The number of unplanned readmissions is an important quality improvement indicator for Australian hospitals, as it has a direct impact on costs and patient outcomes. It is a useful indicator for patient multi-morbidity to identify patients that should potentially have different treatment or discharge plans. The objective of the Health Insights Challenge project was to develop a predictive model...

BACKGROUND Unplanned tracheal intubation after surgery has been associated with high mortality. Few studies have examined the risk factors for this complication. METHODS The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) is a multicenter, prospective, outcome-oriented database for patients having undergone major surgical procedures. Using the NSQIP data for...

We use the exogenous variation in fertility caused by a twin birth to measure the impact of an unplanned child on a woman’s marital status. Contrary to previous research, we find that an unplanned child has little effect on the married mother’s probability of subsequent divorce or remarriage. For unmarried mothers we find that an unplanned child does reduce the likelihood of marriage, but that ...

BACKGROUND The objectives of this study were to compare the risk factors for unplanned intensive care unit (ICU) transfer after emergency department (ED) admission in patients with infections and those without infections and to explore the feasibility of using risk stratification tools for sepsis to derive a prediction system for such unplanned transfer. METHODS The ICU transfer group include...

ACENTURY FROM NOW, social and demographic historians may be pondering the question of why the topic of teenage childbearing suddenly became so prominent in America during the last several decades of the twentieth century. The issue emerged from social invisibility during the 1950s and early 1960s, when rates of childbearing among teens reached historical peaks, and rose to a level of public obs...

OBJECTIVE This study established the incidence and primary causes of unplanned extubation in newborns in the neonatal intensive care units of the Hospital Sofia Feldman, Belo Horizonte (Minas Gerais). METHODS This retrospective study was conducted between July 1, 2009 and April 30, 2010. Unplanned extubations and their primary causes were assessed using an adverse events form. The following v...

INTRODUCTION There have been no prospective randomized trials that enable the best strategy and timing to be determined for revascularization in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) and multivessel coronary artery disease (CAD). OBJECTIVES To compare short- and long-term adverse events following multivessel vs. culprit-only revascularization in patients wi...