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85 results for “Hospital admissions”
Data from: Risk factors of falls in inpatients and their practical use in identifying high-risk persons at admission, Fukushima Medical University Hospital cohort study
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Serum 25(OH)D level on hospital admission is correlated with COVID-19 mortality
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Data from: A structured training program for health workers in intravenous treatment with fluids and antibiotics in nursing homes: a modified stepped-wedge cluster-randomised trial to reduce hospital admissions
Objectives: Hospitalization is potentially detrimental to nursing home patients and resource demanding for the specialist health care. This study assessed if a brief training program in administrating intravenous fluids and antibiotics in nursing homes could reduce hospital transfers and ensure high quality care locally. Design: A pragmatic and modified cluster randomized stepped-wedge trial with randomization on nursing home level. Participants: 330 cases in 296 nursing home residents from 30 nursing homes were included. Cases were patients provided intravenous antibiotics or intravenous fluids, in nursing home or hospital. Primary outcome was localization of treatment, secondary outcomes were number of days treated, days of hospitalization among admitted patients, type of antibiotics used and 30-day mortality. Intervention: The nursing homes sequentially received a one-day educational program for the health workers including theory and practical training in intravenous treatment of dehydration and infection, run by two skilled nurses. After completing the training program, the nursing homes had competence to provide intravenous treatment locally. Results: The intervention had a highly significant effect on treatment in nursing homes (OR 8.35, 2.08 to 33.6; P<0.01, or RR 2.23, 1.48 to 2.56). The number treated in nursing homes was stable over time; the number treated in hospital gradually decreased (chi square for trend P< 0.001). Among patients receiving intravenous antibiotics in the nursing homes, 50 (46%) died within 30 days, compared to 30 (36%) treated in the hospital (P=0.19). Among patients receiving intravenous fluids locally, 21 (19%) died within 30 days, compared to 2 (8%) in the hospital group (P=0.34). Mortality was associated with reduced consciousness and elevated c-reactive protein. Conclusions: A brief educational program delivered to nursing home personnel was feasible and effective in reducing acute hospital admissions from nursing homes for treatment of dehydration and infections.
Data from: Low serum sodium levels at hospital admission: outcomes among 2.3 million hospitalized patients
Background: Hyponatremia is the most common electrolyte disorder among hospitalized patients. Controversies still exist over the relationship between hyponatremia and outcomes of hospitalized patients. Methods: To analyze the association of low serum sodium levels at hospital admission with in-hospital mortality and patient disposition and to compare the distribution of the risk of death associated with hyponatremia across the lifespan of hospitalized patients, we conducted an observational study of 2.3 million patients using data extracted from the Cerner Health Facts database between 2000 and 2014. Logistic regression models were used in the analyses. Results: At hospital admission 14.4% of hospitalized patients had serum sodium levels [Na] <135 mEq/L. In adjusted multinomial logistic regression analysis, we found that the risk of in-hospital mortality significantly increases for [Na] levels < 135 or ≥143 to ≤145 mEq/L compared to the reference interval of 140 to <143 mEq/L (p<0.001). We observed similar trends for the relationship between [Na] levels and discharge to hospice or to a nursing facility. We demonstrated that younger age groups (18 to <45, 45 to <65) had a higher risk of in-hospital mortality compared to older age groups (65 to <75, ≥75) for [Na] levels <130 mEq/L or 143 to ≤145 mEq/L (p<0.001). Conclusions: Hyponatremia is common among hospitalized patients and is significantly associated with in-hospital mortality, discharge to hospice or to a nursing facility. The risk of death and other outcomes was more evident for [Na] <135 mEq/L. The mortality associated with low [Na] was significantly higher in younger versus older patients.
Freestyle Libre and Hospital Admissions in Type 2 Diabetes
ClinicalTrials.gov study NCT04997512. IPD Sharing: NO. Countries: 1. Publications: 0.
Relatives Visit Prior to Hospital Admission & Intensive Care Unit
ClinicalTrials.gov study NCT03605420. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
The Effect of Dermatology and Teledermatology Consultations on Length of Hospital Admission, 30 Day Readmission Rate, and Antibiotic Use in Patients Presenting With Cellulitis vs Pseudocellulitis in a
ClinicalTrials.gov study NCT03034694. IPD Sharing: YES. Countries: 1. Publications: 0.
Reducing the Number of Hospital Admissions With Multiple Nursing Interventions in COPD Patients Using Oxygen Concentrators at Home
ClinicalTrials.gov study NCT05730088. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Effect of Home Based Pulmonary Rehabilitation on Exacerbation and Hospital Admission in Severe COPD
ClinicalTrials.gov study NCT05738720. IPD Sharing: Not stated. Countries: 1. Publications: 0.
30 Days and 90 Days Heart Failure Re-Admission at Komfo Anokye Teaching Hospital
ClinicalTrials.gov study NCT07100561. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Change in Sleep Breathing During Hospital Admission for COPD Exacerbation
ClinicalTrials.gov study NCT07361744. IPD Sharing: YES. Countries: 1. Publications: 0.
Nutritional State and Care Pathway of Hospitalized Malnourished Patients, Within 3 Months of Admission
ClinicalTrials.gov study NCT04244851. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Pilot Study of the SPaRK (Supportive and Palliative Care Review Kit) Model of Care for Advanced Cancer Patients Who Have an Unplanned Admission to Singapore General Hospital
ClinicalTrials.gov study NCT02559336. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Hospital Admission Versus Home Management in Women With Premature Rupture of Membranes :RCT
ClinicalTrials.gov study NCT03435263. IPD Sharing: NO. Countries: 1. Publications: 0.
Non Attendance at Scheduled Appointments as a Marker of Mortality and Hospital Admission
ClinicalTrials.gov study NCT02210637. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Rectal Carriage of Carbapenemase Producing-Enterobacteriaceae on Admission to a French University Teaching Hospital
ClinicalTrials.gov study NCT05798351. IPD Sharing: NO. Countries: 1. Publications: 0.
Comparison of the Effects of Sugammadex and Neostigmine on Early Extubation, Intensive Care Unit Admission and Length of Stay, and Hospital Costs in Adult Cranial Surgery
ClinicalTrials.gov study NCT06987357. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Derivation and Validation of a Prognostic Model for Septic Patients at Hospital Admission
ClinicalTrials.gov study NCT03601767. IPD Sharing: Not stated. Countries: 1. Publications: 0.
DHFS for Medication Adherence Support During Hospital Admissions for Person Living With HIV
ClinicalTrials.gov study NCT04418037. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Study to Identify the Reduction of Exacerbations Resulting in Hospital Admission in Patients With COPD.
ClinicalTrials.gov study NCT05440188. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
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International Brain Laboratory public data
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OpenNeuro
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