INTRODUCTION Our aim was to evaluate the role of B-type natriuretic peptide (BNP) percentage variations at 24 hours and at discharge compared to its value at admission in order to demonstrate its predictive value for outcomes in patients with acute decompensated heart failure (ADHF). METHODS This was a multicenter Italian (8 centers) observational study (Italian Research Emergency Department:...

BACKGROUND Many patients are admitted to acute-care hospitals when their medical needs might be more appropriately met in an extended-care facility (ECF). OBJECTIVE To describe a cohort of patients who were admitted from an emergency department to an ECF. DESIGN Observational cohort study. PARTICIPANTS 121 enrollees of Harvard Vanguard Medical Associates who were admitted directly from an...

We discuss the functional ability of all 258 surviving patients with first stroke referred for inpatient comprehensive rehabilitation in Brisbane, Australia, during 1984 and derive an equation to predict the discharge Barthel Index score from characteristics assessed at admission to comprehensive rehabilitation. A boundary condition limiting improvement for patients with high admission Barthel ...

Residential mobility among those with mental disorders is consistently associated with hospital admission. We studied 4485 psychiatric admissions in South London, aiming to describe the prevalence, timing and associations of residential moves occurring in association with admission. Moves tended to cluster around discharge; 15% of inpatients moved during admission or up to 28 days after dischar...

Ureteric stones is a common cause for attendance to the A&E department. Active or conservative management is delivered dependent on the relevant history, clinical condition, and investigation results. The majority of patients can be treated conservatively and do not require admission. However, some cases of ureteric stones present as a urological emergency if, for example, there is an infected ...

Over a 1-year study period all patients admitted to the department of psychiatry in a general hospital were asked to complete the General Health Questionnaire at admission, discharge, and first polyclinic (outpatient) follow-up contact. Seventeen per cent of admissions were alcoholics. Alcoholics improved rapidly after admission to the psychiatric department. This improvement was comparable to ...

Sewer systems that convey both sanitary sewage and storm water through a single pipe are referred to as combined sewer systems (CSSs). In dry weather, the CSS is able to convey all flows to the wastewater treatment facility. During periods of heavy rainfall, however, the capacity of the CSS may be exceeded and an untreated combination of sewage and storm water may discharged directly into a nea...

Abstract Introduction Discharge protocols after bariatric surgery are multi modal. At the Sunderland Royal Hospital, standard protocol is POD 2 as long patient satisfies entire requirements. With recent drive towards enhanced recovery surgery, some consultants introduced 1 discharge protocol. Method Using our prospectively maintained data set and groups were identified. The length of stay (LOS)...

Abstract Introduction Many patients with epistaxis are seen in the A&E department. A significant number discharged without need for inpatient admission due to minor bleeds. given limited information on management of further bleeds and even fewer advised prevention Aim To evaluate advice who from A+E, instigate an improvement examine subsequent effect re-attendance rates Method Epistaxis A+E...