• Methods Qualitative interviews with 60 cardiology patients 6 weeks after their discharge from 2 UK hospitals explored patients' experiences with their discharge medicines. (bmj.com)
  • Our study underlines the variable presentation of COVID-19, the difference in severity, and the diverse methods of diagnosis. (who.int)
  • METHODS: A descriptive study using semi-structured interviews was used to collect data from 43 patients of medical-surgical units of a major teaching hospital in the state of São Paulo, Brazil. (scielo.br)
  • Methods: We conducted a population-based, retrospective cohort study of all elective surgical patients admitted to 82 public acute hospitals between 1 January 2007 and 31 December 2012 in New South Wales, Australia. (edu.au)
  • 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: This was a prospective cohort study of 198 patients aged ≥65 years in the Acute Geriatric Ward, Beilinson Hospital, Rabin Medical Center, Israel. (huji.ac.il)
  • We conducted a comprehensive examination of specific causes of unnatural death post-discharge in a national register-based cohort. (psychiatrist.com)
  • The findings of this study will inform the development of a complex intervention to improve care delivery for this complex, vulnerable patient cohort. (herts.ac.uk)
  • Venous Thromboembolism in Patients Discharged From the Emergency Department With Ankle Fractures: A Population-Based Cohort Study. (bvsalud.org)
  • This was a retrospective cohort study using province-wide health datasets from Ontario , Canada . (bvsalud.org)
  • Participants Patients from January 2015 to December 2020 for the derivation cohort and from January 2021 to June 2022 for the validation cohort were enrolled in this study. (bmj.com)
  • A total of 822 patients (derivation cohort=606 and validation cohorts=216) were included in this study. (bmj.com)
  • As part of the Ontario Myocardial Infarction Database project the linked administrative data pertaining to these patients were used to examine cohort characteristics, cardiac procedures used and mortality rates for each of the 5 cohorts over time. (cmaj.ca)
  • The authors used data from the National COVID Cohort Collaborative (N3C) to conduct a nested case-control study. (ahrq.gov)
  • 6-month consequences of COVID-19 in patients discharged from hospital: A cohort study. (bvsalud.org)
  • however, it most commonly affects patients in short-stay hospitals, where epidemic strains of C . difficile may be transmitted extensively both within and between facilities ( 5 , 6 ). (cdc.gov)
  • However, only 90 to 340 hospitals contributed to NNIS during the study period, and these hospitals do not represent a probability sample of all US hospitals. (cdc.gov)
  • Therefore, we analyzed national hospital discharge data to determine 1) the scope and magnitude of CDAD in US short-stay hospitals, 2) whether the rate of CDAD was indeed increasing, and if so, 3) the epidemiologic factors associated with such an increase. (cdc.gov)
  • At least 90% of a panel of 500 hospitals participate, from which over 300,000 discharge records are sampled each year. (cdc.gov)
  • 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)
  • Patients admitted but had UGIB or transferred between hospitals were excluded. (bmj.com)
  • Within metropolitan statistical areas, visits that did not take place at the closest ED occurred more frequently among younger patients, at larger hospitals, and in EDs with longer waiting times, compared with visits to the closest ED. (cdc.gov)
  • We believe that our readmission prediction tool is the most comprehensive one available for hospitals to address the anticipated needs of children and their families prior to discharge, thereby reducing the risk of rehospitalization. (sciencedaily.com)
  • How antibiotic overuse varies across hospitals and patient conditions has yet to be assessed. (the-hospitalist.org)
  • This study evaluated 12,445 patients treated for pneumonia and 9,380 treated for a urinary tract infection (UTI) (N=21,825) from 46 unique hospitals over a two-year period. (the-hospitalist.org)
  • There was a five-fold variation among hospitals of percentage of patients discharged with antibiotic overuse ranging from 15.9% (95% CI, 8.7-24.6) to 80.6% (95% CI: 69.4-88.1). (the-hospitalist.org)
  • A pilot study in two UK hospitals included patients who had undergone cancer-related upper gastrointestinal surgery. (biomedcentral.com)
  • Patients may be followed-up through telephone calls from nurse specialists, but this practice is likely to vary between hospitals. (biomedcentral.com)
  • The UK-wide study, which is led by the National Institute for Health Research (NIHR) Leicester Biomedical Research Centre - a partnership between Leicester's Hospitals, the University of Leicester and Loughborough University - and jointly funded by the NIHR and UK Research and Innovation, analysed 1077 patients who were discharged from hospital between March and November 2020 following an episode of COVID-19. (nihr.ac.uk)
  • Dr Rachael Evans, an associate professor at the University of Leicester and respiratory consultant at Leicester's Hospitals, said: "Our results show a large burden of symptoms, mental and physical health problems and evidence of organ damage five months after discharge with COVID-19. (nihr.ac.uk)
  • Data Sources: Discharge registry including all nonfederal hospitals in Washington State from 2004 to 2007. (cdc.gov)
  • Hospitals must have 6 beds or more staffed for patients use. (cdc.gov)
  • The total number of patient days accumulated at time of discharge by patients discharged from short stay hospitals during a year. (cdc.gov)
  • Scholars@Duke publication: Persistence of evidence-based medication use after discharge from academic versus nonacademic hospitals among patients with non-ST-segment elevation myocardial infarction. (duke.edu)
  • yet it is unknown whether differences in medication persistence exist between patients discharged from academic versus nonacademic hospitals. (duke.edu)
  • 65 years of age who were treated in 2006 at 253 hospitals participating in the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the American College of Cardiology and American Heart Association guidelines registry. (duke.edu)
  • Using multivariate regression, we compared persistent filling of β blockers, angiotensin-converting enzyme inhibitors and/or angiotensin receptor blockers, clopidogrel, and statins at 90 days and 1 year postdischarge between patients discharged from academic and nonacademic hospitals. (duke.edu)
  • 0.001) and had a greater co-morbidity burden (Charlson score ≥4 in 36% vs 30%, p = 0.001) than patients treated at nonacademic hospitals. (duke.edu)
  • Composite persistence to all EBMs prescribed at discharge was low and not significantly different between academic and nonacademic hospitals at 90 days (46% vs 45%, adjusted incidence rate ratio = 0.99, 95% confidence interval 0.95 to 1.04) and at 1 year (39% vs 39%, adjusted incidence rate ratio = 1.02, 95% confidence interval 0.98 to 1.07). (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)
  • 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)
  • Analyses based only on in-hospital deaths are potentially biased by differences in hospitals' discharge practices. (bmj.com)
  • For example, hospitals that transfer high risk patients to other more specialised hospitals may have lower than expected mortality, because some of their patients die elsewhere. (bmj.com)
  • 114 618 AMI patients were discharged from hospitals in Ontario between Apr. (cmaj.ca)
  • The CIHI database contains patient demographic, comorbidity, procedure and mortality information on all patients discharged from hospitals in Ontario. (cmaj.ca)
  • Rodrigo Hasbun] It was a retrospective study of adults and children admitted to 9 hospitals with meningitis or encephalitis in the greater Houston area from January 1, 2005 until December 31, 2010. (cdc.gov)
  • Malnutrition is one of the great risk factors of adverse clinical outcomes in elderly patients with GC [ 11 ]. (hindawi.com)
  • Study Objectives: Chest pain (CP) is a common presenting complaint in the emergency department (ED). Several clinical decision rules have been developed to help risk stratify a group of patients at very low risk for acute coronary syndrome and bad outcomes. (healthpartners.com)
  • In addition, a subgroup analysis was conducted in the SAC group, and patients were regrouped into low-profile visualized intraluminal support (LVIS) and laser-cut groups to compare the perioperative procedure-related complications and clinical and angiographic follow-up outcomes. (frontiersin.org)
  • The clinical outcomes at discharge and follow-up between the two groups demonstrated no significant differences ( P = 0.192 and P = 0.085, respectively). (frontiersin.org)
  • Electronic patient-reported outcome (ePRO) systems may enhance remote, real-time symptom monitoring and detection of complications after hospital discharge, thereby improving patient safety and outcomes. (biomedcentral.com)
  • Our findings suggest POEM not only provides similar outcomes but at a less costly pain burden to the patient. (sages.org)
  • Studies of adult populations have similarly found that time of admission can affect mortality and other outcomes. (todayshospitalist.com)
  • Patient adverse outcomes were low, indicating that ampicillin is appropriate first-line therapy for otherwise healthy children admitted with uncomplicated CAP. (medscape.com)
  • There is relatively little information available on recent population-based trends in the outcomes of patients who have had an acute myocardial infarction (AMI). (cmaj.ca)
  • We, therefore, conducted a study of temporal trends in the outcomes of AMI patients in Ontario, Canada, between the 1992 and 1996 fiscal years. (cmaj.ca)
  • In this study, we examined temporal trends in patient outcomes after an AMI in Ontario, Canada, between the 1992 and 1996 fiscal years and were thus able to evaluate whether recent advances in AMI management have led to improved patient outcomes and whether they have been of equal benefit to all patient subgroups. (cmaj.ca)
  • AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. (ahrq.gov)
  • Furthermore, testing only the sicker patients may bias epidemiological studies that are evaluating outcomes of patients with arboviral infections. (cdc.gov)
  • The National Hospital Discharge Survey (NHDS) is conducted annually by the National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), and consists of diagnosis and demographic data collected from a national probability sample of patient discharge records ( 13 ). (cdc.gov)
  • NHDS data were used to determine the number of discharges with the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code (008.45) specific for "intestinal infection due to Clostridium difficile " listed as a discharge diagnosis. (cdc.gov)
  • This report presents National Hospital Discharge Survey (NHDS) data from 2000 through 2010 on patients who died during hospitalization. (cdc.gov)
  • In the NHDS, discharge (or final) diagnoses listed on the face sheet (summary sheet) of the medical record are transcribed in the order listed. (cdc.gov)
  • Expectations were set with the family before surgery for early discharge. (nih.gov)
  • Point prevalence study of antibiotic appropriateness and possibly of early discharge from hospital among patients treated with antibiotics in a Swiss university hospital. (unil.ch)
  • The highest post-discharge mortality rate was for accidental self-poisoning among persons diagnosed with a psychoactive substance abuse disorder: 290.1 per 100,000 person-years. (psychiatrist.com)
  • For instance, the 30-day AMI mortality rate of elderly patients on Medicare in the United States declined from 26% in 1987 to 23% in 1990, and the 1-year mortality rate declined from 40% in 1987 to 36% in 1990. (cmaj.ca)
  • SOURCE: CDC/NCHS, National Hospital Discharge Survey, 2000-2010. (cdc.gov)
  • We included patients aged 16 years and older discharged from an ED between 2013 and 2018 with closed ankle fractures requiring temporary immobilization . (bvsalud.org)
  • The prospective study was conducted in the intermediate care units of Aga Khan University Hospital, Karachi, from July to December 2018. (org.pk)
  • Between 21 February 2020, the date of the first confirmed case of COVID-19 in Lebanon, and 3 April 2020, our team treated 150 patients diagnosed with COVID-19. (who.int)
  • The study involved 59 patients with breast cancer who had received mastectomies between June 2019 and June 2022 and who reported their perceptions of their quality of life using the validated BREAST-Q questionnaire before and after surgery. (curetoday.com)
  • However, non-adherence to at least one drug was associated with more medication regimen changes (p = 0.001), was more common in patients discharged with prescriptions for seven or more drug types per day (p = 0.01) and was associated with failing to visit the patient's GP 1 month after discharge (p = 0.02). (huji.ac.il)
  • 0.001***) including nasal discharge, sneezing, nasal congestion and itching. (reddit.com)
  • Conclusions: Among elective surgical patients, post-operative sepsis is independently associated with increased post-discharge mortality up to 1 year after hospital discharge. (edu.au)
  • 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)
  • Conclusions A novel clinical risk score with good discriminative performance was developed to identify elderly patients with UGIB who were suitable for safe outpatient management. (bmj.com)
  • Conclusions This study is the first to characterize the geographic clustering of SMM risk in the US. (medrxiv.org)
  • Do patients need continued antibiotics after leaving the hospital? (the-hospitalist.org)
  • Despite inpatient antimicrobial stewardship programs, studies suggest that up to half of antibiotics prescribed at discharge could be improved. (the-hospitalist.org)
  • In addition, less broad-spectrum discharge antibiotics were used. (medscape.com)
  • Major indicators for an increased chance of survival were initial ventricular fibrillation/tachycardia, bystander cardiopulmonary resuscitation, arrest being witnessed, and the patient being conscious on admission. (bmj.com)
  • Our hypothesis was that among patients hospitalised alive after out of hospital cardiac arrest there would be an increase in survival to discharge over time and that factors associated with survival can be defined from history, factors at resuscitation, and status on admission to the emergency department. (bmj.com)
  • All adult elective surgical admission patients who stayed in hospital for ≥4 days and survived to discharge after post-operative sepsis were identified using the Admitted Patient Data Collection records linked with the Registry of Births, Deaths, and Marriages. (edu.au)
  • This study aimed to develop a simple risk score to identify elderly patients with UGIB for whom hospital admission is not required. (bmj.com)
  • This was a prospective, multicenter open-label study aimed to determine the safety and efficacy of a hospital discharge algorithm based on admission HbA 1c . (diabetesjournals.org)
  • Measurement of HbA 1c on admission is beneficial in tailoring treatment regimens at discharge in general medicine and surgery patients with type 2 diabetes. (diabetesjournals.org)
  • Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? (ahrq.gov)
  • Dr. Marcin's study, which was published in the June 2004 issue of Pediatrics, is only the latest study to examine the impact of admission time on mortality. (todayshospitalist.com)
  • Many of the studies on time of admission, however, have tried to distinguish between weekend and weekday admissions, not nighttime vs. daytime admissions. (todayshospitalist.com)
  • Medical records were reviewed to determine survival to PICU discharge, duration of PICU admission and duration of mechanical ventilation. (who.int)
  • A stay of less than 1 day (patient admission and discharge on the same day) is counted as 1 day in the summation of total days of care. (cdc.gov)
  • For patients admitted and discharged on different days, the number of days of care is computed by counting all days from (and including) the date of admission to (but not including) the date of discharge. (cdc.gov)
  • The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. (cdc.gov)
  • Refers to the age of the patient on the birthday prior to admission to the hospital inpatient service. (cdc.gov)
  • 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)
  • 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)
  • This lead to creating a process flow chart from discharge to admission. (bartleby.com)
  • Patients were eligible if they had a thrombolysis in myocardial infarction (TIMI) score of 0 or 1, a normal or unchanged EKG and a negative troponin I biomarker at 6 hours after onset of CP. (healthpartners.com)
  • The study is aimed at investigating the prevalence of malnutrition, perioperative nutritional support, and the risk factors associated with delayed discharge of geriatric patients undergoing gastrectomy. (hindawi.com)
  • Hospital stay was nearly 50% shorter in patients managed by the AD pathway without any increase in readmissions or early complications. (nih.gov)
  • Although hospital readmissions are a quality metric, until now we have not had a comprehensive and easily applicable tool to predict pediatric readmission risk prior to discharge," said lead author Denise M. Goodman, MD, MS, Critical Care physician at Lurie Children's and Professor of Pediatrics at Northwestern University Feinberg School of Medicine. (sciencedaily.com)
  • SDD rate, patient satisfaction, number of outpatient visits, adverse events and readmissions within 90 days were evaluated. (lu.se)
  • The newly developed and validated tool will be key in efforts to reduce hospitalizations within 30 days of discharge, which also should help free up scarce pediatric hospital beds. (sciencedaily.com)
  • Preoperative malnutrition is an independent risk factor for postoperative complications and survival for gastric cancer patients. (hindawi.com)
  • Background Historically, critical care research and policy focused on survival to intensive care unit (ICU) discharge. (herts.ac.uk)
  • However, as critical care innovation has progressed, emphasis has shifted to the quality of survival beyond ICU discharge. (herts.ac.uk)
  • To analyze the impact of decannulation before intensive care unit discharge on ward survival in nonexperimental conditions. (nih.gov)
  • After intensive care unit discharge, we recorded intensive care unit readmission and hospital survival. (nih.gov)
  • To describe the change in survival and factors associated with survival during a 20 year period among patients suffering from out of hospital cardiac arrest and being hospitalised alive. (bmj.com)
  • Survival (discharged alive) was 37.5% during the first part and 35.1% during the second part (NS). (bmj.com)
  • To increase survival among these patients the concept of the chain of survival has emerged. (bmj.com)
  • Taking into account the vast variations in reported hospital survival, 5, 6 we believe that more attention must be paid to the "fifth link" to view a complete chain from early access to hospital discharge. (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)
  • Kaplan-Meier survival analysis demonstrated that although 5-year survival for heart failure patients discharged on Monday-Friday were similar, survival for those discharged on Saturday/Sunday was greatly reduced. (bmj.com)
  • Overal , 84% (n=90) survived to PICU discharge, with no difference in survival based on HIV infection or exposure. (who.int)
  • There was a modest improvement in the short- and long-term survival of patients in Ontario after an AMI between 1992 and 1996. (cmaj.ca)
  • Population-based studies published in the 1980s reported significant improvements in short- and long-term survival rates after an AMI. (cmaj.ca)
  • Advanced age, duration of surgery, lower levels of PNI, and postoperative complications were risk factors associated with delay discharge. (hindawi.com)
  • The purpose of this study was to evaluate the impact of a novel postoperative pathway on length of stay (LOS) and complications. (nih.gov)
  • A retrospective review of patients undergoing PSF for AIS in 2011 to 2012 was performed at 2 institutions evaluating demographics, preoperative Cobb angles, surgical duration, blood loss, LOS, and postoperative complications. (nih.gov)
  • Earlier discharge may bring benefits, but complications can occur while patients are recovering at home. (biomedcentral.com)
  • Logistic regression models with hospital and surgeon random effects were used to examine complications, controlling for patient characteristics and comorbidity. (cdc.gov)
  • Principal Findings: Complications within 90 days of a fusion occurred in 4.8 percent of patients, and 2.2 percent had a reoperation. (cdc.gov)
  • The study sample consisted of patients admitted to a children's hospital from July 8, 2007, through July 9, 2009, and discharged with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code for pneumonia (480-486). (medscape.com)
  • We obtained hospital discharge data from the Canadian Institute for Health Information (CIHI) administrative database for all patients discharged from an acute care hospital in Ontario with a most responsible diagnosis (that which accounted for most of the patient's stay) of an AMI ( International Classification of Diseases, 9th revision code 410) between Apr. (cmaj.ca)
  • A qualitative, exploratory and descriptive study was conducted with these nurses. (scielo.org.za)
  • At intensive care unit discharge, we recorded demographic variables, severity score, and intensive care unit treatments, with special attention to tracheostomy. (nih.gov)
  • Clinical, demographic and medication regimen data were recorded for all patients at an interview conducted prior to discharge. (huji.ac.il)
  • Knowing which children are most likely to need another hospitalization soon after their initial stay allows us to be proactive and better focus discharge planning to mitigate high risk of readmission. (sciencedaily.com)
  • Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). (bartleby.com)
  • Results Primary data were integrated to develop an interdependent multi-layered description of post-ICU ward care, identifying challenges to care delivery at the patient, ward and organisational level. (herts.ac.uk)
  • Results show that two domains of PSC- teamwork and supervisor expectations and actions regarding patient safety- are significantly associated with increased likelihood of discharge to a community setting. (ahrq.gov)
  • Nursing home staff turnover and perceived patient safety culture: results from a national survey. (ahrq.gov)
  • Results: A total of 340 patients were initially enrolled. (healthpartners.com)
  • RESULTS: The majority of patients (83.72%) received tailored discharge instructions. (scielo.br)
  • Results: We studied 144,503 survivors to discharge. (edu.au)
  • Results Of 929552 patients admitted during the study period there were 31760 patients with heart failure. (bmj.com)
  • Results 304/606 (50.2%) and 132/216 (61.1%) patients were not safely discharged in the derivation and validation cohorts, respectively. (bmj.com)
  • Wherever you can leverage the underlying tools that are part of the electronic health record to make sure that we're constantly checking the right results, that helps reduce the workload so that clinicians can focus on taking care of the patients and doing the right thing, and not be as focused on entering data into the system. (medscape.com)
  • The results revealed both positive and negative opinions regarding discharge plans. (scielo.org.za)
  • Results: At 1-month post-discharge, on average, 36.7% of patient medications had been modified compared with the discharge prescription. (huji.ac.il)
  • The majority of survivors who left hospital following COVID-19 did not fully recover five months after discharge and continued to experience negative impacts on their physical and mental health, as well as ability to work, according to results released by the PHOSP-COVID study today. (nihr.ac.uk)
  • February 21, 2012 - Use of a clinical practice guideline (CPG) for community-acquired pneumonia (CAP) led to increased use of ampicillin, which is appropriate first-line therapy for otherwise healthy children admitted with uncomplicated CAP, according to the results of a retrospective study reported in an article published online February 20 in Pediatrics . (medscape.com)
  • We also found that all patients that were tested in the nonendemic months had negative test results. (cdc.gov)
  • In general, transplantation yields the best results when performed early in the course of the disease (ie, in an asymptomatic affected sibling of a child with a lysosomal storage disorder), in centers with experience in performing transplantations to treat inherited metabolic disorders, and in patients healthy enough to tolerate the conditioning and transplantation regimen. (medscape.com)
  • Persons discharged from inpatient psychiatric units are at greatly elevated risk of dying unnaturally. (psychiatrist.com)
  • Closer liaison between inpatient services and community care, more effective early treatment for comorbid substance abuse, enhanced psychosocial assessment following self-harm, and tighter medication surveillance could decrease risk of unnatural death post-discharge. (psychiatrist.com)
  • 9% were discharged on oral antidiabetes agents (OADs) plus glargine or basal bolus regimen at 80% of inpatient dose. (diabetesjournals.org)
  • Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. (ahrq.gov)
  • In 2000, 2005, and 2010, about one-quarter of inpatient hospital deaths were for patients aged 85 and over. (cdc.gov)
  • Has the inpatient hospital death rate decreased for all patients and for those with selected first-listed diagnoses? (cdc.gov)
  • Study Design: We identified adults (n = 6,091) undergoing an initial inpatient lumbar fusion for degenerative conditions. (cdc.gov)
  • The participants discussed the suggestions and solutions for effective hospital discharge plans. (scielo.org.za)
  • The participants' suggestions regarding discharge plans were addressed and discussed. (scielo.org.za)
  • Participants completed the ePRO symptom-report at discharge, twice in the first week and weekly post-discharge. (biomedcentral.com)
  • Interviews with participants and clinicians determined the acceptability of the ePRO system to support patients and their clinical management during recovery. (biomedcentral.com)
  • The study reports that over 25 per cent of participants had clinically significant symptoms of anxiety and depression and 12 per cent had symptoms of post-traumatic stress disorder (PTSD) at their 5-month follow-up. (nihr.ac.uk)
  • Participants 1 228 815 patients discharged in the period 2008 to 2010. (bmj.com)
  • We don't necessarily have the volume of patients within our database to definitively say one way or the other, but the trends that we see in our early data collection are promising," he explained. (curetoday.com)
  • At the patient level, data were combined which revealed a clear picture of post-ICU patients as dependent, vulnerable and complex, contributing to the concept of post-ICU patients as other than general ward patients - having different care needs. (herts.ac.uk)
  • Data were stratified according to whether CDAD was listed as the first-listed vs. any-listed diagnosis, patient sex, patient age, and hospital geographic region (according to US census regions), bed size, and ownership type (i.e., proprietary, state and local government, or nonprofit). (cdc.gov)
  • Clinical data sharing improves quality measurement and patient safety. (ahrq.gov)
  • Data was abstracted from patient electronic medical records. (healthpartners.com)
  • Patient data were prospectively computerised with regard to factors at resuscitation. (bmj.com)
  • This data was analysed according to the ACALM (Algorithm for Comorbidities, Associations, Length of stay and Mortality) study protocol. (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 data that support the findings of this study are available on request from the corresponding author. (bmj.com)
  • Using data from the National Hospital Ambulatory Medical Care Survey, a new NCHS report provides how often patients go to the ED closest to their home, and how differences in geography, patient demographics, and hospital characteristics are associated with ED selection patterns. (cdc.gov)
  • Readily available electronic health record (EHR) data can be used to reliably identify readmission risk for children of all ages while they are still in the hospital, according to a new study. (sciencedaily.com)
  • Readily available electronic health record (EHR) data can be used to reliably identify readmission risk for children of all ages while they are still in the hospital, according to a study from Ann & Robert H. Lurie Children's Hospital of Chicago published in the journal JAMA Network Open . (sciencedaily.com)
  • Dr. Goodman and colleagues used data from three years of discharges at Lurie Children's to derive and validate a suite of three readmission prediction models for children of all ages, including infants younger than 28 days. (sciencedaily.com)
  • Twentyfive interactions of video-recorded data involving 12 patients with their primary nurse were included in this paper and analyzed using conversation analysis, an inductive data-driven approach. (ewha.ac.kr)
  • Patient demographics, co-morbidities, hospital length of stay (LOS) and analgesic medication usage data were collected. (sages.org)
  • Studies of adult populations, after all, have found significant differences between mortality rates for patients admitted during the weekend, and the preliminary data seemed to be good news for pediatrics. (todayshospitalist.com)
  • After risk-adjusting the data, investigators concluded that fewer of the patients admitted at night should have died because of their reduced severity of illness. (todayshospitalist.com)
  • We linked these data using unique anonymized patient identifiers (i.e., scrambled Ontario health card numbers that are unique to each individual and recorded in all of the databases) to the Ontario Health Insurance Plan (OHIP) physician billing database and the Ontario Registered Persons Database (RPDB). (cmaj.ca)
  • Medication discrepancies at pediatric hospital discharge. (ahrq.gov)
  • More than half (52.5%, n = 711) of all unnatural deaths post-discharge were fatal poisonings, compared with less than a fifth (17.0%, n = 1,012) among persons in the general population not admitted. (psychiatrist.com)
  • Just 6.8% (n = 92) of all unnatural deaths post-discharge were due to transport accidents-the most common unnatural death type in the general population (53.4%, n = 3,184). (psychiatrist.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)
  • There are studies that show that getting vaccinated reduces flu illnesses, but also importantly reduces flu related doctors' visits, hospitalizations and even deaths in children. (cdc.gov)
  • Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. (ahrq.gov)
  • Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). (bartleby.com)
  • Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). (bartleby.com)
  • The database contains information on patient demographics, comorbidities, cardiac procedures used, hospital admissions, physician visits, drug utilization (for elderly patients only) and vital status. (cmaj.ca)
  • Patients with breast cancer who receive a mastectomy and are discharged from the hospital on the same day displayed similar levels of satisfaction with their physical health, psychosocial wellbeing and care team compared to those who stay overnight at the hospital, according to findings from a recent study. (curetoday.com)
  • Introduction There are risks to the safety of medicines management when patient care is transferred between healthcare organisations, for example, when a patient is discharged from hospital. (bmj.com)
  • Using the theoretical concept of resilience in healthcare, this study aimed to better understand the proactive role that patients can play in creating safer, resilient medicines management at a common transition of care. (bmj.com)
  • Conclusion Patients experience the impact of vulnerabilities in the medicines management system across the secondary-primary care transition but many are able to enhance system resilience through developing strategies to reduce the risk of medicines errors occurring. (bmj.com)
  • Consequently, there are opportunities-with caveats-to elicit, develop and formalise patients' capabilities which would contribute to safer patient care and more effective medicines management. (bmj.com)
  • There is significant focus on the long-term rehabilitation needs of patients who have required critical care, but very little evidence exists about the period between ICU and hospital discharge. (herts.ac.uk)
  • Despite patients being assessed as ready for discharge from ICU, having either recovered from the acute phase of critical illness or transitioned to end-of-life care, over 8,000 of the 139,000 discharged to a ward die before hospital discharge. (herts.ac.uk)
  • Design This study aimed to explore the post-ICU in-hospital care period, answering the research question: What challenges and problems in care exist in the management of post-ICU ward patients? (herts.ac.uk)
  • In parallel, patients (n= 18), family members (n= 8) and staff (n= 30) (total n=56) were interviewed about their experiences of post-ICU ward care, with the aim of identifying challenges in care delivery and potential improvements. (herts.ac.uk)
  • These differences posed challenges to care delivery due to the constraints of workload, skill mix and leadership which were identified at the ward level and emphasised the otherness of post-ICU ward patients. (herts.ac.uk)
  • Overarching characteristics at the organisational level, such as limitations in out-of-hours care provision, training and resources constrained the ability of the ward to meet the high demands of this complex group of patients. (herts.ac.uk)
  • The characteristics identified at each level had the potential to impede continuity of care between ICU and the ward which had a profound impact on both patients and staff resulting in fear and anxiety. (herts.ac.uk)
  • Critical Care Outreach Teams were identified as having a key role in supporting wards to manage patients transferred from ICU, although competing priorities can lead to limited capacity to offer comprehensive follow-up of post-ICU patients. (herts.ac.uk)
  • Post-ICU patients were demonstrated to be perceived as other than, or somehow different from, general ward patients, with the current system of care struggling to meet their needs. (herts.ac.uk)
  • This study examined the association between patient safety culture (PSC) measured by the Nursing Home Survey on Patient Safety Culture and community discharge of long-term care (LTC) residents. (ahrq.gov)
  • Of the 201 intensive care unit tracheostomized survivors, 60 were decannulated in the intensive care unit and 141 were discharged to the ward with cannulae in place. (nih.gov)
  • In our multicenter setting, intensive care unit discharge before decannulation is not a risk factor. (nih.gov)
  • Central to the care of most ED patients with CP is close clinical followup and appropriate risk stratification testing. (healthpartners.com)
  • Earlier discharge may reduce health care costs and allow an earlier return to normalcy for families. (nih.gov)
  • There is also a need to design and implement a hospital discharge process that promotes the participation of interdisciplinary health care providers who are involved in patient clinical care. (scielo.br)
  • This discharge process might be an effective way to change health care providers' attitude toward discharge instructions. (scielo.br)
  • To develop and apply a simple criterion for transfer of patients from intermediate care to general care. (org.pk)
  • A discharge criterion for transfer of patients from intermediate care to general care was developed according to which patients with vital signs and Glasgow Coma Scale score within a preset range were considered stable enough for transfer from intermediate care to general care. (org.pk)
  • After labelling the patients on the basis of the criterion, it was determined on the following day which patients remained stable enough for transferred to general care, and which patients became unstable. (org.pk)
  • Of them, 33(67.3%) patients were transferred out from intermediate care on the subsequent day, while 8(16.3%) were not transferred out due to primary physician's decision, 1(2%) due to heparin infusion, and 1(2%) due to family request. (org.pk)
  • A simple discharge criterion is proposed for intermediate care solely based on clinical parameters. (org.pk)
  • Significant majority of the patients remained stable and were transferred out of intermediate care. (org.pk)
  • Further research is required to elucidate the reasons for these disparities and could relate to premature discharge or lack of community care for heart failure patients discharged on weekends. (bmj.com)
  • Effective treatment algorithms are needed to guide diabetes care at hospital discharge in general medicine and surgery patients with type 2 diabetes. (diabetesjournals.org)
  • Antibiotic stewardship during care transitions can decrease antibiotic overuse at discharge. (the-hospitalist.org)
  • needs for patient/family/caregiver training for home tasks like new Foley care, wound care must be conveyed to the nursing staff (home health nurses are generally not available for daily home visits). (uclahealth.org)
  • Consider in advance who is available to provide the necessary help at home (e.g., family member, caregiver), if the patient is unable to perform self-care activities (ADLs) such as getting in and out of bed, toileting, etc., or, if he or she needs assistance with instrumental activities of daily living (IADLs) such as medication management, cooking, etc. (uclahealth.org)
  • If the patient has a decline in his or her ability to ambulate or in his or her ADL function, and if he or she may benefit from a rehab stay at a Skilled Nursing Facility (SNF) or Acute Rehab Facility (ARU), please consult PT/OT early to assist in determining a more appropriate next level of care for the patient, prior to eventually returning home. (uclahealth.org)
  • Advances in peri-operative care of surgical oncology patients result in shorter hospital stays. (biomedcentral.com)
  • Clinicians regarded the system as a useful adjunct to usual care, by signposting patients to seek appropriate help and enhancing their understanding of patients' experiences during recovery. (biomedcentral.com)
  • Furthermore, ERAS protocols are not standardised and do not routinely encompass the post-discharge recovery period, meaning that follow-up care is often fragmented [ 13 , 14 ]. (biomedcentral.com)
  • Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as a Primary Nurse is responsible for coordinating all aspects of care including discharge planning. (ewha.ac.kr)
  • Editor's note: "Everything We Say and Do" is an informational series developed by SHM's Patient Experience Committee to provide readers with thoughtful and actionable communication tactics that have great potential to positively impact patients' experience of care. (the-hospitalist.org)
  • Higher quality of care and patient safety associated with better NICU work environments. (ahrq.gov)
  • Dr. Marcin, assistant professor of pediatrics and critical care medicine at the University of California Davis Children's Hospital in Sacramento and the senior author of the study, points to the challenges of treating the three subgroups. (todayshospitalist.com)
  • Limitations of this study include retrospective chart review, use of ICD-9 codes to identify patients with suspected uncomplicated CAP, and failure of the analysis to capture patients who experienced treatment failure and sought care at other institutions or had primary care physicians expand antimicrobial coverage for continued symptoms. (medscape.com)
  • This study describes the population of children admitted to the of pneumonia, which increases the demands on scarce paediatric PICU at Chris Hani Baragwanath Academic Hospital (CHBAH) intensive care unit (PICU) services in the region. (who.int)
  • The total number of days of care accumulated at time of discharge by patients discharged during the year, divided by the number of patients discharged. (cdc.gov)
  • This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). (bartleby.com)
  • Discharge planning is used to create a plan of care for a patient who is leaving a care setting. (bartleby.com)
  • When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. (bartleby.com)
  • Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. (bartleby.com)
  • All of Ontario's major health care administrative databases were linked, and the resulting comprehensive AMI database is being used to study the quality of AMI care in Ontario. (cmaj.ca)
  • The purpose of this study was to understand barriers to early-stage lung cancer care at high-volume academic centers in the US. (ahrq.gov)
  • Six themes relating to barriers and facilitators to lung-cancer care were identified, and the authors concluded that these factors must be addressed to improve quality of care among lung cancer patients. (ahrq.gov)
  • Given the portability of the Monarch eTNS System and its non-invasive nature, the case study suggests applicability of the Monarch as adjunctive treatment of refractory status epilepticus in an Intensive Care Unit (ICU) or emergency setting. (prnewswire.com)
  • Conclusion This study has critically examined the challenges faced by patients and staff following transfer from ICU to the ward. (herts.ac.uk)
  • Conclusion: A majority of ED patients presenting with CP identified to be at low risk for ACS followed up for scheduled stress testing utilizing an ED low-risk CP protocol. (healthpartners.com)
  • CONCLUSION: The findings of this study provide insights to improve the educational process of new nurses and their preparation to provide effective discharge instructions. (scielo.br)
  • Conclusion: The majority of elderly patients experienced modifications in their medication regimen during the first month following hospital discharge. (huji.ac.il)
  • Conclusion When following strict criteria for discharge, same-day partial knee replacement surgery may be both feasible and safe, even without preselection of patients. (lu.se)
  • Diabetes is the fourth leading comorbid condition associated with any hospital discharge in the U.S., and individuals with diabetes have higher rates of hospitalization compared with people without diabetes for all age-groups than the general population ( 1 ). (diabetesjournals.org)
  • When compared to LHM, POEM patients had significantly less pain upon arrival to the recovery room (1.7 vs 3.61, p=0.0025), one hour post-operatively (2.2 vs 3.46, p=0.042), and during the first day of hospitalization (24 hour average 1.6 vs 3.29, p=0.037). (sages.org)
  • Patients undergoing POEM for achalasia demonstrated significantly less postoperative pain upon arrival to the recovery room, one hour postoperatively, and during the first 24 hours of hospitalization when compared to LHM patients. (sages.org)
  • In this study, we investigated the different characteristics of the first 150 COVID-19 patients in Lebanon, including the diagnostic criteria, outcome, demographics, and clinical, radiological and biological characteristics. (who.int)
  • Demographics for patients discharged on weekdays (mean age 74 ± 14 and 50.3% male) was similar to those discharged on weekends (74 ± 14 and 50.1% male). (bmj.com)
  • The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. (ahrq.gov)
  • The pharmacist reviews the medication orders for medication reconciliation, before the discharge orders are signed. (uclahealth.org)
  • Medication reconciliation at discharge remains a patient safety challenge. (ahrq.gov)
  • Based upon the analysis weight applied to each record of this ≈1% sample, national estimates were made regarding the number and character of all nonfederal, short-stay hospital discharges. (cdc.gov)
  • Only a few studies focused on surgical patients regardless of age [ 9 ]. (hindawi.com)
  • Therefore, in this retrospective study, we investigated the nutritional status and perioperative nutritional support of geriatric surgical patients with GC and provide a basis for implementing an effective nutritional intervention. (hindawi.com)
  • Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. (ahrq.gov)
  • Surgical time was slightly shorter in AD patients (median 3.1 vs. 3.9 h, P=0.0003) with no difference in estimated blood loss. (nih.gov)
  • Background: Our aim in the present study was to assess the mortality impact of hospital-acquired post-operative sepsis up to 1 year after hospital discharge among adult non-short-stay elective surgical patients. (edu.au)
  • For example, up to 5% of patients die within 30 days of surgical resection for oesophageal cancer. (biomedcentral.com)
  • Plan: First look at the current percentage of patients that end up back in the hospital within 30 days. (bartleby.com)
  • The patients who were discharged the same day reported a mean decrease of 11.7 points in their psychological well-being score while patients who were admitted reported a decrease of 5.8 points. (curetoday.com)
  • And we hope this study would bring awareness so we can increase testing for West Nile in the endemic season and decrease testing in the nonendemic season. (cdc.gov)
  • Discharge after PSF for AIS may be expedited using a coordinated postoperative pathway. (nih.gov)
  • Strict postoperative criteria based on vital parameters, urinary function, bleeding, and mobilization had to be met before discharge was considered. (lu.se)
  • Use of the ePRO system for the real-time, remote monitoring of symptoms in patients recovering from cancer-related upper gastrointestinal surgery is feasible and acceptable. (biomedcentral.com)
  • 5505 patients suffered from cardiac arrest during the time of the survey. (bmj.com)
  • Hospital stay after posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) has decreased only modestly over time despite a healthy patient population. (nih.gov)
  • Readmission risk can be recalculated daily, which allows us the opportunity to tailor discharge planning in real time. (sciencedaily.com)
  • Patients who are discharged to the SNFs should have their prepared discharge summaries updated, signed and be available for printing at the time of discharge. (uclahealth.org)
  • The time from the last dose of narcotic analgesic to discharge was not statistically different between the groups (p=0.1773). (sages.org)
  • In talking with families, they want to know the approximate time for discharge. (the-hospitalist.org)
  • This Special Issue will act as a publication media to attract many clinical and epidemiological studies on this outbreak, ensuring a fast turnaround time for high quality studies. (mdpi.com)
  • The ratio of the number of patient days accumulated at time of discharge to the number of persons in the civilian population on July 1 of that year. (cdc.gov)
  • The study found that among 16,409 PWH, 45% met statin eligibility criteria per guidelines for the time period from 2001 to 2017. (ahrq.gov)
  • Therefore, the primary aim of this study was to evaluate a same-day surgery protocol regarding safety using the minor partial knee replacement (PKR) procedure by non-selectively recruiting patients at a public hospital for one consecutive year. (lu.se)
  • Clinical classifications for health policy research : discharge statistics by principal diagnosis and procedure. (who.int)
  • The authors found that despite 41.5% of these patients failing to meet diagnostic criteria (12.9% for pneumonia and 28.6% for UTI), 72.4% were prescribed an antibiotic at discharge and 49.1% experienced antibiotic overuse based on the metrics of unnecessary use, excess duration of use, and suboptimal use of fluoroquinolones. (the-hospitalist.org)
  • The study goal was to assess the effect of implementing a CPG on antibiotic treatment of children hospitalized with CAP. (medscape.com)
  • Because CAP is a common pediatric condition, the use of a narrow-spectrum agent is important in preventing the further development of antibiotic resistance," the study authors conclude. (medscape.com)
  • PET imaging studies in humans confirm that eTNS activates or inhibits key regions implicated in these disorders and the changes were observed within minutes of therapy. (prnewswire.com)
  • This study was conducted prior to the 2020 COVID-19 pandemic, but offers insight into the current challenges in managing the significant increase in patients being discharged from ICU. (herts.ac.uk)
  • OBJECTIVE: To know the hospital discharge process in place and the nurses' performance in preparing patients for discharge. (scielo.br)
  • Objective: To investigate the extent and reasons for modifications to the medication regimens of elderly patients and their adherence to treatment during the first month following hospital discharge. (huji.ac.il)
  • In this prospective study of pediatric inpatients, a significant proportion of records reviewed had at least one medication discrepancy between the discharge record and subsequent parent report and pharmacy records. (ahrq.gov)
  • This study is the first to assess these factors across space to determine the characteristics and locations where SMM likelihood is elevated. (medrxiv.org)
  • One hundred and thirty-eight (92%) patients underwent radiological evaluation. (who.int)
  • One hundred five patients underwent PSF and were treated by an AD pathway, whereas 45 patients were managed using a traditional discharge (TD) pathway. (nih.gov)
  • 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)
  • Malnutrition is relatively common in elderly patients undergoing gastrectomy. (hindawi.com)
  • This was the first study on the construction of a risk score for upper gastrointestinal bleeding in elderly patients. (bmj.com)
  • The extent and nature of these changes and the adherence of elderly patients have not yet been fully investigated. (huji.ac.il)
  • A retrospective review of all patients undergoing POEM or LHM from 2006-2015 was performed. (sages.org)
  • ARC1955-05-23-August 2007: Attended Patient Centered Discharge Collaborative. (echima.ca)