BACKGROUND Previous work has suggested that given a hospital's need to admit more patients from the emergency department (ED), high inpatient bed occupancy may encourage premature hospital discharges that favor the hospital's need for beds over patients' medical interests. We argue that the effects of such action would be measurable as a greater proportion of unplanned hospital readmissions amo...

The number of emergency department (ED) visits in the United States reached 119.2 million visits in 2007. 1 The largest percentage of these visits was for people with injury-related diagnoses (42.4 million visits), with falls accounting for 76% of these among adults age 65 and older. 2 Hospital discharge data for injury-related admissions reflects those patients visiting the ED whose injuries w...

the registry of myocardial infarctions (mi registry) is a national registry in iran that collects and reports the data on myocardial infarctions. its main advantage is that it covers the whole country and is mandatory for hospitals to register the mi cases in it. then, the qualified individuals at the provincial and national levels can get intended reports and make appropriate decisions. such r...

OBJECTIVE The relationship between admission nutritional status and clinical outcomes following hospital discharge is not well established. This study investigated whether older patients' nutritional status at admission predicts unplanned readmission or death in the very early or late periods following hospital discharge. DESIGN, SETTING AND PARTICIPANTS The study prospectively recruited 297 ...

OBJECTIVES To evaluate the effect of pharmaceutical care provided in addition to acute Geriatric Evaluation and Management (GEM) care on the appropriateness of prescribing. DESIGN Randomized, controlled trial, with the patient as unit of randomization. SETTING Acute GEM unit. PARTICIPANTS Two hundred three patients aged 70 and older. INTERVENTION Pharmaceutical care provided from admiss...

PURPOSE To study the antiepileptic drug treatment of children at a referral centre for epilepsy, including a follow-up study three months after discharge. MATERIAL AND METHODS The study includes children admitted to The National Centre for Epilepsy in Norway. Data were collected from the medical records of 261 children, and a questionnaire regarding the pharmacological treatment was sent to t...

OBJECTIVE To analyse the effect of a fetal surveillance unit, which undertakes a wide range of maternal and fetal tests on an outpatient or inpatient basis, on the number and length of antenatal hospital admissions. DESIGN A comparison of the number and length of antenatal admissions six months before and five months after the opening of the unit on 1 July 1990. MAIN OUTCOME MEASURES Admiss...

This longitudinal study investigates whether anhedonia and pessimistic attributional style represent a clinical state or a trait in hospitalized depressed adolescents. 81 consecutive adolescent inpatients were screened with the Beck Depression Inventory (BDI) and the clinician-rated Major Depressive Disorder (MDD) criteria sheet. 51 patients with BDI score ≥10 and/or ≥4 symptoms on MDD criteria...

PURPOSE We generated a clinically useful data collection form for the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. This data collection form is designed to aid in measuring change and goal setting. METHOD Rasch analysis was used to generate three data collection forms for constructs on the DASH (gross motor, fine motor, and symptoms; N = 960). A form was completed to repr...

Psychiatric hospitalization of children with autism spectrum disorder and/or intellectual disability is common, however, the effectiveness of this intervention is largely unknown. Thirty-eight clinically-referred children 8-19 years old admitted to a specialized inpatient psychiatry unit were assessed by a consistent caregiver on the Aberrant Behavior Checklist-Irritability (ABC-I) subscale at ...