annual Meeting in Philadelphia, including analyses highlighting the health and economic benefits of FYCOMPA. Twenty-one scientific abstracts were presented by both Eisai and independent investigators, underscoring a collective commitment to advancing research in epilepsy care across the age spectrum.. At Eisai, we are working to develop solutions, including medications and technology, with the ultimate goal of helping epilepsy patients achieve seizure freedom, said Lynn Kramer, MD, Chief Clinical Officer and Chief Medical Officer, Neurology Business Group, Eisai Inc. The FYCOMPA data weve presented at AAN provides insights that we hope will help improve patient care and shows Eisais commitment to continuing research that supports the epilepsy community in this mission.. Key findings show that:. * Patients treated with perampanel had a significantly greater reduction in ...

Orthodox Jewish medical workers stand by an ambulance outside Maimonides Medical Center in Borough Park, Brooklyn, on September 28, 2020. Spencer Platt/Getty. Coronavirus hospitalizations are on the rise in New York state, which was the center of the virus outbreak for months in the spring. As of Sunday, there were 878 hospitalizations in the state, up 97% from September 1, according to state data. However, the number of deaths remain low, with 12 recorded on Sunday, according to the state. At the height of the pandemic in April, the state peaked at 799 deaths in a single day.. Gov. Andrew Cuomo has blamed the rise in hospitalizations on virus hotspots that the state is monitoring, which are largely Orthodox Jewish communities.. Visit Business Insiders homepage for more stories.. New York state is experiencing a dramatic rise in coronavirus hospitalizations, which are up 97% from September 1.. On Sunday, 878 people in the state were reported as being currently hospitalized, compared to 445 on ...

The West / North West Hospitals Group (Irish: Grúpa Ospidéil an Iarthair / an Iarthuaiscirt) is one of six hospital groups located in Ireland.The grouping of hospitals was announced by the Irish Minister for Health, Dr. James Reilly TD in May 2013, as part of a restructure of Irish public hospitals and a goal of delivering better patient care. The West / North West Hospitals Group comprises 7 hospitals: University Hospital Galway (UHG) Letterkenny General Hospital (LGH) Mayo General Hospital (MGH) Merlin Park University Hospital (MPUH) Portiuncla Hospital Ballinasloe (PHB) Roscommon County Hospital (RCH) Sligo Regional Hospital (SRH) The Groups Academic Partner is NUI Galway. As of 2013, West / North West Hospitals Group has 1,770 beds and 7,620 staff and a budget of €600m. Minister Announces Hospital Groups (en) ...

Our results suggest that the previous study may have overestimated the relation between NT-proBNP and the subsequent risk of hospitalisation for worsening heart failure.3 This discrepancy may have arisen because our study is of a population based cohort of acutely ill patients with heart failure arising from a number of different aetiologies and a wide range of disease severity. Perhaps there is a stronger association in patients with specific aetiologies, such as CAD.3 Alternatively, the timing of NT-proBNP measurement may be an important factor in maximising its predictive value for subsequent hospitalisation. While in our study NT-proBNP was measured shortly after first diagnosis, in the study by Richards and colleagues, patients were enrolled, and their NT-proBNP measured when they were in a stable state.3 A recent study has addressed this issue directly, comparing measurements of NT-proBNP made on arrival at, and on discharge from, a coronary care unit.5 Both measurements were available for ...

Methods Temporal differences in incidence of dog-bite injury hospitalisations (DBIH) within and across Manitoba jurisdictions with and without BSL were compared. Incidence was calculated as the number of unique cases of DBIH divided by the total person-years at risk and expressed as the number per 100 000 person-years. Year of implementation determined the pre-BSL and post-BSL period for jurisdictions with BSL; for jurisdictions without BSL to date, the entire study period (1984-2006) was considered as the preimplementation period. The annual number of DBIH, adjusted for total population at risk, was modelled in a negative binomial regression analysis with repeated measures. Year, jurisdiction and BSL implementation were independent variables. An interaction term between jurisdiction and BSL was introduced. ...

Ischemic heart disease (IHD) is a leading cause of death worldwide. Urban public health and medical management in Shenzhen, an international city in the developing country of China, is challenged by an increasing burden of IHD. This study analyzed the spatio-temporal variation of IHD hospital admissions from 2003 to 2012 utilizing spatial statistics, spatial analysis, and space-time scan statistics. The spatial statistics and spatial analysis measured the incidence rate (hospital admissions per 1,000 residents) and the standardized rate (the observed cases standardized by the expected cases) of IHD at the district level to determine the spatio-temporal distribution and identify patterns of change. The space-time scan statistics was used to identify spatio-temporal clusters of IHD hospital admissions at the district level. The other objective of this study was to forecast the IHD hospital admissions over the next three years (2013-2015) to predict the IHD incidence rates and the varying burdens of IHD

Background and Purpose- It is important to know the costs for hospitalization for endovascular embolectomy patients so that comparisons can be made to payments to hospitals.. Methods- Using the National Inpatient Sample, we evaluated the costs for hospitalization for patients treated with endovascular embolectomy in the United States from 2006-2008. The primary endpoint examined in this study was total hospital costs, and these were correlated with clinical outcome. Hospitalization costs were then compared with Medicare payments for their respective outcomes. MS-DRG 24 was the diagnostic related group code (DRG) for mechanical embolectomy with good outcome and MS-DRG 23 was the DRG code for mechanical embolectomy with major complications. Medicare payments were available at http://www.cms.hhs.gov.. Results- A total of 3864 patients received endovascular embolectomy. 1649 patients were ,65 years old and 2205 patients were ≥65 years old. Median hospital costs in 2008 dollars were $36,999 (IQR ...

TY - JOUR. T1 - Length of psychiatric hospitalization and prediction of antipsychotic response. AU - Zemian, Frank P.. AU - Thienhaus, Ole J.. AU - Garver, David L.. PY - 1990. Y1 - 1990. N2 - 1. 1. Clinical variables determining length of psychiatric hospitalization for psychotic inpatients were explored. Forty psychotic inpatients received a 14 day fixed dose neuroleptic trial. 2. 2. Neuroleptic responders ( 25 40) were discharged 15 ± 2 days after initiation of phannacotherapy. For neuroleptic non-responders ( 15 40) antipsychotic medication was then altered as clinically indicated. Patients requiring one change in medication (N = 8) were discharged after 27 ± 5 days; those requiring two medication adjustments (N = 4) were discharged after 33 ± 3 days and those requiring three alterations in phannacotherapy (N = 3) were discharged after 42 ± 12 days. 3. 3. Statistical analysis of clinical and diagnostic variables indicated that 84% of the variation in length of hospitalization was ...

TY - JOUR. T1 - Cost of hospitalization and length of stay in people with Down syndrome. T2 - Evidence from a national hospital discharge claims database. AU - Hung, Wen Jiu. AU - Lin, Lan Ping. AU - Wu, Chia Ling. AU - Lin, Jin Ding. PY - 2011/9/1. Y1 - 2011/9/1. N2 - The present paper aims to describe the hospitalization profiles which include medical expenses and length of stays, and to determine their possible influencing factors of hospital admission on persons with Down syndrome in Taiwan. We employed a population-based, retrospective analyses used national health insurance hospital discharge data of the year 2005 in this study. Subject inclusion criteria included residents of Taiwan, and diagnosed with Down syndrome (ICD code is 758.0; N=375). Inpatient records included personal characteristics, admissions, length of stay, and medical expenses of study subjects. The results found that Down syndrome patients used 2 hospital admissions and their annual length of stay in hospital was 22.26 ...

Data Source: Data compiled by Maryland Department of Health and Mental Hygiene. Story Behind the Data:. Childhood injuries requiring inpatient hospitalization present risks of long-term illness and disability. Injuries may be the result of unintentional or intentional events. Most unintentional injuries are related to motor vehicles, falls, fires and burns, poisonings, choking and suffocation, and drowning.** Intentional injuries include assaults and self-inflicted injuries.. In 2013, there were 2,948 total inpatient hospital discharges for unintentional injury; 602 discharges for injuries due to assault; and 730 discharges for self-inflicted injuries among Maryland children ages 0-21. Non-Hispanic Black children had the highest rate of assault-injury hospitalizations at 58.5 per 100,000, which was more than five times higher than the rate among both non-Hispanic Whites and Hispanic children.. Assault and unintentional injuries decreased across the board, however, from 2008 through 2013. The ...

Background: Incident cancer diagnosis may increase the risk of coronary artery disease (CAD)-related hospitalizations, especially in older individuals. Adherence to statins and/or angiotensin-converting enzyme inhibitors (ACEIs)/angiotensin II receptor blockers (ARBs)/β-blockers reduces CAD-related hospitalizations. This study examined the relationship between medication adherence and CAD-related hospitalizations immediately following cancer diagnosis. Patients and Methods: A retrospective observational longitudinal study was conducted using SEER-Medicare data. Elderly Medicare fee-for-service beneficiaries with preexisting CAD and incident breast, colorectal, or prostate cancer (N=12,096) were observed for 12 months before and after cancer diagnosis. Hospitalizations measured every 120 days were categorized into CAD-related hospitalization, other hospitalization, and no hospitalization. Medication adherence was categorized into 5 mutually exclusive groups: adherent to both statins and ...

The Commission on Accreditation of Rehabilitation Facilities (CARF) identifies Partial Hospitalization Programs as: time limited, medically supervised programs that offer comprehensive, therapeutically intensive, coordinated, and structured clinical services. Partial hospitalization programs are available at least five days per week but may also offer half-day, weekend, or evening hours. Partial hospitalization programs may be freestanding or part of a broader system but should be identifiable as a distinct and separately organized unit. A partial hospitalization program consists of a series of structured, face-to-face therapeutic sessions organized at various levels of intensity and frequency. Partial hospitalization programs are typically designed for persons who are experiencing increased symptomatology, disturbances in behavior, or other conditions that negatively impact the mental or behavioral health of the person served. The program must be able to address the presenting problems in a ...

An interactive web tool for measuring inequalities in chronic obstructive pulmonary disease hospitalization. Companion product to the report Trends in Income-Related Health Inequalities in Canada.

Deep vein thrombosis (DVT) is a blood clot that occurs in a deep vein of the body; pulmonary embolism (PE) occurs when a clot breaks free and enters the arteries of the lungs. DVT and PE comprise venous thromboembolism (VTE), an important and growing public health concern (1,2). Hospitalization is a major risk factor for VTE, and many VTE events that occur among hospitalized patients can be prevented (2,3). A new program of the U.S. Department of Health and Human Services (Partnership for Patients: Better Care, Lower Costs) aims to reduce the number of preventable VTE cases in hospitals (4). To estimate the number of hospitalizations with VTE each year in the United States, CDC analyzed 2007-2009 data from the National Hospital Discharge Survey (NHDS). The results of that analysis determined that an estimated average of 547,596 hospitalizations with VTE occurred each year among those aged ≥18 years in the United States. DVT was diagnosed in an estimated annual average of 348,558 ...

Oral antihyperglycemic therapies are effective methods to control glucose levels among patients with type 2 diabetes, thus lowering their risk of developing microvascular and macrovascular complications. However, the relationship between oral medication nonadherence and hospitalization is not well established for patients with diabetes. Using administrative claims data in an MCO, this study found that among adult enrollees taking oral antihyperglycemic medications, almost 30% had poor adherence in 2000 and 2001. A significant relationship was found between antihyperglycemic medication nonadherence and subsequent hospitalization, after controlling for age, sex, adherence to antihypertensive and lipid-modifying drugs, the intensity of the diabetes drug regimen, the Charlson comorbidity index, and previous hospitalization. Enrollees who were nonadherent in 2000 were 2.5 times as likely to be hospitalized in 2001 as those who were adherent in 2000.. The relationship between medication adherence and ...

OBJECTIVE: Kraepelin considered declining course a hallmark of schizophrenia, but others have suggested that outcomes usually stabilize or improve after treatment initiation. The authors investigated this question in an epidemiologically defined cohort with psychotic disorders followed for 20 years after first hospitalization. METHOD: The Suffolk County Mental Health Project recruited first-admission patients with psychosis from all inpatient units of Suffolk County, New York (response rate, 72%). Participants were assessed in person six times over two decades; 373 completed the 20-year follow-up (68% of survivors); 175 had schizophrenia/schizoaffective disorder. Global Assessment of Functioning (GAF), psychotic symptoms, and mood symptoms were rated at each assessment. Month 6, when nearly all participants were discharged from the index hospitalization, was used as a reference. RESULTS: In the schizophrenia group, mean GAF scores declined from 49 at month 6 to 36 at year 20. Negative and ...

As the subjects were randomized following PCI, the costs of resources used were estimated beginning immediately after the procedure. Therefore, costs following PCI, including costs during the index hospitalization and after discharge up to 30 days after PCI, were measured. Costs were calculated from the perspective of the institution using only hospital-based costs and also from the perspective of the health care system by adding the hospital-based costs, physician fees, and prescription drug costs for a modified medical system perspective.. Hospitalization costs were computed spanning the time from randomization up to 30 days after the procedure and included in-hospital drug use, any repeat cardiovascular procedures (angiogram or PCI), urgent revascularization, emergency department visits, nonscheduled outpatient clinic visits, and subsequent hospitalizations. Patients discharged home the same day were requested to complete an outpatient blood test and were called the following day by a nurse. ...

With final diagnoses of bipolar-I (BD-I, n=216), schizoaffective (SzAffD, 71), and major depressive (MDD, 42) disorders, 329 subjects were followed for 4.47 [CI: 4.20-4.47] years. Initial episodes were: mania (41.6%), mixed-states (24.3%), depression (19.5%), or apparent nonaffective psychosis (14.6%). Antecedent morbidity presented 12.7 years before first-episodes (ages: SzAffD≤BD-I,MDD). Long-term %-of-days-ill ranked: SzAffD (83.0%), MDD (57.8%), BD-I (45.0%). Morbidity differed by diagnosis and first-episode types, was predicted by first-episodes, and suggested by antecedent illnesses. Long-term wellness was greater with: BD-I diagnosis, first-episode not mixed or psychotic-nonaffective, rapid-onset, and being older at first antecedents, but not follow-up duration ...

Heart disease accounts for approximately 2 out of 10 deaths in Florida.1 In 2018 there were 80,402 coronary heart disease hospitalizations (including both angina and myocardial infarction) or an average of 220 coronary heart disease hospitalizations each day.

ROSA, Carolina Böettge et al. Malnutrition risk and hospitalization in elderly assisted in Primary Care. Ciênc. saúde coletiva [online]. 2017, vol.22, n.2, pp.575-582. ISSN 1678-4561. https://doi.org/10.1590/1413-81232017222.15732016.. The aim of this study was to investigate the association of malnutrition risk and single items of the Mini Nutritional Assessment (MNA®) with hospitalization in the last 12 months in the elderly assisted in primary care. A cross-sectional study was conducted with the evaluation of 1229 elderly persons assisted in Family Health Strategies in seven cities of South Brazil. Malnutrition risk was evaluated using the MNA®, and hospitalization was determined by one question of the Probability of Repeated Admission (PRA) instrument. Most of the elderly were women (61.7%), with a mean age of 71.7 ± 7.7 years. The malnutrition risk rate was 23.3% and hospitalization was 32.9%. The frequency of malnutrition and risk of malnutrition was two times greater among the ...

Reeves GK, Balkwill A, Cairns BJ, Green J, Beral V; Million Women Study Collaborators. BMC Med 2014;12:45.. BACKGROUND:. Adiposity is associated with many adverse health outcomes but little direct evidence exists about its impact on the use of health care services. We aim to describe the relationship between body mass index (BMI) and rates of hospital admission in middle-aged UK women.. METHODS:. Among 1,251,619 Million Women Study participants, 50- to 64-years old at entry into the study, routine data on hospital admissions were used to estimate hospitalization rates according to BMI after standardization for age, region of recruitment, socioeconomic status, reproductive history, smoking status, hormonal therapy use and alcohol intake. Proportional hazards models were used to estimate adjusted relative risks of hospitalization separately for 25 common types of admission.. RESULTS:. During an average of 9.2 years follow-up, there were 2,834,016 incident hospital admissions. In women with BMIs ...

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is effective in treating childhood acute myeloid leukemia (AML) but the long-term disease burden may be increased. In a population-based study, the standardized hospitalization rates ratios (SHRR) and absolute excess risks for disease specific hospitalizations were evaluated in 5-year survivors of AML treated at 0-17 years of age according to the NOPHO-AML protocols in four Nordic countries during 1984-2005. In total, 229 eligible AML survivors were identified in the NOPHO-AML database and the treatment data of 196 survivors could be linked to 5-year follow-up data in national hospital registries. After a median follow-up time of 12 (range 5-28) years, 35 out of the 97 survivors treated with allo-HSCT had been hospitalized (SHRR 2.8 (95% CI 2.0- 4.0) with increased risk for hospitalizations due to cardiovascular 8.7 (3.9-19), endocrine 12 (6.7-22), pulmonary 3.0 (1.8-5.2), gastrointestinal 4.0 (2.4-6.7), infectious 3.1 (1.3-7.6), ...

Spire Healthcare, of which Spire Alexandra Hospital is part of, was named Hospital Group of the Year at HealthInvestor Awards. On Wednesday 11 June 2014 in London, Spire Healthcare, which is the parent company for Spire Alexandra Hospital, was named Hospital Group of the Year at the 2014 HealthInvestor Awards.. The event is one of the main events for the health sector and is run by trade publication, HealthInvestor.. Linda Dineen, Director for Spire Alexandra Hospital says: We are delighted to be a part of the Hospital Group of the Year. We are pleased the judges recognised the investments made in the company and the hard work and dedication everyone at Spire Healthcare gives to providing high quality patient care. I hope this highlights to the local people of Kent that they have access to a high quality, award-winning hospital, right on their door-step.. The judges said: In a very tight category Spire just get the award due to their recent numerous and quantifiable measures underpinning ...

In most years, minor or major epidemics of type A or type B influenza occur, usually during the winter months. In Australia, 85 deaths and 4250 hospitalisations are notified, on average, per year, although this is almost certainly an underestimate due to failure to recognise the excess mortality and hospitalisation associated with the disease. Extrapolation from US estimates, based on more detailed surveillance, suggests 2000 deaths and 10 000 hospitalisations are likely to occur annually in Australia. ...

INTRODUCTION. The increasing prevalence of obesity in three nationwide Brazilian surveys over the last 20 years 1 and the high prevalence of chronic diseases associated with obesity, such as stroke 2, diabetes 3, and cardiovascular diseases 4 suggest a significant burden of disease from overweight in the country. Monteiro et al. 5 identified clear changes from undernutrition to overnutrition between 1975 and 1996 in Brazil, but few studies have evaluated the implications of overweight for the national health systems of Latin America countries. A population-based survey conducted in the South of Brazil among individuals aged 20-69 years estimated that treatment for hypertension consumes approximately 23% of per capita income for hypertensive individuals 6. The total estimated annual cost associated with diabetes in Latin America in 2000 was US$65,216 million 7, but there are no overall figures for the burden of overweight.. Economic studies on the costs of obesity in developed countries suggest ...

Objective - The cause of increased post-AMI (acute myocardial infarction) mortality associated with depression remains poorly elucidated. The objective of this study was to examine the extent to which self-reported cardiac functional status accounted for depression-mortality associations following AMI.. Methods - Using a prospective cohort design (n = 1941), the authors obtained self-reported measures of depression and developed profiles of the patients pre-hospitalization cardiac risks, co-morbid conditions and drugs and revascularization procedures during or following index AMI hospitalization. To create these profiles, the patients self-reports were retrospectively linked to no less than 12 years worth of previous hospitalization data. Mortality rates 2 years after acute MI were examined with and without sequential risk adjustment for age, sex, income, cardiovascular risk, co-morbid conditions, selected process-of-care factors and self-reported cardiac functional status.. Results - ...

In the hospital system around the world, huge costs of hospitalization are connected to hibernation of the wound healing process. Biotec Pharmacon has found the solution, which they in collaboration with WeThink will raise awareness about on the international medical market.. Chronic wounds cost a lot of resources every day in home care and hospitals. A part from the economic perspective, the long duration of the wound treatment also has psychological consequences for the patients.. Norwegian Biotec Pharmacon ASA has, with their active substance Soluble Beta-Glucan (SBG), found a natural solution to treatment of chronic wounds. A solution that will save money for hospitals and improve the quality of life for patients. Copenhagen based WeThink will be in charge of the international branding of Soluble Beta-Glucan (SBG) and the wound care product Woulgan, which contains SBG.. Natures miracle cure - from fish pond to wound care. It all started in a fish pond in Tromsø, Norway back in 1987. In ...

The purpose of this study was to determine whether maternal hospitalization for a respiratory-related condition during influenza season results in an increased risk of neonatal morbidity. With the use of a 13-year population-based cohort study of all singleton live births in Nova Scotia (1990-2002), …

Sep 26, 2019 · For decades, warfarin has been one of the most popular drugs used to prevent and treat deep vein thrombosis (DVT). ** Notes: * Including the costs of stroke and bleedings; ** annual costs for the warfarin alternative are presented in the white boxes in the figure, whereas the annual costs in the dabigatran alternative are presented in the gray shaded boxes FFP and PCC can be associated with volume complications, undesirable thromboembolic events, and increased costs. GoodRx Gold pharmacy prices for Warfarin 30 tablets 5mg Change Configuration. Consumers pay A$9-12 (or around A$5.20 for concession card holders) Jun 01, 2019 · Total healthcare costs including medication costs per patient per year (PPPY) were significantly lower with rivaroxaban versus warfarin ($48,552 vs $52,418; P = .0025), which was primarily driven by lower hospitalization rate (50.2% vs 54.1%; P = .0008), shorter length of stay (7.5 vs 9.1 days; P = .0010), and less outpatient service utilization (86 vs 115 ...

To our knowledge, this is the first report to describe the hospitalisation pattern in a total population of children with ID. This study has provided useful information on hospital admissions up to 5 years of age for children with ID compared with the general population. It also allowed comparison by type and severity of ID. This study focused on hospitalisations in the first five years of life, and thus for children with ID was independent of the age at which ID was diagnosed. The results clearly show that children with ID were more likely to be admitted to hospital on more occasions and with a larger range of clinical diagnoses than non-affected children. The only exception was in the group of cases co-diagnosed with ASD.. This study has only been possible because of the existence of a population based ID register in WA. The ID register is the only such one in Australia and other than those few US centres in Atlanta, Florida,10,11 and California,12 it is one of the few places in the world with ...

Using a hospital discharge database, a physician does a study of diabetes mellitus comparing age of onset with response to a specific drug regimen. The physician has gathered _____ from the database. Answer data elements information informatics standards data sets

Midland Countys seven-day rolling positivity rate on Oct. 25 was listed at 5.8%, and categorized as A (on a scale of low, then A-E, the highest risk). Gladwin County was listed at 3.3% and low risk. The Saginaw region, which includes 12 counties, including Midland, Gladwin, Bay and Saginaw counties, was listed at 5% and A risk and Michigan at 5.9%, an A risk. (Low represents a positivity rate of less than 3%; A is 3 to 7%; B is 7 to 10%; C is 10 to 15%; D is 15 to 20% and E is greater than 20%). ...

OBJECTIVETo investigate the potential relationship between overweight, obesity, and severe obesity and the risk of hospitalization for heart failure (HF) in patients with type 1 diabetes.RESEARCH DESIGN AND METHODSWe studied patients with type 1 diabetes included in the Swedish National Diabetes Register during 1998-2003, and they were followed-up until hospitalization for HF, death, or 31 December 2009. Cox regression was used to estimate relative risks.RESULTSIn a sample of 20,985 type 1 diabetic patients (mean age, 38.6 years; mean BMI, 25.0 kg/m2), 635 patients were hospitalized with HF as a primary or secondary diagnosis during a median follow-up of 9.1 years. Cox regression adjusting for age, sex, diabetes duration, smoking, HbA1c, systolic and diastolic blood pressures, and baseline and intercurrent comorbidities (including myocardial infarction) showed a significant relationship between BMI and hospitalization for HF (P | 0.0001). In reference to patients in the BMI 20-25 kg/m2 category, hazard

God is too wise to be mistaken. God is too good to be unkind. So when you dont understand, when you dont see His plan, when you cant trace His hand, trust His heart. Last May 9, 2017 Papa had his first hospital admission due to Stroke, and he stayed there until May 21. He had no paralysis, only myopathy. During the days that he was in the house, he slowly recovered. He religiously had his physical therapy and did great with his recovery. He got readmitted June 9 due to Pneumonia, Septic Arthritis, Amoebiasis, and Abdominal Bleeding. He was supposed to be discharged on June 29 just in time for his last antibiotic treatment. However, on June 24, he suffered from a Heart Attack so he was placed in ICU. He was cleared for discharge on July 6, with NGT feeding. This was his longest stay at the hospital. On July 31, he had his follow up checkup but while at the clinic, he vomited blood. We did not want to be complacent with his condition so he got admitted for the third time. Within his admission, ...

This archived document is maintained by the Oregon State Library as part of the Oregon Documents Depository Program. It is for informational purposes and may not be suitable for legal purposes.. Title from PDF caption (viewed on June 8, 2012). Date from metadata: Feb. 28, 2008. Mode of access: Internet from the Oregon Government Publications Collection.. ...

In the years 2014 to 2015, the average hospitalization cost of people who were confined due to alcohol consumption reasons reached $8,100, higher than the average hospital stay for other causes, which was $5,800. This is because people who were hospitalized due to alcohol consumption reasons stayed longer in the hospital (approximately 11 days ) as compared with people who got hospitalized due to other reasons (seven days).. Alcohol-related hospitalizations occurred more frequently in territories than in provinces, and more in the west than in the east, with the exception of Nova Scotia.. Alcohol-related hospitalizations in Ontario, the North West local health integration networks (LHIN), which includes Thunder Bay, were estimated at 603 hospitalizations per 100,000 people, which is more than twice the national average. The North West Territories hospitalization rates for alcohol took the cake at 1,315 hospitalizations per 100,000 people - making it the highest rate for alcohol-related ...

Heart failure (HF) is the most common discharge diagnosis across the United States, and these patients are particularly vulnerable to readmissions, increasing attention to potential ways to address the problem. The study cohort was derived from the Healthcare Cost and Utilization Projects National Readmission Data 2013, sponsored by the Agency for Healthcare Research and Quality. HF was identified using appropriate International Classification of Diseases, Ninth Revision, Clinical Modification codes. Readmission was defined as a subsequent hospital admission within 30 days after discharge day of index admission. Readmission causes were identified using International Classification of Diseases, Ninth Revision, codes in primary diagnosis filed. The primary outcome was 30-day readmission. Hierarchical 2-level logistic models were used to evaluate study outcomes. From a total 301,892 principal admissions (73.4% age ≥65 years and 50.6% men), 55,857 (18.5%) patients were readmitted with a total of 64,264

Since 2005, the rate of opioid-related emergency room visits has doubled and hospitalizations are up 64%. At the same time, many states are sending more people to prison for drug-related offenses. However, a new analysis contends that there is no apparent link between drug imprisonments and reining in the problems associated with the ongoing epidemic.. In a letter [PDF] sent this week to the White House Commission on Combating Drug Addiction and the Opioid Crisis, the nonpartisan Pew Charitable Trusts argue that the available data shows no relationship between a states willingness to punish a drug offender and that states drug-related woes.. To be clear, the letter indicates that neither high nor low levels of imprisonment appear ultimately relevant to folks use of dangerous drugs.. Compare Louisiana, the state with the highest level of drug-related imprisonment (226.4 prisoners for every 100,000 people) to the state with the lowest rate, Massachusetts (30.2 per 100,000). Though the two ...

Our findings suggest that future studies seeking to determine how to prevent ambulatory care-sensitive conditions in people with CKD should target remote dwellers and those with comorbid conditions such as concomitant heart failure and liver disease.

Therefore, it is crucial to identify as precisely as possible patients most likely to benefit from these programs. Finding high-risk patients in computerized medical record systems, using predictive modelling, has been evaluated in care management trials in the USA and is seen to have better results than case finding by doctors or patient surveys [12, 13]. These software models rely on clinically- and cost-similar disease categories called diagnostic cost groups (DCG) [14] or adjusted clinical groups (ACG) [15] that are generated from insurance claims data.. In Germany, chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD), and type 2 diabetes mellitus (DM) were among the 20 most frequent causes for hospital admission in 2008 [16]. All three conditions are stated as being ambulatory care sensitive conditions (ACSC), meaning that primary care has a dominating role in preventing hospital admissions for these conditions [17]. Hospitalisations may be avoidable by coordinated ...