Discussion
Dr. Stephanie Heller: Stephanie Heller, Mayo Clinic. For this study, you took California statewide administrative discharge data and looked at rates of documentation of social determinants of health and the associations with outcome. Assessment of social determinants of health in the past were based on population or more geographic assessments. These can now be based on ICD10 codes at the patient specific level. Your paper noted increased length of stay and in the manuscript a decrease in discharge to home with patients who had social determinants of health documented. (Source: Surgery)
Source: Surgery - October 18, 2023 Category: Surgery Source Type: research
Acute respiratory failure-related excess mortality in pediatric sepsis
Excess mortality risk imparted by acute respiratory failure in children is unknown. We determined excess mortality risk associated with mechanically ventilated acute respiratory failure in pediatric sepsis. Novel ICD10-based algorithms were derived and validated to identify a surrogate for acute respiratory distress syndrome to calculate excess mortality risk. Algorithm-identified ARDS was identified with specificity of 96.7% (CI 93.0 – 98.9) and sensitivity of 70.5% (CI 44.0 – 89.7). Excess risk of mortality for ARDS was 24.4% (CI 22.9 – 26.2). Development of ARDS requiring mechanical ventilation imparts...
Source: Thorax - October 17, 2023 Category: Respiratory Medicine Authors: Keim, G., Percy, A. G., Himebauch, A. S., Hsu, J. Y., Christie, J. D., Yehya, N. Tags: Thorax Short report Source Type: research
Modern readmission rates after head trauma
This study was undertaken to reevaluate the rate based on more granular ICD10 codes and to identify any factors associated with readmission that may be targeted to reduce readmission.METHODS: Patients were identified from the 2019 National Readmission Database with an ICD10 code for head trauma. Readmission was defined as occurring within 30 days of initial hospital admission. Comparisons were made using chi square, Mann Whitney rank sum, or multivariable logistic regression.RESULTS: The readmission rate was 5.0%. The rate was higher among men (5.6% vs 4.3%, P < 0.001) and patients ≥65 years of age (5.8% vs 3.9%, P &l...
Source: Baylor University Medical Center Proceedings - October 13, 2023 Category: Universities & Medical Training Authors: Ryan J Keneally Eric R Heinz Robert Young Cory DeFreitas Jordan M Estroff Source Type: research
Modern readmission rates after head trauma
This study was undertaken to reevaluate the rate based on more granular ICD10 codes and to identify any factors associated with readmission that may be targeted to reduce readmission.METHODS: Patients were identified from the 2019 National Readmission Database with an ICD10 code for head trauma. Readmission was defined as occurring within 30 days of initial hospital admission. Comparisons were made using chi square, Mann Whitney rank sum, or multivariable logistic regression.RESULTS: The readmission rate was 5.0%. The rate was higher among men (5.6% vs 4.3%, P < 0.001) and patients ≥65 years of age (5.8% vs 3.9%, P &l...
Source: Baylor University Medical Center Proceedings - October 13, 2023 Category: Universities & Medical Training Authors: Ryan J Keneally Eric R Heinz Robert Young Cory DeFreitas Jordan M Estroff Source Type: research
Modern readmission rates after head trauma
This study was undertaken to reevaluate the rate based on more granular ICD10 codes and to identify any factors associated with readmission that may be targeted to reduce readmission.METHODS: Patients were identified from the 2019 National Readmission Database with an ICD10 code for head trauma. Readmission was defined as occurring within 30 days of initial hospital admission. Comparisons were made using chi square, Mann Whitney rank sum, or multivariable logistic regression.RESULTS: The readmission rate was 5.0%. The rate was higher among men (5.6% vs 4.3%, P < 0.001) and patients ≥65 years of age (5.8% vs 3.9%, P &l...
Source: Baylor University Medical Center Proceedings - October 13, 2023 Category: Universities & Medical Training Authors: Ryan J Keneally Eric R Heinz Robert Young Cory DeFreitas Jordan M Estroff Source Type: research
