Hospital mortality. Medical search. Frequent questions

Whenever possible, clinical outcomes such as in-hospital mortality should be additionally assessed. (hindawi.com)
Mortality rates for inpatients with COVID-19 dropped significantly during the first 6 months of the pandemic, but outcomes depend on the hospital where patients receive care, new data show. (the-hospitalist.org)
T]he characteristic that is most associated with poor or worsening hospital outcomes is high or increasing community case rates," write David A. Asch, MD, MBA, executive director of the Center for Health Care Innovation at the University of Pennsylvania in Philadelphia, and colleagues. (the-hospitalist.org)
As case rates of COVID-19 increase across the nation, hospital mortality outcomes may worsen. (the-hospitalist.org)
Hospitals that invest in health information technology (HIT) have better outcomes, better risk-adjusted mortality rates, and higher patient satisfaction scores than other hospitals that do not make such investments, according to a recent survey. (darkdaily.com)
Overall, 2,189 patients would have to change hospitals each year to improve outcomes (26 patients moved to save one life). (labroots.com)
This will enhance the insight into the variation in hospital outcomes and may lead to more specific research questions. (biomedcentral.com)
Paediatric hospital care in many LMICs can be of poor quality with limited adherence to guidelines and this may contribute to poor outcomes. (bmj.com)
We calculated hazard ratios for mortality, rehospitalisation, and violent crime using Cox regression to investigate the effect of different psychiatric diagnoses and two comorbidities (personality or substance use disorder) on outcomes. (ox.ac.uk)
Scholars@Duke publication: Intensive Care Outcomes and Mortality Prediction at a National Referral Hospital in Western Kenya. (duke.edu)
Intensive care unit (ICU) outcomes at public hospitals in Kenya are unknown. (duke.edu)

Objectives To assess the consequences of applying different mortality timeframes on standardised mortality ratios of individual hospitals and, secondarily, to evaluate the association between in-hospital standardised mortality ratios and early post-discharge mortality rate, length of hospital stay, and transfer rate. (bmj.com)
Conclusions Applying different mortality timeframes resulted in differences in standardised mortality ratios and differences in judgment regarding the performance of individual hospitals. (bmj.com)
Combining these findings suggests that standardised mortality ratios based on in-hospital mortality are subject to so-called "discharge bias. (bmj.com)
Hence, early post-discharge mortality should be included in the calculation of standardised mortality ratios. (bmj.com)
In various countries, standardised mortality ratios are used in an attempt to judge the quality of hospital care. (bmj.com)
1 2 3 4 However, several authors have raised concerns that differences in standardised mortality ratios may not reflect differences in quality of care delivered. (bmj.com)
Indicators of hospital quality, such as hospital standardized mortality ratios (HSMR), have been used increasingly to assess and improve hospital quality. (biomedcentral.com)

Morbidity and Mortality Weekly Report. (cdc.gov)

The study's objective was to evaluate the training's impact on hospital staff and neonatal mortality rates. (hindawi.com)
An observational, longitudinal study of secondary data assessed neonatal mortality. (hindawi.com)
Neonatal mortality did not change. (hindawi.com)
There are 3.82 million neonatal deaths each year with a global neonatal mortality rate of 30 per 1000 live births [ 1 ]. (hindawi.com)
Neonatal mortality from birth asphyxia ranges from 40 to 610 neonatal deaths per 1000 live births [ 3 - 5 ], and nearly 1 out of every 4 neonatal deaths in Malawi is a result of birth asphyxia [ 6 ]. (hindawi.com)
A lack of protocol and systemized training in neonatal resuscitation to reduce neonatal mortality secondary to birth asphyxia is common across sub-Saharan Africa [ 7 ]. (hindawi.com)
Curriculums with components of NRP have significantly improved healthcare providers' knowledge, skills, and attitudes in developing countries [ 15 , 16 ] and decreased neonatal mortality in the developing world up to 65.7 percent [ 10 , 17 , 18 ]. (hindawi.com)
One study revealed declines in national trends of neonatal mortality over an 8-year period following NRP integration across Malaysia [ 19 ]. (hindawi.com)
Furthermore, a 44.6% decline in neonatal mortality was seen with WHO's Essential Newborn Care (ENC) curriculum in Zambia, a resuscitation curriculum separate from the NRP [ 20 ]. (hindawi.com)
Because the literature reports conflicting results following NRP training, a meta-analysis was performed which was inconclusive on all-cause neonatal mortality [ 22 ]. (hindawi.com)
The challenge of neonatal mortality in an urban hospital. (cdc.gov)
Hospital Level of Care and Neonatal Mortality in Low- and High-Risk Deliveries: Reassessing the Question in Sweden by Multilevel Analysis. (lu.se)

The main outcome was risk-adjusted 30-day mortality after surgery using a multivariable logistic regression model taking into account patient factors and procedure type. (nih.gov)
Death is the most tractable outcome of care- it is easily measured, of undisputed importance to everyone, and is common in hospital settings. (bmj.com)
Main outcome measures In-hospital standardised mortality ratio, 30 days post-admission standardised mortality ratio, and 30 days post-discharge standardised mortality ratio. (bmj.com)
Primary outcome was mortality at hospital discharge, although patients still hospitalised outside of ICU after 28 days were considered as not meeting the endpoint of in-hospital mortality. (esicm.org)
In multivariable analyses, Pediatric Sepsis Biomarker Risk Model was not independently associated with increased odds of the composite outcome of mortality or deterioration of persistent, serious deterioration health-related quality of life greater than 25% below baseline. (unboundmedicine.com)
Outcome measure Risk-adjusted mortality rates for adult patients (administrative data). (bmj.com)
Main outcome measures In-hospital deaths within 30 days of emergency admission or of elective surgery. (bmj.com)
The most accurately and completely registered outcome seems to be mortality. (biomedcentral.com)
The association between psychiatric diagnosis and outcome varied-substance use disorder as a primary diagnosis was associated with highest risk of mortality and rehospitalisation, and personality disorder was linked with the highest risk of violent offending. (ox.ac.uk)
Biostatistics journal club: In-Hospital Mortality by Pump Type for Pediatric Extracorporeal Membrane Oxygenation Using a Multi-Center Registry Data - Is the Propensity Score and Outcome Model Correct? (harvard.edu)
Recent enthusiasm for outcome evaluation such as in-hospital mortality, however, has been challenged because of the difficulties of ensuring adequate risk adjustment for different patient populations, an indispensable factor for fairly evaluating healthcare performance [ 2 ]. (biomedcentral.com)
We did a meta-analysis of individual participant data to assess the association between neuraminidase inhibitor treatment and mortality (primary outcome), adjusting for both treatment propensity and potential confounders, using generalised linear mixed modelling. (nottingham.ac.uk)
Primary outcome for prognostic performance was 12-month mortality. (bmj.com)
Primary outcome measures were frequency and causes of near-miss and the ratio between maternal mortality and near-miss cases. (bvsalud.org)
Secondary outcome measures were delays, need for massive blood transfusion , intensive care unit admission, obstetric hysterectomy and hospital stay >7 days. (bvsalud.org)

Conclusions We have demonstrated that long-term mortality of heart failure patients discharged on weekends is significantly higher than those discharged on weekdays. (bmj.com)
To determine if implementation of a simplified enhanced recovery protocol (ERP) across multiple surgical specialties in different hospitals is associated with improved short and long-term mortality. (iasp-pain.org)
The availability of circulating biomarkers that helps to identify early out-of-hospital cardiac arrest survivors who are at increased risk of long-term mortality remains challenging. (pasteur.fr)

Using hospital discharge abstract data for fiscal year 1984 for all acute-care hospitals treating Medicare patients, the authors measured four mortality rates: inpatient deaths, deaths within 30 days of discharge, and deaths within two fixed periods following admission (30 days, and the 95th percentile length of stay for each condition). (rand.org)
Results Compared with the in-hospital standardised mortality ratio, 33% of the hospitals were categorised differently with the 30 days post-admission standardised mortality ratio and 22% were categorised differently with the 30 days post-discharge standardised mortality ratio. (bmj.com)
Furthermore, associations between in-hospital standardised mortality rates, length of stay, and early post-discharge mortality rates were found. (bmj.com)
Analyses based only on in-hospital deaths are potentially biased by differences in hospitals' discharge practices. (bmj.com)
Furthermore, the average length of hospital stay has decreased significantly in the past few decades and may therefore have shifted mortality away from the hospital to post-discharge destinations. (bmj.com)
13 14 A recent study by Yu et al (2011) showed that for certain surgical procedures approximately a quarter of postoperative deaths occurred after discharge and that 12% took place just one day after discharge from hospital. (bmj.com)
15 Metersky et al (2012) concluded that approximately 50% of older patients who died from pneumonia within 30 days of admission did not die in hospital but after discharge. (bmj.com)
Using an interactive voice response system to improve patient safety following hospital discharge. (ahrq.gov)
Can you prevent adverse drug events after hospital discharge? (ahrq.gov)
The impact of weekend discharge on mortality rates of heart failure patients in the United Kingdom has not been previously studied though, and was the focus of this study. (bmj.com)
ICD-10 and OPCS-4 codes were used to trace patients coded for heart failure, day of discharge, patient demographics, prevalence of comorbidites and mortality data. (bmj.com)
The impact of day of discharge on mortality in heart failure patients was analysed by Kaplan-meier survival analysis and cox regression analysis adjusted for age, gender, ethnicity and the 9 top contributors to mortality (Ischaemic Heart Disease, colon cancer, breast cancer, lung cancer, pneumonia, cerebrovascular disease, Chonic Obstructive Pulmonary Disease and dementia). (bmj.com)
Hospitals, for example, behave differently with respect to patient transfers or discharge procedures, which may influence their performance with respect to the HSMR. (biomedcentral.com)
In this study, we applied a generic prediction model to nationwide discharge data from hospitals with various characteristics. (biomedcentral.com)
In this study, we applied a generic case-mix-based risk adjustment model for in-hospital mortality prediction to hospitals with varying characteristics, and evaluated its performance for benchmarking risk-adjusted hospital mortality using a nationwide database of discharge cases. (biomedcentral.com)
To characterize national trends in mortality and hospitalizations attributable to asthma among children and young adults (persons aged less than 25 years) during 1980-1993, CDC analyzed mortality data from its multiple cause-of-death files and hospitalization data from the National Hospital Discharge Survey. (cdc.gov)
Using hospital discharge data and the Census of Fatal Occupational Injuries (CFOI) estimates of the number of injuries and fatalities related to agricultural work were compiled. (cdc.gov)

The lower mortality rates may represent clinical, healthcare system, and epidemiologic trends. (the-hospitalist.org)

Methods Anonymous information on patients with heart failure was obtained from hospitals in North England, UK between 1stJanuary 2000 and 31st March 2013. (bmj.com)
Methods We used a large observational data set from 13 Kenyan county hospitals from November 2015 through November 2018 where patients were linked to admitting clinicians. (bmj.com)
Healthcare-associated infections (HAIs) in hospitals costs (micro-costing methods) or hospital charges impose significant economic consequences that were adjusted using a cost-to-charge ratio on the nation's healthcare system. (cdc.gov)
Methods Prospective cohort study conducted in a metropolitan teaching hospital in Australia. (bmj.com)

Given the large volume of admissions, with about 20 randomized hospitals, a follow-up of about a year should suffice to obtain conclusive answers about specific tested interventions. (medindia.net)
A study was undertaken to examine the association between regular physical activity and both hospital admissions for COPD and all-cause and specific mortality in COPD subjects. (bmj.com)
Dates and causes of hospital admissions and mortality were obtained from Danish registers. (bmj.com)
Adjusted associations between physical activity and hospital admissions for COPD and mortality were obtained using negative binomial and Cox regression models, respectively. (bmj.com)
Subjects with COPD who perform some level of regular physical activity have a lower risk of both COPD admissions and mortality. (bmj.com)
2 Reducing admissions to hospital due to COPD exacerbations is a prime aim in the management of the disease 3, 4 because of its high economic and social costs. (bmj.com)
adjusted odds of 30-day death were higher for weekend emergency admissions to 11 hospitals in England (OR 1.08, 95% CI 1.04 to 1.13 on Sunday), 5 hospitals in USA (OR 1.13, 95% CI 1.04 to 1.24 on Sunday) and 6 hospitals in the Netherlands (OR 1.20, 95% CI 1.09 to 1.33 on Saturday). (bmj.com)
Emergency admissions to the six Australian hospitals showed no daily variation in adjusted 30-day mortality, but showed a weekend effect at 7 days post emergency admission (OR 1.12, 95% CI 1.04 to 1.22 on Saturday). (bmj.com)
4 A large study of emergency admissions to New South Wales hospitals 5 suggests that the weekend effect might be specific to some diagnoses and procedure groups only, and many studies report higher mortality for emergency patients admitted with some specific diagnoses on a weekend. (bmj.com)
Conclusion Over 85% of admissions to hospitals in high mortality settings that offer experiential training in Kenya are conducted by preregistration clinicians. (bmj.com)
Bruckel is lead author on the analysis of in-hospital mortality by DNR status, based on 55,865 admissions in patients with a primary diagnosis of heart failure at 290 hospitals, which was published September 25, 2017 in JACC: Heart Failure . (medscape.com)
In [1] With an incidence of approximately 4.5 HAIs the third section, the annual national cost estimates for every 100 hospital admissions, the annual direct for five different infection sites will be developed, costs on the healthcare system were estimated to including surgical site infections (SSIs), central be $4.5 billion in 1992 dollars. (cdc.gov)
We are also working to improve the methodology used to estimate "Climate-related mortality and hospital admissions" in response to external reviews. (ons.gov.uk)
Counts and rates of deaths and hospital admissions associated with temperature for England and Wales from 2001 to 2020. (ons.gov.uk)
There was no significant difference in Intensive Care Unit admissions, 30 and 90-day mortality, or stoma rates at 12 months. (lu.se)

In addition, variation between hospitals could reflect differences in quality or different admission thresholds, they continue. (the-hospitalist.org)
Whether risk-adjusted mortality rates reflect differences in quality of care was studied on various occasions [ 3 ]. (biomedcentral.com)

Setting Secondary care provided in acute hospital National Health Service (NHS) trusts in England. (bmj.com)
Training of healthcare providers in district hospitals for early recognition of peritonitis, and improved ICU care availability may reduce mortality secondary to peritonitis in children. (ajol.info)

p = 0.002) for estimating the risk of hospital mortality and was independently associated with increased odds of hospital mortality. (unboundmedicine.com)
P = 0.005) was associated with lower adjusted odds of mortality. (duke.edu)

This work facilitates an understanding of the drivers of maternal mortality and complications of pregnancy to better prevent maternal deaths and reduce racial disparities. (cdc.gov)
Helps states standardize their assessments of levels of maternal and newborn care for their delivery hospitals by offering the CDC Levels of Care Assessment Tool and providing technical assistance to those who want to use it. (cdc.gov)
It's definitely concerning, given that it's going in the opposite direction from what it has been," said Marie Thoma, a University of Maryland researcher who studies maternal and infant mortality. (wavy.com)
Maternal near-miss, mortality and their correlates at a tertiary care hospital. (bvsalud.org)
To determine the frequency and causes of maternal near-miss and mortality among pregnant women . (bvsalud.org)
Frequency of near miss was 28.4 per 1000 live births and the ratio between maternal mortality and near-miss cases was 110.5. (bvsalud.org)
In the past two decades since liberation Eritrea has witnessed unprecedented, of more than 50 percent, reduction in infant, under five and maternal mortality and unparal eled successes in the control of many communicable diseases including malaria, measles, HIV-AIDS etc. , mainly due to strong political commitment which puts health at the centre of development and social justice. (who.int)

OBJECTIVES: To identify factors associated with mortality at Moi Teaching and Referral Hospital and validate the Mortality Probability Admission Model II (MPM0-II). (duke.edu)

Sepsis-3 Criteria for In-Hospital Mortality: What's the Prognostic Accuracy? (esicm.org)
This accounted for the highest absolute difference in mortality (21%, as compared with 15% for SOFA, 8% for SIRS and 14% for severe sepsis). (esicm.org)
The hazard ratio of qSOFA score for in-hospital mortality was 6.2 as compared with 3.5 for severe sepsis, confirming the greater prognostic accuracy for in-hospital mortality of qSOFA than SIRS or SIRS and severe sepsis criteria. (esicm.org)
These authors provided shocking preliminary data showing that sepsis is the leading cause of unplanned 30-day hospital readmissions, length of stay during unplanned readmission and associated costs, with figures higher than other conditions such as acute myocardial infarction, heart failure, COPD and pneumonia (related figures are reported in the review of Raith et al. (esicm.org)
Pediatric Sepsis Biomarker Risk Model is a multibiomarker tool for estimating baseline risk of mortality among children with septic shock. (unboundmedicine.com)
We determined if the Pediatric Sepsis Biomarker Risk Model biomarkers have predictive capacity for estimating the risk of hospital mortality and long-term health-related quality-of-life morbidity among children with community-acquired septic shock. (unboundmedicine.com)
Pediatric Sepsis Biomarker Risk Model had modest performance for estimating hospital mortality in an external cohort of children with community-acquired septic shock. (unboundmedicine.com)
To perform a retrospective analysis on the Surviving Sepsis Campaign database to evaluate the relationship between timing of antibiotic administration and mortality. (researchgate.net)
Hospital mortality adjusted for severity (sepsis severity score), ICU admission source (emergency department, ward, vs ICU), and geographic region increased steadily after 1 hour of time to antibiotic administration. (researchgate.net)
The results of the analysis of this large population of patients with severe sepsis and septic shock demonstrate that delay in first antibiotic administration was associated with increased in-hospital mortality. (researchgate.net)

Efforts to reduce the burden of disease caused by health care-associated infections have focused on specific infections that cause significant morbidity and mortality, such as central line-associated bloodstream infections and surgical site infections . (ahrq.gov)
Peritonitis among children is common and bears significant morbidity and mortality at our centre. (ajol.info)

Conclusions Ward-based RN staffing is significantly associated with reduced mortality for medical patients. (bmj.com)
Year (-), local number of general practitioners (-) and hospital type were significantly associated with the HSMR in all tested models. (biomedcentral.com)
A significantly higher proportion of hospitals in the lower c-index group were specialized hospitals and hospitals with convalescent wards. (biomedcentral.com)
As such, HAP adds significantly to the cost of hospital care and to the length of hospital stays. (medscape.com)
O 3 air pollution is significantly associated with cardiovascular mortality, while PM 10 is significantly related to respiratory mortality. (nature.com)

The study sample consisted of children with peritonitis who underwent surgical treatment at a tertiary referral hospital in Rwanda from 1 September 2015 to 28 February 2016. (ajol.info)
Our aim was to prospectively study the association between copeptin and 1-year mortality in patients with out-of-hospital cardiac arrest admitted in a tertiary cardiac arrest center. (pasteur.fr)

In 2010, 1,264 of 4,519 (28 percent) of U.S. hospitals providing acute care services to Medicare beneficiaries and reporting hospital characteristics to the American Hospital Association were designated as CAHs. (medindia.net)
Although obesity is a well-established cardiovascular risk factor, some controversy has arisen with regard to its effect on hospital mortality in patients admitted for acute coronary syndrome. (hindawi.com)
Clinical and anthropometric variables were analyzed in patients consecutively admitted for acute coronary syndrome to a university hospital between 2009 and 2010, and the correlation of those variables with hospital mortality was examined. (hindawi.com)
There is something of a paradox in the relationship between body mass index and hospital mortality in patients with acute coronary syndrome in that the mortality rate decreases as body mass index increases. (hindawi.com)
Participants Two data sets are examined: Administrative data from 137 NHS acute hospital trusts (staffing measured as beds per staff member). (bmj.com)
The model fits well to a group of hospitals with a wide variety of acute care events, though model fit is less satisfactory for specialized hospitals and those with convalescent wards. (biomedcentral.com)
The BBC produced a table in 2011 comparing mortality on various measures across all NHS acute trusts. (wikipedia.org)
Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. (who.int)

Complications occurring during admission and mortality during hospital stays were also evaluated. (hindawi.com)

Hospital-acquired pneumonia (HAP), or nosocomial pneumonia, is a lower respiratory infection that was not incubating at the time of hospital admission and that presents clinically 2 or more days after hospitalization. (medscape.com)
Mortality, hospitalization, and population were collected at the DATASUS. (bvsalud.org)
This report summarizes the results of that analysis, which indicate that asthma-related mortality and hospitalization rates are increasing among persons aged less than 25 years. (cdc.gov)
Among children aged 1-4 years, the rate of hospitalization increased during 1980-1992 (from 38.3 to 60.1 per 10,000 population), but decreased in 1993 (43.6 per 10,000 population) because of a decrease in the number of participating hospitals. (cdc.gov)

Elevated plasma vitamin B12 concentrations were identified as predictors of mortality in patients with oncologic, hepatic and renal diseases, and in elderly and critically ill medical patients. (mdpi.com)
Beyond in-hospital mortality, a single-center study recently identified a number of significant relevant predictors not included in the adjustments of the 30-day metrics themselves [ 3 ] . (medscape.com)
One of those predictors of the center's "higher-than-anticipated" 30-day mortality for heart-failure hospitalizations was DNR status. (medscape.com)

CONCLUSIONS: Frailty, assessed with the FI or CFS, predicts in-hospital and medium-term mortality and may help estimate vulnerability in middle-aged and older COVID-19 patients. (minervamedica.it)
CONCLUSIONS: In a Kenyan public ICU, high mortality was noted despite the use of advanced therapies. (duke.edu)
Conclusions The GSF-PIG approach identified a large minority of hospital inpatients who might benefit from advance care planning. (bmj.com)

Low, moderate and high levels of regular physical activity were associated with an adjusted lower risk of all-cause mortality (hazard ratio (HR) 0.76, 95% CI 0.65 to 0.90) and respiratory mortality (HR 0.70, 95% CI 0.48 to 1.02). (bmj.com)

A three-year study conducted at Seattle's Children Hospital found no significant change in mortality after CPOE was implemented in 2003. (stanforddaily.com)
However, between 2002 and 2010, mortality rates increased at CAHs at a rate of 0.1 percent per year, whereas at non-CAHs they decreased 0.2 percent per year, for a difference in change in mortality of 0.3 percent per year. (medindia.net)

We did this using a large database of patients discharged with heart failure to hospitals in the North of England, UK between 2000-2013. (bmj.com)
The U.S. infant mortality rate plateaued during 2000-2005, then declined from 6.86 infant deaths per 1,000 live births in 2005 to 6.14 in 2010. (cdc.gov)

Proponents of baby boxes say the combination of educational tools and free resources will bring America's infant mortality rate closer to those found in wealthy Nordic countries. (nbcnews.com)
The U.S. saw a drastic decline in its infant mortality rate since 1994, when the CDC launched its "Back to Sleep" campaign urging parents to have their infants sleep on their backs rather than stomachs, but disadvantaged groups still tend to be affected by SIDS more than others. (nbcnews.com)
In the 1930s, the country's infant mortality rate was 65 deaths per 1,000 infants. (nbcnews.com)
Comparatively, the United States had an infant mortality rate of about 5.8 deaths per 1,000 births in 2016 . (nbcnews.com)
The United States' higher infant mortality rate compared to some European countries is driven "almost entirely" by infant deaths among lower socioeconomic groups after the mother and child leave the hospital, according to one University of Chicago study . (nbcnews.com)
Some experts argue that policies geared toward enhanced post neonatal care for mothers of low socioeconomic status would be most effective in combating the U.S. infant mortality rate. (nbcnews.com)
As such, the United Nations' Millennium Development Goal 4-to reduce the 1990 mortality rate among under-five children by two-thirds by 2015-cannot be realized without educational efforts in neonatal resuscitation. (hindawi.com)
8 Assuming an overall hospital death rate of about 5% this implies that around one in 20 inpatient deaths are preventable, while 19 of 20 are unavoidable. (bmj.com)
7 8 9 10 11 12 Another limitation of mortality rate as a quality measure is the current focus on in-hospital mortality-that is, deaths that occur during hospital admission. (bmj.com)
A research team led by Randall S. Burd, MD, PhD , Chief of the Children's National Health System Division of Trauma and Burn Surgery , found that injured adolescents treated at pediatric trauma centers (PTCs) had a lower mortality rate than injured adolescents treated at adult trauma centers (ATCs) or mixed trauma centers (MTCs), facilities that treat both adults and children, even when controlling for differences in patients. (childrensnational.org)
The investigators estimated hospitals' risk-standardized rate of 30-day in-hospital mortality or referral to hospice, adjusted for patient-level characteristics. (the-hospitalist.org)
After adjustment for relevant confounders, subjects reporting low, moderate or high physical activity had a lower risk of hospital admission for COPD during the follow up period than those who reported very low physical activity (incidence rate ratio 0.72, 95% confidence interval (CI) 0.53 to 0.97). (bmj.com)
CPI) adjustments to account for the rate of inflation in hospital resource prices, the overall annual direct medical costs of HAI to U.S. hospitals ranges from $28.4 to $33.8 billion (after adjusting to 2007 dollars using the CPI for all urban consumers) and $35.7 billion to $45 billion (after adjusting to 2007 dollars using the CPI for inpatient hospital services). (cdc.gov)
The risk adjusted mortality rate (RAMR) is a mortality rate that is adjusted for predicted risk of death. (wikipedia.org)
It can be found as: RAMR = (Observed Mortality Rate/Predicted Mortality Rate)* Overall (Weighted) Mortality Rate In medical science, RAMR could be a predictor of mortality that takes into account the predicted risk for a group of patients. (wikipedia.org)
It is expected that the number of patients in each hospital will be different and hence we need an overall (weighted) mortality rate for all these hospitals. (wikipedia.org)
Once we have the above three rates, then we can utilize the above formula to find the risk adjusted mortality rate which will reflect the actual mortality rate of a particular hospital without being biased from the observed mortality. (wikipedia.org)
In the English NHS the Summary Hospital-level Mortality Indicator, the Hospital Standardised Mortality Rate and the Risk Adjusted Mortality Index are all used. (wikipedia.org)
The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). (bvsalud.org)
The study also found that 30-day revisit rates are rising over time, and that the rate of adverse events after observation stays is similar to that after ED visits, with patients in both groups running a 1.8% risk of 30-day mortality. (todayshospitalist.com)
The US infant mortality rate rose last year. (wavy.com)
On Wednesday, Nov. 1, 2023, the Centers for Disease Control and Prevention reported the increase of U.S. infant mortality rate to 3% in 2022 - a rare increase in a death statistic that has been generally been falling for decades. (wavy.com)
NEW YORK (AP) - The U.S. infant mortality rate rose 3% last year - the largest increase in two decades, according to the Centers for Disease Control and Prevention. (wavy.com)
The U.S. infant mortality rate has been worse than other high-income countries, which experts have attributed to poverty, inadequate prenatal care and other possibilities. (wavy.com)
Georgia health officials said they are working to understand infant mortality trends in that state, and noted the 2022 rate was similar to rates in 2018 and 2019. (wavy.com)
A new NCHS report investigates the reasons for the United States' high infant mortality rate when compared with European countries. (cdc.gov)

Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health, Boston, and colleagues conducted a study to evaluate trends in mortality for patients receiving care at CAHs and compared these trends with those for patients receiving care at non-CAHs. (medindia.net)

of the Stanford University School of Medicine, Stanford, Calif., writes that "to rigorously test potential interventions about how to improve the mortality rates at CAHs, cluster randomized controlled trials are needed. (medindia.net)
After adjusting for the range of effectiveness of possible infection control interventions, the benefits of prevention range from a low of $5.7 to $6.8 billion (20 percent of infections preventable, CPI for all urban consumers) to a high of $25.0 to $31.5 bil ion (70 percent of infections preventable, CPI for inpatient hospital services). (cdc.gov)

A common but naive response is to argue that risk adjustment to produce a standardised mortality ratio (SMR) solves this problem. (bmj.com)
Design Retrospective analysis of routinely collected hospital data to compare observed deaths in 50 diagnostic categories with deaths predicted by a case mix adjustment method. (bmj.com)
Few studies have examined whether risk adjustment is evenly applicable to hospitals with various characteristics and case-mix. (biomedcentral.com)
Since the calculation of risk-adjusted in-hospital mortality is often conducted for benchmarking purposes, whether the risk adjustment model is applicable to hospitals with varying characteristics and case-mix must be clarified. (biomedcentral.com)
To date, few studies have examined whether case-mix risk adjustment can be evenly applied such hospitals. (biomedcentral.com)
After they were introduced as mediators of hospital reimbursement, centers "encouraged physicians to adequately capture code for those specific variables being used in the risk- adjustment model. (medscape.com)

Background We explored who actually provides most admission care in hospitals offering supervised experiential training to graduating clinicians in a high mortality setting where practices deviate from guideline recommendations. (bmj.com)

Although the hospital at which a patient is treated is a known source of variation in mortality after inpatient surgery, far less is known about how the neighborhoods from which patients come may also contribute. (nih.gov)
Efforts and investments to address variation in postoperative mortality should include both hospital quality improvement as well as addressing drivers of neighborhood deprivation. (nih.gov)
Despite increasing expenditure and focus on patient safety in many countries, there remains considerable variation in hospital trust mortality that cannot be explained by measurable variation in case mix or individual patient risk. (bmj.com)
More than 2/3 of the variation stemmed from between-hospital variation. (biomedcentral.com)
It would be useful for hospitals and health policy makers to investigate variables that are associated with HSMR variation. (biomedcentral.com)
In the case of 30-day mortality for heart failure, the signal (variation in mortality due to quality differences) is small compared with the noise (variation in mortality due to everything else)," writes Dr Paul Heidenreich (VA Palo Alto Health Care System, CA). (medscape.com)

The magnitude of variability in death rates, however, argues for further study of hospital death rates. (rand.org)
A recent study by Lucile Packard Children's Hospital and the Stanford School of Medicine has shown that mortality rates decline following the implementation of a computerized physician order entry (CPOE) system. (stanforddaily.com)
A new study conducted by Lucile Packard Children's Hospital and the Stanford School of Medicine has demonstrated that hospital-wide mortality rates fall substantially with the introduction of a computerized physician order entry system (CPOE). (stanforddaily.com)
Researchers compared mortality from 2001 to 2007 and then to 2009 in a perspective control study that analyzed historical data and isolated variables using an "autoregressive integrated moving average model," said Jin Hahn, the co-author of the study. (stanforddaily.com)
Longhurst's study is the first to show a statistically significant evidence of a decrease in mortality. (stanforddaily.com)
A 2005 Pittsburgh study on the effect [of a CPOE system] at a children's hospital showed a slight bump up in mortality," Longhurst said. (stanforddaily.com)
The study was not a controlled experiment that you might do in a lab," wrote Mark Del Beccaro, chief medical information officer at Seattle's Children Hospital, in an e-mail to The Daily. (stanforddaily.com)
This study was conducted to assess what independent influence, if any, weekend admission might have on mortality in our hospital. (nih.gov)
Conversely, a recent study of ENC among 57 643 infants and NRP among 62 366 infants showed no reduction in mortality rates for either program [ 21 ]. (hindawi.com)
We have corroborated this figure in a study of the quality of care in 18 English hospitals (submitted for publication). (bmj.com)
This Canadian study is the first to demonstrate a clear association between C. difficile infection and an increased risk of mortality. (ahrq.gov)
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. (ahrq.gov)
In light of this controversy, the goal of this study is to determine the relationship between BMI and intrahospital mortality in patients admitted consecutively for ACS. (hindawi.com)
This data was analysed according to the ACALM (Algorithm for Comorbidities, Associations, Length of stay and Mortality) study protocol. (bmj.com)
Instead, investment in information technology accompanies other hospital efforts to improve processes and patient care, explained Lydon Neumann, senior executive at Accenture LLC , a consulting firm that assisted in the survey, the Most Wired Survey and Benchmarking Study. (darkdaily.com)
Hospitals may be able to use a machine learning model to identify adult patients at high risk of in-hospital mortality upon admission, according to a February 7, 2020, study in JAMA Network Open . (ecri.org)
In conducting this study, the team analyzed data from 105,823 patients who underwent complex cancer procedures at 3,146 hospitals between 2013 and 2016. (labroots.com)
This study makes a unique contribution by including medical and healthcare support worker staffing in examining the observed relationships between trust staffing and mortality. (bmj.com)
Design Retrospective observational study using the international dataset from the Global Comparators (GC) project consisting of hospital administrative data. (bmj.com)
a recent study showed that patients undergoing elective surgery later in the week presented higher risk of death compared with patients having surgery on a Monday, 4 although some high-risk procedures did not show significant higher mortality on weekends compared with a weekday. (bmj.com)
Patients were rarely admitted by fully qualified clinicians and predominantly by preregistration medical officer interns (MOI, 46%) and diploma level clinical officer interns (COI, 41%) with a median of 28 MOI (range 11-68) and 52 COI (range 5-160) offering care per study hospital. (bmj.com)
We conducted this study to identify common causes of peritonitis among Rwandan children and factors affecting morbidity and mortality. (ajol.info)
METHOD: We conducted a historical cohort study of all 6,520 psychiatric patients discharged from forensic psychiatric hospitals between 1973 and 2009 in Sweden. (ox.ac.uk)
However, the dataset used in the previous study was derived mainly from large university-affiliated teaching hospitals, which may compromise the ability to generalize results to a broader array of hospitals. (biomedcentral.com)
Cost published evidence indicates that the underlying estimates for each of the various infection sites epidemiology of HAIs in hospitals has changed are inferred from published studies and combined substantially since the SENIC study, along with with annual HAI incidence estimates from the the costs of treating HAI. (cdc.gov)
This study applied the Gold Standards Framework Proactive Identification Guidance (GSF-PIG) to a general hospital population to describe high-risk patients and explore prognostic performance for 12-month mortality. (bmj.com)
Funding The study was funded by a SEED Innovation grant from the Metro North Hospitals and Health Service. (bmj.com)
This study highlights the effects of exposure to air pollution on mortality risks in Thailand. (nature.com)
In this study, we examined the association between daily air pollutants (PM 10 , O 3 and sulphur dioxide (SO 2 )) and mortality (non-accidental, cardiovascular and respiratory diseases) in 18 Thailand provinces ( Figure 1 ). (nature.com)
Study authors also note that focusing only on mortality ignores other key benefits, including better financial protection. (todayshospitalist.com)
A RETROSPECTIVE STUDY of Medicare beneficiaries admitted to observation in the U.S. between 2006 and 2011 finds that 20.1% of those patients returned to the hospital within 30 days. (todayshospitalist.com)
The cross-sectional prospective study was conducted from January 2016 to December 2018 at the Services Hospital , Lahore, Pakistan , and comprised all near-miss cases admitted in the gynaecology department. (bvsalud.org)
We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in-hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. (cdc.gov)
A study of 2 Texas military hospitals found that 37% of death certificates reported a different cause of death than did autopsy (4). (cdc.gov)

The association between vitamin B12 concentrations and in-hospital mortality in adult patients at nutritional risk has not been assessed. (mdpi.com)

Because the data were obtained from a large dataset, making that case will require closer examination - perhaps chart-by-chart analysis for each patient - to tease out nuances that differentiate care adolescents receive at different types of trauma hospitals, Dr. Burd says. (childrensnational.org)
We used an electronic, standardized dataset of discharged patients provided by 469 hospitals that participated in a Japanese patient classification system and related evaluation scheme from July 1 to October 31, 2006. (biomedcentral.com)

Mortality, Rehospitalisation and Violent Crime in Forensic Psychiatric Patients Discharged from Hospital: Rates and Risk Factors. (ox.ac.uk)

Lead author Christopher Longhurst, an assistant clinical professor of pediatrics, and his colleagues concluded there was a 20-percent reduction in mortality rates, after controlling for the rapid response team, seasonal variability and other factors. (stanforddaily.com)

To compare postoperative mortality among Medicare beneficiaries based on the level of neighborhood deprivation where they live and hospital quality where they received care. (nih.gov)
Hospital quality was assigned using the Centers for Medicare & Medicaid Services Star Rating. (nih.gov)
As these infections are considered largely preventable , the Center for Medicare and Medicaid Services no longer reimburses hospitals for additional costs associated with hospital-acquired C. difficile infection. (ahrq.gov)
The Center for Medicare and Medicaid Services' 'Star Rating' system compares the quality of care of hospitals, rating hospitals with one to five stars based on 62 measurements such as mortality, readmissions, and patient experience. (labroots.com)
As the authors write, "Reassignment of patients from 1-star to 5-star hospitals (7.8% of patients) was predicted to save 84 Medicare beneficiaries each year. (labroots.com)
The CMS-specified risk-adjusted 30-day mortality metric for heart failure, on which Medicare hospital reimbursement is partly based, does not account for DNR or hospice status. (medscape.com)

Hospital inpatients on a single day aged 18 years and older were eligible, excluding maternity and neonatal, mental health and day treatment patients. (bmj.com)

In addition to being a crucial underlying circumstance in the primary cardiovascular risk factors (CVRFs), obesity is an independent risk factor for cardiovascular illness and mortality [ 1 , 2 ]. (hindawi.com)
Among the general population and, in particular, patients with existing atherosclerotic cardiovascular disease (ACD), the presence of impaired glucose tolerance increases the risk of cardiovascular disease and all-cause mortality. (hospitalhealthcare.com)
However, among patients with existing ACD, the risk of all-cause mortality was 36% and 37% for composite cardiovascular disease. (hospitalhealthcare.com)
Association between prediabetes and risk of all-cause mortality and cardiovascular disease: updated meta-analysis. (hospitalhealthcare.com)

Modeled after a program in Finland that began more than 70 years ago, baby boxes are aimed at curbing infant mortality rates by promoting safe sleeping practices for newborns. (nbcnews.com)
We believe that parenting education coupled with equal access to a safe sleep space will reduce infant mortality here as it has in Finland," she said. (nbcnews.com)
What else can be done to curb infant mortality rates? (nbcnews.com)
Infant mortality is the measure of how many babies die before they reach their first birthday. (wavy.com)
Because the number of babies born in the U.S. varies from year to year, researchers instead calculate rates to better compare infant mortality over time. (wavy.com)
More than 30 states saw at least slight rises in infant mortality rates in 2022, but four states had statistically significant increases - Georgia, Iowa, Missouri and Texas. (wavy.com)
Specifically, the report measures the impact on infant mortality differences of two major factors: the percentage of preterm births and gestational age-specific infant mortality rates. (cdc.gov)

Mortality rates, especially overall hospital mortality rates, have therefore become the natural focus for measurement of clinical quality. (bmj.com)
So what is the problem with measuring clinical performance by comparing hospital mortality rates and what alternatives can we offer? (bmj.com)
Using prospective clinical surveillance to identify adverse events in hospital. (ahrq.gov)

Differences among hospitals in inpatient death rates were large and significant for 22 of 48 specific conditions studied and for all conditions together. (rand.org)
These findings suggest that characteristics of a patient's neighborhood and the hospital where they received treatment were both associated with risk of death after commonly performed inpatient surgical procedures. (nih.gov)

Some reports have shown that the risk of death is higher for patients admitted on weekends than for patients who go into the hospital on weekdays. (nih.gov)
The risk of mortality within the first 48 h is higher for patients admitted on weekends than for patients admitted on a weekday. (nih.gov)
Thus, by 2010, CAHs had higher overall mortality rates (13.3 percent vs. 11.4 percent). (medindia.net)
The researchers note that although CAHs had higher mortality rates by 2010 for each of the conditions examined, the absolute difference was only 1.8 percent. (medindia.net)
The results also showed that among those with ACD, the mortality risk was 44% higher among Asians compared with non-Asians and that the risk of mortality was further increased among those with higher levels of impaired glucose tolerance. (hospitalhealthcare.com)
Higher doctor staffing levels is associated with reduced mortality. (bmj.com)
For AMI and hip fracture, hospitals with more rivals had higher mortality at the beginning of the period but this effect became smaller over the period. (whiterose.ac.uk)
We find evidence of comparatively higher HSMRs in academic hospitals. (biomedcentral.com)
Consequently, hospitals that treat more severe patients will have higher expected mortality irrespective of their quality. (biomedcentral.com)
Among the studied hospitals, 446 (95%) had a c-index of ≥0.8 and were classified as the higher c-index group. (biomedcentral.com)
If you have hospitals that are being inappropriately penalized for higher mortality rates because they happen to have a higher proportion of do-not-resuscitate patients, that provides hospitals an adverse incentive to do things that are against patients' wishes or are not patient-centered," Bruckel agreed. (medscape.com)
In general, the effects of all pollutants on all mortality types were higher in summer and winter than those in the rainy season. (nature.com)
An increased requirement for pharmacologic or mechanical support in the weaning process was associated with higher morbidity and mortality and longer times on CPB. (medscape.com)

Data on hospital death rates cannot now be used to draw inferences about quality of care. (rand.org)
Data analysis indicated two statically significant decreases in mortality: one decline after implementation of rapid response teams in 2005 and a second following the introduction of CPOE in 2007. (stanforddaily.com)
Editorial: Are Mortality Differences Detected by Administrative Data Reliable and Actionable? (medindia.net)
To determine any potential association between the type of trauma center and mortality rates, the research team examined 29,613 records for patients aged 15 to 19 years old drawn from the 2010 National Trauma Data Bank. (childrensnational.org)
However, the data also indicate that "with lots of disease in the community, hospitals may have a harder time keeping patients alive," Asch said. (the-hospitalist.org)
They included data from 38,517 adults who were admitted with COVID-19 to 955 US hospitals between January 1 and June 30 of this year. (the-hospitalist.org)
Edie Weller, PhD, Harvard Medical School, Boston Children's Hospital, will evaluate the association of pump type with in-hospital mortality using data from a multi-center registry. (harvard.edu)
In this project, the goal is to evaluate the association of pump type with in-hospital mortality using data from a multi-center registry. (harvard.edu)
We used standardized data of 1,878,767 discharged patients provided by 469 hospitals from July 1 to October 31, 2006. (biomedcentral.com)
We did a meta-analysis of individual participant data to investigate the association between use of neuraminidase inhibitors and mortality in patients admitted to hospital with pandemic influenza A H1N1pdm09 virus infection. (nottingham.ac.uk)
We assembled data for patients (all ages) admitted to hospital worldwide with laboratory confirmed or clinically diagnosed pandemic influenza A H1N1pdm09 virus infection. (nottingham.ac.uk)
We included data for 29?234 patients from 78 studies of patients admitted to hospital between Jan 2, 2009, and March 14, 2011. (nottingham.ac.uk)
Table 1 summarises mortality, air pollution, temperature and relative humidity data in the 18 Thailand provinces. (nature.com)
We abstracted data from hospital records, and an independent, blinded medical team reviewed these data to validate cause of death. (cdc.gov)
NCHS released a report last week that presents 2013 U.S. final mortality data on deaths and death rates by demographic and medical characteristics. (cdc.gov)
These data provide information on mortality patterns among U.S. residents by such variables as sex, race and ethnicity, and cause of death. (cdc.gov)
By integrating preoperative data with intraoperative factors, anesthesiologists will be best prepared to convert a failure to wean from CPB into a complex separation from CPB, thereby reducing morbidity and mortality. (medscape.com)

Many other hospitals are implementing CPOE and EMR and it is only a question of time when these will be the standards of care in hospitals in the U.S.," Hahn said. (stanforddaily.com)
ABSTRACT We investigated the prevalence of neonatal deaths in the special care baby unit (SCBU) at the main children's hospital in Tripoli and the factors associated with these deaths. (who.int)
Given the substantial challenges that CAHs face, new policy initiatives may be needed to help these hospitals provide care for U.S. residents living in rural areas," the authors conclude. (medindia.net)
Patients from all neighborhood deprivation group quintiles sought care at hospitals across hospital quality levels. (nih.gov)
Quality of care accounts for only a small proportion of the observed variance in mortality between hospitals. (bmj.com)
differences in the quality of care within hospitals are much greater than differences between hospitals. (bmj.com)
In the past few decades, quality of care in hospitals has been subject to growing attention from physicians and regulators. (bmj.com)
For complex cancer care, choosing the right hospital may be as important as choosing the right treatment. (labroots.com)
In order for patients to select the best hospital for their situation, they need access to understandable information regarding the safety and quality of hospital care. (labroots.com)
Unfortunately, the CMS star-rating system, while clear and easy to access, does not appear to distinguish the safest from the least safe hospitals with enough separation to reliably guide cancer patient choice for complex surgical care. (labroots.com)
Ensuring the safety of hospital care is a paramount concern for healthcare systems worldwide. (bmj.com)
The main purpose of the HSMR is to give an indication of the quality of care in hospitals. (biomedcentral.com)
Assess and coordinate delivery hospitals for risk-appropriate care . (cdc.gov)
Not as much attention is paid to limitations of the CMS 30-day mortality metric as to its 30-day-readmission measure of quality of care, according to Dr Gregg C Fonarow (Ronald Reagan-University of California, Los Angeles Medical Center). (medscape.com)
Descriptive variables included demographics, frailty and functional measures, treating team, advance care planning documentation and hospital utilisation. (bmj.com)
WITH THE SENATE VERSION of health care reform dead at press time, a new review of evidence on the benefits of being insured concludes that having coverage is associated with improved mortality. (todayshospitalist.com)

The participating hospitals represent varied models of service delivery, and there is a potential to learn from best practice in different healthcare systems. (bmj.com)
Apart from mortality, influenza infections cause an important burden on healthcare systems worldwide with an important number of medical visits and hospitalizations. (efim.org)

Steroids may decrease mortality in patients with respiratory failure. (the-hospitalist.org)
The development of hospital-acquired pneumonia (HAP) represents an imbalance between normal host defenses and the ability of microorganisms to colonize and then invade the lower respiratory tract. (medscape.com)

In-hospital mortality was 29.7% for the cohort as a whole. (researchgate.net)

Anatomy4

Diseases46

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment98

Phenomena and Processes8

Disciplines and Occupations2

Anthropology, Education, Sociology and Social Phenomena5

Technology, Industry, Agriculture2

Information Science25

Named Groups3

Health Care136

Geographicals21

Outcomes11

Ratios7

Morbidity and Mo1

Neonatal mortality12

Outcome15

Long-term mortality3

Discharge17

Lower mortality rates1

Methods4

Admissions15

Differences in quality2

Secondary2

Odds2

Maternal7

Factors associated with mortality1

Sepsis10

Significant morbidity2

Significantly5

Tertiary2

Acute8

Admission and mortality1

Hospitalization4

Predictors3

Conclusions3

Hazard ratio1

Change in mortality2

20002

Rate26

Trends in mortality1

Interventions2

Adjustment6

High mortality1

Variation6

Study34

Adult patients1

Dataset2

Patients Discharged from Hospital1

Reduction1

Medicare6

Inpatients1

Cardiovascular4

Infant7

Clinical3

Inpatient2

Higher13

Data17

Care16

Healthcare systems2

Respiratory2

Cohort1