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Asthma readmission

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https://www.readbyqxmd.com/read/29683206/the-effects-of-air-pollution-on-length-of-hospital-stay-for-adult-patients-with-asthma
#1
Li Luo, Jing Ren, Fengyi Zhang, Wei Zhang, Chunyang Li, Zhixin Qiu, Debin Huang
Length of hospital stay (LOS) of asthma can be a reflection of the disease burden faced by patients, and it is also sensitive to air pollution. This study aims at estimating and validating the effects of air pollution and readmission on the LOS for those who have asthma, considering their readmission history, minimum temperature, and threshold effects of air pollutants. In addition, sex, age, and season were also constructed for stratification to achieve more precise and specific results. The results show that no significant effects of PM2...
April 23, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29622722/inpatient-quality-improvement-interventions-for-asthma-a-meta-analysis
#2
REVIEW
Kavita Parikh, Susan Keller, Shawn Ralston
CONTEXT: Despite the availability of evidence-based guidelines for the management of pediatric asthma, health care utilization remains high. OBJECTIVE: Systematically review the inpatient literature on asthma quality improvement (QI) and synthesize impact on subsequent health care utilization. DATA SOURCES: Medline and Cumulative Index to Nursing and Allied Health Literature (January 1, 1991-November 16, 2016) and bibliographies of retrieved articles...
May 2018: Pediatrics
https://www.readbyqxmd.com/read/29610252/enhancing-postdischarge-asthma-care-by-using-pharmacy-claims-and-telephone-follow-up
#3
Ronald J Teufel, Anita B Shuler, Myla D Ebeling, Kristen Morella, Annie L Andrews
BACKGROUND AND OBJECTIVES: Asthma is a common reason for hospital readmission. The majority of children are not receiving adequate preventive care after discharge. Our objective is to decrease return visits to the emergency department (ED) or hospital for asthma through a series of interventions (eg, access to real-time claims data and structured follow-up phone calls) designed to increase preventive care. METHODS: We performed a single-site quality improvement project for children 2 to 17 years old discharged with asthma from January 2010 to March 2014...
April 2, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29605199/the-acute-effects-of-bronchial-thermoplasty-on-fev-1
#4
David Langton, Wei Wang, Francis Thien, Virginia Plummer
BACKGROUND: The most common adverse effect of bronchial thermoplasty (BT) is short-term aggravation of asthma immediately following the procedure. However, the magnitude and duration of this deterioration, and its predisposing factors are yet to be quantitated. This information will be particularly important as BT is extended to include more severely obstructed patients. METHODS: In this prospective, observational study of 20 consecutive patients with very severe asthma undergoing BT, post bronchodilator FEV1 was measured in the 30 min prior to surgery, and then 24 h following the 60 procedures...
April 2018: Respiratory Medicine
https://www.readbyqxmd.com/read/29581961/hospitalization-trends-in-adult-patients-with-copd-and-other-respiratory-diseases-in-northeast-china-from-2005-to-2015
#5
Honglei Liu, Ni Wang, Wei Chen, Wenyan Liu, Shiping Wang, Jianbo Lei, Hui Chen
Chronic obstructive pulmonary disease (COPD), pneumonia, asthma, and lung cancer are four common respiratory diseases that impose a substantial economic burden on both patients and government in China. The objective of our study is to analyze the temporal trends of several clinical tracking metrics for hospitalization regarding these diseases. Hospital discharge data of 54 hospitals for the period 2005-2015 were derived from the Health and Family Planning Commission in Northeast China. The age-adjusted rate of discharge for the four respiratory diseases increased significantly (COPD, pneumonia, asthma: P trend <  ...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29571931/effectiveness-of-pediatric-asthma-pathways-for-hospitalized-children-a-multicenter-national-analysis
#6
Sunitha V Kaiser, Jonathan Rodean, Arpi Bekmezian, Matt Hall, Samir S Shah, Sanjay Mahant, Kavita Parikh, Andrew D Auerbach, Rustin Morse, Henry T Puls, Charles E McCulloch, Michael D Cabana
OBJECTIVE: To determine if clinical pathways affect care and outcomes for children hospitalized with asthma using a multicenter study. STUDY DESIGN: This was a retrospective, multicenter cohort study using an administrative database, the Pediatric Health Information System. We evaluated the impact of inpatient pediatric asthma pathways on children age 2-17 years admitted for asthma from 2006 to 2015 in 42 children's hospitals. Date of pathway implementation for each hospital was collected via survey...
June 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29550053/early-initiation-of-inhaled-corticosteroids-does-not-decrease-acute-chest-syndrome-morbidity-in-pediatric-patients-with-sickle-cell-disease
#7
Alexis Leonard, Nihal Godiwala, Nicole Herrera, Robert McCarter, Matthew Sharron, Emily Riehm Meier
Acute chest syndrome (ACS) is a leading cause of mortality in patients with sickle cell disease (SCD). Systemic corticosteroids decrease ACS severity, but the risk of readmission for vaso-occlusive crises (VOC) has limited their use. The efficacy of inhaled corticosteroids (ICS) as a safer alternative is currently unknown. An observational, historic cohort study compared patients with SCD with ACS who received ICS at admission (ICS) to those who did not (non-ICS). Outcome measures included rates of transfusion, oxygen requirement, BiPAP initiation, PICU transfer, intubation, readmission, hospital cost, and length of stay...
July 2018: Blood Cells, Molecules & Diseases
https://www.readbyqxmd.com/read/29514744/association-between-blood-eosinophil-count-with-asthma-hospital-readmissions
#8
Francisco-Javier Gonzalez-Barcala, Maria-Esther San-Jose, Juan-José Nieto-Fontarigo, Jose-Martín Carreira, Uxio Calvo-Alvarez, Maria-Jesus Cruz, David Facal, Maria-Teresa Garcia-Sanz, Luis Valdes-Cuadrado, Francisco-Javier Salgado
INTRODUCTION: The presence of eosinophils in asthma inflammation is a relevant factor in the pathophysiology of the disease, however the relationship between the blood eosinophil count (BEC) with asthma severity and prognosis is still under debate. The aim of this work is to analyze the relationship between the BEC levels and hospital readmissions in patients with asthma. MATERIAL AND METHODS: A review was retrospectively carried out on all admissions of patients over 18 years old due to exacerbation of asthma occurring in our hospital between the years 2000 and 2010...
March 4, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29411238/hospital-level-care-at-home-for-acutely-ill-adults-a-pilot-randomized-controlled-trial
#9
David M Levine, Kei Ouchi, Bonnie Blanchfield, Keren Diamond, Adam Licurse, Charles T Pu, Jeffrey L Schnipper
BACKGROUND: Hospitals are standard of care for acute illness, but hospitals can be unsafe, uncomfortable, and expensive. Providing substitutive hospital-level care in a patient's home potentially reduces cost while maintaining or improving quality, safety, and patient experience, although evidence from randomized controlled trials in the US is lacking. OBJECTIVE: Determine if home hospital care reduces cost while maintaining quality, safety, and patient experience...
May 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29395170/impact-of-discharge-components-on-readmission-rates-for-children-hospitalized-with-asthma
#10
Kavita Parikh, Matt Hall, Chén C Kenyon, Ronald J Teufel, Grant M Mussman, Amanda Montalbano, Jessica Gold, James W Antoon, Anupama Subramony, Vineeta Mittal, Rustin B Morse, Karen M Wilson, Samir S Shah
OBJECTIVES: To describe hospital-based asthma-specific discharge components at children's hospitals and determine the association of these discharge components with pediatric asthma readmission rates. STUDY DESIGN: This is a multicenter retrospective cohort study of pediatric asthma hospitalizations in 2015 at children's hospitals participating in the Pediatric Health Information System. Children ages 5 to 17 years were included. An electronic survey assessing 13 asthma-specific discharge components was sent to quality leaders at all 49 hospitals...
April 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29367203/implementation-and-improvement-of-pediatric-asthma-guideline-improves-hospital-based-care
#11
David P Johnson, Donald H Arnold, James C Gay, Alison Grisso, Michael G O'Connor, Ellen O'Kelley, Paul E Moore
BACKGROUND: Standardized pediatric asthma care has been shown to improve measures in specific hospital areas, but to our knowledge, the implementation of an asthma clinical practice guideline (CPG) has not been demonstrated to be associated with improved hospital-wide outcomes. We sought to implement and refine a pediatric asthma CPG to improve outcomes and throughput for the emergency department (ED), inpatient care, and the ICU. METHODS: An urban, quaternary-care children's hospital developed and implemented an evidence-based, pediatric asthma CPG to standardize care from ED arrival through discharge for all primary diagnosis asthma encounters for patients ≥2 years old without a complex chronic condition...
February 2018: Pediatrics
https://www.readbyqxmd.com/read/29317461/neighborhood-deprivation-and-childhood-asthma-outcomes-accounting-for-insurance-coverage
#12
Flory L Nkoy, Bryan L Stone, Andrew J Knighton, Bernhard A Fassl, Joseph M Johnson, Christopher G Maloney, Lucy A Savitz
OBJECTIVES: Collecting social determinants data is challenging. We assigned patients a neighborhood-level social determinant measure, the area of deprivation index (ADI), by using census data. We then assessed the association between neighborhood deprivation and asthma hospitalization outcomes and tested the influence of insurance coverage. METHODS: A retrospective cohort study of children 2 to 17 years old admitted for asthma at 8 hospitals. An administrative database was used to collect patient data, including hospitalization outcomes and neighborhood deprivation status (ADI scores), which were grouped into quintiles (ADI 1, the least deprived neighborhoods; ADI 5, the most deprived neighborhoods)...
January 9, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29260375/changing-characteristics-of-hospital-admissions-but-not-the-children-admitted-a-whole-population-study-between-2000-and-2013
#13
Maryam Al-Mahtot, Rebecca Barwise-Munro, Philip Wilson, Steve Turner
There are increasing numbers of emergency medical paediatric admissions. Our hypothesis was that characteristics of children and details of their emergency admissions are also changing over time. Details of emergency admissions in Scotland 2000-2013 were analysed. There were 574,403 emergency admissions, median age 2.3 years. The age distribution, proportion of boys and socioeconomic status of children admitted were essentially unchanged. Emergency admissions rose by 49% from 36/1000 children per annum to 54/1000 between 2000 and 2013...
March 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29215657/-the-patient-and-the-crossing-between-primary-and-hospital-care-systematic-review-of-trials-for-the-implementation-of-tools-for-integration-in-spain
#14
REVIEW
L Corral Gudino, M Borao Cengotita-Bengoa, R J Jorge Sánchez, J García Aparicio
BACKGROUND: Health services are moving towards a complete integration to try and reduce fragmentation, increase efficiencies and improve health outcomes. Estimates the effectiveness in of different tools for integrated care in Spain. METHODS: We performed a systematic review of articles using MEDLINE (last search July31st, 2017). Randomized clinical trials reporting health outcomes of tools for integrated care used in Spain were included. Studies were appraised for quality using the Cochrane Risk of Bias assessment...
December 29, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/29206733/is-the-icu-a-risk-factor-for-future-asthma-readmissions
#15
Christopher L Carroll
No abstract text is available yet for this article.
December 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29074512/lung-function-at-term-in-extremely-preterm-born-infants-a-regional-prospective-cohort-study
#16
Mariann Haavik Bentsen, Trond Markestad, Knut Øymar, Thomas Halvorsen
OBJECTIVES: To compare lung function of extremely preterm (EP)-born infants with and without bronchopulmonary dysplasia (BPD) with that of healthy term-born infants, and to determine which perinatal characteristics were associated with lung function at term and how predictive these measurements were for later respiratory health in EP-born infants. METHODS: Perinatal variables were recorded prospectively, and tidal breathing parameters were measured at term-equivalent age using electromagnetic inductance plethysmography...
October 25, 2017: BMJ Open
https://www.readbyqxmd.com/read/28983580/laparoscopic-sleeve-gastrectomy-for-morbidly-obese-adolescents-in-singapore
#17
Dallan Dargan, Dmitrii Dolgunov, Khin Thida Soe, Pamela Er, Fathimath Naseer, Davide Lomanto, Jimmy By So, Asim Shabbir
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) outcomes among adolescents and factors associated with adolescent obesity in Singapore were evaluated. METHODS: Prospectively collected data of patients aged 16-19 years who underwent LSG was retrospectively reviewed. A lifestyle questionnaire, Berlin and Epworth scores, and Patient Health Questionnaire-9 scores were collected. Preoperative anthropometrics, comorbidities, weight loss and body composition outcomes were recorded...
February 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/28947230/indications-risk-factors-and-outcomes-of-30-day-readmission-after-infrarenal-abdominal-aneurysm-repair
#18
Hanaa N Dakour Aridi, Satinderjit Locham, Besma Nejim, Nasr S Ghajar, Husain Alshaikh, Mahmoud B Malas
OBJECTIVE: Reducing readmissions is an important target for improving patient care and enhancing health care quality and cost-effectiveness. The aim of this study was to assess rates, risk factors, and indications of 30-day readmission after open aortic repair (OAR) and endovascular aneurysm repair (EVAR) of infrarenal abdominal aortic aneurysms (AAAs). METHODS: A retrospective analysis of the Premier Healthcare Database from 2009 to 2015 was performed. Indications for readmission after the index procedure, risk factors, and outcomes of the index admission and rehospitalization were evaluated...
March 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28947044/sex-and-racial-ethnic-differences-in-the-reason-for-30-day-readmission-after-copd-hospitalization
#19
Tadahiro Goto, Mohammad Kamal Faridi, Koichiro Gibo, Carlos A Camargo, Kohei Hasegawa
BACKGROUND: Reduction of 30-day readmissions in patients hospitalized for chronic obstructive pulmonary disease (COPD) is a national objective. However, there is a dearth of research on sex and racial/ethnic differences in the reason for 30-day readmission. METHODS: We conducted a retrospective cohort study using 2006-2012 data from the State Inpatient Database of eight geographically-diverse US states (Arkansas, California, Florida, Iowa, Nebraska, New York, Utah, and Washington)...
October 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/28922266/time-to-asthma-related-readmission-in-children-admitted-to-the-icu-for-asthma
#20
Sze Man Tse, Christian Samson
OBJECTIVES: To compare the time to asthma-related readmissions between children with a previous ICU hospitalization for asthma and those with a non-ICU hospitalization and to explore predictors of time to readmission in children admitted to the ICU. DESIGN: Retrospective cohort study using a pan-Canadian administrative inpatient database from April 1, 2008, to March 31, 2014. SETTING: All adult and pediatric Canadian hospitals. SUBJECTS: Children 2-17 years old with a hospitalization for asthma...
December 2017: Pediatric Critical Care Medicine
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