scholarly journals 18 * REDUCING GERIATRIC RE-ADMISSIONS AND LENGTH OF STAY THROUGH TRIAGE RAPID ELDERLY ASSESSMENT TEAM (TREAT) AND POST ACUTE CARE ENABLEMENT (PACE). A RETROSPECTIVE BEFORE AND AFTER COHORT STUDY

2015 ◽  
Vol 44 (suppl 1) ◽  
pp. i4-i4
Author(s):  
G. Warlow ◽  
T. S. Satkunasingham ◽  
S. Iliffe
Keyword(s):  
Cohort Study ◽  
Length Of Stay ◽  
Acute Care ◽  
Before And After ◽  
Post Acute Care

Post acute care: Can hospitals do better with less?

1997 ◽  
Vol 20 (2) ◽  
pp. 43 ◽  
Author(s):  
Gideon A Caplan ◽  
Ann Brown
Keyword(s):  
Cost Effectiveness ◽  
Length Of Stay ◽  
Acute Care ◽  
Early Discharge ◽  
Government Funding ◽  
Discharge From Hospital ◽  
Post Acute Care

Judging by reports in medical magazines and journals, ?early discharge schemes?, bettertermed ?post acute care?, are not popular with doctors. However, government policyencourages earlier discharge from hospital, so that the choice facing clinicians is todischarge patients early with support, or early without support, or deal with theconsequences of length of stay overruns. Fortunately, government funding for post acutecare is increasing. There is a strong rationale for post acute care based on better patientoutcomes and cost-effectiveness, but these desirable results will only be achieved ifscrupulous attention is paid to detail, as embodied in the 10 principles of post acutecare. To function optimally, post acute care should be coordinated by the hospitalwhich provided the acute care.

scholarly journals Post-acute care for stroke – a retrospective cohort study in Taiwan

2017 ◽  
Vol Volume 11 ◽  
pp. 1309-1315 ◽  
Author(s):  
Chung-Liang Lai ◽  
Ming-Miau Tsai ◽  
Jia-Yuan Luo ◽  
Wan-Chun Liao ◽  
Pi-Shan Hsu ◽  
...  
Keyword(s):  
Cohort Study ◽  
Acute Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Post Acute Care

Survival benefits of post-acute care for older patients with hip fractures in Taiwan: A 5-year prospective cohort study

2015 ◽  
Vol 16 (1) ◽  
pp. 28-36 ◽  
Author(s):  
Li-Ning Peng ◽  
Wei-Ming Chen ◽  
Cheng-Fong Chen ◽  
Ching-Kuei Huang ◽  
Wei-Ju Lee ◽  
...  
Keyword(s):  
Cohort Study ◽  
Acute Care ◽  
Prospective Cohort Study ◽  
Hip Fractures ◽  
Prospective Cohort ◽  
Older Patients ◽  
Post Acute Care

scholarly journals Post-Acute Care Service use in Lung Cancer Patients

2021 ◽  
Author(s):  
Mitra McLarney ◽  
Frances S. Shofer ◽  
Jasmine Zheng
Keyword(s):  
Lung Cancer ◽  
Length Of Stay ◽  
Cancer Patients ◽  
Acute Care ◽  
Service Use ◽  
Care Service ◽  
Rehabilitation Service ◽  
Lung Cancer Patients ◽  
Acute Care Service ◽  
Post Acute Care

Abstract Purpose: Lung cancer patients experience functional deconditioning secondary to their underlying cancer and treatment yet rehabilitation service use remains low. The goal of this study is to compare post-acute care service use in lung cancer patients admitted to a metropolitan academic medical center. Methods: Adult lung cancer patients admitted from January 1, 2017 to August 31, 2018 with a diagnosis of lung cancer based on International Classification of Diseases 10, C34.0-C34.9, were included in this study. Patient characteristics including age, gender, race, marital status, functional status on admission, length of stay, and number of comorbidities were compared based on discharge setting. Results: 1,139 lung cancer patients were included in our study. The majority of patients discharged home with home care (51%) followed by home without services (35%), skilled nursing facilities (SNF) (10%) and acute inpatient rehabilitation facilities (IRF) (4%). 44% (498) of patients were primarily admitted for their lung cancer diagnosis. In unadjusted analyses, patients who discharged to SNF compared to home were more likely to be older, black, unmarried, live alone and have died during the study period. Patients who discharged to IRF had longer acute care hospitalization length of stays. In adjusted analyses, age, number of concurrent comorbidities and length of stay significantly correlated with discharge location. Conclusion: Lung cancer patients are unlikely to be discharged to a post-acute care facility after an acute hospitalization. Rehabilitation service use differs by sociodemographic factors, concurrent medical history and functional status. Future study is needed to better understand why these differences in discharge setting persists.

scholarly journals Impact of an enhanced recovery pathway on length of stay and complications in elective radical cystectomy: a before and after cohort study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
W. Jonathan Dunkman ◽  
Michael W. Manning ◽  
John Whittle ◽  
John Hunting ◽  
Edward N. Rampersaud ◽  
...  
Keyword(s):  
Cohort Study ◽  
Length Of Stay ◽  
Radical Cystectomy ◽  
Enhanced Recovery ◽  
Enhanced Recovery Pathway ◽  
Before And After

scholarly journals Standardised Warfarin Reversal Expedites Time to Theatre for Fractured Neck of Femur Surgery and Improves Mortality Rates: A Matched Cohort Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Thomas S. Moores ◽  
Benjamin D. Chatterton ◽  
Matthew J. Walker ◽  
Phillip J. Roberts
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Length Of Stay ◽  
Nearest Neighbour ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
The United Kingdom ◽  
Before And After ◽  
Warfarin Reversal ◽  
Guideline Group

Background. This study aims to evaluate outcomes for warfarinised hip fracture patients and compare them with a matched nonwarfarinised group, before and after the introduction of national hip fracture guidelines in the United Kingdom. Methods. A retrospective cohort study of 1743 hip fracture patients was undertaken. All patients admitted taking warfarin were identified. These patients were then matched to nonwarfarinised patients using nearest neighbour propensity score matching, accounting for age, sex, hip fracture type, and Nottingham Hip Fracture Score. A pre-guideline group (no standardised warfarin reversal regimen) and a post-guideline group (standardised regimen) were identified. Outcomes assessed included time to INR less than 1.7, time to theatre, length of stay, and 30-day and 1-year mortality. Results. Forty-six warfarinised hip fracture patients were admitted in the pre-guideline group (mean age 80.5, F:M 3:1) and 48 in the post-guideline group (mean age 81.2 years, F:M 3:1). Post-guideline patients were reversed to a safe operative INR level within 18 hours of admission, decreasing the time to first dose vitamin K (p<0.001). 70% of warfarinised patients were operated upon within 36 hours, compared to 19.6% with no regimen (p<0.05). After anticoagulation reversal protocol, thirty-day mortality decreased from 15.2% to 8.3% and 1-year mortality from 43.5% to 33% for warfarinised patients, which is comparable to nonwarfarinised matched patients. There was no significant change in the length of stay pre- and post-guideline for both groups of patients. Conclusions. Proactive anticoagulant management and expedient surgery reduces morbidity and mortality when managing this surgically challenging subset of hip fracture patients.

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