PURPOSE: The aim of this study is to better characterize the effect of the interval in time to the operating room on hospital length of stay and other post-surgical outcomes in adult patients with common emergency general surgery conditions who are admitted to the acute care surgical service at Boston Medical Center. METHODS: This is retrospective cohort study examining a total of 321 subjects taken from an emergency general surgery registry at Boston Medical Center from May 2014 thru May 2015. Variables analyzed included: demographic factors, Charlson Comorbidity Index scores, times to the operating room, hospital length of stays, post- operative complications, and in-hospital mortality. RESULTS: There were zero mortalities in this study and a 3.1% post-operative complication rate. There was a positive association between time to the operating room and hospital length of stay, even after controlling for covariates. It was found that those subjects who go to the operating room after 6 hours from ...

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The high cost of critical care resources has resulted in strategies to reduce the costs of ruling out low-risk patients by developing intermediate care units (IMCs). The aim of this study was to compare changes in total hospital costs for intensive care patients before and after the introduction of an IMC at the University Hospital Maastricht. The design was a comparative longitudinal study. The setting was a university hospital with a mixed intensive care unit (ICU), an IMC, and general wards. Changes in total hospital costs were measured for patients who were admitted to the ICU before and after the introduction of the IMC. The comparison of interest was the opening of a six-bed mixed IMC. The mean total hospital cost per patient increased significantly. Before the introduction of the IMC, the total hospital cost per patient was €12,961 (± €14,530) and afterwards it rose to €16,513 (± €17,718). Multiple regression analysis was used to determine to what extent patient characteristics

She provides background research for The Incidental Economist, and previously researched at Harvard School of Public Health in the Department of Health Policy and Management.You can follow her on Twitter: @jenmgilbert. Since the introduction of Medicares prospective payment system (PPS) in 1983, which pays hospitals a fixed price per admission diagnosis, U.S. hospitals have been financially incentivized to reduce inpatient length of stay (LOS). Consequently, average LOS has decreased dramatically according to studies of the National Hospital Discharge Survey.Despite average patient age and complexity increasing, the average LOS has dropped from 7.3 days in 1980 to 4.8 days in 2003.. One could imagine that the financial pressures to reduce LOS could lead to poorer patient outcomes, but past studies have shown mixed data on whether the two are correlated.. Shorter LOS has been associated with higher risk of readmission (more on this below), and mortality resulting from pulmonary embolism ...

Jimmy Kimmel, host of ABCs late-night talk show Jimmy Kimmel Live!, received the Courage to Care award from Childrens Hospital Los Angeles (CHLA) at the hospitals From Paris With Love gala event on Saturday evening, October 20. Kimmel was honored for his compassion and dedicated support for the hospital, which has made a difference in the lives of so many families, including Kimmels own.. In 2017, Kimmels infant son, Billy, received open-heart surgery at CHLA for a rare congenital heart defect, tetralogy of Fallot with pulmonary atresia. Following Billys successful operation, Kimmel shared with viewers an emotional account of his familys experience at CHLA.. He made an impassioned plea for affordable healthcare for all children with chronic health conditions. It was a bold use of his powerful program, and its effectiveness was driven by the fact that it was so personal. He spoke from his heart and from Billys. He waded into a controversial subject without hesitation, because he knew ...

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The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs: A Prespecified Propensity-Matched Cohort Study.

Aim: To define regional patterns in post OLT LOS.. Methods: Using the UNOS database (06/2011) we reviewed data on 65,891 OLT recipients, 01/2000-12/2010. Patients excluded (n=11,784) were dual organ, and pediatric recipients, deaths ≤2 days, LOS,180 days or missing data. Variables were categorized (n=54,107): MELD score(≤10, 11-18,19-24, ≥25) Karnofsky score (0-30, 31-60, 61-100), cold ischemia time (CIT, hrs) (,6, 6-12, ,12≤20, ,20). Predictors of LOS were identified univariately, and multivariately using a linear regression model of Log2(LOS). Regional (R) differences in multivariate associations were assessed using parameters for interactions with region, and within regions. The LOS median ratio (MR) was used as a measure of relative change in median LOS.. Results: Mean LOS ranged from 13.3±14(Mean±SD) days in R6 to 19.5±20 days in R9. On multivariate analysis factors associated with ,10% increase LOS were: patient ventilated at OLT (LOS MR estimate 1.33, i.e. 33% increase in LOS), ...

For both mastectomy and prostatectomy patients, 75% of patients were discharged between 10 am and 12 noon and the median postoperative length of stay was 20 hours. There was a strong association between time of surgery and calculated length of stay. For mastectomies, having a surgery which begins at 6 pm vs 8 am results in an estimated decrease of 8.8 hours (95% CI, 8.3-9.3) in postoperative length of stay but only 1.2 hours (95% CI, 0.77-1.6) later time of discharge. For prostatectomies, the estimated difference is a decrease of 6.9 hours (95% CI, 6.4-7.4) for postoperative length of stay and 2.5 hours (95% CI, 2.0-3.0) later discharge time.. ...

Our study suggests that prior antibiotic exposure was associated with greater LOS following the onset of Gram-negative bacteremia complicated by severe sepsis or septic shock. This observation was confirmed in an adjusted analysis of LOS and in a multivariate analysis controlling for potential confounding variables. Not surprisingly, other important determinants of prolonged LOS in the multivariate analysis included pre-infection onset hospital LOS, inappropriate antibiotic therapy, severity of illness, and the lungs as the source of infection.. A likely explanation for the association we observed between hospital LOS and prior antibiotic exposure is the greater occurrence of antimicrobial resistance among the causative pathogen(s) associated with sepsis among patients having received prior antibiotic therapy. We previously demonstrated that prior antibiotic exposure was associated with a greater incidence of infection attributed to Gram-negative bacteria that were either antibiotic-resistant or ...

The average time spent in the hospital after an open colectomy (as distinguished from a laparascopic colectomy) is approximately eight to ten days: Proctocolectomy means that the entire colon and rectum are removed... The average hospital stay is 10 days. FAP Support Group http://www.fapsupportgroup.org/FAQ_s/What_is_the_treatment_for_FAP_/what_is_the_treatment_for_fap_.htm The Barcelona surgeons treated 219 patients, of whom 111 had LAC and 108 had conventional open colectomy (OC), which requires a foot-long incision. LAC patients had an average hospital stay of five days, compared to eight days for the OC (Open Colectomy) patients. Health Scout http://kevxml2a.infospace.com/_1_300313__info.alltel/health/hlt-story.htm&qid=507865&qt=4 However, the progress of recovery can vary greatly from patient to patient. One thing that affects recovery time is the patients state of health before the surgery; a person who is malnourished or gravely ill when surgery is performed (which is not uncommon ...

A casement stay is a metal bar used to hold a casement window in a specific open or closed position. Metal windows will normally have the stay included at the time of manufacture, while wooden windows will have them added after fitting. Different kinds of casement stay include peg type, telescopic and friction The peg type casement stay has one or two pins or pegs inside the rebate. The stay is a metal bar with holes that fit onto the peg, and allow the sash window to be held open in various positions. The peg nearest the hinge can then be used as a fulcrum. Disadvantages of peg type stays are that the stay handle may protrude dangerously into the room. Another issue is the limited opening that can be achieved. They also rattle in the wind. The mounting plate on the bar connects to the bottom rail of the sash window. The pegs will be connected to a small plate that can be called a pintie plate. The range of opening depends on the length of the bar and the position of the pins. There are locks ...

Methods Over 1 year to May 2011, 138 patients (60 male, 78 female) with mean (SD, range) age 65.5 (18.7, 19-95) years were admitted with CAP were identified. Selection for Telehealth was guided by initial CURB65 scores, patient competence/compliance with technology, social considerations and geographical factors as the provision was only within the area supported by Telford & Wrekin (T&W) PCT; patients were declined while on intravenous antibiotics. Remote monitoring (blood pressure, heart rate, respiratory rate, oxygen saturation, temperature) was via a Broomwell Health system (wrist watch concept) with twice daily planned data downloads managed and triaged through a HUB system filtering recordings to community based nurses. Data on LOS were skewed and non-parametric analysis of median (IQ) values undertaken to compare outcomes by area. ...

Patients who receive more hospital treatment tend to have worse underlying health, confounding estimates of the returns to such care. This paper compares the costs and benefits of extending the length of hospital stay following delivery using a discontinuity in stay length for infants born close to midnight. Third-party reimbursement rules in California entitle newborns to a minimum number of hospital days, counted as the number of midnights in care. A newborn delivered at 12:05 a.m. will have an extra night of reimbursable care compared to an infant born minutes earlier. We use a dataset of all California births from 1991-2002, including nearly 100,000 births within 20 minutes of midnight, and find that children born just prior to midnight have significantly shorter lengths of stay than those born just after midnight, despite similar observable characteristics. Furthermore, a law change in 1997 entitled newborns to a minimum of 2 days in care. The midnight discontinuity can therefore be used ...

The Particulars: Medicare reduces compensation rates for hospitals with high readmission rates. However, many hospitals can only track same-hospital readmissions. It has not been established if same-hospital readmission rates correlate with all-hospital readmission rates.. Data Breakdown: Study investigators evaluated 30-day same-hospital and all-hospital readmission rates for patients who underwent one of three common surgeries. When institutions in the worst performing quintile of same-hospital readmissions were evaluated based on all-hospital readmission, 95% were reclassified. When hospitals ranked in the top quintile of same-hospital readmissions were evaluated based on all-hospital readmission, 62% were reclassified, with 11% moving to a ranking in the worst quintile.. Take Home Pearls: Same-hospital readmission rates appear to be an unreliable predictor of all-hospital readmission rates. Novel approaches to accurately track postoperative readmissions in real-time are necessary to prevent ...

Research Diagnosis Related Groups (DRG) level mortality quality outcomes for Cedars-Sinai Medical Center located at 8700 Beverly Blvd, Los Angeles, CA, 90048

TY - JOUR. T1 - Standardization of care. T2 - Impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. AU - Thiele, Robert H.. AU - Rea, Kathleen M.. AU - Turrentine, Florence E.. AU - Friel, Charles M.. AU - Hassinger, Taryn E.. AU - Goudreau, Bernadette J.. AU - Umapathi, Bindu A.. AU - Kron, Irving L.. AU - Sawyer, Robert G.. AU - Hedrick, Traci L.. AU - McMurry, Timothy L.. PY - 2015/4/1. Y1 - 2015/4/1. N2 - Background Colorectal surgery is associated with considerable morbidity and prolonged length of stay (LOS). Recognizing the need for improvement, we implemented an enhanced recovery (ER) protocol for all patients undergoing elective colorectal surgery at an academic institution. Study Design A multidisciplinary team implemented an ER protocol based on: preoperative counseling with active patient participation, carbohydrate loading, multimodal analgesia with avoidance of intravenous opioids, intraoperative goal-directed fluid ...

Using simple clinical and laboratory criteria, a significant proportion of hospitalized patients with community-acquired pneumonia (44%) can be treated with early switch and early discharge. This model did not affect patient outcome, decreased the length of hospitalization, and was associated with a …

Cost of a standard hospital stay is an indicator that measures the relative cost-efficiency of a hospitals ability to provide acute inpatient care. This indicator compares a hospitals total acute inpatient care expenses to the number of acute inpatient weighted cases related to the inpatients that it provided care for. The result is the hospitals average full cost of treating the average acute inpatient. A high cost of a standard hospital stay indicates a relatively high cost of treating the average acute inpatient; a low cost of a standard hospital stay indicates that the cost of treating the average acute inpatient is relatively low ...

Cost of a standard hospital stay is an indicator that measures the relative cost-efficiency of a hospitals ability to provide acute inpatient care. This indicator compares a hospitals total acute inpatient care expenses to the number of acute inpatient weighted cases related to the inpatients that it provided care for. The result is the hospitals average full cost of treating the average acute inpatient. A high cost of a standard hospital stay indicates a relatively high cost of treating the average acute inpatient; a low cost of a standard hospital stay indicates that the cost of treating the average acute inpatient is relatively low ...

Letterkenny University Hospital has moved to clarify that while the vacant Short Stay Ward is currently being used to house required services, its on a temporary basis.. The Radiology Rebuild Project began in October 2017 and in order to facilitate the project some staff and other accommodation had to be relocated.. Hospital Management have stated that should additional funding become available to open additional in-patient beds, they will immediately relocate from the Short Stay Ward.. Donegal Senator Padraig Mac Lochlainn is satisfied with the response but stressed there is no excuse for the Government not to grant the funding:. ...

Objectives: Patients with dementia in the acute setting are generally considered to impose higher costs on the health system compared to those without the disease largely due to longer length of stay (LOS). Many studies exploring the economic impact of the disease extrapolate estimates based on the costs of patients diagnosed using routinely collected hospital discharge data only. However, much dementia is undiagnosed, and therefore in limiting the analysis to this cohort, we believe that LOS and the associated costs of dementia may be overestimated. We examined LOS and associated costs in a cohort of patients specifically screened for dementia in the hospital setting. Methods: Using primary data collected from a prospective observational study of patients aged≥70 years, we conducted a comparative analysis of LOS and associated hospital costs for patients with and without a diagnosis of dementia. Results: There was no significant difference in overall length of stay and total costs between ...

Youll be in a special recovery area to be monitored carefully as you awaken after the anesthesia. You may need to spend the first night after surgery in an intensive care unit. The total hospital stay for most epilepsy surgeries is usually about three or four days.. When you awaken, your head will be swollen and painful. Most people need narcotics for the pain for at least the first few days. An ice pack on your head also may help. Most postoperative swelling and pain resolve within several weeks.. Youll probably not be able to return to work or school for approximately one to three months. You should rest and relax the first few weeks after epilepsy surgery and then gradually escalate your activity.. Its unlikely that you would need intensive rehabilitation as long as the surgery was completed without complications such as stroke, paralysis or loss of speech.. Depending on their underlying cause, some seizures can be resistant to medication, but theyre also the most likely to be helped by ...

Gaussian mixture distributions and Coxian phase type distributions have been popular choices model based clustering of patients length of stay data. This paper compares these models and presents an idea for a mixture distribution comprising of components of both of the above distributions. Also a mixed distribution survival tree is presented. A stroke dataset available from the English Hospital Episode Statistics database is used as a running example.. ...

In our multicenter study of a cohort of children hospitalized with bTARTIs, we have demonstrated that specific hospital and patient factors are associated with increased LOS and higher odds of 30-day all-cause revisit after hospitalization for a bTARTI, with most variation occurring at the discharge level. An admission age ,12 months, 4 or more CCCs, and chronic ventilator dependency were associated with both longer LOS and increased odds for 30-day revisit. Other variables (eg, public insurance, ICU admission, acute mechanical ventilation, and patient-level empirical anti-Pseudomonas antibiotics) were associated with longer LOS but not with increased revisit odds. Specific factors not associated with LOS or revisit included patient race, size of the hospital, number of cases, and hospital-level use of empirical anti-Pseudomonas antibiotics. The median LOS of 4 days seen in our study is higher than both the 2-day LOS seen in patients without CCCs hospitalized with community-acquired ...

Results In the pre-implementation cohort we included 651 children; 319 (49%) had a conventional CRP ordered at the discretion of the physician. In the post-implementation cohort we included 1376 children; 703 (51%) had bedside CRP and 223 (16%) conventional CRP testing. Bedside CRP reduced the median LOS to 148 minutes (interquartile range (IQR): 109-201); in the pre-implementation cohort this was 176 minutes (IQR: 132-231) (p,0.001). LOS of children with conventional CRP was similar between the two cohorts. Other important determinants of (log)LOS were hospitalisation (beta: 0.32 (se: 0.04), p,0.001), transfer to a different hospital (0.53 (0.04), p,0.001) and shift of presentation (daytime: 0.25 (0.03), p,0.001; evening: 0.19 (0.03), p,0.001); night = reference).. ...

A 30-day readmission happens when a patient who had a recent hospital stay needs to go back to the hospital within 30 days of hospital discharge for the same problem. This chart tells you how well Guthrie Robert Packer Hospital did at preventing 30-day readmissions for heart attack, heart failure, and pneumonia patients when compared to other hospitals across the U.S.. This chart take into account how sick a patient was when they were admitted to the hospital. ...

A 30-day readmission happens when a patient who had a recent hospital stay needs to go back to the hospital within 30 days of hospital discharge for the same problem. This chart tells you how well Guthrie Robert Packer Hospital did at preventing 30-day readmissions for heart attack, heart failure, and pneumonia patients when compared to other hospitals across the U.S.. This chart take into account how sick a patient was when they were admitted to the hospital. ...

In light of the growing emphasis on meeting hospital emergency department (ED) quality measures, healthcare providers are faced with the challenge of identifying ways to reduce ED length of stay and wait times. Similarly, an emphasis on cost reduction has placed additional pressures on providers to improve timeliness of treatment and improve ED throughput. Studies examining key factors contributing to ED length of stay are critical to identifying how these challenges can be met.

Jalilvand, A.; Dewire, J.; Detty, A.; Needleman, B.; Noria, S., 2018: Baseline psychiatric diagnoses are associated with early readmissions and long hospital length of stay after bariatric surgery

TY - JOUR. T1 - Vasoactive-ventilation-renal score reliably predicts hospital length of stay after surgery for congenital heart disease. AU - Scherer, Bradley. AU - Moser, Elizabeth A.S.. AU - Brown, John W.. AU - Rodefeld, Mark D.. AU - Turrentine, Mark W.. AU - Mastropietro, Christopher W.. PY - 2016/11/1. Y1 - 2016/11/1. N2 - Objectives We aimed to further validate the vasoactive-ventilation-renal score as a predictor of outcome in patients recovering from surgery for congenital heart disease. We also sought to determine the optimal time point within the early recovery period at which the vasoactive-ventilation-renal score should be measured. Methods We prospectively reviewed consecutive patients recovering from cardiac surgery within our intensive care unit between January 2015 and June 2015. The vasoactive-ventilation-renal score was calculated at 6, 12, 24, and 48 hours postoperatively as follows: vasoactive-ventilation-renal score = ventilation index + vasoactive-inotrope score + Δ ...

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(HealthDay)-Patients admitted to the hospital on weekends for cervical spine fusion resulting from trauma have a greater length of stay and total hospital costs than their weekday counterparts, according to a study published in the Dec. 1 issue of Spine.

In response to deadly superbug outbreaks, the Food and Drug Administration recommended extra steps that hospitals can take to clean medical scopes while work

It is debated whether treating cancer patients in high-volume surgical centres can lead to improvement in outcomes, such as shorter length of hospital stay, decreased frequency and severity of post-operative complications, decreased re-admission, and decreased mortality. The dataset for this analysi …

Seventy-five per cent of the study patients experienced a prolonged stay in the ED as defined by the recommended Canadian guidelines. After adjustment, the ED LOS was associated with an increased risk of AEs. Although the risk estimates appear modest, the odds increase 3% for any single AE, 4% for medication-related AEs and 5% for multiple AEs for every hour spent in the ED. In the current study, there were large baseline differences between those with and without a prolonged stay. The results suggest that the system of dealing promptly with high-acuity patients is generally effective. There was no difference in hospital disposition, LOS or mortality between the groups.. Slightly more than 14% of the study patients experienced at least one AE during their inpatient stay. Studies have described age-adjusted incidence rates in older patients ranging from 5.9% in the USA to a high of 40.7% in New Zealand.1 5 The current study included a homogeneous population of relatively healthy, ...

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TY - JOUR. T1 - Early hospital discharge of children with cancer treated for fever and neutropenia. T2 - Identification and management of the low-risk patient. AU - Mullen, Craig A.. AU - Buchanan, George R.. PY - 1990/1/1. Y1 - 1990/1/1. N2 - Children with leukemia and solid tumors are often hospitalized for empiric broad-spectrum antibiotic therapy because of fever during periods of chemotherapy-induced neutropenia. Conventional practice dictates that parenteral antibiotics be continued until the patient is afebrile and has recovered from neutropenia, ie, until the absolute neutrophil count (ANC) exceeds 500 cells per cubic millimeter. However, the practice in our center has been to discontinue parenteral antibiotic therapy and discharge many such patients before resolution of neutropenia. Since the feasibility and safety of this approach has not been studied, we reviewed the records of 114 consecutive hospitalizations for fever and neutropenia in 61 patients during a 13-month period. ...

TY - GEN. T1 - Clustering patient length of stay using mixtures of Gaussian models and phase type distributions. AU - Garg, Lalit. AU - McClean, Sally. AU - Meenan, BJ. AU - El-Darzi, Elia. AU - Millard, Peter. PY - 2009. Y1 - 2009. N2 - Gaussian mixture distributions and Coxian phase type distributions have been popular choices model based clustering of patients length of stay data. This paper compares these models and presents an idea for a mixture distribution comprising of components of both of the above distributions. Also a mixed distribution survival tree is presented. A stroke dataset available from the English Hospital Episode Statistics database is used as a running example.. AB - Gaussian mixture distributions and Coxian phase type distributions have been popular choices model based clustering of patients length of stay data. This paper compares these models and presents an idea for a mixture distribution comprising of components of both of the above distributions. Also a mixed ...

TBI-related inpatient stays and treat-and-release emergency department (ED) visits are examined for 2017. Patient and injury-related characteristics of TBI-related stays and visits are presented. Outcomes of inpatient stays with a principal diagnosis of TBI are provided, including length of stay, average cost per stay, and rates of in-hospital mortality and all-cause 30-day readmissions.

Childrens Hospital Los Angeles has launched OncoKids, a next-generation sequencing-based panel that detects mutations, gene amplification, and gene fusions for a full range of pediatric cancers including leukemias, bone and soft tissue tumors, and brain tumors. It only requires a small amount of DNA and RNA (20ng) isolated from fresh, frozen, or formalin-fixed paraffin-embedded tissue. The test was developed in collaboration with Thermo Fisher Scientific and uses the Ion Torrent S5 sequencing platform and Ion AmpliSeq technology.

Objective: To assess the secular trend in length of hospital stay for healthy newborns with birth weight ≥ 2,500 g in a large maternity hospital of Campinas, state of São Paulo, Brazil. Methods: In this descriptive, analytical, retrospective study, data were collected from 5,001 live births from 1951 to 2000. Studied variables were length of hospital stay, birth weight, maternal age, type of delivery, and category of admission. Linear regression analysis was used, with least squares estimation. Results: The annual mean length of stay decreased along the period assessed: 123 hours in 1951 and 67.2 hours in 2000. Segmented linear regression analysis revealed a significant decreasing trend between 1951 and 1970, a stable period between 1971 and 1990, and a non-significant increase between 1991 and 2000. Length of hospital stay varied significantly according to type of delivery. Conclusion: Length of hospital stay decreased significantly between 1951 and 2000 and was influenced by type of ...

Hospital length of stay: is rivaroxaban associated with shorter inpatient stay compared to warfarin among patients with non-valvular atrial fibrillation ...

Downloadable (with restrictions)! Under the system of hospital reimbursement for Medicare patients, hospitals receive a prospectively determined price that varies according to the diagnosis related group (DRG) to which the patient is assigned. Rate-setting by DRG encourages hospitals to specialize in those DRGs for which they have relatively low production costs. This may substantially reduce aggregate hospitalization costs if specializing hospitals are efficient. If, instead, hospitals specialize by treating relatively healthier patients within each DRG, cost savings may be mitigated. The wide variation of patient-specific costs within DRGs promotes the latter kind of specialization and reduces the effectiveness of rate-setting.

TY - JOUR. T1 - Length of stay and hospital readmission for persons with disabilities. AU - Ottenbacher, K. J.. AU - Smith, P. M.. AU - Illig, S. B.. AU - Fiedler, R. C.. AU - Granger, C. V.. PY - 2000. Y1 - 2000. N2 - Objectives. Length of stay (LOS) and hospital readmission for persons receiving medical rehabilitation were examined. Methods. A total of 96473 patient records (1994-1998) were analyzed. Mean age of patients was 68.97 years; 61% were female and 83% were non-Hispanic White. Results. A decrease in LOS of 6.07 days (SD=3.23) and increase in hospital readmission were found across all impairment groups (P,.001). Readmission increases tanged from 6.7% for amputations to 1.4% for orthopedic conditions. LOS was longer (2.1 days) for readmitted patients (P,.01). Age was not a significant predictor of rehospitalization. Conclusions. Understanding variables associated with rehospitalization is important as prospective payment systems are introduced for postacute care.. AB - Objectives. ...

TY - JOUR. T1 - An evaluation of care coordination in controlling inpatient hospital utilization of people with developmental disabilities. AU - Criscione, T.. AU - Walsh, K. K.. AU - Kastner, T. A.. PY - 1995/12/1. Y1 - 1995/12/1. N2 - All admissions of people with developmental disabilities to a community hospital over 3 years were examined to evaluate the impact of a coordinated care model on length of stay and hospital charges. Admissions were divided into two groups, those receiving either coordinated care (program group) or routine care by community physicians (usual care group). The program group had shorter average lengths of stay and lower hospital charges than did the usual care group, especially when charges were adjusted for case mix. Similarity of severity across the groups was measured by number of discharge diagnoses and Medicaid case weights. Over the 3 years, for the 115 admissions in the program group, these differences amounted to more than $200,000 in potentially unnecessary ...

Objective: To design, implement and assess a clinical pathway for lower-extremity deep venous thrombosis, and to compare the length of hospital stay in two different periods.. Design: Development of the care pathway by a multidisciplinary team, followed by a controlled intervention study to compare two non-concomitant cohorts of patients corresponding to the years 2002 (before the implementation of the critical pathway) and 2004 (year of the implementation).. Setting: Academic tertiary care hospital.. Participants: 90 patients, 42 corresponding to the year 2004 and 48 to 2002, admitted to hospital with a diagnosis of lower-extremity deep venous thrombosis (DVT).. Main outcome measures: Length of hospital stay, hospitalisation costs and care indicators.. Results: The mean length of hospital stay was 6.78 days in 2002 and 4.72 days in 2004. This means a reduction of 2.06 days (p,0.012). The reduction in the length of hospital stay in 2004 situates the hospital 1.98 days below the mean stay of our ...

This study examines the length of time that households participate in assisted housing programs administered by the U.S. Department of Housing and Urban Development (HUD). The research uses HUD administrative data from 1995 through 2015 to examine program and household variations and trends in length of stay and factors affecting length of program participation. The typical household in assisted housing stays for about 6 years, but the average length of stay varies by household type. Elderly households stay about 9 years and non-elderly families with children stay about 4 years. The average length of stay in assisted housing is generally increasing for most cohorts of assisted households, influenced by factors such as household characteristics and market conditions.. Learn more about Multidisciplinary Research Team (MDRT) ...

TY - JOUR. T1 - Effect of an additional neurosurgical resident on procedure length, operating room time, estimated blood loss, and post-operative length-of-stay. AU - Nguyen, Anthony V.. AU - Coggins, William S.. AU - Jain, Rishabh R.. AU - Branch, Daniel W.. AU - Allison, Randall Z.. AU - Maynard, Ken. AU - Lall, Rishi Rajiv. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Introduction: Neurosurgical residency training is costly, with expenses largely borne by the academic institutions that train residents. One expense is increased operative duration, which leads to poorer patient outcomes. Although other studies have assessed the effect of one resident assisting, none have investigated two residents; thus, we sought to investigate if two residents versus one scrubbed-in impacted operative time, estimated blood loss (EBL), and length-of-stay (LOS). Methods: In this retrospective review of patients who underwent a neurosurgical procedure involving one or two residents between January 2013 and April 2016, we ...

Identification of factors that determine length of stay (LOS) in total anterior circulatory stroke (TACS) has potential for targeted intervention to reduce the associated health care burden. This study aimed to determine which factors predict LOS following either ischaemic or haemorrhagic TACS. The study sample population was drawn from the Norfolk and Norwich Stroke and Transient Ischemic Attack (TIA) Register (1996-2012), a prospective registry. 2965 patients admitted with TACS verified by a stroke specialist team were included. Primary analysis identified predictors of length of stay (LOS) in either haemorrhagic or ischaemic TACS. Secondary analyses identified predictors of LOS in patients who were discharged alive or who died during admission separately. Moderate (p = 0.014) to severe disability (p = 0.015) and history of congestive heart failure (p = 0.027) in the primary analysis and pre-stroke residence in a care facility among patients who survived to discharge (p = 0.013) were associated with a

This paper aim was to measure Average Length of Stay (ALS) of under five years child to ensure proper utilization of hospitals resource and to facilitate quality health care. Parents of children had to face daunting experience as if most of the hospitals are not concern about the vulnerability of child health. Children under five years old are usually more prone to various infectious diseases leading to frequent hospitalization that causes high mortality and morbidity. To conduct this study, a total 880 records of the discharged patient of targeted population has taken into consideration and data was analyzed by both descriptive and inferential statistics. Average Length of Stay in the hospital was found 4.62 days, 4.53 days and 2.7 days for govt., private and autonomous hospital respectively. Findings of the study will help hospital administration to increase their efficiency, to find out patients inflow and disease pattern with the average length of stay period which will also help the health sector

Background: Obesity is considered to be an important co-morbidity in patients with atrial fibrillation (AF). However, its direct implication in terms of cost and length of stay is missing.. METHODS: We queried the Healthcare Cost and Utilization Projects Nationwide Inpatient Sample (NIS) between 2000 and 2010 using the ICD9-CM code of 427.31 for atrial fibrillation as a primary discharge diagnosis and 278.01 for obesity as a secondary diagnosis. Participants with ,18 years of age were only included. The NIS represents 20% of all hospitals in the US. All analyses were performed using the designated weighting specified to the NIS data base to represent national trends. We compared baseline characteristics, length of stay and total cost in obese and non-obese group.. RESULTS: We studied 4092578 patients admitted with primary diagnosis of AF. Obese population was younger, had more diabetes and hypertension. Obese population had more private insurance including HMO and fewer medicares and Medicaid ...

This paper highlights the importance of timely access to PTCs by demonstrating the relationship between PTC proximity and injury outcomes (defined as length of stay at the hospital). Using the concept of the golden hour, the paper also assesses spatial access of Canadian paediatric populations to PTCs. Several studies have highlighted the importance of PTCs in caring for injured children. For example, a study by Densmore et al,7 which analysed approximately 80 000 cases of paediatric trauma from 27 states in the USA, found that children who were treated in PTCs had significantly lower mortality rates than those treated in ATCs or in ATCs with a childrens unit. In addition, the author found the length of hospital stay to be much higher in ATCs and ATCs with childrens units. The author concluded that severely injured children were much better off being treated in a PTC.7 Similar results were obtained in the analysis of 13 351 patients treated at accredited trauma centres in the state of ...

A total of 7603 patients were identified, with 61.2% (n = 4650) in the teaching hospital group and 38.8% (n = 2953) in the nonteaching hospital group. The proportion of patients undergoing revision procedures was significantly different between groups (5.2% in teaching hospitals vs 3.9% in nonteaching hospitals, p = 0.008). Likewise, complex procedures (defined as fusion of 8 or more segments and/or osteotomy) were more common in teaching hospitals (27.3% vs 21.7%, p , 0.001). Crude overall complication rates were similar in teaching hospitals (47.9%) compared with nonteaching hospitals (49.8%, p = 0.114). After controlling for patient characteristics, case complexity, and revision status, patients treated at teaching hospitals were significantly less likely to develop a complication when compared with patients treated at a nonteaching hospital (OR 0.89; 95% CI 0.82-0.98). The mortality rate was 0.4% in teaching hospitals and , 0.4% in nonteaching hospitals (p = 0.210). ...

An easy-to-use and effective data recovery program for damaged disks. With Max Data Recovery, you can easily recover broken or defective CDs, DVDs, floppy disks. It supports recovering all types of files like documents, images, videos, etc. Max Data Recovery is an easy-to-use and effective data recovery software for damaged or broken CDs, DVDs, floppy disks, and other storage media. With Max Data Recovery, you can quickly and easily recover corrupted, unopenable, or unreadable files ...

Opioid-related hospitalizations among women aged 15 years and older in 2016 are presented. The distribution of opioid-related stays by select patient and hospitalization characteristics is presented and contrasted with the distribution for non-opioid-related stays. The types of opioid diagnoses during hospitalization are also provided for select patient characteristics. Finally, rates of opioid-related stays are presented by patient characteristics.

This HCUP Fast Stats query path explores nationwide hospital inpatient trends over the last 10 and 20 years. Trends in inpatient stays are provided for number of stays, average hospital costs, length of stay, and in-hospital mortality. Trends are provided overall and by patient age, sex, expected payer, community-level income, and hospitalization type.

OUTLINE: This is a randomized, prospective, multicenter study. Patients are stratified by disease type (lymphoma vs solid tumor), duration of registration (, 48 hours vs , 48 hours), and participating center.. Patients receive oral amoxicillin-clavulanate potassium 3 times daily and oral ciprofloxacin twice daily on admission to the hospital. Treatment continues for 7 days in the absence of clinical deterioration or unacceptable toxicity. Patients are assessed as inpatients after ≥ 24 and up to 72 hours after the first antibiotic dose. Patients showing clear response (i.e., symptomatic improvement irrespective of neutrophil recovery, temperature ≤ 37.8 C for 24 hours) and who continue to meet study eligibility criteria are randomized to 1 of 2 arms.. ...

OUTLINE: This is a randomized, prospective, multicenter study. Patients are stratified by disease type (lymphoma vs solid tumor), duration of registration (, 48 hours vs , 48 hours), and participating center.. Patients receive oral amoxicillin-clavulanate potassium 3 times daily and oral ciprofloxacin twice daily on admission to the hospital. Treatment continues for 7 days in the absence of clinical deterioration or unacceptable toxicity. Patients are assessed as inpatients after ≥ 24 and up to 72 hours after the first antibiotic dose. Patients showing clear response (i.e., symptomatic improvement irrespective of neutrophil recovery, temperature ≤ 37.8 C for 24 hours) and who continue to meet study eligibility criteria are randomized to 1 of 2 arms.. ...

A patient s intensive care unit ICU length of stay following cardiac surgery is an important issue in Canada, where cardiovascular intensive care resources are limited and waiting lists for cardiac surgery exist. We trained a neural network with a database of 713 patients and 15 input variables to predict patients who would have a prolonged ICU...

Your cars Auto Headlight functionality offers both convenience and safety. The exit delay programmed in means that the lights will stay on after you turn off the engine for a set period of time. You can change how long they stay on to fit your needs. Heres how to do that:. ...

When planning the Aging in Place Initiative at TigerPlace, it was envisioned that advances in technology research had the potential to enable early intervention in health changes that could assist in proactive management of health for older adults and potentially reduce costs.. The purpose of this study was to compare length of stay (LOS) of residents living with environmentally embedded sensor systems since the development and implementation of automated health alerts at TigerPlace to LOS of those who are not living with sensor systems. Estimate potential savings of living with sensor systems.. Rantz, M.J., Lane, K.R., Phillips, L.J., Despins, L.A., Galambos, C., Alexander, G.L., Koopman, R.J., Skubic, M., & Miller, S.J. (2015). Enhanced RN care coordination with sensor technology: impact on length of stay and cost in Aging in Place housing. Nursing Outlook, 63, 650-655.. Nursing Outlook. View the PDF ...

A total of 181 patients with spinal tumors were included (63 primary and 118 metastatic tumors). Overall, the mean index hospital admission cost for the surgical management of spinal tumors was $52,083. There was no significant difference in the cost of hospitalization between primary ($55,801) and metastatic ($50,098) tumors (p = 0.426). The independent factors associated with higher cost were male sex (p = 0.032), preoperative inability to ambulate (p = 0.002), having more than 3 comorbidities (p = 0.037), undergoing corpectomy (p = 0.021), instrumentation greater than 7 levels (p , 0.001), combined anterior-posterior approach (p , 0.001), presence of a perioperative complication (p , 0.001), and longer hospital stay (p , 0.001). The perioperative complication rate was 21.0%. Of this cohort, 11.6% of patients were readmitted within 90 days, and the mean hospitalization cost of that readmission was $20,078. Readmission rates after surgical treatment for primary and metastatic tumors were ...

The average hospital stay following surgery is usually one day, but you may be discharged the same day depending on the type of surgery.

Stay at home works are always a debatable issue. Is it good enough or not worth the time spend on it? It all depends on your needs and priorities. If you are looking for some extra pocket money you could earn while you stay at home and take care of your kids, then it is a good opportunity. But, if you are looking for a full-fledged career opportunity with a good pay scale and career growth, then stay at home works are just not worth it. Some stay at home works like stuffing envelopes at home for pay is a scam that fools many stays at home moms. People often fall for the easy to get money invitations. But believe me, there is no free lunch!. Even popular news websites like www.businessnewsdaily.com report increasing scams in the stay at home jobs field. You will have to work hard to get a decent pay scale and good quality of living. Never fall for this make-believe stories.. How It Is A Good Opportunity. Stay at home works are a great opportunity for young mothers, handicapped, or even bed ...

Stay at home works are always a debatable issue. Is it good enough or not worth the time spend on it? It all depends on your needs and priorities. If you are looking for some extra pocket money you could earn while you stay at home and take care of your kids, then it is a good opportunity. But, if you are looking for a full-fledged career opportunity with a good pay scale and career growth, then stay at home works are just not worth it. Some stay at home works like stuffing envelopes at home for pay is a scam that fools many stays at home moms. People often fall for the easy to get money invitations. But believe me, there is no free lunch!. Even popular news websites like www.businessnewsdaily.com report increasing scams in the stay at home jobs field. You will have to work hard to get a decent pay scale and good quality of living. Never fall for this make-believe stories.. How It Is A Good Opportunity. Stay at home works are a great opportunity for young mothers, handicapped, or even bed ...

UCLA Mattel Childrens Hospital Admissions Information- Welcome to UCLA Mattel Childrens Hospital We understand that entering the hospital can be a...

Previously, Squire pledged to join the statewide initiative to Stay Safe to Stay Open. Showcasing our commitment to follow public health best practices to combat the spread of COVID-19, and by doing so, support businesses, increase consumer confidence and strengthen Utahs economy. To promote the importance of this campaign, Squire hosted key members from the program, including Squires own Ray Chipman, in a press conference held at our Orem headquarters today to talk about the essential campaign.. The press conference is part of a statewide van tour for the Stay Safe to Stay Open campaign.. (A recording of the conference can be seen here.). In the first few months of the program, thousands of businesses joined the cause and promised to take seven steps to protect themselves, their customers, and their employees. Now, in phase II, dozens of ambassadors are spreading awareness of the campaign with press conferences like this one.. The goal of phase II in the campaign is to reach every business in ...

title:FACTORS INFLUENCING PROLONGED STAY IN THE INTENSIVE CARE UNIT AFTER CARDIAC SURGERY. Author:Ritesh Shah, Ramesh Patel, Ramanand Sharma, Himani Pandya, Komal Shah. Keywords:Cardio Pulmonary Bypass, LVEF, Serum Creatinine. Type:Original Article. Abstract:Background: There are different risk factors that affect the intensive care unit (ICU) stay after cardiac surgery. The aim of this study was to evaluate possible risk factors influencing prolonged ICU stay. Methodology: We conducted 443 adult patients undergoing different cardiac surgery to determinate causes of prolonged ICU stay. These patients were divided into two groups according to ICU stay ? 4 days and >4 days. We evaluated preoperative, intraoperative and postoperative risk factors for prolong ICU stay. Results: Among the 443 patients studied, 277 (62.52%) had stayed ? 4 days and 166 (37.42%) had stayed >4 days in ICU. Frequency of prolonged ICU stay was 42.7% in patients undergoing coronary artery bypass graft (CABG), 37.3% in ...

UCLA physicians and providers are a select group of experts who have distinguished themselves as innovative leaders in their chosen disciplines. As part of an academic medical center, our doctors have access to advanced diagnostics, treatments, and research that may not yet be widely available elsewhere.. Need help finding a physician whos right for you? Call our Physician Referral Service at (800) UCLA-MD1 or (310) 825-2631, Monday to Friday, 7 am to 7 pm (PST) to assist you one-on-one.. For patient referrals to our Behavioral Health providers, call our Access Center at (800) 825-9989, Monday to Friday, 8 am to 5 pm (PST). ...

- The study, Does Telemedicine Reduce Emergency Room Congestion? Evidence from New York State, looks at all emergency room visits in New York from 2010 to

I would like to commend Norris et al . for performing an elegant and important study. 1 The authors answered the primary question of the study and showed that length of hospital stay (LOS) did not differ among the four treatment arms. The rationale for using LOS as the primary outcome measure was that it is the variable most directly proportional to an integrated final negative effect of all significant perioperative morbidity. Although the authors explain in the discussion why they chose not to focus on relatively rare events (death and myocardial infarction), they go on to summarize the important findings of the study in the abstract reporting on LOS followed immediately by the statement:Postoperative outcomes were similar among the four treatment groups with respect to death, myocardial infarction…. The article lacks a clear statement in the abstract or in the limitations section explaining that the study was insufficiently powered to test differences in these outcomes. The message to ...

Neuroblastoma is a solid malignant tumor of childhood that occurs along the spinal cord and adrenal gland and is often aggressive and difficult to cure. While most high-risk neuroblastoma patients initially respond well to chemotherapy, more than 50% of those patients ultimately die of neuroblastoma that recurs and becomes resistant to currently used chemotherapy. The bcl-2

I am often asked what its like to be a stay at home dad. Sometimes its by the curious who want to know what a man and a couple of minions do all day. Sometimes its by the shocked who think that there is no such thing as a stay at home dad, only an unemployed lazy bastard who refuses to look for work. Sometimes its by the guy who never knew that there is such a thing as a stay at home dad and has just discovered Shangri la. And sometimes its by the salavating female that cant believe that such a handsome man also takes care of the kids. Turns out the stay at home dad is chick gold, who knew.. So I write this post in an effort to inform all. Afterall, arent we supposed to be experts on the subject. Shouldnt there be a post like this to introduce the larger world to the stay at home dad awesomeness? If a father is looking into becoming a stay at home dad, shouldnt he have somewhere to go that will answer the question What is it like?. If a narrow minded jacka** (I was told not to cuss on ...