Search results for "Readmissions"
Availability of postdischarge care associated with readmission rates
Hospitals in areas with more primary care physicians and licensed nursing home beds per capita had lower readmission rates for acute myocardial infarction, heart failure, and pneumonia, a new study found.
https://acphospitalist.acponline.org/archives/2022/07/06/availability-of-postdischarge-care-associated-with-readmission-rates.htm
6 Jul 2022
Higher hospitalist workload associated with slightly longer length of stay
A patient load of 16 patients, compared to 13, was associated with a small, but statistically significant, increase in length of stay. However, there was no association between workload and ED visits or readmissions in the single-center observational study.
https://acphospitalist.acponline.org/archives/2022/06/15/higher-hospitalist-workload-associated-with-slightly-longer-length-of-stay.htm
15 Jun 2022
The cost of hospitalists
The lead author of a recent study finding that hospitalists bill higher than primary care physicians when seeing Medicare inpatients says that productivity bonus pay is problematic for the health care system.
https://acphospitalist.acponline.org/archives/2022/06/08/the-cost-of-hospitalists.htm
8 Jun 2022
A click to improve cirrhosis care
An electronic alert increased use of rifaximin in patients with cirrhosis who were taking lactulose and were admitted with hepatic encephalopathy.
https://acphospitalist.acponline.org/archives/2022/06/01/free/a-click-to-improve-cirrhosis-care.htm
1 Jun 2022
Five steps to a better discharge
Research has shown that patients have a few common priorities at discharge, and hospitalists can tweak their practices to make it more likely these desires are fulfilled.
https://acphospitalist.acponline.org/archives/2022/05/04/free/five-steps-to-a-better-discharge.htm
4 May 2022
OPAT has similar safety, lower costs versus inpatient antibiotic therapy
Patients receiving outpatient parenteral antimicrobial therapy (OPAT) after hospitalization for bacterial infection had 90-day adverse event rates of 35.6% compared to 39.0% in those who stayed in the hospital for parenteral antimicrobial therapy, a retrospective Canadian study found.
https://acphospitalist.acponline.org/archives/2022/04/27/opat-has-similar-safety-lower-costs-versus-inpatient-antibiotic-therapy.htm
27 Apr 2022
Heart failure hospitalizations, costs increasing among young adults
Heart failure hospitalizations among adults ages 18 to 45 years increased from 2013 to 2018. More than half of patients were Black, and 45.8% lived in ZIP codes in the lowest quartile of national household income, a study found.
https://acphospitalist.acponline.org/archives/2022/04/27/heart-failure-hospitalizations-costs-increasing-among-young-adults.htm
27 Apr 2022
Dementia associated with increased risk of death or readmission after discharge
A study of recently hospitalized Medicare beneficiaries found that patients with a dementia diagnosis had increased 30-day risk of death or readmission, particularly if they were discharged to the community rather than to nursing facilities.
https://acphospitalist.acponline.org/archives/2022/04/20/dementia-associated-with-increased-risk-of-death-or-readmission-after-discharge.htm
20 Apr 2022
The road ahead for hospital medicine
During his plenary at SHM Converge 2022, Robert M. Wachter, MD, MACP, shared his thoughts on the future of hospital medicine, including changes in patient complexity and hospital finance, the catch-22 of hospital at home, and the potential impacts of technology.
https://acphospitalist.acponline.org/archives/2022/04/20/the-road-ahead-for-hospital-medicine.htm
20 Apr 2022
Empagliflozin shows clinical benefit in patients hospitalized with acute heart failure
A secondary analysis of the industry-funded EMPULSE trial found that patients with acute heart failure who initiated the sodium-glucose cotransporter-2 inhibitor had improvements in symptoms, physical limitations, and quality of life compared to those who received placebo.
https://acphospitalist.acponline.org/archives/2022/04/13/empagliflozin-shows-clinical-benefit-in-patients-hospitalized-with-acute-heart-failure.htm
13 Apr 2022