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aged inpatients

Philip Wahlster, Thomas Czihal, Bernhard Gibis, Cornelia Henschke
BACKGROUND: Increasing numbers of emergency cases, different stakeholders involved (physicians' practices vs. hospitals providing ambulatory and inpatient care) and changing patient utilization patterns lead to changes in health care needs. This study aimed at analyzing changes in patient characteristics as well as indications for in- and outpatient emergency care between 2009 and 2015 and their potential reasons. METHODS: Based on in- and outpatient routine data, we descriptively analyzed changes in emergency diagnosis, population-based emergency prevalence as well as regional differences and their changes over time...
February 20, 2019: Das Gesundheitswesen
Anthony M Kendle, Jason L Salemi, Jean Paul Tanner, Judette M Louis
BACKGROUND: Sepsis is a leading cause of pregnancy-related mortality. Previous studies have reported an increased prevalence of sepsis during pregnancy. Despite national campaigns to increase sepsis awareness, there is a lack of pregnancy-specific guidelines. OBJECTIVE: We aimed to provide updated national estimates of the prevalence and trends of sepsis, sepsis-related in-hospital mortality, and factors associated with in-hospital mortality among women with sepsis at delivery...
February 13, 2019: American Journal of Obstetrics and Gynecology
Aleha Aziz, Cynthia Gyamfi-Bannerman, Zainab Siddiq, Jason D Wright, Dena Goffman, Jean-Ju Sheen, Mary E D'Alton, Alexander M Friedman
BACKGROUND: Maternal race may be an important risk factor for postpartum readmissions and associated adverse outcomes. OBJECTIVE: To determine the association of race with serious complications during postpartum readmissions. STUDY DESIGN: This repeated cross sectional analysis utilized the National (Nationwide) Inpatient Sample from the Healthcare Cost and Utilization Project from 2012 to 2014. Women ages 15 to 54 readmitted postpartum after a delivery hospitalization were identified by Centers for Disease Control and Prevention criteria...
February 13, 2019: American Journal of Obstetrics and Gynecology
Peter W Lange, Marissa Lamanna, Rosie Watson, Andrea B Maier
AIMS AND OBJECTIVES: To study the prevalence and determinants of undiagnosed delirium in a tertiary hospital. BACKGROUND: Delirium is a common inpatient condition. It is frequently undiagnosed in a variety of settings, but determinants of undiagnosed delirium are largely unknown, and the frequency of undiagnosed delirium across all inpatient units is uncertain. The utility of hospital wide screening then is also uncertain. METHODS: Hospital wide prevalence study conducted over four months, using a chart based method...
February 20, 2019: Journal of Clinical Nursing
Jamiela A McDonnough, Deawodi A Ladzekpo, Iasson Yi, William R Bond, Gezzer Ortega, Adedoyin O Kalejaiye
OBJECTIVES: Ludwig angina is a potentially lethal submandibular space infection. We aim to describe the epidemiological characteristics of Ludwig angina patients presenting to the emergency department (ED) and to examine outcomes and resource utilization to determine their burden on ED and hospitals. METHODS: Using the Nationwide Emergency Department Sample database, a nationally representative all-payer database, we retrospectively reviewed all ED visits between 2006 and 2014 for patients admitted with a primary diagnosis of Ludwig angina (International Classification of Diseases, Ninth Revision, 528...
February 20, 2019: Laryngoscope
Fasil Wagnew, Getiye Dejenu, Setegn Eshetie, Animut Alebel, Wubet Worku, Amanuel Alemu Abajobir
BACKGROUND: More than 29 million that is an estimated 5%, under-five children suffer from severe acute malnutrition (SAM) globally, with a nine times higher risk of mortality than that of well-nourished children. However, little is known regarding outcomes and predictors of SAM in Ethiopia. Therefore, this study aims to determine treatment cure rate and its predictors among children aged 6-59 months with SAM admitted to a stabilization center. METHODOLOGY: A retrospective record review was employed in SAM children at the University of Gondar Comprehensive Specialized Hospital (UOGCSH) from 2014 to 2016...
2019: PloS One
Qiang Zhang, Jianwen Han, Yan Zhang, Changxing Li, Pingjiao Chen, Jing Zhang, Kang Zeng
To investigate the psychological health and related risk factors in patients suffering from psoriasis. A total of 245 inpatients and outpatients with psoriasis were selected from January 2014 to December 2015. Patients with psoriasis were assessed a homemade questionnaire as well as the Psoriasis Area and Severity Index (PASI), Selfrating Anxiety Scale, Self-rating Depression Scale, Trait Coping Style Questionnaire and Social Avoidance and Distress Scale.Differences in sex, age, marital status, type of medical payment, occupation, economic situation, disease severity, and type of psychological state of psoriasis patients were significant, there was no significant difference in psychological health between psoriasis patients with different levels of educational attainment...
February 20, 2019: Psychology, Health & Medicine
Jennifer C Thompson, Sara B Cichowski, Rebecca G Rogers, Fares Qeadan, Julissa Zambrano, Cynthia Wenzl, Peter C Jeppson, Gena C Dunivan, Yuko M Komesu
INTRODUCTION AND HYPOTHESIS: Our aim was to determine whether postoperative telephone follow-up was noninferior to in-person clinic visits based on patient satisfaction. Secondary outcomes were safety and clinical outcomes. METHODS: Women scheduled for pelvic surgery were recruited from a single academic institution and randomized to clinic or telephone follow-up. The clinic group returned for visits 2, 6, and 12 weeks postoperatively and the telephone group received a call from a nurse at the same time intervals...
February 19, 2019: International Urogynecology Journal
Tuan Minh Vo, Thong Van, Long Nguyen, Quynh Tran
Objective: To demonstrate the efficacy of management for cesarean scar ectopic pregnancies up to 8 weeks' gestation using ultrasound-guided Foley balloon catheter placement combined with dilation and curettage (D and C) at TuDu Hospital. Subjects and Methods: A quasi-experimental study was conducted from March 2015 to March 2016. Patients with imaging-confirmed cesarean ectopic pregnancies were admitted to an inpatient unit at Tu Du Hospital. A Foley balloon catheter was placed inside the uterus under ultrasound guidance and was left in place for 24 h...
January 2019: Gynecology and minimally invasive therapy
Jian-Ping Miao, Xiao-Qing Quan, Cun-Tai Zhang, Hong Zhu, Mei Ye, Li-Ya Shen, Qiu-Hui Guo, Gang-Yan Zhu, Qi-Jian Mei, Yan-Xia Wu, Shu-Guo Li, Hong-Lian Zhou
OBJECTIVES: The aims of this study were to assess malnutrition risk in Chinese geriatric inpatients using Nutritional Risk Screening 2002 (NRS2002) and Mini-Nutritional Assessment (MNA), and to identify the most appropriate nutritional screening tool for these patients. DESIGN: Cross-sectional study. SETTING: Eight medical centres in Hubei Province, China. PARTICIPANTS: A total of 425 inpatients aged ≥70 years were consecutively recruited between December 2014 and May 2016...
February 19, 2019: BMJ Open
Michael Joseph, Emma C Hamilton, KuoJen Tsao, Mary T Austin
BACKGROUND: The aim of the study was to determine whether racial or ethnic and insurance disparities exist in pre- and post-operative length of stay (LOS) in patients with hypertrophic pyloric stenosis (HPS). MATERIALS AND METHODS: The Healthcare Cost and Utilization Project Kid's Inpatient Database database (years 2006, 2009, and 2012) was analyzed for patients aged <1 y with HPS with a primary procedure of pyloromyotomy. Multivariate logistic regression was performed to determine the association between race or ethnicity and insurance status with the primary outcomes of prolonged pre- and post-operative LOS (defined as >1 d)...
February 18, 2019: Journal of Surgical Research
Tom J Crijns, David Ring, Victoria Valencia
PURPOSE: To help strategize efforts to optimize value (relative improvement in health for resources invested), we analyzed the factors associated with the cost of care and use of resources for painful, nontraumatic conditions of the upper extremity. METHODS: The following were the most common upper extremity diagnoses in the Truven Health MarketScan database: shoulder pain and rotator cuff tendinopathy, shoulder stiffness, shoulder arthritis, lateral epicondylitis, hand arthritis, trigger finger, wrist pain, and hand pain...
February 16, 2019: Journal of Hand Surgery
Saniha H Makhzoumi, Colleen C Schreyer, Jennifer L Hansen, Lori A Laddaran, Graham W Redgrave, Angela S Guarda
OBJECTIVE: Information on nutritional rehabilitation for underweight patients with avoidant/restrictive food intake disorder (ARFID) is scarce. This study characterized hospitalized youth with ARFID treated in an inpatient (IP)-partial hospitalization behavioral eating disorders (EDs) program employing an exclusively meal-based rapid refeeding protocol and compared weight restoration outcomes to those of patients with anorexia nervosa (AN). METHOD: Data from retrospective chart review of consecutive underweight admissions (N = 275; age 11-26 years) with ARFID (n = 27) were compared to those with AN (n = 248) on clinical features, reason for discharge, and weight restoration variables...
February 19, 2019: International Journal of Eating Disorders
Tyler J Vovos, Sean P Ryan, Cierra S Hong, Claire B Howell, Thomas J Risoli, David E Attarian, Thorsten M Seyler
BACKGROUND: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, created by the Centers for Medicare and Medicaid, is directly tied to hospital reimbursement. The purpose of this study is to identify factors that are predictive HCAHPS survey responses following primary hip and knee arthroplasty. METHODS: Prospectively collected HCAHPS responses from patients undergoing elective hip and knee arthroplasty between January 2013 and October 2017 at our institution were analyzed...
January 11, 2019: Journal of Arthroplasty
Nathaniel R Smilowitz, Andrew Armanious, Sripal Bangalore, Harish Ramakrishna, Jeffrey S Berger
Pulmonary hypertension (PH), defined by a mean pulmonary artery pressure of >25mm Hg at rest, is strongly associated with morbidity and mortality in the perioperative period. The prevalence and outcomes of PH among patients referred for major noncardiac surgery in the United States are unknown. Patients ≥18 years of age hospitalized for noncardiac surgery were identified from Healthcare Cost and Utilization Project's National Inpatient Sample data from 2004 to 2014. Pulmonary hypertension was defined by International Classification of Diseases, Ninth Revision diagnosis codes...
February 8, 2019: American Journal of Cardiology
Yasser Al-Khadra, M Chadi Alraies, Fahed Darmoch, Homam Moussa Pacha, Mohamad Soud, Marvin Kajy, Amir Kaki, Wael A AlJaroudi, Chun Shing Kwok, Mamas Mamas, Samir Kapadia
Little is known about the outcome of patients with mitral stenosis (MS) who underwent transcatheter aortic valve implantation (TAVI). Therefore, we sought to evaluate the potential impact of MS on the outcome of patients who underwent TAVI using the US national cohort. Using weighted data from the National Inpatient Sample database between 2011 and 2015, we identified patients who had undergone a TAVI as a primary procedure. Patients with MS diagnosis were compared with those without MS. Univariate and multivariate logistic regression analyses were performed for the outcomes of in-hospital mortality and postprocedural complications...
February 8, 2019: American Journal of Cardiology
Shi-Han Lei, Yan Zhang, Hao-Miao Li, Dai Su, Jing-Jing Chang, Xiao-Mei Hu, Qing Ye, Di Jiang, Ying-Chun Chen
BACKGROUND: The incidence of inappropriate admissions in China has become the shackle of its' service supply system. This research aims to assess the level of children's inappropriate admissions to county hospitals in rural China and identify the characteristics and determinants of children's inappropriate admissions. METHODS: A retrospective review was conducted on data of children aged 0-14 years. A total of 771 children medical records in four county hospitals was collected by stratified random sampling in Midwestern China and was evaluated through the Rural Appropriateness Evaluation Protocol...
February 18, 2019: BMC Health Services Research
Abdullah S Rasheed, Robert S White, Virginia Tangel, Bess M Storch, Kane O Pryor
OBJECTIVE: To compare in-hospital mortality, postoperative stroke, and combined stroke/mortality in carotid artery stenting (CAS) patients and carotid endarterectomy (CEA) patients. DESIGN: Retrospective observational study using data from the State Inpatient Database, Healthcare Cost and Utilization Project, and Agency for Healthcare Research and Quality. SETTING: All coded CAS or CEA hospitalizations from 2007 to 2014 in California, Florida, New York, Kentucky, and Maryland...
January 9, 2019: Journal of Cardiothoracic and Vascular Anesthesia
Nirav Patel, Navkaranbir S Bajaj, Rajkumar Doshi, Ankur Gupta, Rajat Kalra, Amitoj Singh, Lorenzo Berra, Garima Arora, Sumanth D Prabhu, Pankaj Arora
The burden of cardiovascular events among patients hospitalized with severe sepsis and the association of these events with in-hospital mortality is not well known. We examined the incidence of cardiovascular events and their association with in-hospital mortality among patients with severe sepsis. Patients with severe sepsis from the New York State Inpatient Database from 2012 through 2014 were identified using a validated International Classification of Diseases 9th Revision, Clinical Modification code 995...
February 7, 2019: American Journal of Cardiology
A Vuagnat, F Jollant, M Abbar, K Hawton, C Quantin
AimsA large number of people present each day at hospitals for non-fatal deliberate self-harm (DSH). Examination of the short-term risk of non-fatal recurrence and mortality at the national level is of major importance for both individual medical decision-making and global organisation of care. METHODS: Following the almost exhaustive linkage (96%) of two national registries in France covering 45 million inhabitants (i.e. 70% of the whole population), information about hospitalisation for DSH in 2008-2009 and vital status at 1 year was obtained...
February 18, 2019: Epidemiology and Psychiatric Sciences
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