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elderly inpatients

Jae Woo Choi, Eun-Cheol Park, Sang Gyu Lee, Sohee Park, Hwang-Gun Ryu, Tae Hyun Kim
AIM: To examine whether long-term care insurance (LTCI) reduces medical utilization and the burden of medical costs of beneficiaries. METHODS: The elderly cohort database of the National Health Insurance Service during 2005-2013 was used. The participants were 3029 beneficiaries who received consecutive LTCI services. We carried out a 1:3 case-control match on the propensity score to select a comparison group, and the final participants were 12 116 people, including 9087 who formed the control group...
October 11, 2018: Geriatrics & Gerontology International
Paula Kersten, Christine Cummins, Nicola Kayes, Duncan Babbage, Hinemoa Elder, Allison Foster, Mark Weatherall, Richard John Siegert, Greta Smith, Kathryn McPherson
OBJECTIVE: To explore the acceptability of peer mentoring for people with a traumatic brain injury (TBI) in New Zealand. DESIGN: This is a qualitative descriptive study exploring the experiences reported by mentees and mentors taking part in a feasibility study of peer mentoring. Interviews with five mentees and six mentors were carried out. Data were analysed using conventional content analysis. SETTING: The first mentoring session took place predischarge from the rehabilitation unit...
October 10, 2018: BMJ Open
Lee Friedman, Susan Avila, Daniel Friedman, Wendy Meltzer
BACKGROUND: Studies have demonstrated that measures of lower quality of care and associated adverse health effects are more prevalent in for-profit nursing homes compared to not-for-profit facilities. However, these studies omit persons who receive care in the community setting, and exclusively focus on isolated clinical signs that may obscure the true effect size, since these clinical signs rarely occur in isolation. OBJECTIVE: In this study, we use the Clinical Signs of Neglect Scale (CSNS), which is an aggregate measure of clinical signs of neglect and substandard care, to evaluate the association of residence type on health outcomes among individuals living in both private community residences and for-profit and not-for-profit long-term care facilities...
October 9, 2018: Gerontology
Art Ambrosio, Diana D Jeffery, Laura Hopkins, Harry B Burke
Introduction: Examining costs and utilization in a single-payer universal health care system provides information on fiscal and resource burdens associated with head and neck cancer (HNC). Here, we examine trends in the Department of Defense (DoD) HNC population with respect to: (1) reimbursed annual costs and (2) patterns and predictors of health care utilization in military only, civilian only, and both systems of care (mixed model). Materials and Methods: A retrospective, cross-sectional study was conducted using TRICARE claims data from fiscal years 2007 through 2014 for reimbursement of ambulatory, inpatient, and pharmacy charges...
October 6, 2018: Military Medicine
Ahmed S Yassin, Oluwole Adegbala, Ahmed Subahi, Hossam Abubakar, Emmanuel Akintoye, Mohamed Abdelrahamn, Abdelrahman Ahmed, Anika Agarwal, Mohamed Shokr, Mohit Pahuja, Mahir Elder, Amir Kaki, Theodore Schreiber, Tamam Mohamad
Multiple studies evaluated the outcomes and complications rate of Takotsubo Syndrome (TTS) in patients with and without advanced chronic kidney disease (CKD), revealed conflicting results. This study aims to assess the clinical outcomes and impact of advanced CKD on patients hospitalized with Takotsubo Syndrome. Patients who presented with Takotsubo cardiomyopathy between 2010 and 2014 were identified in the National Inpatient Sample (NIS) database using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), and subsequently were divided into two groups, with advanced CKD and without advanced CKD...
September 27, 2018: International Journal of Cardiology
Wei Xiang Lim, Ernest Beng Kee Kwek
The majority of hip fractures in elderly patients are managed surgically with superior outcomes. However, for patients who refuse surgery or are deemed medically unfit, traction used to be the mainstay of nonsurgical treatment, which is associated with prolonged hospitalization and inpatient complications from immobility. This study, therefore, aims to evaluate the outcomes of an early wheelchair mobilization protocol as an alternative nonsurgical treatment option. This is a retrospective study of 87 elderly patients who were managed nonsurgically for their hip fractures over a 1-year period...
May 2018: Journal of Orthopaedic Surgery
Anna Lena Sander, Maximilian Leiblein, Katharina Sommer, Ingo Marzi, Dorien Schneidmüller, Johannes Frank
PURPOSE: A shift towards surgical treatment of distal radius fractures seems to be apparent. The purpose of the present study was to assess current epidemiological data, the fracture severity according to the AO classification and the changing trend in the treatment. METHODS: This study presents a retrospective review of 268 patients ≥ 18 years of age admitted to our level I trauma center with distal radius fractures between 2013 and 2015. The data were obtained from the hospital inpatient enquiry system and review of the radiological examinations...
October 1, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Qian Sun, Cong Liu, Renjie Chen, Can Wang, Jiading Li, Jian Sun, Haidong Kan, Jingyan Cao, Hongjian Bai
BACKGROUND: Epidemiological evidence on the association between short-term exposure to fine particulate matter (PM2.5 ) air pollution and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is limited in China. OBJECTIVES: To explore the associations between PM2.5 and AECOPD in Yancheng, China from 2015 to 2017. METHODS: In this time-series study, we used a generalized linear model with quasi-Poisson regression to investigate the association between PM2...
September 22, 2018: Science of the Total Environment
Chuan Zou, Shanping Chen, Jing Shen, Xiaomei Zheng, Lingxiao Wang, Lijuan Guan, Qian Liu, Yongxue Yang
Background: Depression in the elderly is a serious and often underdiagnosed psychiatric disorder that has been linked to adverse outcomes in the hospital setting. This study aims to evaluate the prevalence of depressive symptoms and associated factors among elderly hospital inpatients. Methods: The cross-sectional study included 411 consecutively hospitalized patients aged 60 years and older. Participants were evaluated within 48 hours of admission using an interviewer-administered questionnaire including the Geriatric Depression Scale and comprehensive geriatric assessment to provide basic demographic and clinical information...
2018: Clinical Interventions in Aging
Albert H Zhou, Sei Y Chung, Michael J Sylvester, Michael Zaki, Peter S Svider, Wayne D Hsueh, Soly Baredes, Jean Anderson Eloy
Background Epistaxis is common in elderly patients, occasionally necessitating hospitalization for the management of severe bleeds. In this study, we aim to explore the impact of nasal packing versus nonpacking interventions (cauterization, embolization, and ligation) on outcomes and complications of epistaxis hospitalization in the elderly. Methods The 2008-2013 National Inpatient Sample was queried for elderly patients (≥65 years) with a primary diagnosis of epistaxis and accompanying procedure codes for anterior and posterior nasal packing or nonpacking interventions...
October 1, 2018: American Journal of Rhinology & Allergy
Gbolahan O Ogunbayo, Naoki Misumida, Karam Ayoub, Yared Hailemariam, Dustin Hillerson, Ayman Elbadawi, Ahmed Abdel-Latif, Susan Smyth, Khaled Ziada, Adrian W Messerli
BACKGROUND: Pharmacologic reperfusion therapy is a recommended and effective strategy in patients with ST-elevation myocardial infarction (STEMI) when percutaneous coronary intervention (PCI) is not available. This study investigates temporal trends and outcomes of fibrinolytic therapy (FT) in elderly patients with STEMI. METHODS: Using the Nationwide Inpatient Sample database, we extracted patients ≥80 years a primary diagnosis of STEMI admitted between 2010 and 2014...
September 30, 2018: Catheterization and Cardiovascular Interventions
Erlend Bugge, Rolf Wynn, Tom Eirik Mollnes, Solveig Klæbo Reitan, Ole Kristian Grønli
BACKGROUND: There is a paucity of studies on inflammatory markers in elderly psychiatric patients. Hence, our study was undertaken to investigate cytokines as biomarkers in diagnostically unselected elderly patients admitted to a psychiatric hospital. METHODS: Demographic data, clinical data and blood samples, including 27 cytokines, were collected from 98 patients above 60 years, consecutively admitted to a psychiatric hospital in Tromsø, Norway (69°N). RESULTS: The most common diagnosis was Recurrent depressive disorder (26...
September 27, 2018: BMC Psychiatry
Nisha Crouser, Azeem Tariq Malik, Nikhil Jain, Elizabeth Yu, Jeffery Kim, Safdar N Khan
INTRODUCTION: Vertebral compression fractures are a common clinical occurrence in elderly individuals with osteoporosis. No current evidence exists on risk factors and clinical impact of discharge to inpatient (IP) care facility after vertebral augmentation procedures. MATERIALS AND METHODS: The 2012-2014 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database files were queried using Current Procedural Terminology codes for vertebroplasty (22520, 22521, and 22522) and kyphoplasty (22523, 22524, and 22525)...
October 2018: World Neurosurgery
Lei Xu, Rui He, Xiaohan Hua, Jun Zhao, Jungong Zhao, Hui Zeng, Lianxi Li, Fang Liu, Weiping Jia
OBJECTIVE: To investigate the relationship between ankle-branchial index (ABI) and cardiovascular disease in type 2 diabetes patients. METHODS: A total of 634 inpatients with type 2 diabetes were recruited in this cross-sectional study. All patients were measured Ankle-branchial index (ABI) and computed tomography angiography (CTA) scan for coronary artery disease (CAD). According to ABI values, patients were divided into three groups: low-ABI group (ABI < 0...
September 25, 2018: Diabetes/metabolism Research and Reviews
Adrienne M Gilligan, Jessica Franchino-Elder, Xue Song, Cheng Wang, Caroline Henriques, Amy Sainski-Nguyen, Kathleen Wilson, David M Smith, Stephen Sander
BACKGROUND: This is one of the first head-to-head real-world evidence studies comparing stroke-related and bleed-related healthcare and resource utilization (HCRU) and costs among non-valvular atrial fibrillation (NVAF) patients initiating oral anticoagulants. METHODS: Adult NVAF patients newly diagnosed and treated with dabigatran, rivaroxaban, or warfarin between 10/01/2010 and 12/31/2014 were identified using MarketScan Commercial and Medicare Supplemental databases...
September 25, 2018: Expert Review of Pharmacoeconomics & Outcomes Research
Gen Shinozaki, Aubrey Chan, Nick Sparr, Kasra Zarei, Lindsey Gaul, Jonathan Heinzman, Julian Robles, Kumi Yuki, Theodosis Chronis, Timothy Ando, Terrence Wong, Sayeh Sabbagh, Michelle Weckmann, Sangil Lee, Thoru Yamada, Matthew Karam, Nicholas Noiseux, Eri Shinozaki, John Cromwell
AIM: Delirium is common and dangerous among elderly inpatients. Yet it is underdiagnosed and thus undertreated. This study aims to test the diagnostic characteristics of a noninvasive point-of-care device with two-channel (bispectral) electroencephalography (EEG) for the screening of delirium in the hospital. METHODS: Patients admitted to the University of Iowa Hospitals and Clinics were assessed for the presence of delirium with a clinical assessment, the Confusion Assessment Method for Intensive Care Unit and Delirium Rating Scale...
September 24, 2018: Psychiatry and Clinical Neurosciences
Stephanie Choo, Azeem Tariq Malik, Nikhil Jain, Elizabeth Yu, Jeffery Kim, Safdar N Khan
OBJECTIVES: Despite vertebral fractures being a common occurrence in elderly osteoporotic individuals, literature remains scant with regards to 30-day outcomes following vertebral augmentation for these injuries. We studied a national database of elderly osteoporotic patients who underwent vertebroplasty and kyphoplasty. PATIENTS AND METHODS: The 2012-2014 ACS-NSQIP database was queried using CPT codes for vertebroplasty (22520, 22521 and 22522) and kyphoplasty (22523, 22524 and 22525)...
August 12, 2018: Clinical Neurology and Neurosurgery
Tim Tran, Simone E Taylor, Andrew Hardidge, Elise Mitri, Parnaz Aminian, Johnson George, Rohan A Elliott
BACKGROUND: Medication errors commonly occur when patients move from the community into hospital. Whereas medication reconciliation by pharmacists can detect errors, delays in undertaking this can increase the risk that patients receive incorrect admission medication regimens. Orthopedic patients are an at-risk group because they are often elderly and use multiple medications. OBJECTIVE: To evaluate the prevalence and nature of medication errors when patients are admitted to an orthopedic unit where pharmacists routinely undertake postprescribing medication reconciliation...
September 20, 2018: Annals of Pharmacotherapy
Ahmed Subahi, Abdullah Abdullah, Ahmed S Yassin, Hossam Abubakar, Ashraf Abugroun, George Eigbire, Amr Salama, Abdul Wahab, Ayman Abulawi, Eyas Kanaan, Aamer Javed, Mahir Elder, Amir Kaki, Richard Alweis, Tamam Mohamad
INTRODUCTION: Congestive heart failure (CHF) is seen in up to 13-25% of patients with NSTEMI. Recent data describing the impact of congestive heart failure (CHF) on in-hospital outcomes in patients with non-ST-segment elevation myocardial infarction (NSTEMI) in the United States is limited. We sought to examine the in-hospital outcomes, and management of CHF in patients admitted to the hospital with NSTEMI. METHODS: National Inpatient Sample (NIS) database (2010-2014) was analyzed to identify patients with NSTEMI using ICD-9-CM codes...
September 13, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Francisco Schlottmann, Charles Gaber, Paula D Strassle, Marco G Patti, Anthony G Charles
BACKGROUND: Data comparing outcomes following cholecystectomy and cholecystostomy tube placement (CTP) in elderly patients are lacking. We aimed to compare the post-procedural outcomes between cholecystectomy and CTP in elderly patients with acute cholecystitis. METHODS: We performed a retrospective, population-based analysis using the National Inpatient Sample for the period 2000-2014. Patients ≥ 65 years old admitted with a primary diagnosis of acute cholecystitis and who underwent either cholecystectomy or CTP during their hospitalization were included...
September 17, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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