29(3): p. 510-5. Consecutive patients undergoing conventional balloon angioplasty at nine medical centers in North America between February 1, 1992, and April 30, 1992, were prospectively enrolled in this study, which was denoted the Heparin Registry and performed as a pilot study for the Hirulog Angioplasty Study to id… COVID-19 is an emerging, rapidly evolving situation. Lovald, S.T., et al., Complications, mortality, and costs for outpatient and short-stay total knee arthroplasty patients in comparison to standard-stay patients. The number of high-risk pregnancies due to maternal comorbidities and complications has significantly increased, leading to an increased number of adverse maternal health outcomes postdelivery requiring increased length of stay. We explored the utility of the UL-LOS indicator. Complications of PTCA traditionally considered to be minor also increased length of stay significantly. NIH Variation in Adolescent Idiopathic Scoliosis Surgery: Implications for Improving Healthcare Value. Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach. Increased LOS during the index admission scoliosis surgery is associated with higher costs and an increased risk of 90-day postoperative complications. (Farrell & Dempsey 2013) Tool: Wound Care Guide Wound Dehiscence Wound dehiscence is associated with mortality rates as high as 45%. Background Hospital length-of-Stay has been traditionally used as a surrogate to evaluate healthcare efficiency, as well as hospital resource utilization. Despite this and recent national attention highlighting the negative effects of narcotics, they remain commonly used for the management of pain in patients undergoing spine surgery. doi: 10.1016/j.jpeds.2017.12.031. Get the latest research from NIH: https://www.nih.gov/coronavirus. Ensuring the delivery of appropriate care and treatment is crucial for quality of care; length of stay in hospital may be irrelevant to this process. Increased LOS during the index admission scoliosis surgery is associated with higher costs and an increased risk of 90-day postoperative complications. Intra- and inter-hospital transfers of older people at night can also increase the risk of delirium and, as a result, increase length of stay (Royal College of Physicians, 2012b). length of stay increasing by an average of 2.6 days (Emergency Care Intensive Support Team, 2010; Royal College of Physicians, 2012a; Alameda and Suárez, 2009). The Statewide Planning and Research Cooperative System database was used to identify patients with adolescent idiopathic scoliosis who underwent spinal fusion from 1 October 2007 to 30 September 2012 at high-volume institutions (>20 cases/year) in the state of New York. Influenza complications increased length of hospital stay. Use of this website is Adolescent idiopathic scoliosis: risk factors for complications and the effect of hospital volume on outcomes. However, the degree to which extended LOS represents complications, patient illness, or inefficient practice style is unclear. Vorhies, J.S., et al., Decreased length of stay after TKA is not associated with increased readmission rates in a national Medicare sample. Epub 2017 Feb 2. Additionally, these patients represent a significant economic problem on public health systems and their families. For a five-night stay, this increased to a 5.5 per cent chance of a drug reaction, a 17.6 per cent chance of a hospital-acquired infection and a 3.1 per cent chance of an ulcer. This study may be particularly affected if the complications were registered more often with increased length of the stay. An additional 1 day in the hospital was associated with $11 033 (95% CI=7162-14 904; P<0.001) in insurance charges, $5198 (95% CI=4144-6252; P<0.001) in hospital costs, 28% increased risk (odds ratio=1.28; 95% CI=1.01-1.63; P=0.041) of all-cause 90-day readmission, and a 57% increased risk (odds ratio=1.57; 95% CI=1.13-2.17; P=0.007) of returning to the operating room within 90 days. This site needs JavaScript to work properly. Overall, investigators concluded that diabetes patients incurred greater rates of complications, had higher hospital costs, and had longer lengths of stay than non-diabetes patients following 11 major elective procedures, either common or uncommon.1 In light of these findings, Dr. Figaro stressed the importance of preoperative opportunities for health care professionals to control blood glucose levels more effectively in an effort to decrease elective surgical complications in diabetic patients. OBJECTIVETo determine whether a multidisciplinary mobility promotion quality‐improvement (QI) project would increase patient mobility and reduce hospital length of stay (LOS).PATIENTS AND METHODSImplemented using a structured QI model, the project took place between March 1, 2013 and March 1, 2014 on 2 general medicine units in a large academic medical center. 10. For each patient, patient and case clinical characteristics, length of stay (LOS), and diagnosis of a nonneurologic complication (including reoperation and readmission) were abstracted. Level of Evidence: Level III, retrospective comparative study. In general, complications are known to prolong LOS following cardiac surgery. Patient and case clinical predictors of any of the reported complications and increased LOS were identified in multivariate logistic and Poisson regression analyses, respectively. (Farrell & Dempsey 2013) Tool: Wound Care Guide Wound Dehiscence Wound dehiscence is associated with mortality rates as high as 45%. Prolonged Length-of-stay (PLOS) is associated with increased mortality and other poor outcomes. Other problems inherent in a study of this nature are associated with the limitations of the ICD9CM itself, and with the aspect of obtaining data retrospectively. Get the latest public health information from CDC: https://www.coronavirus.gov. This study investigates the effect of patient-related variables, in-hospital progress and complications on length of stay. 2015 Jan;27(1):31-6. doi: 10.1097/ANA.0000000000000085. Workman JK, Wilkes J, Presson AP, Xu Y, Heflin JA, Smith JT. NLM 1. The relationship between length of in-hospital stay (LOS) and quality of care is difficult. 2017 Oct;43(4):E3. Always consult your doctor about your medical conditions. In one study 53.6% of the germs identified were gram-negative bacteria, 39.3% gram-positive bacteria, and 7.1% were fungi . J Infect Dis ... they were associated with a median length of stay longer than 6 … For example, new onset of atrial fibrillation, 25–27 renal dysfunction 28 and deep sternal wound infection 29 were associated with increased ICU and postoperative LOS. J Pediatr. Prolonged mechanical ventilation is associated with pulmonary complications, increased length of stay, and unfavorable discharge destination among patients with subdural hematoma. Failure to wean off of ventilator in 48 hours, urinary tract infection, and pneumonia were associated with length of stay outlier (odds ratios = 3.7, 2.7, and 2.7; all p < 0.001). For each patient, patient and case clinical characteristics, length of stay (LOS), and diagnosis of a nonneurologic complication (including reoperation and readmission) were abstracted. Figaro MK, Jung K, Lim D, BeLue R. The impact of diabetes on length of stay and hospital costs after elective surgical procedures. Prolonged Length-of-stay (PLOS) is associated with increased mortality and other poor outcomes. The objective of this study was to identify patient and hospital factors associated with prolonged length of stay (LOS) or complications during pediatric hospitalizations for asthma or lower respiratory infection (LRI). El Camino Hospital, a 395-bed multi-specialty community hospital in Mountain View, Calif., places a high priority on keeping patients safe. Plast Reconstr Surg. J Neurosurg Anesthesiol. Please enable it to take advantage of the complete set of features!  |  LOS is determined by a complex interweaving network of multiple supply and demand factors which operate at macro-, meso-, and micro-levels. For each patient, patient and case clinical characteristics, length of stay (LOS), and diagnosis of a nonneurologic complication (including reoperation and readmission) were abstracted. Elective operations evaluated included thyroidectomy, hysterectomy, mastectomy, colectomy, cholecystectomy, amputations, fracture repairs, and total joint replacements, among others. There is a large body of evidence supporting the fact that prolonged hospitalizations are associated with increased risk for in-hospital complications including infections and deep venous thrombosis [1, 2].However, most of the published data deal with pre-specified populations and the prolonged hospital stay is considered as an outcome rather than a causative factor for complications … Source/Disclosures Source: Dawood FS. 9. Menger RP, Kalakoti P, Pugely AJ, Nanda A, Sin A. Neurosurg Focus. Materials And … This information is not designed to replace a physician's independent judgment about the appropriateness or Hyperglycemia has been shown to be associated with increased mortality and morbidity and prolonged hospital stay in inpatients (1–4). Prolonged air leak may be associated with an increased complication rate and certainly may increase length of stay. Setting We used data of 61 Dutch hospitals. Increased length of stay; Increased cost of care; Risk of further complications; and; Pain and discomfort. We sought to define the economic and clinical implications of an additional 1 day in the hospital for scoliosis surgery. 2017 Mar;139(3):e20162574. Objectives We developed an outcome indicator based on the finding that complications often prolong the patient's hospital stay. This bias is plausible, since it is likely that the greater the severity of the complications (more hospitalization days) the more thoroughly they were registered. Prolonged length of stay in ED is independently associated with increased risk of hospital mortality in patients with critical illness with sepsis. Influenza complications increased length of hospital stay. Overall, investigators concluded that diabetes patients incurred greater rates of complications, had higher hospital costs, and had longer lengths of stay than non-diabetes patients following 11 major elective procedures, either common or uncommon.1 In light of these findings, Dr. Figaro stressed the importance of preoperative opportunities for health care professionals to control … BACKGROUND: Congestive heart failure affects 6.2 million people in the United States. 2017 Jan 15;42(2):92-97. doi: 10.1097/BRS.0000000000001666. (3)Division of Spine … Importance With the health policy focus on shifting risk to hospitals and physicians, hospital leaders are increasing efforts to reduce excessive resource use, such as patients with extended length of stay (LOS) after surgery. Patient and case clinical predictors of any of the reported complications and increased LOS were identified in multivariate logistic and Poisson regression analyses, respectively. 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