Objective The aim of the present study was to provide a summary of a systematic review of literature reporting benefits and limitations of implementing National Emergency Access Target (NEAT), a target stipulating that a certain proportion of patients presenting to hospital emergency departments are admitted or discharged within 4h of presentation. Methods A systematic review of published liter...

a 4-month-old male infant was referred to our center with clinical signs and symptoms of severe dehydration without fever, diarrhea, vomiting, or respiratory symptoms. the patient had a history of two similar episodes at 1.5 and 2 months of age without any known underlying cause. in each attack the patient was hospitalized and improved with management of dehydration and electrolyte imbalance. t...

Hospital staff and managers are under pressure and concerned for effective use and management of scarce resources. The hospital admissions require many decisions that have complex and uncertain consequences for hospital resource utilization and patient flow. It is challenging to predict risk of admissions and length of stay of a patient due to their vague nature. There is no method to capture t...

BACKGROUND Anorexia nervosa is a severe psychiatric disorder mainly affecting women. Its treatment is long and accepted with much difficulty, in particular in-patient treatment. AIMS To describe the subjective motives of women with anorexia nervosa for requesting in-patient admission, from a qualitative analysis of application letters. METHODS Participants were adult women (18 years and old...

background digestive and liver diseases (ld) are among the most common causes of mortality and morbidity in iran and throughout the world. we have aimed to report the etiology and outcome of gastrointestinal and ld that needed admission in a typical tertiary referral hospital in tehran during the last decade. methods shariati hospital gastroenterology and liver disease department (gi & ld) was ...

BACKGROUND Several studies have demonstrated increased inhospital mortality following weekend admission. We hypothesized that the presence of resident trainees reduces the weekend mortality trends. METHODS We identified all patients with a non-elective hospital admission from 1/1/2003 through 12/31/2008. We abstracted vital status on discharge and calculated the Charlson comorbidity score for...

OBJECTIVE To develop and validate a predictive model for preventable adverse events (AEs) in hospitalized older patients, using clinically important risk factors that are readily available on admission. DESIGN Data from two retrospective patient record review studies on AEs were used. Risk factors included patient characteristics as well as admission and organizational characteristics. Multil...

OBJECTIVES To evaluate the effectiveness of a short-stay in-patient rehabilitation programme. DESIGN Prospective case-control cohort study. SETTING Regional medical centre, Hong Kong. PATIENTS One hundred and thirty symptomatic elderly patients with chronic obstructive pulmonary disease who had been treated for an acute respiratory illness in 1998. They were divided into two groups: the c...

STUDY OBJECTIVE Older adults are frequently hospitalized from the emergency department (ED) after an episode of unexplained syncope. Current admission patterns are costly, with little evidence of benefit. We hypothesize that an ED observation syncope protocol will reduce resource use without adversely affecting patient-oriented outcomes. METHODS This randomized trial at 5 EDs compared an ED o...