Predictive value of the present-on-admission indicator for hospital-associated hemorrhage

Major hemorrhage is a common presenting diagnosis for admission to the hospital, but it can also occur during hospitalization without provocation or as a complication of anticoagulant use. Full-dose anticoagulant use is known to be the most important risk factor for in-hospital gastrointestinal bleed (GIB) [1]. The ability to distinguish between hemorrhage that develops prior to hospitalization vs. hemorrhage associated with hospitalization is important for accurate quality assessment [2]. Additionally, some hospital-associated conditions, such as pressure ulcer or catheter-associated urinary tract infection, cannot be used for billing; if hospital-associated hemorrhage is added to this list, distinguishing hospital-associated hemorrhage from hemorrhage prior-to-admission will become financially relevant.

Source: Thrombosis Research - May 31, 2019 Category: Hematology Authors: Roxanne Ghazvinian, Richard H. White, Brian F. Gage, Margaret C. Fang, Rabia Saeed, Raman R. Khanna Tags: Letter to the Editors-in-Chief Source Type: research