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aged inpatients

Saki Hattori, Akira Suda, Ikuko Kishida, Masatoshi Miyauchi, Yohko Shiraishi, Mami Fujibayashi, Natsuki Tsujita, Chie Ishii, Norio Ishii, Toshio Moritani, Yusuke Saigusa, Yoshio Hirayasu
BACKGROUND: Patients with schizophrenia have a higher mortality risk than the general population. Additionally, the autonomic nervous system (ANS) activity of patients with schizophrenia is lower and more dysfunctional than that of the general population. Nonetheless, the association between ANS dysfunction and mortality in schizophrenia is unclear. The aim of this study was to investigate the association between ANS activity and mortality in schizophrenia and to evaluate the predictive values of heart rate variability for long-term survival...
August 9, 2018: Comprehensive Psychiatry
Nirav S Kapadia, Andrea M Austin, Donald Q Carmichael, Qianfei Wang, Elisabeth D Erekson, Diane Feskanich, Francine Grodstein, Anna N A Tosteson, Julie P W Bynum
BACKGROUND: To better understand health habits in older nurses versus the general population, we sought to determine whether the demographics, health care utilization, and Medicare spending by the Nurses' Health Study (NHS) participants enrolled in Medicare and a matched sample of Medicare beneficiaries meaningfully differed. MATERIALS AND METHODS: Analytic cohorts included a random 20% sample of Medicare beneficiaries continuously enrolled in fee for service (FFS) Medicare that were propensity matched to the NHS participants continuously enrolled in FFS Medicare in a single year (2012)...
August 17, 2018: Journal of Women's Health
Hormuzdiyar Dasenbrock, William B Gormley, Yoojin Lee, Vincent Mor, Susan L Mitchell, Corey R Fehnel
OBJECTIVE Data evaluating the long-term outcomes, particularly with regard to treatment modality, of aneurysmal subarachnoid hemorrhage (SAH) in octogenarians are limited. The primary objectives were to evaluate the disposition (living at home vs institutional settings) and analyze the predictors of long-term survival and return to home for octogenarians after SAH. METHODS Data pertaining to patients age 80 and older who underwent microsurgical clipping or endovascular coiling for SAH were extracted from 100% nationwide Medicare inpatient claims and linked with the Minimum Data Set (2008-2011)...
August 17, 2018: Journal of Neurosurgery
Glenmore Lasam, Jaimin Dudhia, Sharen Anghel, Jeffrey Brensilver
Background: Although guidelines suggest that the best strategy for evaluating syncope is clinical history and physical examination, the inappropriate utilization of diagnostic imaging is common. Methods: A single center retrospective analysis conducted in adult patients admitted for evaluation and management of syncope for a period of 12 months. Charts were reviewed to abstract demographic data, admitting and discharge diagnosis, diagnostic investigatory tests including imaging modalities (echocardiogram, carotid ultrasound, and cranial computed tomography (CT)) ordered, subspecialty consultation requested, treatment rendered and hospital length of stay (LOS)...
August 2018: Cardiology Research
Clifford C Sheckter, Kay Hung, Danielle Rochlin, Zeshaan Maan, Yvonne Karanas, Catherine Curtin
INTRODUCTION: Despite advances in critical care and the surgical management of major burns, highly moribund patients are unlikely to survive. Little is known regarding the utilization and effects of palliative care services in this population. METHODS: All major burn hospitalizations were identified within the Nationwide Inpatient Sample. Patients were characterized by burn, demographic, facility, and diseases factors. Palliative care services were identified with International Classification Disease 9th edition code V6...
August 13, 2018: Burns: Journal of the International Society for Burn Injuries
G Mullen, C Dowling, G O'Reilly
OBJECTIVES: Research regarding adolescent internet use and mental health is sparse. However, awareness of a young person's internet use is becoming increasingly recognised as an important element of clinical assessment and intervention, and requires the development of an evidence base. The aim of the present study was to better understand the internet use of young people experiencing mental health difficulties and to contrast it with those who currently report no concerns. METHOD: In total, 299 young people aged 12-19 years, across a continuum of mental health difficulties, completed an online survey measuring internet use and related experiences...
March 2018: Irish Journal of Psychological Medicine
D White, O A Williams, M Leonard, C Exton, D Adamis, A Hannigan, W Cullen, C P Dunne, D Meagher
OBJECTIVES: Conventional bedside tests of visuospatial function such as the clock drawing (CDT) and intersecting pentagons tests (IPT) are subject to considerable inconsistency in their delivery and interpretation. We compared performance on a novel test - the letter and shape drawing (LSD) test - with these conventional tests in hospitalised elderly patients. METHODS: The LSD, IPT, CDT and the Montreal Cognitive Assessment (MoCA) were performed in 40 acute elderly medical inpatients at University Hospital Limerick The correlation between these tests was examined as well as the accuracy of the visuospatial tests to identify significant cognitive impairment on the MoCA...
September 2017: Irish Journal of Psychological Medicine
Felix P Bernhard, Jennifer Sartor, Kristina Bettecken, Markus A Hobert, Carina Arnold, Yvonne G Weber, Sven Poli, Nils G Margraf, Christian Schlenstedt, Clint Hansen, Walter Maetzler
BACKGROUND: Deficits in gait and balance are common among neurological inpatients. Currently, assessment of these patients is mainly subjective. New assessment options using wearables may provide complementary and more objective information. METHODS: In this prospective cross-sectional feasibility study performed over a four-month period, all patients referred to a normal neurology ward of a university hospital and aged between 40 and 89 years were asked to participate...
August 16, 2018: BMC Neurology
Shih-Chieh Chang, Jiun-I Lai, Mei-Chin Lu, Kuan-Hung Lin, Wei-Shu Wang, Su-Shun Lo, Yi-Chun Lai
Hip fracture is an important health care issue in the elderly. Postoperative pulmonary complications occur in 4% of patients after hip fracture surgery. However, previous research is limited regarding pulmonary rehabilitation in this group. In this study, we present clinical evidence regarding the impact of a comprehensive pulmonary rehabilitation program in elderly hip fracture patients after hip surgery.We designed a nonrandomized, Quasi-experimental study, comparing 2 sequential time periods in the same center...
August 2018: Medicine (Baltimore)
Yusuke Okubo, Kotaro Nochioka, Marcia A Testa
OBJECTIVE: Anaphylaxis is a common, serious, systemic allergic reaction. In the United States, the change of annual hospitalization rates by anaphylaxis-trigger foods and risk factors associated with severity remain unclear. METHODS: Hospital discharge records of food-induced anaphylactic reactions of individuals younger than 20 years were obtained from Kids' Inpatient Database in 2006, 2009, and 2012 and were weighted to estimate the number of hospitalizations in the United States...
August 14, 2018: Pediatric Emergency Care
Elyse Ross, Rebecca Barnett, Rebecca Tudhope, Kamini Vasudev
BACKGROUND: Patients with severe mental illness are at risk of medical complications, including cardiovascular disease, metabolic syndrome, and diabetes. Given this vulnerability, combined with metabolic risks of antipsychotics, physical health monitoring is critical. Inpatient admission is an opportunity to screen for medical comorbidities. Our objective was to improve the rates of physical health monitoring on an inpatient psychiatry unit through implementation of an electronic standardized order set...
August 13, 2018: Journal of Clinical Psychopharmacology
Joseph K McLaughlan, Leia Vos, Brigid Waldron-Perrine, Tanya Sherman, Scott R Millis
PURPOSE/OBJECTIVE: Despite the widespread use of the Cognitive Log, information regarding normative performance is only available in individuals with known brain injury and in healthy college students. The purpose of the current research is to provide information about Cognitive Log performance in a regional group of rehabilitation patients without history of brain injury. Secondarily, non-neurological factors that may predict performance are considered. Research Method/Design: Participants included in this study were 121 consecutive patients admitted to an inpatient rehabilitation hospital spinal cord and orthopedic floor...
August 2018: Rehabilitation Psychology
Heather R Batten, Steven M McPhail, Allison M Mandrusiak, Paulose N Varghese, Suzanne S Kuys
BACKGROUND: The relationship between gait speed and prosthetic potential (K-level classifications) and function has not been explored among people transitioning from hospital rehabilitation to the community. OBJECTIVES: To examine gait speed at discharge from inpatient rehabilitation among people prescribed a prosthetic leg after unilateral lower limb amputation, and associations between gait speed, prosthetic potential and functional ability. STUDY DESIGN: Cohort...
August 16, 2018: Prosthetics and Orthotics International
Rui-Qi Zhuge, Xiao-Pei Hou, Xi-Ling Qi, Yong-Jian Wu, Ming-Zi Zhang
Objective: To summarize clinical characteristics and treatment strategy of Chinese elderly mitral regurgitation (MR) inpatients under the current guidelines, and to identify factors related to treatment options in them. Methods: A single center retrospective study was conducted in which patients hospitalized in Fuwai hospital from May 1st of 2014 to April 30 of 2015 with moderate to severe MR assessed by transthoracic echocardiography were enrolled consecutively ( n = 1741)...
June 2018: Journal of Geriatric Cardiology: JGC
Islam I Bedaiwi, Sukayna Z Alfaraj, Jesse M Pines
BACKGROUND: We examine recent trends in U.S. emergency department (ED) and hospital care for stroke and transient ischemic attack (TIA). METHOD: We used national ED and inpatient data from the Healthcare Cost and Utilization Project 2006-14. We explored trends in care and outcomes for patients treated in U.S. hospitals with stroke and TIA using descriptive statistics, as well as intracranial hemorrhage (ICH), a complication of stroke treatment. RESULTS: From 2006 to 14, there were 3...
August 8, 2018: American Journal of Emergency Medicine
Elizabeth V Connor, Erica M Newlin, J Eric Jelovsek, Mariam M AlHilli
OBJECTIVE: To externally validate a model predicting non-home discharge in women undergoing primary cytoreductive surgery (CRS) for epithelial ovarian cancer (EOC). METHODS: Women undergoing primary CRS via laparotomy for EOC at three tertiary medical centers in an academic health system from January 2010 to December 2015 were included. Patients were excluded if they received neoadjuvant chemotherapy, had a non-epithelial malignancy, were not undergoing primary cytoreduction, or lacked documented model components...
August 11, 2018: Gynecologic Oncology
X W Song, M Z Wang, J Z Zhao
Objective: Aneurysm rupture during in-hospital period contributes to the exceedingly high morbidity and mortality of inpatients with untreated aneurysm. However, risk factors for aneurysm rupture during hospitalization were scarcely focused in previous reports. The aim of this study was to investigate the risk factors of aneurysm rupture during hospitalization and to propose clinical strategies improving prognosis. Methods: Patients with intracranial aneurysm (lA) rupture during hospitalization were identified in our prospective cohort of consecutive patients admitted to Beijing Tiantan Hospital between Jan 2014 to Dec 2017...
August 7, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Min Kim, James Paik, Pegah Golabi, Thomas Jeffers, Alita Mishra, Zobair M Younossi
GOALS: To assess the outcomes and resource utilization of chronic hepatitis B (CH-B) among Medicare beneficiaries. BACKGROUND: CH-B is highly prevalent among immigrants from endemic areas. Although incidence of CH-B is stable in the United States, CH-B patients have become Medicare eligible. STUDY: We used the inpatient and outpatient Medicare database (2005 to 2014). Adult patients with CH-B diagnosis were included. One-year mortality and resource utilization were assessed...
August 13, 2018: Journal of Clinical Gastroenterology
Aimee N C Campbell, Celestina Barbosa-Leiker, Mary Hatch-Maillette, Sarah E Mennenga, Martina Pavlicova, Jennifer Scodes, Tanya Saraiya, Shannon G Mitchell, John Rotrosen, Patricia Novo, Edward V Nunes, Shelly F Greenfield
BACKGROUND & OBJECTIVES: We investigated gender differences in individuals with opioid use disorder (OUD) receiving inpatient services and entering a randomized controlled trial comparing extended-release naltrexone to buprenorphine. METHODS: Participants (N = 570) provided demographic, substance use, and psychiatric information. RESULTS: Women were significantly younger, more likely to identify as bisexual, live with a sexual partner, be financially dependent, and less likely employed...
August 14, 2018: American Journal on Addictions
Fahad Saeed, Malik M Adil, Umar M Kaleem, Abdus Salam Khan, Jean L Holley, Sevag Damirjian
BACKGROUND: There is paucity of data on the outcomes of in-hospital cardiopulmonary resuscitation (CPR) in patients with acute kidney injury (AKI). We analyzed the impact of acute kidney injury on in-hospital CPR-related outcomes. MATERIALS AND METHODS: We analyzed data from Nationwide Inpatient Sample (NIS 2005 - 2011) including patients with and without AKI who had undergone in-hospital CPR. Baseline characteristics, in-hospital complications and discharge outcomes were compared between the two groups...
August 14, 2018: Clinical Nephrology
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