Examination of a Proposed 30-Day Readmission Risk Score on Discharge Location and Cost.

Examination of a Proposed 30-Day Readmission Risk Score on Discharge Location and Cost. Ann Thorac Surg. 2019 Nov 07;: Authors: Barnett SD, Sarin E, Kiser AC, Ailawadi G, Hawkins RB, Mehaffey JH, Tyerman Z, Rich JB, Quader MA, Speir AM Abstract BACKGROUND: Readmissions cost an estimated $41 billion in the United States each year. To address this, a single institution recently developed a new risk model predictive of 30-day readmission following adult cardiac surgery. The purpose of this study is to validate and refine this new readmission risk model using a statewide database. METHODS: A total of 19,964 patients were analyzed using a statewide Society of Thoracic Surgeons database (2014-2017). The aforementioned multivariate model was replicated (Model 1): race, hospital length of stay, chronic lung disease, operation type, and renal failure. Model 2 also included discharge location. Thirty day readmission risk scores, low (0-10%), moderate (10-13%) and high (≥13%) risk categories were calculated. RESULTS: The overall 30-day readmission rate was 11.1% with both Models 1 and 2 predicting readmission (OR: 1.09; 95% CI: 1.08-1.11 vs. OR: 1.10; 95% CI: 1.08-1.11). Statistically significant differences were observed across all risk categories in discharge location and total cost. For Model 1 and 2, 86% of low risk patients were discharged to home vs. 66.9% and 42.9% of patients in high risk groups (p
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research

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AbstractPurpose of ReviewThe main objective in this 2nd part is to highlight comorbidities of great clinical importance such as diabetes, anemia, and chronic renal failure, either because of their high prevalence, or because of their relevance to impact on morbidity and mortality, and directly in the treatment of heart failure.Recent FindingsThe prevalence of heart failure will increase 46% from 2012 to 2030, resulting in>  8 million people ≥ 18 years of age. This disease have a large burden of noncardiovascular comorbidities, which may increase the risk of mortality and decrease quality of life. T...
Source: Current Emergency and Hospital Medicine Reports - Category: Emergency Medicine Source Type: research
Authors: Di Lullo L, Bellasi A, Guastamacchia E, Triggiani V, Ronco C, Lavalle C, Di Iorio BR, Russo D, Cianciolo G, La Manna G, Settembrini S Abstract Diabetes mellitus, with its complications, is one of the major health problems in economically developed countries and its prevalence is constantly increasing. Kidneys and heart involvement represent main comorbidities in diabetic patients often leading to organ's failure. The treatments available until a few years ago are often associated with hypoglycemia, weight gain, gastro-intestinal disorders and other side effects together with serious averse effects on renal...
Source: Minerva Cardioangiologica - Category: Cardiology Tags: Minerva Cardioangiol Source Type: research
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Source: GEO: Gene Expression Omnibus - Category: Genetics & Stem Cells Tags: Expression profiling by high throughput sequencing Homo sapiens Source Type: research
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Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
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Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
Publication date: Available online 20 February 2020Source: IDCasesAuthor(s): Heather L. Clark, Hugo E. Valencia, Jennifer J. Findeis-Hosey, Steve N. GeorasAbstractAspergillus molds are ubiquitous environmental molds that can cause devastating invasive infections in immunocompromised patients. These infections often go unrecognized in critically ill patients. This case describes a 68 year-old female resident of a long-term nursing facility with history of dementia, nonalcoholic fatty liver disease with cirrhosis, chronic kidney disease stage III and insulin-dependent type 2 diabetes who presented with vomiting, diarrhea and...
Source: IDCases - Category: Infectious Diseases Source Type: research
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Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific e-Poster Source Type: research
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Source: Journal of Herbal Medicine - Category: Complementary Medicine Source Type: research
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Source: Archives of Toxicology - Category: Toxicology Authors: Tags: Arch Toxicol Source Type: research
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Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
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