keyword
https://read.qxmd.com/read/38497907/a-pilot-project-of-a-post-discharge-care-team-for-firearm-injury-survivors-decreases-emergency-department-utilization-hospital-readmission-days-and-cost
#21
JOURNAL ARTICLE
Elise A Biesboer, Amber Brandolino, Ashley Servi, Rebecca Laskiewicz, Liza Herbst, Susan Cronn, Jennifer Cadman, Colleen Trevino, Terri deRoon-Cassini, Mary E Schroeder
BACKGROUND: Persons of low socioeconomic status are overrepresented in the firearm injury patient population and may experience challenges in accessing complex outpatient health systems. Consequently, outpatient care for these patients is plagued by poor follow-up and increased emergency department (ED) utilization. We developed a Post Discharge Care Team (PDCT) consisting of a dedicated trauma nurse navigator and medical social worker to bridge the gap between hospital discharge and outpatient care to improve recovery...
March 18, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38494834/pupil-reflex-as-a-marker-of-activity-and-prognosis-in-heart-failure-a-longitudinal-and-prospective-study
#22
JOURNAL ARTICLE
Margarita Zamorano, Juan Manuel Monteagudo, Eduardo González, Isabel Rayo, Sara Fernández, Miguel Castillo, Qiheng Zhou, Pedro de la Villa, Jose Luis Zamorano
AIMS: Compensatory mechanisms in heart failure (HF) are triggered to maintain adequate cardiac output. Among them, hyperactivation of the sympathetic nervous system (SNS) is one of the main ones and carries a worse prognosis. The pupillary reflex depends on the SNS, and we can evaluate it through pupillometry. The aim of the study was to compare the differences in pupillary reflex between patients with acute HF and controls and to analyse whether these differences in pupillary reflex may offer a new and easy prognostic factor in such patients...
March 17, 2024: ESC Heart Failure
https://read.qxmd.com/read/38494087/readmission-after-nicu-discharge-the-importance-of-social-drivers-of-health
#23
JOURNAL ARTICLE
John Feister, Peiyi Kan, Henry C Lee, Lee Sanders
OBJECTIVE: To determine associations between sociodemographic and medical factors and odds of readmission after discharge from the neonatal intensive care unit (NICU) for infants with very low birth weight (VLBW, <1500g). STUDY DESIGN: Cohort study using linked data from the California Perinatal Quality Care Collaborative, California Vital Statistics, and the Child Opportunity Index 2.0 (COI). Infants with VLBW born from 2009 through 2018 in California were considered...
March 15, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38490966/risk-factors-for-readmission-following-surgical-decompression-for-spinal-epidural-abscesses-an-analysis-of-4595-patients
#24
JOURNAL ARTICLE
Mitchell K Ng, Ariel Rodriguez, Aaron Lam, Ahmed Emara, Ian J Wellington, Nicholas U Ahn, Amrit S Khalsa, John K Houten, Ahmed Saleh, Afshin E Razi
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: The study aimed to (1) compare baseline demographics of patients undergoing surgery for SEA who were/were not readmitted; (2) identify risk factors for 90-day readmissions; and (3) quantify 90-day episode-of-care health care costs. BACKGROUND: Spinal epidural abscess (SEA), while rare, occurring ~2.5-5.1/10,000 admissions, may lead to permanent neurologic deficits and mortality. Definitive treatment often involves surgical intervention via decompression...
March 12, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38490258/risk-of-infective-endocarditis-after-hybrid-melody-mitral-valve-replacement-in-infants-the-french-experience
#25
JOURNAL ARTICLE
Paul Padovani, Zakaria Jalal, Virginie Fouilloux, Nadir Benbrik, Céline Grunenwald, Jean-Benoit Thambo, Philippe Aldebert, Maha Tagorti, François Roubertie, Olivier Baron, Caroline Ovaert, Mohamedou Ly, Alban-Elouen Baruteau
OBJECTIVES: Surgical management of mitral valve disease is challenging in infants <1 year-old. We aimed at reviewing the French experience with Melody mitral valve replacement in critically ill infants. METHODS: A retrospective cohort study reporting the French experience with Melody mitral valve replacement. RESULTS: Seven symptomatic infants (complete atrioventricular septal defect [N = 4, Down syndrome: N = 3], hammock valve [N = 3]) underwent Melody mitral valve replacement (age: 3 mo [28 days-8mo], weight: 4...
March 15, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38486673/novel-nurse-led-early-postdischarge-clinic-is-associated-with-fewer-readmissions-and-lower-mortality-following-hospitalisation-with-decompensated-cirrhosis
#26
JOURNAL ARTICLE
Benjamin Giles, Kirsty Fancey, Karen Gamble, Zeshan Riaz, Joanna K Dowman, Andrew J Fowell, Richard J Aspinall
OBJECTIVE: Patients hospitalised with decompensated cirrhosis have high rates of early unplanned readmission. Many readmissions are avoidable with secondary preventative strategies, but patients are often readmitted prior to outpatient review. To address this, we established a novel, nurse-led early postdischarge (EPD) clinic delivering goal-directed care for cirrhosis complications and evaluated the impact. METHODS: Retrospective cohort study comparing outcomes in 78 patients seen in the EPD clinic with 91 phenotypically matched controls receiving standard, consultant hepatologist care...
March 2024: Frontline Gastroenterology
https://read.qxmd.com/read/38485169/investigating-patient-engagement-associations-between-a-postdischarge-texting-programme-and-patient-experience-readmission-and-revisit-rates-outcomes
#27
JOURNAL ARTICLE
Courtenay Bruce, Theresa Pinn-Kirkland, Adam Meyers, Emmanuel Javaluyas, John Osborn, Sayali Kelkar, Lindsey Bruchhaus, Kristen McLaury, Katherine Sauceda, Karen Carr, Claudia Garcia, Lee Ann Arabie, Terrell Williams, Gail Vozzella, Tariq Nisar, Roberta L Schwartz, Farzan Sasangohar
OBJECTIVES: This study aimed (1) to examine the association between patient engagement with a bidirectional, semiautomated postdischarge texting programme and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey outcomes, readmissions and revisit rates in a large health system and (2) to describe operational and clinical flow considerations for implementing a postdischarge texting programme. SETTING: The study involved 1 main academic hospital (beds: 2500+) and 6 community hospitals (beds: 190-400, averaging 300 beds per hospital) in Houston, Texas...
March 13, 2024: BMJ Open
https://read.qxmd.com/read/38482715/association-of-posttraumatic-stress-disorder-and-race-on-readmissions-after-stroke
#28
JOURNAL ARTICLE
Chen Lin, Peter H King, Joshua S Richman, Lori L Davis
BACKGROUND: There is limited research on outcomes of patients with posttraumatic stress disorder (PTSD) who also develop stroke, particularly regarding racial disparities. Our goal was to determine whether PTSD is associated with the risk of hospital readmission after stroke and whether racial disparities existed. METHODS: The analytical sample consisted of all veterans receiving care in the Veterans Health Administration who were identified as having a new stroke requiring inpatient admission based on the International Classification of Diseases codes...
March 14, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38482368/beneath-the-surface-a-case-report-on-nonencapsulated-streptococcus-pneumoniae-associated-invasive-disease-in-an-immunocompromised-patient
#29
Jonathan Zintgraff, Nahuel Sanchez Eluchans, Paula Gagetti, Celeste Martinez, Dina Pedersen, María Moscoloni, Adrian Lewis, Claudia Lara, Alejandra Corso
BACKGROUND: Streptococcus pneumoniae , a prominent human pathogen linked to various systemic diseases, includes non-typeable pneumococci marked by the absence of a detectable capsule. However, the majority of invasive infections are attributed to encapsulated strains. This case report details the first documented instance of invasive disease caused by non-typeable S. pneumoniae in Argentina since 2017. CASE PRESENTATION: A 19-year-old woman presented with haemorrhagic injuries attributed to chronic oral mucosa irritation...
2024: Access microbiology
https://read.qxmd.com/read/38482264/expanding-the-phenotypic-spectrum-chronic-kidney-disease-in-a-patient-with-combined-oxidative-phosphorylation-defect-21
#30
A Paripović, A Maver, N Stajić, J Putnik, S Ostojić, B Alimpić, N Ilić, A Sarajlija
INTRODUCTION: Pathogenic variants in TARS2 are associated with combined oxidative phosphorylation deficiency 21 (COXPD21), an autosomal recessive disorder usually presenting as mitochondrial encephalomyopathy. Kidney impairment has been documented in a minority of COXPD21 patients, mostly with distal renal tubular acidosis. CASE REPORT: We report on the first COXPD21 patient with generalized tubular dysfunction and early childhood progression to chronic kidney disease (CKD)...
December 2023: Balkan Journal of Medical Genetics: BJMG
https://read.qxmd.com/read/38479424/impact-of-modified-frailty-index-on-readmissions-following-surgery-for-nsclc
#31
JOURNAL ARTICLE
Nicola Tamburini, Francesco Dolcetti, Nicolò Fabbri, Danila Azzolina, Salvatore Greco, Pio Maniscalco, Giampiero Dolci
BACKGROUND: Analyzing the risk factors that predict readmissions can potentially lead to more individualized patient care. The 11-factor modified frailty index is a valuable tool for predicting postoperative outcomes following surgery. The objective of this study is to determine whether the frailty index can effectively predict readmissions within 90 days after lung resection surgery in cancer patients within a single healthcare institution. METHODS: Patients who underwent elective pulmonary resection for non-small cell lung cancer (NSCLC) between January 2012 and December 2020 were selected from the hospital's database...
March 13, 2024: Thoracic and Cardiovascular Surgeon
https://read.qxmd.com/read/38476919/secondary-bladder-stone-caused-by-delayed-penetration-of-the-bladder-by-a-pubic-fracture-a-case-report-and-literature-review
#32
Xinghao Wang, Xiao Guo, Zhiling Tang, Xiangjun Ying, Chenye Tang, Ruilin Shen
Pelvic fractures sometimes lead to injuries of the urinary bladder, which commonly present as gross hematuria, dysuria and lower abdominal pain. As a type of urinary stone, bladder stones are usually secondary to lower urinary tract obstruction, such as benign prostatic hyperplasia, urethral stricture, and neurogenic bladder. The present case report examines an unusual case of a delayed pubic fracture penetrating the bladder, which caused a secondary bladder stone. A 53-year-old man was first hospitalized at The Second Hospital of Jiaxing (Jiaxing, China) in January 2020 because of trauma-induced bleeding in the scalp and abdominal pain...
April 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38471527/rehospitalization-following-discharge-from-newborn-nursery-during-severe-acute-respiratory-syndrome-coronavirus-2-pandemic
#33
JOURNAL ARTICLE
Kristen Ronca, Laura Vazquez, Eleanor Bathory, Suhas Nafday
OBJECTIVE:  This study aimed to compare rehospitalization rates, diagnoses, and well-baby nursery (WBN) length of stay (LOS) among rehospitalized infants born during the COVID-19 pandemic to those born prior. STUDY DESIGN:  A retrospective comparison of 215 infants rehospitalized from March 1, 2019 to March 1, 2021 was performed in an urban academic center. Rates of readmission were determined for all infants using an unadjusted odds ratio. Among infants rehospitalized at ≤30 and ≤7 days, key cohort characteristics were analyzed using chi-square analysis, Fisher's exact test, independent t -test, and nonparametric testing as applicable...
March 12, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38468663/management-of-aggressive-recurrent-thoracic-spine-aneurysmal-bone-cyst-in-a-7-year-old-male-a-case-report-and-review-of-the-literature
#34
Pedram Jahangiri, Faramarz Roohollahi, Zohreh Habibi, Mohammad Hosein Mirbolouk, Mohsen Rostami
BACKGROUND: Spinal aneurysmal bone cysts (ABCs) are rare, histologically benign tumors with aggressive behavior, which may cause bone and soft-tissue destruction, particularly affecting neural elements. Management of these tumors, including treatment modalities and follow-up protocols, remains challenging. CASE DESCRIPTION: A 7-year-old boy presented with chest wall pain persisting for two months before admission, accompanied by progressive mono paresis lasting ten days before admission...
2024: Surgical Neurology International
https://read.qxmd.com/read/38466464/hospital-level-care-at-home-for-patients-with-cirrhosis
#35
JOURNAL ARTICLE
Olivia Kahn-Boesel, Henry Mitchell, Lucinda Li, Ennie Zhu, Areej El-Jawahri, David Levine, Nneka N Ufere
BACKGROUND: Patients with cirrhosis have a 30-day readmission rate of over 30%. Novel care delivery models are needed to reduce healthcare costs and utilization associated with cirrhosis care. One such model is Home Hospital (HH), which provides inpatient-level care at home. Limited evidence currently exists supporting HH for cirrhosis patients. AIMS: The aims of this study were to characterize patients with cirrhosis who received hospital-level care at home in a two-site clinical trial and to describe the care they received...
March 11, 2024: Digestive Diseases and Sciences
https://read.qxmd.com/read/38463440/analysis-of-risk-factors-and-construction-of-a-predictive-model-for-readmission-in-patients-with-coronary-slow-flow-phenomenon
#36
JOURNAL ARTICLE
Changshun Yan, Yankai Guo, Guiqiu Cao
BACKGROUND: Coronary slow flow phenomenon (CSFP) is a phenomenon in which distal vascular perfusion is delayed on angiography, but coronary arteries are not significantly narrowed and there is no other organic cardiac disease. Patients with CSFP may be repeatedly readmitted to the hospital because of chest pain or other symptoms of precordial discomfort, and there is a risk of adverse events. In order to investigate the risk factors affecting the readmission of CSFP patients, a prediction model was constructed with the aim of identifying patients at risk of readmission at an early stage and providing a reference for further clinical intervention...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38459969/comparison-of-patient-demographics-and-patient-specific-risk-factors-for-readmissions-following-open-reduction-and-internal-fixation-for-acetabular-fractures
#37
JOURNAL ARTICLE
Vanathi Ganesan, Radha Pandya, Ariel N Rodriguez, Andrew R Horn, Amr A Abdelgawad, Afshin E Razi
PURPOSE: Acetabular fractures are highly complex injuries often resulting from high-energy trauma. The gold standard treatment for these injuries has become open reduction internal fixation (ORIF). The purpose of this study is to further this understanding and investigate how (1) patient demographics and (2) patient-specific risk factors affect 90-day readmission rates. METHODS: A retrospective, nationwide query of private insurance database from January 1st, 2010 to October 31st, 2020 was performed using ICD-9, ICD-10, and CPT codes...
March 9, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38458485/poor-medication-access-as-a-driver-of-excess-heart-failure-readmissions-among-patients-living-in-economically-deprived-neighborhoods
#38
JOURNAL ARTICLE
Apoorva Gangavelli, Zihao Liu, Jeffrey Wang, Alexis Okoh, Rebecca S Steinberg, Krishan Patel, Shivani A Patel, Neal W Dickert, Alanna A Morris
BACKGROUND: Patients residing in socioeconomically deprived neighborhoods experience higher hospital readmission following hospitalization for heart failure (HF). The role of medication access in these excess readmissions in this group is poorly understood. This study explored patient perspectives on medication access among individuals living in socioeconomically deprived neighborhoods who had experienced HF readmission. METHODS: We conducted semi-structured in-depth interviews with 25 patients (mean age 61 ± 9 years, 96% Black, 40% women) readmitted with acute HF at Emory Healthcare hospitals and living in highly deprived neighborhoods (top decile of the Social Deprivation Index)...
March 6, 2024: Journal of Cardiac Failure
https://read.qxmd.com/read/38457569/pyoderma-gangrenosum-complicated-with-hematological-malignancies-two-case-reports
#39
JOURNAL ARTICLE
Fen Li, Jie Zhao, Huanan Duan, Haixi Zhang, Lin Zhang, Liangyun Zhao, Yan Wen, Xuezhong Gu
INTRODUCTION: Pyoderma gangrenosum (PG) is a rare noninfectious neutrophilic skin disease. The diagnosis of PG is mainly based on clinical manifestations. Therefore, the clinical features of PG are important for confirming the diagnosis of this disease. Herein, the clinical data of 2 young males with PG complicated with hematological malignancies were reported, and the literature were reviewed. CASE PRESENTATION: The first case was a 22-year-old male who was admitted due to a systemic rash, headache, and fever...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38455341/a-27-year-experience-with-day-surgery-transurethral-resection-of-the-prostate
#40
JOURNAL ARTICLE
Tasciana T Gordon, Neil Gordon
Introduction Transurethral resection of the prostate (TURP) is the standard surgical procedure for obstructive symptoms of the lower urinary tract when medical management fails. Progression in TURP procedures has led to reduced catheterization time following transurethral prostatic resection. This study describes the methods and results of TURP performed in the day surgery setting. Materials and methods This retrospective study was performed at a day surgical hospital serving a patient population of more than 200,000 people...
March 2024: Curēus
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