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https://www.readbyqxmd.com/read/27876589/usa-hospitalizations-for-malignant-pleural-effusions-data-from-the-2012-national-inpatient-sample
#1
Niloofar Taghizadeh, Marc Fortin, Alain Tremblay
BACKGROUND: Malignant pleural effusions (MPE) are a common complication of advanced malignancy, but little is known regarding their prevalence and overall burden on a population level. METHODS: We conducted a retrospective analysis of MPE associated hospitalizations using the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample, Agency for Healthcare Research and Quality (HCUP-NIS 2012). Cases were included if MPE was coded as a primary or secondary diagnosis or if an unspecified pleural effusion was coded in addition to a diagnosis of cancer with either of these being the primary diagnosis...
November 19, 2016: Chest
https://www.readbyqxmd.com/read/27871683/perioperative-support-not-volume-is-necessary-to-optimize-outcomes-in-surgical-management-of-necrotizing-enterocolitis
#2
Adrienne N Cobb, Yee M Wong, Sarah A Brownlee, Barbara A Blanco, Yoshiki Ezure, Heather N Paddock, Paul C Kuo, Anai N Kothari
BACKGROUND: This study examines the relationship between hospital volume of surgical cases for necrotizing enterocolitis (NEC) and patient outcomes. METHODS: A retrospective cross-sectional review was performed using the HCUP SID for California from 2007 to 2011. Patients with NEC who underwent surgery were identified using ICD-9CM codes. Risk-adjusted models were constructed with mixed-effects logistic regression using patient and demographic covariates. RESULTS: 23 hospitals with 618 patients undergoing NEC-related surgical intervention were included...
November 9, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27848189/the-impact-of-disability-and-social-determinants-of-health-on-condition-specific-readmissions-beyond-medicare-risk-adjustments-a-cohort-study
#3
Jennifer Meddings, Heidi Reichert, Shawna N Smith, Theodore J Iwashyna, Kenneth M Langa, Timothy P Hofer, Laurence F McMahon
BACKGROUND: Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals. OBJECTIVE: To assess the impact of disability and social determinants of health on condition-specific readmissions beyond current risk adjustment. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of Medicare patients using 1) linked Health and Retirement Study-Medicare claims data (HRS-CMS) and 2) Healthcare Cost and Utilization Project State Inpatient Databases (Florida, Washington) linked with ZIP Code-level measures from the Census American Community Survey (ACS-HCUP)...
November 15, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27833511/patient-risk-factors-for-mechanical-wound-complications-and-postoperative-infections-after-elective-open-intestinal-resection
#4
Wei Chao Chang, Akiva Turner, Michael Imon, Anthony Dyda
BACKGROUND: Few studies focused on the construction of preoperative patient surgical risk profile using only patients' personal, social history, and comorbidity profiles. OBJECTIVE: To identify risk factors for mechanical wound complications and postoperative infections in patients' preoperative profiles. DESIGN: Quantitative retrospective cohort study using 2009-2011 Health Care Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) databases...
October 2016: International Journal of Health Sciences
https://www.readbyqxmd.com/read/27800528/increasing-infectious-endocarditis-admissions-among-young-people-who-inject-drugs
#5
Alysse G Wurcel, Jordan E Anderson, Kenneth K H Chui, Sally Skinner, Tamsin A Knox, David R Snydman, Thomas J Stopka
People who inject drugs (PWID) are at risk for infective endocarditis (IE). Hospitalization rates related to misuse of prescription opioids and heroin have increased in recent years, but there are no recent investigations into rates of hospitalizations from injection drug use-related IE (IDU-IE). Using the Health Care and Utilization Project National Inpatient Sample (HCUP-NIS) dataset, we found that the proportion of IE hospitalizations from IDU-IE increased from 7% to 12.1% between 2000 and 2013. Over this time period, we detected a significant increase in the percentages of IDU-IE hospitalizations among 15- to 34-year-olds (27...
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27779897/decreased-in-hospital-mortality-after-lobectomy-using-video-assisted-thoracoscopic-surgery-compared-to-open-thoracotomy
#6
Hem Desai, Bhupinder Natt, Samuel Kim, Christian Bime
RATIONALE: There is a paucity of data regarding the optimal surgical approach for lung lobectomy. Lobectomy performed by video-assisted thoracoscopic surgery (VATS) has been associated with lower morbidity as compared to thoracotomy. However, no multicenter studies have shown improved mortality with VATS lobectomy compared to open surgical lobectomy. OBJECTIVES: We used the United States Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP-NIS) database from 2009 to 2012 to compare VATS versus open lobectomy for in-hospital mortality and other short-term outcomes...
October 25, 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27712602/consumer-rankings-and-health-care-toward-validation-and-transparency
#7
Bala Hota, Thomas A Webb, Brian D Stein, Richa Gupta, David Ansell, Omar Lateef
BACKGROUND: Differences between the Centers for Medicare & Medicaid Services (CMS)-measured rates of safety events for Rush University Medical Center (RUMC; Chicago) and the U. S. News & World Report (USNWR)-deter mined patient safety score were evaluated in an attempt to validate the USNWR patient safety score-based ranking. METHODS: The USNWR findings for Patient Safety Indicators (PSIs) were compared with findings derived from RUMC internal billing data, and sensitivity analyses were conducted using a simulated data set derived from the Healthcare Cost and Utilization Project (HCUP) state inpatient data sets...
2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27687847/hospital-volume-and-outcomes-of-robot-assisted-lobectomies
#8
Lise N Tchouta, Henry S Park, Daniel J Boffa, Justin D Blasberg, Frank C Detterbeck, Anthony W Kim
BACKGROUND: The positive impact of hospital operative volume on outcomes following video-assisted thoracoscopic surgery has been established. The goal of this study was to determine whether or not this volume-outcome relationship translates to robotic-assisted thoracoscopic surgery (RobATS) lobectomy. METHODS: Patients who underwent RobATS lobectomy were identified between 2008 and 2013 in the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) database...
September 26, 2016: Chest
https://www.readbyqxmd.com/read/27537532/impact-of-post-hospital-syndrome-on-outcomes-following-elective-ambulatory-surgery
#9
Sarah A Brownlee, Robert H Blackwell, Barbara A Blanco, Matthew A C Zapf, Stephanie Kliethermes, Gopal N Gupta, Paul C Kuo, Anai N Kothari
OBJECTIVE: The aim of this study was to investigate whether post-hospital syndrome (PHS) places patients undergoing elective hernia repair at increased risk for adverse postoperative events. SUMMARY OF BACKGROUND DATA: PHS is a transient period of health vulnerability following inpatient hospitalization for acute illness. PHS has been well studied in nonsurgical populations, but its effect on surgical outcomes is unclear. METHODS: State-specific datasets for California in 2011 available through the Healthcare Cost and Utilization Project (HCUP) were linked...
August 17, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27513154/incidence-of-neonatal-abstinence-syndrome-28-states-1999-2013
#10
Jean Y Ko, Stephen W Patrick, Van T Tong, Roshni Patel, Jennifer N Lind, Wanda D Barfield
Neonatal abstinence syndrome (NAS) is a postnatal drug withdrawal syndrome that occurs primarily among opioid-exposed infants shortly after birth, often manifested by central nervous system irritability, autonomic overreactivity, and gastrointestinal tract dysfunction (1). During 2000-2012, the incidence of NAS in the United States significantly increased (2,3). Several recent publications have provided national estimates of NAS (2,3); however, data describing incidence at the state level are limited. CDC examined state trends in NAS incidence using all-payer, hospital inpatient delivery discharges compiled in the State Inpatient Databases of the Healthcare Cost and Utilization Project (HCUP) during 1999-2013...
2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27484918/a-new-paradigm-to-analyze-data-completeness-of-patient-data
#11
Ayan Nasir, Varadraj Gurupur, Xinliang Liu
BACKGROUND: There is a need to develop a tool that will measure data completeness of patient records using sophisticated statistical metrics. Patient data integrity is important in providing timely and appropriate care. Completeness is an important step, with an emphasis on understanding the complex relationships between data fields and their relative importance in delivering care. This tool will not only help understand where data problems are but also help uncover the underlying issues behind them...
August 3, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27465098/adverse-outcomes-in-neonates-and-children-with-pulmonary-artery-hypertension-supported-with-ecmo
#12
Viviane G Nasr, David Faraoni, James A DiNardo, Ravi R Thiagarajan
Extracorporeal membrane oxygenation (ECMO) has been increasingly used to rescue neonates and children with cardiac or respiratory failure, and critical illnesses including pulmonary artery hypertension (PAH) unresponsive to conventional therapies. This study assesses mortality and outcomes in neonates and children with PAH supported with ECMO. Neonates and children from the 2012 Health Care Cost and Use Project Kids' Database were identified using ICD-9 codes. Children with congenital heart disease were excluded...
November 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/27458143/the-differential-impact-of-preoperative-comorbidity-on-perioperative-outcomes-following-thoracoscopic-and-open-lobectomies
#13
Oliver K Jawitz, Zuoheng Wang, Daniel J Boffa, Frank C Detterbeck, Justin D Blasberg, Anthony W Kim
OBJECTIVES: Video-assisted thoracoscopic surgery (VATS) lobectomy is quickly becoming the standard of care for many patients with early-stage non-small-cell lung cancer (NSCLC) and benign lung conditions. There is a lack of published data defining the differential impact of preoperative patient comorbidity on outcomes following VATS and OPEN lobectomies, which would be beneficial for procedure selection and clinical decision-making. METHODS: A retrospective analysis of the 2008-2011 Nationwide Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP) database was performed...
July 25, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27448507/trends-of-bilateral-salpingectomy-during-vaginal-hysterectomy-with-and-without-laparoscopic-assistance-performed-for-benign-indications-in-the-united-states
#14
Emad Mikhail, Jason L Salemi, Allison Wyman, Hamisu M Salihu, Anthony N Imudia, Stuart Hart
STUDY OBJECTIVE: To estimate the recent temporal trends of concurrent bilateral salpingectomy (BS) during vaginal hysterectomy (total vaginal hysterectomy [TVH] and laparoscopic-assisted vaginal hysterectomy [LAVH]) in the United States. DESIGN: A cross-sectional analysis was conducted using data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, including all female patients 18 years and older whose inpatient discharge record indicated a TVH or LAVH performed for benign indications between January 1, 1998, and December 31, 2011...
July 21, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27445554/pneumonia-after-major-cancer-surgery-temporal-trends-and-patterns-of-care
#15
Vincent Q Trinh, Praful Ravi, Abd-El-Rahman M Abd-El-Barr, Jay K Jhaveri, Mai-Kim Gervais, Christian P Meyer, Julian Hanske, Jesse D Sammon, Quoc-Dien Trinh
Rationale. Pneumonia is a leading cause of postoperative complication. Objective. To examine trends, factors, and mortality of postoperative pneumonia following major cancer surgery (MCS). Methods. From 1999 to 2009, patients undergoing major forms of MCS were identified using the Nationwide Inpatient Sample (NIS), a Healthcare Cost and Utilization Project (HCUP) subset, resulting in weighted 2,508,916 patients. Measurements. Determinants were examined using logistic regression analysis adjusted for clustering using generalized estimating equations...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27433403/socioeconomic-factors-impact-inpatient-mortality-in-pediatric-lymphoma-patients
#16
Yana Puckett, Anh Ta
PURPOSE: Our objective was to determine the risk factors for inpatient mortality of pediatric patients diagnosed with lymphoma through the utilization of a large national pediatric database. METHODS: This cross-sectional study uses data from the Healthcare Cost and Utilization Project Kids' Inpatient Database (HCUP KID) for the year of 2012 to estimate the risk factors for inpatient mortality for pediatric patients diagnosed with lymphoma. All patients diagnosed with lymphoma between the ages of one and 18 years were included...
2016: Curēus
https://www.readbyqxmd.com/read/27394678/racial-and-socio-economic-disparities-in-breast-cancer-hospitalization-outcomes-by-insurance-status
#17
Tomi Akinyemiju, Swati Sakhuja, Neomi Vin-Raviv
BACKGROUND: Breast cancer remains a major cause of morbidity and mortality among women in the US, and despite numerous studies documenting racial disparities in outcomes, the survival difference between Black and White women diagnosed with breast cancer continues to widen. Few studies have assessed whether observed racial disparities in outcomes vary by insurance type e.g. Medicare/Medicaid versus private insurance. Differences in coverage, availability of networked physicians, or cost-sharing policies may influence choice of treatment and treatment outcomes, even after patients have been hospitalized, effects of which may be differential by race...
August 2016: Cancer Epidemiology
https://www.readbyqxmd.com/read/27387271/skilled-nursing-facility-placement-in-hospitalized-elderly-patients-with-colon-cancer
#18
G Cholankeril, M Hu, E Tanner, R Cholankeril, J Reha, P Somasundar
BACKGROUND: The current study sought to determine predictive risk factors and inpatient resource utilization associated with discharge to skilled nursing facility (SNF) in hospitalized elderly patients with colon cancer. MATERIALS AND METHODS: Inpatient data from U.S. community hospital discharges from 2003 to 2011 was analyzed in a retrospective cohort study using the Healthcare Cost and Utilization Project, National Inpatient Sample (HCUP-NIS). Subjects included hospitalized postoperative colon cancer patients over age of 65 (N = 98,797)...
November 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27335714/risk-factors-for-inpatient-hospital-admission-in-pediatric-burn-patients
#19
Alvin To, Yana Puckett
PURPOSE: Our objective was to determine the risk factors for inpatient admission of pediatric burn patients. MATERIALS & METHODS: This cross-sectional study uses data from the Healthcare Cost and Utilization Project Kids' Inpatient Database (HCUP KID) for the years of 2003, 2006, 2009, and 2012 to estimate the risk factors for inpatient admission for pediatric patients who sustained a burn injury. Patients who sustained a burn between the ages of 1 and 18 years were included...
2016: Curēus
https://www.readbyqxmd.com/read/27219637/marginal-hospital-cost-of-surgery-related-hospital-acquired-pressure-ulcers
#20
William D Spector, Rhona Limcangco, Pamela L Owens, Claudia A Steiner
BACKGROUND: Patients who develop hospital-acquired pressure ulcers (HAPUs) are more likely to die, have longer hospital stays, and are at greater risk of infections. Patients undergoing surgery are prone to developing pressure ulcers (PUs). OBJECTIVE: To estimate the hospital marginal cost of a HAPU for adults patients who were hospitalized for major surgeries, adjusted for patient characteristics, comorbidities, procedures, and hospital characteristics. RESEARCH DESIGN AND SUBJECTS: Data are from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011 and 2012...
September 2016: Medical Care
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