«
Hospital readmissions after surgery often related to complications from surgery.»
Not exact matches
We examined whether trusted Yelp reviews (screened to weed out fraudulent reviews) correlated with health care quality metrics for New York
hospitals, including preventable
hospital readmissions and mortality
after hospital treatment for certain conditions (such as heart attacks) or procedures (such as stomach surgeries).
Still, experts have argued that
hospitals could go a long way toward reducing
readmissions just by ensuring that patients receive proper follow - up care
after discharge.
For example, heart failure and pneumonia are two of the most common diagnoses associated with
hospital readmission, but a study published in 2009 found that most patients who return to the
hospital after having one of these conditions do so for seemingly unrelated problems, such as injuries or adverse drug reactions.
Despite the increased national focus on reducing
hospital readmissions, Dharmarajan said it had not been clear whether
hospitals with the lowest
readmission rates have been especially good at reducing
readmissions from specific diagnoses and time periods
after hospitalization, or have instead lowered
readmissions more generally.
High performing
hospitals had fewer
readmissions across all diagnostic categories and time periods
after discharge.
Published Nov. 20 in the British Medical Journal, the researchers found that top - performing
hospitals — those with the lowest 30 - day
readmission rates — had fewer
readmissions from all diagnoses and time periods
after discharge than lower performing
hospitals with higher
readmissions.
In a study that included
readmission information from nearly 350
hospitals,
readmissions the first 30 days
after surgery were associated with new postdischarge complications related to the surgical procedure and not a worsening of any medical conditions the patient already had while hospitalized for surgery, according to a study in the February 3 issue of JAMA.
Dr. Cohen said the new risk outcomes are
readmission to the
hospital; ileus, a type of bowel obstruction; and leak of an intestinal anastomosis, a surgical connection of two formerly distant parts of the intestine
after removal of diseased bowel.
Readmissions after surgery may not be an appropriate measure for pay - for - performance programs but rather better suited as measure for
hospitals to track internally,» the authors write.
Hospitals are working to reduce
readmissions; however, little is known about the reasons for
readmission after surgery.
Home visits by a cardiac surgery nurse practitioner (NP) following coronary artery bypass grafting (CABG) surgery can dramatically reduce a patient's risk of
hospital readmission and death 30 days
after surgery, according to a study in the May 2014 issue of The Annals of Thoracic Surgery.
Ryan P. Merkow, M.D., M.S., of the American College of Surgeons, Chicago, and colleagues examined the reasons, timing, and factors associated with unplanned postoperative
hospital readmissions within 30 days
after surgery.
After controlling for severity of disease and surgical complexity, analyses showed that the rate of unplanned 30 - day
readmissions was approximately 78 percent for patients with any complication diagnosed following discharge from the
hospital.
The patients were followed for 90 days,
after which the researchers found significant reductions in coronary revascularization procedures, fewer
hospital readmissions and fewer recurrent cardiac testing episodes or the need for additional testing.
«Many health care systems are currently focused on providing interventions at or soon
after hospital discharge to reduce
readmissions,» Nguyen said.
In a linked editorial, Drs Christine Soong and Chaim Bell of Mount Sinai
Hospital in Toronto, Canada, suggest that: «
After years of intensive research to find an objective measure of preventable
readmissions, it seems as imminent as the arrival of Godot.»
Moreover, the worse the
hospital - acquired anemia — or the more blood lost — the higher the risk of death or
readmission, even
after adjusting for other important factors, UT Southwestern Medical Center researchers reported in a study involving 11,000 patients cared for in six
hospitals.
Programs providing a series of home visits soon
after hospital discharge can reduce 30 - day
readmission rates by 66 %.