Quality of Care and Length of Hospital Stay Among Patients With Stroke

Medical Care ◽  
2009 ◽  
Vol 47 (5) ◽  
pp. 575-582 ◽  
Author(s):  
Marie Louise Svendsen ◽  
Lars Holger Ehlers ◽  
Grethe Andersen ◽  
Søren Paaske Johnsen
Keyword(s):  
Quality Of Care ◽  
Hospital Stay ◽  
Length Of Hospital Stay

scholarly journals Length of Hospital Stay and Quality of Care

2016 ◽  
pp. 273-287 ◽  
Author(s):  
José Neves ◽  
Vasco Abelha ◽  
Henrique Vicente ◽  
João Neves ◽  
José Machado
Keyword(s):  
Quality Of Care ◽  
Hospital Stay ◽  
Length Of Hospital Stay

scholarly journals Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias

2020 ◽  
Vol 32 (10) ◽  
pp. 1579-1590
Author(s):  
Andrea H. Hermosura ◽  
Carolyn J. Noonan ◽  
Amber L. Fyfe-Johnson ◽  
Todd B. Seto ◽  
Joseph K. Kaholokula ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Quality Of Care ◽  
Hospital Stay ◽  
Health Care Cost ◽  
Clinical Care ◽  
Length Of Hospital Stay ◽  
Pacific Islanders ◽  
Native Hawaiians

Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer’s disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one ADRD diagnosis in the discharge record. Outcome variables were inpatient mortality, length of hospital stay, and hospital readmission. Results: NHOPIs with ADRD had, on average, a hospital stay of .94 days less than NHWs with ADRD but were 1.16 times more likely than NHWs to be readmitted. Discussion: These patterns have important clinical care implications for NHOPIs and NHWs with ADRD as they are important indicators of quality of care. Future studies should consider specific contributors to these differences in order to develop appropriate interventions.

scholarly journals Effectiveness of comprehensive geriatric assessment intervention on quality of life, caregiver burden and length of hospital stay: a systematic review and meta-analysis of randomised controlled trials

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhongyi Chen ◽  
Zhaosheng Ding ◽  
Caixia Chen ◽  
Yangfan Sun ◽  
Yuyu Jiang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hospital Stay ◽  
Usual Care ◽  
Caregiver Burden ◽  
Length Of Hospital Stay ◽  
Sf 36 ◽  
Subgroup Analyses ◽  
Randomised Controlled ◽  
Meta Analyses

Abstract Background Comprehensive geriatric assessment (CGA) interventions can improve functional ability and reduce mortality in older adults, but the effectiveness of CGA intervention on the quality of life, caregiver burden, and length of hospital stay remains unclear. The study aimed to determine the effectiveness of CGA intervention on the quality of life, length of hospital stay, and caregiver burden in older adults by conducting meta-analyses of randomised controlled trials (RCTs). Methods A literature search in PubMed, Embase, and Cochrane Library was conducted for papers published before February 29, 2020, based on inclusion criteria. Standardised mean difference (SMD) or mean difference (MD) with 95% confidence intervals (CIs) was calculated using the random-effects model. Subgroup analyses, sensitivity analyses, and publication bias analyses were also conducted. Results A total of 28 RCTs were included. Overall, the intervention components common in different CGA intervention models were interdisciplinary assessments and team meetings. Meta-analyses showed that CGA interventions improved the quality of life of older people (SMD = 0.12; 95% CI = 0.03 to 0.21; P = 0.009) compared to usual care, and subgroup analyses showed that CGA interventions improved the quality of life only in participants’ age > 80 years and at follow-up ≤3 months. The change value of quality of life in the CGA intervention group was better than that in the usual care group on six dimensions of the 36-Item Short-Form Health Survey questionnaire (SF-36). Also, compared to usual care, the CGA intervention reduced the caregiver burden (SMD = − 0.56; 95% CI = − 0.97 to − 0.15, P = 0.007), but had no significant effect on the length of hospital stay. Conclusions CGA intervention was effective in improving the quality of life and reducing caregiver burden, but did not affect the length of hospital stay. It is recommended that future studies apply the SF-36 to evaluate the impact of CGA interventions on the quality of life and provide supportive strategies for caregivers as an essential part of the CGA intervention, to find additional benefits of CGA interventions.

scholarly journals Effect of preoperative feeding with germinated brown rice supplement on clinical outcome of orthopaedic and gastrointestinal surgery patients

2021 ◽  
Vol 4 (7) ◽  
pp. 149
Author(s):  
Pooja Thacker ◽  
Subhadra Mandalika ◽  
Rahul Shah ◽  
Nilesh Doctor
Keyword(s):  
Hospital Stay ◽  
Inflammatory Markers ◽  
Gastrointestinal Surgery ◽  
Brown Rice ◽  
Length Of Hospital Stay ◽  
Poor Quality ◽  
Germinated Brown Rice ◽  
Post Surgery ◽  
Bed Sores

Background: Malnutrition prior to surgery can lead to inflammation, increased length of hospital stay, bed sores, muscle weakness, poor quality of life and mortality post-surgery in patients. Therefore, preoperative drinks that have been enriched with vitamins, easily digestible carbohydrates and amino acids have been necessitated by ESPEN. Health benefits of brown rice, which is a good source of phytonutrients like GABA, Ferulic acid Oryzanol and B- complex, BCAA and maltodextrin, have been well researched.Methods: In the present study, a nutritious product was developed using germinated brown rice, salt and micronutrient mix (GBR Mix), analysed quantitatively (Proximate composition) and qualitatively (Phytochemicals). Major orthopaedic and gastrointestinal surgical patients in the age group of 40-65 years (n=124) were supplemented with GBR Mix in bouts of 3 meals (20gms x 3meals) namely lunch, mid-evening and bedtime time snack, 8 hrs prior to surgery unlike other patients who fasted for 12-16 hours prior to surgery. They were assessed for nutritional status, Serum Albumin, inflammatory markers (CRP and WBC), post-surgery complications and length of hospital stay.Results: Supplementation was found to improve blood sugar (p<0.05) in gastroenterology patients, reduce inflammatory markers like CRP(p=0.053) and WBC (p<0.001), reduced nausea and vomiting, improved food and fluid intake post-surgery in the patients. Additionally, length of hospital stay was also reduced (p=0.001).Conclusion: Thus, germinated brown rice could be recommended as an economical nutritious and anti-inflammatory pre surgery feed.Keywords: GBR, LOS, MUST, SGA, CRP, Micronutrient Mix 

scholarly journals Evaluation of the Multidisciplinary Assistance provided in a Public Neonatal Care Unit from mothers` perception

2018 ◽  
Vol 18 (2) ◽  
pp. 381-390
Author(s):  
Mariana Fanstone Ferraresi ◽  
Alessandra da Rocha Arrais
Keyword(s):  
Quality Of Care ◽  
Length Of Hospital Stay ◽  
Federal District ◽  
Cross Sectional Study ◽  
Neonatal Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neonatal Care Unit ◽  
Visiting Policy

Abstract Objectives: this study aimed to investigate the evaluation of mothers about the care provided by the multidisciplinary team in a Public Neonatal Care Unit located in the Federal District/Brazil. Methods: this is a descriptive, quantitative and cross-sectional study. The sample consisted of 57 mothers and data were collected from April to September 2015. The instrument used for data collection was a questionnaire with questions distributed in three main domains, such as accessibility and accommodation; communication and relationship with the team and assistance received. Results: the result showed an association of mothers’ satisfaction with the variables “income” and “length of hospital stay”, and demonstrated that the majority of the mothers evaluated the unit positively. However, it was highlighted the need to improve communication between neonatal staff and mothers, and to implement a more flexible visiting policy in order to allow the presence of other family members in the mentioned Unit more frequently. Conclusions: data obtained from this research may contribute to improve the quality of care in the NICUs, in view of the importance of evaluation of assistance so that better care to mothers is available.

scholarly journals Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID patients with hip fracture

2021 ◽  
Author(s):  
Davide Golinelli ◽  
Francesco Sanmarchi ◽  
Angelo Capodici ◽  
Giuorgia Gribaudo ◽  
Mattia Altini ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Hip Fracture ◽  
Mortality Rate ◽  
Elderly Patients ◽  
Emergency Preparedness ◽  
Length Of Hospital Stay ◽  
Chi Square ◽  
Treatment Pathways ◽  
Containment Measures

Introduction. As COVID-19 roared through the world, governments worldwide enforced containment measures that affected various treatment pathways, including those for hip fracture (HF). This study aimed to measure process and outcome indicators related to the quality of care provided to non-COVID-19 elderly patients affected by HF in Emilia-Romagna, a region of Italy severely hit by the pandemic. Methods. We collected the hospital discharge records of all patients admitted to the hospitals of Emilia-Romagna with a diagnosis of HF from January to May in the years 2019/2020. We analyzed surgery rate, surgery timeliness, length of hospital stay, timely rehabilitation, and 30-day mortality for each HF patient. We evaluated monthly data (2020 vs. 2019) with the chi-square and t-test, where appropriate. Logistic regression was used to investigate the differences in 30-day mortality. Results. Our study included 5379 patients with HF. In April and May 2020, there was a significant increase in the proportion of HF patients that did not undergo timely surgery. In March 2020, we found a significant increase in mortality (OR = 2.22). Female sex (OR = 0.52), age ≥90 years (OR = 4.33), surgery after 48 hours (OR = 3.08) and not receiving surgery (OR = 6.19) were significantly associated with increased mortality. After adjusting for the aforementioned factors, patients hospitalized in March 2020 still suffered higher mortality (OR = 2.21). Conclusions. Our results show a reduction in the overall quality of care provided to non-COVID-19 elderly patients affected by HF. The mortality rate of patients with HF increased significantly in March 2020. Patients' characteristics and variations in processes of care partially explained this increase. Our analysis reveals the importance of including process and outcomes indicators, for both acute and post-acute care management issues, in emergency preparedness plans, to monitor healthcare systems' capacities and capabilities.

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