scholarly journals 30-Day Potentially Preventable Hospital Readmissions In Older Patients: Clinical Phenotype And Health Care Related Risk Factors

2019 ◽  
Vol Volume 14 ◽  
pp. 1851-1858
Author(s):  
Valeria Calsolaro ◽  
Rachele Antognoli ◽  
Giuseppe Pasqualetti ◽  
Chukwuma Okoye ◽  
Ferruccio Aquilini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Older Patients ◽  
Clinical Phenotype ◽  
Hospital Readmissions ◽  
Related Risk

P-044: Rates and potential risk factors for hospital readmissions of older patients

2015 ◽  
Vol 6 ◽  
pp. S43
Author(s):  
M. Wibert ◽  
B. Hamoir ◽  
M. De Saint Hubert ◽  
C. Swine ◽  
D. Schoevaerdts
Keyword(s):  
Risk Factors ◽  
Potential Risk ◽  
Older Patients ◽  
Hospital Readmissions ◽  
Potential Risk Factors

scholarly journals Primary Prevention of First-Ever Stroke in Primary Health Care: A Clinical Practice Study Based on Medical Register Data in Sweden

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Ylva Skånér ◽  
Gunnar H. Nilsson ◽  
Ingvar Krakau ◽  
Ejda Hassler ◽  
Kristina Sundquist
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Prevention ◽  
Health Care Professionals ◽  
Care Needs ◽  
The Public ◽  
Primary Health ◽  
Related Risk

Background. The aim of this study was to investigate whether established risk factors for stroke in patients admitted to health care for first-ever stroke had been detected and treated in primary health care.Methods. In a retrospective study in Nacka municipality, Stockholm County, Sweden, with about 70 000 inhabitants, we included all men and women admitted to health care due to first-ever stroke between October 1999 and March 2001. Data on 187 such patients, with a mean age of 75 years, were obtained from medical registers. Main outcome measures were detection and treatment of risk factors for stroke including hypertension, diabetes, atrial fibrillation, smoking, alcohol abuse, and overweight/obesity.Results. In a majority of patients seen in primary health care with hypertension and diabetes, those risk factors were detected and treated (75.6% and 75.0%, resp.). Fewer patients with atrial fibrillation received treatment (60.9%). Treatment of lifestyle factors was difficult to assess because of lack of data in the medical records.Conclusions. Primary prevention of stroke in primary health care needs to be improved, especially when atrial fibrillation and lifestyle-related risk factors are present. Health policies need to target not only the public, but also general practitioners and other health care professionals.

Opioid Prescribing for Proximal Row Carpectomy versus Four-Corner Arthrodesis

2021 ◽  
Author(s):  
Thomas E. Moran ◽  
Sheriff D. Akinleye ◽  
Alex J. Demers ◽  
Grace L. Forster ◽  
Brent R. DeGeorge
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Emergency Department ◽  
Health Care Utilization ◽  
Hospital Readmissions ◽  
Emergency Department Visits ◽  
Prescribing Patterns ◽  
Care Utilization ◽  
Proximal Row Carpectomy ◽  
Opioid Prescribing

Abstract Background Proximal row carpectomy (PRC) and four-corner arthrodesis (4-CA) represent motion-sparing procedures for addressing degenerative wrist pathologies. While both procedures demonstrate comparable functional outcomes, postoperative pain presents a surgical challenge that often necessitates the use of opioids. Objectives The aim of this study was to (1) compare opioid prescribing patterns surrounding PRC and 4-CA, (2) identify risk factors predisposing patients to increased perioperative and prolonged postoperative opioids, and (3) examine the association between opioids and perioperative health care utilization. Patients and Methods PearlDiver Patients Records Database was used to retrospectively identify patients undergoing primary PRC and 4-CA between 2010 and 2018. Patient demographics, comorbidities, prescription drug usage, and perioperative health care utilization were evaluated. Perioperative opioid prescriptions and post-operative opioid prescriptions were recorded. Logistic regression analysis evaluated the association of patient risk factors. Results There was no significant difference in perioperative (PRC [odds ratio {OR}: 0.84, p = 0.788]; 4-CA [OR: 0.75, p = 0.658]) or prolonged postoperative opioid prescriptions (PRC [OR: 0.95, p = 0.927]; 4-CA [OR: 0.99, p = 0.990]) between PRC and 4-CA. Chronic back pain and use of benzodiazepines or anticonvulsants were associated with increased risks of prolonged postoperative opioids. Prolonged postoperative opioids presented increased risks of emergency department visits (OR: 2.09, p = 0.019) and hospital readmissions (OR: 10.2, p = 0.003). Conclusion No significant differences exist in the prescription of opioids for PRC versus 4-CA. Both procedures have high amounts of prolonged postoperative opioid use, which is associated with increased risks of emergency department visits and hospital readmissions. Level of Evidence This is a level III, retrospective comparative study.

The Prevalence, Reasons, and Risk Factors for Hospital Readmissions Among Home Health Care Patients: A Systematic Review

2017 ◽  
Vol 30 (2) ◽  
pp. 83-92 ◽  
Author(s):  
Chenjuan Ma ◽  
Jingjing Shang ◽  
Sarah Miner ◽  
Lauren Lennox ◽  
Allison Squires
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Health Care ◽  
Home Health Care ◽  
Hospital Readmissions ◽  
Home Health

780 A Systematic Review and Meta-analysis of 30-day Readmission Rates Following Burns

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S224-S224
Author(s):  
Ludwik Branski ◽  
Christian Tapking ◽  
Gabriel Hundeshagen ◽  
Alexis Boson ◽  
Victoria G Rontoyanni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Health Care ◽  
Health Care Providers ◽  
Readmission Rate ◽  
Hospital Readmissions ◽  
Random Effect ◽  
Total Body Surface Area ◽  
Care Providers ◽  
Readmission Rates

Abstract Introduction Unplanned hospital readmissions in surgical areas account for high costs and have become an area of focus for health care providers and insurance companies. The aim of this systematic review is to identify the rate and common reasons for unplanned 30-day readmission following burns. Methods This study was performed following the PRISMA guidelines. Pubmed, Web of Science and CENTRAL databases were searched for publications without date or language restrictions. Extracted outcomes included 30-day readmission rate and reasons for readmission. Pooled 30-day readmission rate was estimated from weighted individual study estimates using random-effect models. Pooled estimates for risk factors are reported as odds ratios (ORs) and 95% confidence intervals (CIs). Results A total of eight studies were included into qualitative analysis and six (four adults, two children) into quantitative analysis. The overall readmission rate was 7.4% (95% CI 4.1 - 10.7) in adults and 2.7% (95% CI 2.2 - 3.2) in children. Based on two studies in 112,312 adult burn patients, burn size greater than 20% total body surface area (TBSA) was not a significant predictor of readmission rate (OR 1.75, 95% CI 0.64 – 4.75; NS). The most common reasons were infection/sepsis, wound healing complications, and pain in both adults and children. Conclusions Unplanned readmissions following burns are generally low and appear more common in adults than in pediatric patients. However, only few studies are reporting on 30-day readmission rates following burns. Evidence is limited to support a significant association between greater burn size and higher readmission rates. Applicability of Research to Practice Since cost effectiveness and utilized hospital capacity are becoming an area of focus for improvement in health care, future studies should assess the risk factors of unplanned readmission following burns. Follow-up assessments and outpatient resources, even if not underlined by this data, could reduce readmission rates.

scholarly journals An Integrated Model for the Assessment of Stress-related Risk Factors in Health Care Professionals

2011 ◽  
Vol 49 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Elisa ALBINI ◽  
Silvia ZONI ◽  
Giovanni PARRINELLO ◽  
Laura BENEDETTI ◽  
Roberto LUCCHINI
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Professionals ◽  
Integrated Model ◽  
Related Risk ◽  
Assessment Of Stress

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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