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Digestive Diseases and Sciences Sep 2019
Topics: Acute Disease; Disease Management; Humans; Pancreatitis; Quality of Health Care
PubMed: 31332624
DOI: 10.1007/s10620-019-05738-9 -
Digestive Diseases and Sciences Mar 2019
Topics: Acute Disease; Humans; Hypertriglyceridemia; Pancreatitis; Triglycerides
PubMed: 30725299
DOI: 10.1007/s10620-019-05501-0 -
The European Respiratory Journal Jun 2017
Topics: Acute Disease; Heart Diseases; Humans; Pulmonary Disease, Chronic Obstructive
PubMed: 28663321
DOI: 10.1183/13993003.00912-2017 -
Clinical Chemistry Dec 2018
Topics: Acute Disease; Hemolysis; Humans; Leukemia
PubMed: 30487188
DOI: 10.1373/clinchem.2018.290528 -
Medizinische Klinik, Intensivmedizin... May 2017When treating acutely ill patients in the emergency department (ED), the successful management of a variety of medical conditions, such as sepsis, acute kidney injury,... (Review)
Review
When treating acutely ill patients in the emergency department (ED), the successful management of a variety of medical conditions, such as sepsis, acute kidney injury, and pancreatitis, is highly dependent on the correct assessment and optimization of a patient's intravascular volume status. Therefore, it is crucial that the ED physician knows and uses available means to assess intravascular volume status to adequately guide fluid therapy. This review focuses on techniques for volume status assessment that are available in the ED including basic clinical and laboratory findings, apparatus-based tests such as sonography and chest x-ray, and functional tests to evaluate fluid responsiveness. Furthermore, we provide an outlook on promising innovative, noninvasive technologies that might be used for advanced hemodynamic monitoring in the ED.
Topics: Acute Disease; Blood Volume; Blood Volume Determination; Emergency Service, Hospital; Fluid Therapy; Hemodynamic Monitoring; Humans; Radiography, Thoracic; Ultrasonography
PubMed: 26676240
DOI: 10.1007/s00063-015-0124-x -
BMC Health Services Research Oct 2019Because there is heterogeneity in disease types, competition among hospitals could be influenced in various ways by service provision for diseases with different...
BACKGROUND
Because there is heterogeneity in disease types, competition among hospitals could be influenced in various ways by service provision for diseases with different characteristics. Limited studies have focused on this matter. This study aims to evaluate and compare the relationships between hospital competition and the expenses of prostatectomies (elective surgery, representing treatments of non-acute common diseases) and appendectomies (emergency surgery, representing treatments of acute common diseases).
METHODS
Multivariable log-linear models were constructed to determine the association between hospital competition and the expenses of prostatectomies and appendectomies. The fixed-radius Herfindahl-Hirschman Index was employed to measure hospital competition.
RESULTS
We collected data on 13,958 inpatients from the hospital discharge data of Sichuan Province in China from September to December 2016. The data included 3578 prostatectomy patients and 10,380 appendectomy patients. The results showed that greater competition was associated with a lower total hospital charge for prostatectomy (p = 0.006) but a higher charge for appendectomy (p < 0.001). The subcategory analysis showed that greater competition was consistently associated with lower out-of-pocket (OOP) and higher reimbursement for both surgeries.
CONCLUSIONS
Greater competition was significantly associated with lower total hospital charges for prostatectomies, while the opposite was true for appendectomies. Furthermore, greater competition was consistently associated with lower OOP but higher reimbursement for both surgeries. This study provides new evidence concerning the heterogeneous roles of competition in service provision for non-acute and acute common diseases. The findings of this study indicate that the pro-competition policy is a viable option for the Chinese government to relieve patients' financial burden (OOP). Our findings also provide references and insights for other countries facing similar challenges.
Topics: Acute Disease; Aged; China; Chronic Disease; Delivery of Health Care; Economic Competition; Female; Health Services Research; Hospital Charges; Hospitals; Humans; Male; Marketing of Health Services
PubMed: 31640684
DOI: 10.1186/s12913-019-4543-x -
International Journal of Mental Health... Oct 2018Long psychiatric hospital stays are unpopular with services users, harmful, and costly. Economic pressures alongside a drive for recovery-orientated care in the least... (Review)
Review
Long psychiatric hospital stays are unpopular with services users, harmful, and costly. Economic pressures alongside a drive for recovery-orientated care in the least restrictive contexts have led to increasing pressure to discharge people from hospital early. Hospital discharge is, however, complex, stressful, and risky for service users and families. This rapid literature review aimed to assess what is known about early discharge in acute mental health. Searches were conducted in nine bibliographic databases, reference lists, and targeted grey literature sources. Fourteen included papers focused on early discharge in mental health, a population over 18 years with a mental health condition, and reported outcomes on therapeutic care or service delivery. Quality appraisal was undertaken using The Mixed Method Appraisal Tool. The meta-summary of the literature found that early discharge was neither provided to all inpatients nor limited to the Crisis Resolution and Home Treatment (CRHT) service model internationally. Early discharge interventions required collaborative working and discharge planning. It was not associated with unplanned readmissions and had a small effect on length of stay. Most studies reported service outcomes, whereas health outcomes were underreported. Professionals and service users were positive about early discharge and service users asked for peer support. Carers preferred hospital or day hospital care suggesting their need for respite. Limitations in the scope, detail, and quality of the evidence about early discharge leave an unclear picture of the components of early discharge as an intervention, its effectiveness, cost-effectiveness, or outcomes.
Topics: Acute Disease; Crisis Intervention; Humans; Length of Stay; Mental Disorders; Patient Discharge
PubMed: 29949227
DOI: 10.1111/inm.12515 -
The Lancet. Haematology Aug 2017
Topics: Acute Disease; Humans; Liver; Precursor Cell Lymphoblastic Leukemia-Lymphoma
PubMed: 28687419
DOI: 10.1016/S2352-3026(17)30121-7 -
Nestle Nutrition Institute Workshop... 2015Nutrition is a basic requirement for life and plays an important role in health and in disease prevention, but malnutrition is a common event and a cause of increased...
Nutrition is a basic requirement for life and plays an important role in health and in disease prevention, but malnutrition is a common event and a cause of increased morbidity and mortality, particularly in patients with disease-related malnutrition showing inflammation and a catabolic state. Malnutrition is often overlooked, and deterioration in the nutritional status following admission to hospital is common. It should be actively pursued by a ubiquitous system of nutrition screening, and full nutritional assessment is required for those found to be at risk. There are simple screening tools which can be used by all health care professionals. Assessment considers body composition, inflammatory status and other aspects of underlying diseases and their functional consequences; it is a more specialist process. It is important to determine the energy and protein needs of each individual patient. Appropriate nutritional intervention can often be offered by the oral route, using food with or without special supplements. When this is insufficient, enteral tube feeding will normally be sufficient, but there is an important subgroup of patients in whom enteral feeding is contraindicated or unsuccessful, and in these patients parenteral nutrition (either total or supplemental) is required. A number of immunonutrients and other special substrates have been shown to be helpful in specific circumstances, but their use is not without potential hazards, and therefore adherence to international guidelines is recommended.
Topics: Acute Disease; Chronic Disease; Dietary Supplements; Enteral Nutrition; Humans; Malnutrition; Nutrition Assessment; Nutritional Status; Parenteral Nutrition
PubMed: 26544878
DOI: 10.1159/000381997 -
Clinical Journal of the American... Nov 2018
Topics: Acute Disease; Acute Kidney Injury; Biopsy; Humans
PubMed: 30348811
DOI: 10.2215/CJN.11400918