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Hospital and services costs for elderly patients

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https://www.readbyqxmd.com/read/27884118/burden-of-clostridium-difficile-associated-disease-among-patients-residing-in-nursing-homes-a-population-based-cohort-study
#1
Holly Yu, Onur Baser, Li Wang
BACKGROUND: Clostridium difficile (C. difficile) infection (CDI) is the leading cause of nosocomial diarrhea in the United States. This study aimed to examine the incidence of CDI and evaluate mortality and economic burden of CDI in an elderly population who reside in nursing homes (NHs). METHODS: This was a population-based retrospective cohort study focusing on US NHs by linking Medicare 5% sample, Medicaid, Minimum Data Set (MDS) (2008-10). NH residents aged ≥65 years with continuous enrollment in Medicare and/or Medicaid Fee-for-Service plan for ≥12 months and ≥2 quarterly MDS assessments were eligible for the study...
November 25, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27847675/an-orthopedic-hospitalist-comanaged-hip-fracture-service-reduces-inpatient-length-of-stay
#2
Daniel N Bracey, Tunc C Kiymaz, David C Holst, Kamran S Hamid, Johannes F Plate, Erik C Summers, Cynthia L Emory, Riyaz H Jinnah
INTRODUCTION: Hip fractures are common in the elderly patients with an incidence of 320 000 fractures/year in the United States, representing a health-care cost of US$9 to 20 billion. Hip fracture incidence is projected to increase dramatically. Hospitals must modify clinical models to accommodate this growing burden. Comanagement strategies are reported in the literature, but few have addressed orthopedic-hospitalist models. An orthopedic-hospitalist comanagement (OHC) service was established at our hospital to manage hip fracture patients...
December 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/27707828/fracture-in-the-elderly-multidisciplinary-rehabilitation-femur-a-phase-ii-randomised-feasibility-study-of-a-multidisciplinary-rehabilitation-package-following-hip-fracture
#3
Nefyn H Williams, Jessica L Roberts, Nafees Ud Din, Nicola Totton, Joanna M Charles, Claire A Hawkes, Val Morrison, Zoe Hoare, Michelle Williams, Aaron W Pritchard, Swapna Alexander, Andrew Lemmey, Robert T Woods, Catherine Sackley, Pip Logan, Rhiannon T Edwards, Clare Wilkinson
OBJECTIVE: To conduct a rigorous feasibility study for a future definitive parallel-group randomised controlled trial (RCT) and economic evaluation of an enhanced rehabilitation package for hip fracture. SETTING: Recruitment from 3 acute hospitals in North Wales. Intervention delivery in the community. PARTICIPANTS: Older adults (aged ≥65) who received surgical treatment for hip fracture, lived independently prior to fracture, had mental capacity (assessed by clinical team) and received rehabilitation in the North Wales area...
October 5, 2016: BMJ Open
https://www.readbyqxmd.com/read/27616961/outcome-indicators-on-interprofessional-collaboration-interventions-for-elderly
#4
Giannoula Tsakitzidis, Olaf Timmermans, Nadine Callewaert, Veronique Verhoeven, Maja Lopez-Hartmann, Steven Truijen, Herman Meulemans, Paul Van Royen
BACKGROUND: Geriatric care increasingly needs more multidisciplinary health care services to deliver the necessary complex and continuous care. The aim of this study is to summarize indicators of effective interprofessional outcomes for this population. METHOD: A systematic review is performed in the Cochrane Library, Pubmed (Medline), Embase, Cinahl and Psychinfo with a search until June 2014. RESULTS: Overall, 689 references were identified of which 29 studies met the inclusion criteria...
2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/27557644/elderly-hospitalization-and-the-new-type-rural-cooperative-medical-scheme-ncms-in-china-multi-stage-cross-sectional-surveys-of-jiangxi-province
#5
Bingbing Pan, Zhaokang Yuan, Jiaojiao Zou, Daniel M Cook, Wei Yang
BACKGROUND: Studies assessing the impacts of China's New-type Rural Cooperative Medical Scheme (NCMS) reform of 2003 among rural elderly have been limited. METHOD: Multistage stratified cluster sampling household surveys of 1838, 1924, 1879, 1888, 1890 and 1896 households from 27 villages in Jiangxi province were conducted in 2003/2004, 2006, 2008, 2010, 2012 and 2014. Data from older adults age 65 and above were analyzed. Weighted logistic regression was applied to find factors of elderly hospitalization services...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27462845/-morbidity-profile-and-hospital-expenses-with-elderly-patients-in-paran%C3%A3-state-brazil-2008-2012
#6
Clarice da Luz Kernkamp, Cassia Kely Favoretto Costa, Ely Mitie Massuda, Eraldo Schunk Silva, Mirian Ueda Yamaguchi, Marcelo Picinin Bernuci
Growth in the elderly population has increased both the demand for health services and healthcare expenses, with relevant consequences for economic stability. The current study aimed to analyze the morbidity profile and hospital expenses with elderly patients in relation to socioeconomic and demographic conditions in Paraná State, Brazil, from 2008 to 2012, applying principal components analysis and groupings. Regions with higher and lower economic and human development showed high prevalence of hospitalizations and costs pertaining to the circulatory and respiratory systems and cardiac diseases for males and females...
July 21, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27459659/nephrotoxic-medication-exposure-in-u-s-adults-with-predialysis-chronic-kidney-disease-health-services-utilization-and-cost-outcomes
#7
Mary Lynn Davis-Ajami, Jeffery C Fink, Jun Wu
BACKGROUND: Nephrotoxic medication exposure increases risks for acute kidney injury, permanent renal function loss, and costly preventable adverse drug events. Exposure to medications associated with inducing acute tubular nephritis or tubular toxicity versus nonexposure among those with predialysis renal disease-a population vulnerable to increased risk of kidney injury-may affect health services utilization and cost outcomes. Few studies quantify nephrotoxic medication exposure in chronic kidney disease (CKD) and associated costs...
August 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27399381/101%C3%A2-medicare-expenditures-for-elderly-patients-undergoing-surgical-clipping-or-endovascular-intervention-for-subarachnoid-hemorrhage
#8
Kimon Bekelis, Dan Gottlieb, Todd MacKenzie, Giuseppe Lanzino, Michael T Lawton, Stavropoula I Tjoumakaris, Pascal Jabbour
INTRODUCTION: The impact of treatment method (surgical clipping or endovascular coiling) on the cost of care of patients with aneurysmal subarachnoid hemorrhage (SAH) is debated. We investigated the association of treatment method with long-term Medicare expenditures in elderly patients with aneurysmal SAH. METHODS: We performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients, who underwent treatment for ruptured cerebral aneurysms from 2007 to 2012...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27330890/progress-in-ambient-assisted-systems-for-independent-living-by-the-elderly
#9
Riyad Al-Shaqi, Monjur Mourshed, Yacine Rezgui
One of the challenges of the ageing population in many countries is the efficient delivery of health and care services, which is further complicated by the increase in neurological conditions among the elderly due to rising life expectancy. Personal care of the elderly is of concern to their relatives, in case they are alone in their homes and unforeseen circumstances occur, affecting their wellbeing. The alternative; i.e. care in nursing homes or hospitals is costly and increases further if specialized care is mobilized to patients' place of residence...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27314472/associations-between-hospital-based-rehabilitation-for-hip-fracture-and-two-year-outcomes-for-mortality-and-independent-living-an-australian-database-study-of-1-724-elderly-community-dwelling-patients
#10
Anthony W Ireland, Patrick J Kelly, Robert G Cumming
OBJECTIVE: To compare rates of mortality, hospital readmissions and independent living status for 2 years following hip fracture in community-dwelling patients with and without hospital-based rehabilitation. DESIGN: Retrospective cohort study. METHODS: Administrative data-sets were linked for hospital treatment, residential aged care admissions, selected community services and date of death for community-dwelling hip fracture patients. Mortality, readmissions, residency within aged care facilities and independent living status at intervals up to 2 years were compared in multivariate logistic regression for patients with and without hospital-based rehabilitation...
July 18, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27203138/medicare-expenditures-for-elderly-patients-undergoing-surgical-clipping-or-endovascular-intervention-for-subarachnoid-hemorrhage
#11
Kimon Bekelis, Daniel J Gottlieb, Yin Su, Giuseppe Lanzino, Michael T Lawton, Todd A MacKenzie
OBJECTIVE The impact of treatment method-surgical clipping or endovascular coiling-on the cost of care for patients with aneurysmal subarachnoid hemorrhage (SAH) is debated. Here, the authors investigated the association between treatment method and long-term Medicare expenditures in elderly patients with aneurysmal SAH. METHODS The authors performed a cohort study of 100% of the Medicare fee-for-service claims data for elderly patients who had undergone treatment for ruptured cerebral aneurysms in the period from 2007 to 2012...
May 20, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27077561/-a-method-for-identifying-people-with-a-high-level-of-frailty-by-using-a-population-database-varese-italy
#12
Salvatore Pisani, Maria Gambino, Lorena Balconi, Cristina Degli Stefani, Sabina Speziali, Domenico Bonarrigo
Since over 10 years, the Lombardy Region (Italy) has developed a system for classifying all persons registered with the healthcare system (database of persons registered with a general practitioner), according to their use of major healthcare services (hospitalizations, outpatient consultations, pharmaceutical) and whether they are exempt from copayment fees for disease-specific medications and healthcare services. The present study was conducted by the local health authorities of the province of Varese (Lombardy region, Italy) with 894...
January 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/27056208/inpatient-cost-of-hip-fracture-patients-managed-with-an-orthogeriatric-care-model-in-singapore
#13
Lester Teong Jin Tan, Seng Joung Wong, Ernest Beng Kee Kwek
INTRODUCTION: The estimated incidence of hip fractures worldwide was 1.26 million in 1990 and is expected to double to 2.6 million by 2025. The cost of care for hip fracture patients is a significant economic burden. This study aimed to look at the inpatient cost of hip fractures among elderly patients placed under a mature orthogeriatric co-managed system. METHODS: This study was a retrospective analysis of 244 patients who were admitted to the Department of Orthopaedics of Tan Tock Seng Hospital, Singapore, in 2011 for hip fractures under a mature orthogeriatric hip fracture carepath...
April 8, 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27015048/evaluation-of-eligibility-criteria-used-to-identify-patients-for-medication-therapy-management-services-a-retrospective-cohort-study-in-a-medicare-advantage-part-d-population
#14
Janet S Lee, Jianing Yang, Karen M Stockl, Heidi Lew, Brian K Solow
BACKGROUND: General eligibility criteria used by the Centers for Medicare & Medicaid Services (CMS) to identify patients for medication therapy management (MTM) services include having multiple chronic conditions, taking multiple Part D drugs, and being likely to incur annual drug costs that exceed a predetermined threshold. The performance of these criteria in identifying patients in greatest need of MTM services is unknown. Although there are numerous possible versions of MTM identification algorithms that satisfy these criteria, there are limited data that evaluate the performance of MTM services using eligibility thresholds representative of those used by the majority of Part D sponsors...
January 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27013232/medicare-expenditures-for-elderly-patients-undergoing-surgical-clipping-or-endovascular-intervention-for-unruptured-cerebral-aneurysms
#15
Kimon Bekelis, Dan Gottlieb, Yin Su, Nicos Labropoulos, George Bovis, Michael T Lawton, Todd A MacKenzie
BACKGROUND: The cost difference between the two treatment options (surgical clipping and endovascular therapy) for unruptured cerebral aneurysms remains an issue of debate. We investigated the association between treatment method for unruptured cerebral aneurysms and Medicare expenditures in elderly patients. METHODS: We performed a cohort study of 100% Medicare fee-for-service claims data for elderly patients who underwent treatment for unruptured cerebral aneurysms from 2007 to 2012...
March 24, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/27005281/lessons-learned-from-a-prolonged-and-costly-norovirus-outbreak-at-a-scottish-medicine-of-the-elderly-hospital-case-study
#16
J Danial, S Ballard-Smith, C Horsburgh, C Crombie, A Ovens, K E Templeton, A Hardie, F Cameron, L Harvey, J Stevenson, I Johannessen
BACKGROUND: Norovirus outbreaks are a major burden for healthcare facilities globally. AIM: Lessons learned to inform an action plan to improve facilities as well as responses to norovirus within the medicine of the elderly (MoE) hospital as well as other NHS (National Health Service) Lothian facilities. METHODS: This study investigated the impact of a prolonged outbreak at an MoE hospital in one of the 14 Scottish health boards between February and March 2013...
June 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/26998949/cost-effectiveness-of-individualized-nutrition-and-exercise-therapy-for-rehabilitation-following-hip-fracture
#17
Rachel Milte, Michelle D Miller, Maria Crotty, Shylie Mackintosh, Susie Thomas, Ian D Cameron, Craig Whitehead, Susan Kurrle, Julie Ratcliffe
OBJECTIVE: To undertake a cost-utility analysis of the Individual Nutrition Therapy and Exercise Regime: A Controlled Trial of Injured, Vulnerable Elderly (INTERACTIVE) trial. DESIGN: Cost-utility analysis of a randomized controlled trial. SUBJECTS: A total of 175 patients following a hip fracture were allocated to receive either alternate weekly visits from a physical therapist and dietitian (intervention group), or social visits for 6 months (control group)...
April 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/26929654/costs-associated-with-rheumatoid-arthritis-in-italy-past-present-and-future
#18
REVIEW
Maurizio Benucci, Veronica Rogai, Fabiola Atzeni, Volker Hammen, Piercarlo Sarzti-Puttini, Alberto Migliore
This literature review examines available evidence on the current and past costs associated with rheumatoid arthritis (RA) in Italy, together with the future health-economic prospects for the disease. Studies have been conducted to date on the prevalence, or the associated costs, of RA in Italy. Although future changes in the incidence of RA are a matter of debate, the impact of RA on health care costs is expected to grow in coming decades in line with projected increases in life expectancy and in the proportion of elderly people in Italy...
2016: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/26864118/patient-satisfaction-with-a-teleradiology-service-in-general-practice
#19
Jac J W M Jacobs, Rianne Ekkelboom, Jan P A M Jacobs, Thys van der Molen, Robbert Sanderman
BACKGROUND: Accessibility to secondary health services is not always easy for patients who live at a great distance of hospital. In these circumstances, transferring diagnostic tools and treatment options to primary care could prove beneficial for patients. To do so, the quality of medical care and the costs and benefits of the approach need to be assessed. However, the patient perspective is equally important, offering important insights. METHODS: In a cross-sectional study we investigate the satisfaction of patients toward a new teleradiology facility offered a general practice on Ameland, an island in the Netherlands...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/26860119/older-patient-hospital-admissions-following-primary-care-referral-the-truth-is-in-the-referring
#20
P Scully, B O'Donnell, C Peters, M O'Connor, D Lyons
BACKGROUND: Health information has a major role in the planning of future healthcare provision. With current reconfiguration and cost saving measures, further demands are being placed on acute hospitals. AIM: To examine the elderly admissions and the referral documentation of older patients admitted to a tertiary level hospital. METHODS: A retrospective analysis of primary care referral documentation for all acute admissions of patients over 75 years to University Hospital Limerick (UHL) over a 2-month period...
May 2016: Irish Journal of Medical Science
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