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1

Zhang, Yan, Yadong Niu, and Liang Zhang. "Determinants of patient choice for hospital readmission after township hospitalisation: a population-based retrospective study in China." BMJ Open 8, no. 8 (2018): e021516. http://dx.doi.org/10.1136/bmjopen-2018-021516.

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ObjectiveThe lack of coordinated and appropriate healthcare across sectors has produced more patients for county hospitals in China. This study examined differences in patient choice between township and county hospitals for readmission after a first township hospitalisation, and the determinants that influenced this choice.DesignA retrospective study of readmissions across hospitals after a first admission in township hospital. A township–township (TT) inpatient group and a township–county (TC) inpatient group were compared. A two-level logistic regression model was used to examine the determ
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2

Skirrow, Helen, Thomas Wincott, Elizabeth Cecil, Alex Bottle, Ceire Costelloe, and Sonia Saxena. "Preschool respiratory hospital admissions following infant bronchiolitis: a birth cohort study." Archives of Disease in Childhood 104, no. 7 (2019): 658–63. http://dx.doi.org/10.1136/archdischild-2018-316317.

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BackgroundBronchiolitis causes significant infant morbidity worldwide from hospital admissions. However, studies quantifying the subsequent respiratory burden in children under 5 years are lacking.ObjectiveTo estimate the risk of subsequent respiratory hospital admissions in children under 5 years in England following bronchiolitis admission in infancy.DesignRetrospective population-based birth cohort study.SettingPublic hospitals in England.PatientsWe constructed a birth cohort of 613 377 infants born between 1 April 2007 and 31 March 2008, followed up until aged 5 years by linking Hospital E
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Polling, C., Ioannis Bakolis, Matthew Hotopf, and Stephani L. Hatch. "Differences in hospital admissions practices following self-harm and their influence on population-level comparisons of self-harm rates in South London: an observational study." BMJ Open 9, no. 10 (2019): e032906. http://dx.doi.org/10.1136/bmjopen-2019-032906.

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ObjectivesTo compare the proportions of emergency department (ED) attendances following self-harm that result in admission between hospitals, examine whether differences are explained by severity of harm and examine the impact on spatial variation in self-harm rates of using ED attendance data versus admissions data.SettingA dataset of ED attendances and admissions with self-harm to four hospitals in South East London, 2009–2016 was created using linked electronic patient record data and administrative Hospital Episode Statistics.DesignProportions admitted following ED attendance and length of
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4

Naser, Abdallah Y. "Hospitalisation profile in England and Wales, 1999 to 2019: an ecological study." BMJ Open 13, no. 4 (2023): e068393. http://dx.doi.org/10.1136/bmjopen-2022-068393.

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ObjectiveHospital-related indicators are used to prioritise, benchmark and monitor certain healthcare components to improve quality. This study aimed to determine the hospital admissions profile in England and Wales between 1999 and 2019.DesignEcological study.SettingA population-based study of hospitalised patients in England and Wales.ParticipantsAll patients of all ages and genders who were hospitalised in National Health Service (NHS) hospitals and NHS-funded independent sector hospitals.Outcome measureHospital admission rates in England and Wales related to various diseases/causes, which
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5

Atkin, Catherine, Thomas Knight, Tim Cooksley, et al. "Length of stay in Acute Medical Admissions: Analysis from the Society for Acute Medicine Benchmarking Audit." Acute Medicine Journal 21, no. 1 (2022): 27–33. http://dx.doi.org/10.52964/amja.0889.

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Introduction: Medical admissions to hospitals represent a diverse range of patients, from those managed on ambulatory pathways through Same-Day Emergency Care (SDEC) services to those requiring prolonged inpatient admission. An understanding of current patterns of admission through acute medicine services and patient factors associated with longer hospital admission is needed to guide service planning and improvement. Methods: Data from the Society for Acute Medicine Benchmarking Audit (SAMBA) 2021 were analysed. Patients admitted to acute medicine services during a 24-hour period on 17th June
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6

Thompson, Mary. "Comparing paediatric hospital admission rates between emergency departments in england – a descriptive analysis using hospital episode statistics data." Emergency Medicine Journal 27, Suppl 1 (2010): A8.3—A9. http://dx.doi.org/10.1136/emj.2010.103150.23.

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AimTo investigate whether children living near paediatric emergency departments have lower paediatric admission rates than children living near general emergency departments.Design(i) Descriptive analysis of paediatric admissions using routine hospital episode statistics data (HES data). (ii) Spatial analysis of paediatric and general emergency departments and census output areas using Geographical Information Systems.SubjectsAll paediatric emergency admissions of 0–14 year olds in the financial years 2001/2002 –2005/2006 in all hospitals in England.HypothesisNull (H0): there is no difference
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7

Patel, Rashmi, Edward Chesney, Alexis E. Cullen, et al. "Clinical outcomes and mortality associated with weekend admission to psychiatric hospital." British Journal of Psychiatry 209, no. 1 (2016): 29–34. http://dx.doi.org/10.1192/bjp.bp.115.180307.

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BackgroundStudies indicate that risk of mortality is higher for patients admitted to acute hospitals at the weekend. However, less is known about clinical outcomes among patients admitted to psychiatric hospitals.AimsTo investigate whether weekend admission to a psychiatric hospital is associated with worse clinical outcomes.MethodData were obtained from 45 264 consecutive psychiatric hospital admissions. The association of weekend admission with in-patient mortality, duration of hospital admission and risk of readmission was investigated using multivariable regression analyses. Secondary anal
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8

Pak, Theodore, Chanu Rhee, and Michael Klompasl. "Association between stopping universal SARS-CoV-2 admission testing and hospital-onset SARS-CoV-2 in England and Scotland." Antimicrobial Stewardship & Healthcare Epidemiology 3, S2 (2023): s113—s114. http://dx.doi.org/10.1017/ash.2023.391.

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Background: Many hospitals test all patients for SARS-CoV-2 upon admission to prevent silent transmission to other patients and healthcare workers. The utility of universal admission testing has been questioned, however, due to resource constraints, care delays, and sparse data on its impact on nosocomial infections. England and Scotland stopped requiring universal admission testing on August 31, 2022, and September 28, 2022, respectively. We assessed associations between these changes and hospital-onset SARS-CoV-2 infection rates. Methods: We used public data from National Health Service Engl
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9

Leão Gomes, Lucimar, and Fernando Madalena Volpe. "VALIDATION OF A DYNAMIC RISK CLASSIFICATION SYSTEM FOR IN-HOSPITAL DEATH, BASED ON ELECTRONIC RECORDS OF NON-SURGICAL ADMISSIONS TO GENERAL HOSPITALS." RAHIS- Revista de Administração Hospitalar e Inovação em Saúde 18, no. 4 (2021): 101–12. http://dx.doi.org/10.21450/rahis.v18i4.7186.

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Objective: To develop and validate a risk-classification system for in-hospital death, clinically useful for general hospital adult primarily non-surgical cases.
 Methods: Admissions for non-surgical conditions at 5 public general hospitals of Minas Gerais were included. Procedures: Build a predictive model for death during admission, using logistic regression; Create a severity index based on the independent effect of the selected variables, and then, validate its ability to predict in-hospital death during index admission; Validate the predictive scale by challenging it with a new datas
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10

Wijlaars, Linda PMM, Pia Hardelid, Jenny Woodman, Janice Allister, Ronny Cheung, and Ruth Gilbert. "Contribution of recurrent admissions in children and young people to emergency hospital admissions: retrospective cohort analysis of hospital episode statistics." Archives of Disease in Childhood 100, no. 9 (2015): 845–49. http://dx.doi.org/10.1136/archdischild-2014-307771.

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ObjectiveTo examine the contribution of recurrent admissions to the high rate of emergency admissions among children and young people (CYP) in England, and to what extent readmissions are accounted for by patients with chronic conditions.DesignAll hospital admissions to the National Health Service (NHS) in England using hospital episode statistics (HES) from 2009 to 2011 for CYP aged 0–24 years. We followed CYP for 2 years from discharge of their first emergency admission in 2009. We determined the number of subsequent emergency admissions, time to next admission, length of stay and the propor
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11

Vyas, Arpita K., Yiu Ming Chan, and Lavi Oud. "Variation in Utilization of Intensive Care for Pediatric Diabetic Ketoacidosis." Journal of Intensive Care Medicine 35, no. 11 (2019): 1314–22. http://dx.doi.org/10.1177/0885066619868972.

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Objective: To examine the hospital-level variation in intensive care unit (ICU) utilization and quantify the relative contribution of patient and hospital characteristics versus individual hospital factors to the variation in ICU admission rates among pediatric hospitalizations with diabetic ketoacidosis (DKA). Methods: The Texas Inpatient Public Use Data File was used to identify hospitalizations of state residents aged 1 month to 19 years with a primary diagnosis of DKA between 2005 and 2014. Multilevel, mixed-effects logistic regression modeling was performed to examine the association of p
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12

Yin, Cheng, Elias Mpofu, and Kaye Brock. "LENGTH OF STAY IN REHABILITATION HOSPITALS AS WELL AS HOSPITAL ADMISSION IS ASSOCIATED WITH SACRAL ULCER DEVELOPMENT." Innovation in Aging 8, Supplement_1 (2024): 373. https://doi.org/10.1093/geroni/igae098.1212.

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Abstract Introduction Sacral ulcers (SUs) pose a significant risk of mortality for older adults when admitted to rehabilitation hospitals. Previous research has underscored the influence of various factors including comorbidities, lifestyle, and personal factors on sacral ulcer development (SUD) in these settings. However, the impact of hospital admission and the mediating role of length of stay (LoS) on SUD remains unclear. Thus, this study aimed to determine the association between hospital admission and SUD in older adult patients in rehabilitation hospitals, and whether LoS mediated this a
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13

Niaz, Hussain1* Muhammad Iqbal 2. Nasrullah Aamir3. "RETROSPECTIVE ANALYSIS OF RECURRENT HOSPITAL ADMISSIONS DUE TO GOUT AND THE ASSOCIATED COMORBIDITIES AT A TERTIARY CARE HOSPITAL." indo American Journal of Pharmaceutical Sciences 04, no. 06 (2017): 1476–80. https://doi.org/10.5281/zenodo.809432.

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Objective:To analyze recurrent hospital admissions to the hospital due to gout and associated comorbidities Methodology:The retrospective analysis is based upon the hospital records of 200 consecutive patients (non-probabilityconsecutive sampling) presenting again to the study setting (after prior admission and discharge) due to gout and its associated comorbidities from January 2016 to December 2016. The characteristics of all the patients and the recurrent admissions were analyzed as individual variables and analyzed using SPSS v. 19.0 and Microsoft Excel 2016. Results:A total of 200 admissi
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14

Tripp, David, Allie Eathorne, Xiaohan Bai, and Wolf Truong. "Changes in admission rates to an Aotearoa New Zealand hospital general medical service during COVID-19 lockdowns." New Zealand Medical Journal 137, no. 1594 (2024): 13–22. http://dx.doi.org/10.26635/6965.6387.

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aim: To better understand the reasons for reduced hospital admissions to a hospital general medicine service during COVID-19 lockdowns. methods: A statistical model for admission rates to the General Medicine Service at Wellington Hospital, Aotearoa New Zealand, since 2015 was constructed. This model was used to estimate changes in admission rates for transmissible and non-transmissible diagnoses during and following COVID-19 lockdowns for total admissions and various sub-groups. results: For the 2020 lockdown (n=734 admissions), the overall rate ratio of admissions was 0.71 compared to the pr
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15

Parreco, Joshua, Hallie J. Quiroz, Brent A. Willobee, et al. "National Risk Factors for Child Maltreatment after Trauma: Failure to Prevent." American Surgeon 85, no. 7 (2019): 700–707. http://dx.doi.org/10.1177/000313481908500726.

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The purpose of this study was to identify the risk factors for hospital readmission for child maltreatment after trauma, including admissions across different hospitals nationwide. The Nationwide Readmissions Database for 2010–2014 was queried for all patients younger than 18 years admitted for trauma. The primary outcome was readmission for child maltreatment. The secondary outcome was readmission for maltreatment presenting to a hospital different than the index admission hospital. A subgroup analysis was performed on patients without a diagnosis of maltreatment during the index admission. M
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Dr., Saira Faryal Amjad Dr. Israr Saeed Ghuman Dr Hafsa Zafar. "IMPROPER ADMISSION AND HOSPITALIZATION IN THE HOSPITALS OF MULTAN." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 05 (2018): 4662–65. https://doi.org/10.5281/zenodo.1258052.

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Objective:<em> To evaluate the suitability of patients&rsquo; admission and hospitalization in two main hospitals of Multan.</em>Methodology:<em> Appropriateness Evaluation Protocol. </em>Results:<em> AEP was used to check the suitability of the 258 admissions in 1732 patient days. The results revealed that 22.8% of admissions were inappropriate. Moreover, the hospital stay in case of improper admissions was considerably lesser than that of genuine admissions. &nbsp;Statistical findings showed a significant difference in relation to unsuitable admissions (p&lt;0.0001). Almost 8.6% of patient d
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17

Shammas, Nicolas W., Ryan Kelly, Jon Lemke, et al. "Assessment of Time to Hospital Encounter after an Initial Hospitalization for Heart Failure: Results from a Tertiary Medical Center." Cardiology Research and Practice 2018 (2018): 1–4. http://dx.doi.org/10.1155/2018/6087367.

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Background. Hospital inpatient readmissions for patients admitted initially with the primary diagnosis of heart failure (HF) can be as high as 20–25% within 30 days of discharge. This, however, does not include admissions for observations or emergency department (ED) visits within the same time frame and does not show a time-dependent hospital encounter following discharge after an index admission. We present data on time-dependent hospital encounter of HF patients discharged after an index admission for a primary diagnosis of HF. Methods. The study recruited patients from 2 hospitals within t
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18

Ismail, Zahinoor, Tamara Arenovich, Charlotte Grieve, et al. "Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders." Canadian Journal of Psychiatry 57, no. 11 (2012): 696–703. http://dx.doi.org/10.1177/070674371205701107.

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Objective: To determine predictors of hospital length of stay (LOS) for adult and geriatric patients with mood disorders admitted to inpatient psychiatric beds. Method: Admission and discharge data from a large urban mental health centre, from 2005 to 2010 inclusive, were retrospectively analyzed. Using the Resident Assessment Instrument—Mental Health, an assessment that is used to collect demographic and clinical information within 72 hours of hospital admission, 199 geriatric mood disorder admissions were compared with 570 adult mood disorder admissions. Predictors of hospital LOS were deter
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Tewari, Sanjay, Fred Piel, Valentine Brousse, et al. "A Multicentre Study of Environmental Factors on the Severity of Sickle Cell Disease." Blood 124, no. 21 (2014): 4841. http://dx.doi.org/10.1182/blood.v124.21.4841.4841.

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Abstract Background: Sickle cell disease (SCD) is a very variable condition, with some patients being asymptomatic and others admitted frequently to hospital. Genetic factors have been extensively investigated but only explain a small amount of the variability to date. Environmental factors are undoubtedly important, but have not been studied in depth, at least in part because of the difficulty of conducting these studies. We have analysed the role of climatic, environmental and temporal factors in determining the frequency of hospital admissions in children with SCD to 4 large sickle cell cen
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Lewis, Kate Marie, Sanjay M. Parekh, Padmanabhan Ramnarayan, Ruth Gilbert, Pia Hardelid, and Linda Wijlaars. "Emergency paediatric critical care in England: describing trends using routine hospital data." Archives of Disease in Childhood 105, no. 11 (2020): 1061–67. http://dx.doi.org/10.1136/archdischild-2019-317902.

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ObjectiveTo determine trends in emergency admission rates requiring different levels of critical care in hospitals with and without a paediatric intensive care unit (PICU).DesignBirth cohort study created from Hospital Episode Statistics.SettingNational Health Service funded hospitals in England.Patients8 577 680 singleton children born between 1 May 2003 and 31 April 2017.Outcome measuresUsing procedure and diagnostic codes, we assigned indicators of high dependency care (eg, non-invasive ventilation) or intensive care (eg, invasive ventilation) to emergency admissions.InterventionsChildren w
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21

Uwumiro, Fidelis, Oluwatobi Olaomi, Victory Okpujie, et al. "Hospital teaching status and patient outcomes in intestinal obstruction surgery: A comparative analysis." Turkish Journal of Surgery 39, no. 3 (2023): 204–12. http://dx.doi.org/10.47717/turkjsurg.2023.6091.

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Objective: Surgery at large teaching hospitals is reportedly associated with more favourable outcomes. However, these results are not uniformly consistent across all surgical patients. This study aimed to assess potential disparities in clinical outcomes by hospital type for patients with intestinal obstruction. Material and Methods: 2018 NIS was queried for all adult non-elective admissions for intestinal obstruction. Hospitals were classified as either smallmedium non-teaching hospitals or large teaching hospitals. Multivariate regression analyses were used to assess the association between
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22

Holland, Mark, Alexander Dannatt, John Kellett, and Darren Green. "Emergency admissions’ diagnoses and risk of in-hospital death according to the primary ICD-10 chapter assigned at discharge and the National Early Warning Score on admission." Acute Medicine Journal 22, no. 3 (2023): 113–19. http://dx.doi.org/10.52964/amja.0945.

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Background: The relationship between diagnosis, illness severity, and mortality risk for unselected emergency admissions is poorly defined. Aim: To define primary ICD-10 diagnostic chapters at discharge, admission illness severity by the National Early Warning Score, and in-hospital mortality for all unselected emergency admissions. Method: Retrospective, observational, cohort study of 122,259 unselected, adult emergency admissions to Salford Royal Hospital between 2014 and 2022. Results: In-hospital mortality was 4.3% but most patients had an ICD-10 chapter associated with a lower risk of dea
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23

Alanazi, Abeer F. R., Abdallah Y. Naser, Prisca Pakan, et al. "Trends of Hospital Admissions Due to Congenital Anomalies in England and Wales between 1999 and 2019: An Ecological Study." International Journal of Environmental Research and Public Health 18, no. 22 (2021): 11808. http://dx.doi.org/10.3390/ijerph182211808.

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Objectives: To investigate the trends in congenital anomalies-related hospital admissions in England and Wales. Methods: This was an ecological study that was conducted using hospital admission data taken from the Hospital Episode Statistics database in England and the Patient Episode Database for Wales. Congenital malformations, deformations and chromosomal abnormalities hospital admissions data were extracted for the period between April 1999 and March 2019. Results: Hospital admission rate increased by 4.9% [from 198.74 (95% CI 197.53–199.94) in 1999 to 208.55 (95% CI 207.39–209.71) in 2019
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Russ, Tom C., Mario A. Parra, Alison E. Lim, Emma Law, Peter J. Connelly, and John M. Starr. "Prediction of general hospital admission in people with dementia: Cohort study." British Journal of Psychiatry 206, no. 2 (2015): 153–59. http://dx.doi.org/10.1192/bjp.bp.113.137166.

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BackgroundPeople with dementia are extremely vulnerable in hospital and unscheduled admissions should be avoided if possible.AimsTo identify any predictors of general hospital admission in people with dementia in a well-characterised national prospective cohort study.MethodA cohort of 730 persons with dementia was drawn from the Scottish Dementia Research Interest Register (47.8% female; mean age 76.3 years, s.d. = 8.2, range 50–94), with a mean follow-up period of 1.2 years.ResultsIn the age- and gender-adjusted multivariable model (n = 681; 251 admitted), Neuropsychiatric Inventory score (ha
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Adeyemo, Dayo, and Simon Radley. "Unplanned General Surgical Re-Admissions – How Many, Which Patients and Why?" Annals of The Royal College of Surgeons of England 89, no. 4 (2007): 363–67. http://dx.doi.org/10.1308/003588407x183409.

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INTRODUCTION The unplanned re-admission rate is a national key performance indicator employed by the UK Department of Health. An adjusted figure, based on admission information data on the hospital electronic Patient Administration System (PAS), but adjusted to take account of case mix is compared with a calculated ‘expected’. While previous studies have investigated unplanned re-admission rates in age-, procedure- or process-specific conditions, ‘all-cause’ general surgical re-admission rate is yet to be studied. The aim of this study was to assess the accuracy of hospital unplanned re-admiss
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Assareh, Hassan, Helen M. Achat, and Jean-Frederic Levesque. "Accuracy of inter-hospital transfer information in Australian hospital administrative databases." Health Informatics Journal 25, no. 3 (2017): 960–72. http://dx.doi.org/10.1177/1460458217730866.

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Inter-hospital transfers improve care delivery for which sending and receiving hospitals both accountable for patient outcomes. We aim to measure accuracy in recorded patient transfer information (indication of transfer and hospital identifier) over 2 years across 121 acute hospitals in New South Wales, Australia. Accuracy rate for 127,406 transfer-out separations was 87 per cent, with a low variability across hospitals (10% differences); it was 65 per cent for 151,978 transfer-in admissions with a greater inter-hospital variation (36% differences). Accuracy rate varied by departure and arriva
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Bishop-Williams, Katherine, Lea Berrang-Ford, Jan Sargeant, et al. "Understanding Weather and Hospital Admissions Patterns to Inform Climate Change Adaptation Strategies in the Healthcare Sector in Uganda." International Journal of Environmental Research and Public Health 15, no. 11 (2018): 2402. http://dx.doi.org/10.3390/ijerph15112402.

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Background: Season and weather are associated with many health outcomes, which can influence hospital admission rates. We examined associations between hospital admissions (all diagnoses) and local meteorological parameters in Southwestern Uganda, with the aim of supporting hospital planning and preparedness in the context of climate change. Methods: Hospital admissions data and meteorological data were collected from Bwindi Community Hospital and a satellite database of weather conditions, respectively (2011 to 2014). Descriptive statistics were used to describe admission patterns. A mixed-ef
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Morrison, D. S., and P. McLoone. "Changing patterns of hospital admission for asthma, 1981–97." Thorax 56, no. 9 (2001): 687–90. http://dx.doi.org/10.1136/thx.56.9.687.

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BACKGROUNDHospital admission rates for asthma have stopped rising in several countries. The aim of this study was to use linked hospital admission data to explore recent trends in asthma admissions in Scotland.METHODSLinked Scottish Morbidity Records (SMR1) for asthma (ICD-9 493 and ICD-10 J45–6) from 1981 to 1997 were used to describe rates of first admissions and readmissions by age and sex. As a measure of resource use, annual trends in bed days used were also explored by age and sex.RESULTSThere were 160 039 hospital admissions for asthma by 82 421 individuals in Scotland during the study
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Geddie, Patricia I., and Victoria W. Loerzel. "Adult Cancer Patients’ Perceptions of Factors That Influence Hospital Admissions." Clinical Nurse Specialist 38, no. 3 (2024): 122–30. http://dx.doi.org/10.1097/nur.0000000000000816.

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Purpose/Aims To explore cancer patients’ perceptions of factors that influence hospital readmissions. Design A cross-sectional, prospective design was employed utilizing a 1-time survey and brief interviews to measure patients’ perceptions and unplanned hospital admissions. Methods and Variables The principal investigator collected data from medical record review, the Hospital Admission Survey, and interviews to measure patient characteristics and perceptions of influencing factors that contributed to an unplanned hospital admission upon admission. Data were analyzed using descriptive statisti
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Kraaijvanger, Nicole, Douwe Rijpsma, Lian Roovers, et al. "Development and validation of an admission prediction tool for emergency departments in the Netherlands." Emergency Medicine Journal 35, no. 8 (2018): 464–70. http://dx.doi.org/10.1136/emermed-2017-206673.

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ObjectiveEarly prediction of admission has the potential to reduce length of stay in the ED. The aim of this study is to create a computerised tool to predict admission probability.MethodsThe prediction rule was derived from data on all patients who visited the ED of the Rijnstate Hospital over two random weeks. Performing a multivariate logistic regression analysis factors associated with hospitalisation were explored. Using these data, a model was developed to predict admission probability. Prospective validation was performed at Rijnstate Hospital and in two regional hospitals with differen
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Meacock, Rachel, Laura Anselmi, Søren Rud Kristensen, Tim Doran, and Matt Sutton. "Higher mortality rates amongst emergency patients admitted to hospital at weekends reflect a lower probability of admission." Journal of Health Services Research & Policy 22, no. 1 (2016): 12–19. http://dx.doi.org/10.1177/1355819616649630.

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Objective Patients admitted as emergencies to hospitals at the weekend have higher death rates than patients admitted on weekdays. This may be because the restricted service availability at weekends leads to selection of patients with greater average severity of illness. We examined volumes and rates of hospital admissions and deaths across the week for patients presenting to emergency services through two routes: (a) hospital Accident and Emergency departments, which are open throughout the week; and (b) services in the community, for which availability is more restricted at weekends. Method
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Ali, Ammad, Saad Ali, Irsa Hidayat, et al. "Sehat Sahulat Program Effect on Patients Presenting to Secondary Level Hospital in Mardan." Journal of Gandhara Medical and Dental Science 9, no. 4 (2022): 54–57. http://dx.doi.org/10.37762/jgmds.9-4.317.

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OBJECTIVES The aim was to find the difference between government and private hospitals at the Mardan secondary level for sehat sahulat card effect on patients for their selection of hospital, dates, and time issues for elective and emergency cases with department facilities. METHODOLOGY This quantitative cross-sectional study was conducted to see the difference between the government and private hospitals for sehat the sahulat program effect on patients. Patients care is important on both sides but to find out the difference where more work should be done to achieve universal global health und
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Silva, M., A. Antunes, A. Loureiro, P. Santana, J. Caldas-de-Almeida, and G. Cardoso. "Analysis of Hospital Admissions for Psychiatric Care in Portugal: Results from the SMAILE Study." European Psychiatry 41, S1 (2017): S250. http://dx.doi.org/10.1016/j.eurpsy.2017.02.037.

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IntroductionEvidence shows that the prevalence and severity of mental disorders and the need for psychiatric admission is influenced by socio-demographic and contextual factors.ObjectivesTo characterize the severity of hospital admissions for psychiatric care due to common mental disorders and psychosis in Portugal.AimsThis retrospective study analyses all acute psychiatric admissions for common mental disorders and psychosis in four Portuguese departments of psychiatry in the metropolitan areas of Lisbon and Porto, and investigates the association of their severity with socio-demographic and
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Sainbayar, Altanchimeg, Davaa Gombojav, Ganbold Lundeg, and Naranpurev Mendsaikhan. "Pattern and Predictors of Death in Hospitalized Adult Patients in Mongolia: A Nationwide Study." Central Asian Journal of Medical Sciences 8, no. 4 (2022): 223–32. http://dx.doi.org/10.24079/cajms.2022.12.004.

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Objective: Hospital death patterns and predictors can illustrate the general image of certain parameters of the healthcare system. Studies related to the pattern of in-hospital deaths in Mongolia are lacking. Thus, we aimed to determine the patterns and predictors of death among hospitalized adult patients in Mongolia in 2020. Methods: Data from 86 hospitals providing inpatient care in Mongolia were used. 1795 hospital deaths from 296,083 hospital admissions were analyzed between the 1st of January and the 30th of June 2020. Results: The mean age of the participants was 56.3 ± 15.3 years, 59.4
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Thompson, Andrew, Mary Shaw, Glynn Harrison, Davidson Ho, David Gunnell, and Julia Verne. "Patterns of hospital admission for adult psychiatric illness in England: analysis of Hospital Episode Statistics data." British Journal of Psychiatry 185, no. 4 (2004): 334–41. http://dx.doi.org/10.1192/bjp.185.4.334.

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BackgroundThe assessment and reporting of national patterns of psychiatric hospital admissions is important for strategic service development and planning.AimsTo investigate patterns of psychiatric hospital admissions of patients aged 16–64 years in England.MethodWe used the Department of Health's national Hospital Episode Statistics data on admissions to National Health Service hospitals in England between April 1999 and March 2000, to investigate patterns by region, gender, age and diagnosis.ResultsThe annual admission rate for England was 3.2 per 1000 population. There were marked regional
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36

Coast, J., A. Inglis, K. Morgan, S. Gray, M. Kammerling, and S. Frankel. "The hospital admissions study in England: are there alternatives to emergency hospital admission?" Journal of Epidemiology & Community Health 49, no. 2 (1995): 194–99. http://dx.doi.org/10.1136/jech.49.2.194.

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37

Boyle, Adrian. "Integrated emergency care reduces hospital admissions and reduces in hospital mortality." Emergency Medicine Journal 27, Suppl 1 (2010): A4.4—A4. http://dx.doi.org/10.1136/emj.2010.103150.09.

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IntroductionWe closed our Medical Admissions Unit and relocated the staff into an enlarged Emergency Department. We streamlined our assessment processes to reduce duplication of effort. We aimed to evaluate the effect of this on mortality, admission ratios and quality of care.MethodsWe evaluated the effectiveness of this approach using multiple routinely collected measures. We studied the 3 years before the change and 3 years afterward in our centre. We obtained an independent analysis of our standardised admission ratios by the Dr Foster unit. We evaluated mortality with Dr Foster data. We ev
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38

Naser, Abdallah Y. "Insights into hospitalization pattern for drug, medicament, and biological substance poisoning, adverse effect, and underdosing in Australia: An ecological study between 1998 and 2019." PLOS ONE 19, no. 8 (2024): e0309362. http://dx.doi.org/10.1371/journal.pone.0309362.

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Background Drug, medicament, and biological substance poisoning, adverse effects, and underdosing are significant public health concerns. Gaining insight into the patterns and trends in hospitalizations caused by these occurrences is essential for the development of preventative initiatives, optimization of treatment regimens, and improvement of patient safety. The aim of this study is to examine the trend of hospitalisation related to poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances in Australia between 1998 and 2019. Methods This is an ecologica
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39

Hasegawa, Kohei, Hirokazu Toubou, Teruomi Tsukahara, and Tetsuo Nomiyama. "Short-Term Associations of Ambient Fine Particulate Matter (PM2.5) with All-Cause Hospital Admissions and Total Charges in 12 Japanese Cities." International Journal of Environmental Research and Public Health 18, no. 8 (2021): 4116. http://dx.doi.org/10.3390/ijerph18084116.

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The short-term association between ambient particulate matter ≤2.5 microns in diameter (PM2.5) and hospital admissions is not fully understood. Studies of this association with hospital admission costs are also scarce, especially in entire hospitalized populations. We examined the association between ambient PM2.5 and all-cause hospital admissions, the corresponding total charges, and the total charges per patient by analyzing the hospital admission data of 2 years from 628 hospitals in 12 cities in Japan. We used generalized additive models with quasi-Poisson regression for hospital admission
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40

Lodise, Thomas, Teena Chopra, Brian Nathanson, and Katherine Sulham. "1683. Hospital Admission Patterns in Adult Patients with Complicated Urinary Tract Infections (cUTIs): Identification of Potentially Avoidable Hospital Admissions Across United States (US) Hospitals." Open Forum Infectious Diseases 7, Supplement_1 (2020): S825—S826. http://dx.doi.org/10.1093/ofid/ofaa439.1861.

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Abstract Background There is an increase in hospital admissions for cUTI in the US despite apparent reductions in the severity of admissions. However, there are scant data on cUTI hospital admission rates from the emergency department (ED) stratified by age, infection severity, and presence of comorbidities. This study described US hospitalization patterns among adults who present to the ED with a cUTI. We sought to quantify the proportion of admissions that were potentially avoidable based on presence of sepsis and associated symtpoms as well as Charlston Comorbidity Index (CCI) scores. Metho
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41

Corish, Clare A., P. Flood, S. Mulligan, and N. P. Kennedy. "Apparent low frequency of undernutrition in Dublin hospital in-patients: should we review the anthropometric thresholds for clinical practice?" British Journal of Nutrition 84, no. 3 (2000): 325–35. http://dx.doi.org/10.1017/s0007114500001604.

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Protein–energy undernutrition, or the possibility of its development, has been documented to occur frequently in patients on admission to hospital. Deterioration in nutritional status is known to occur in hospital. In a prospective study of 594 sequential hospital admissions, we aimed to assess the prevalence of undernutrition among patients on admission to two acute teaching hospitals in Dublin, Republic of Ireland using the widely-accepted anthropometric criteria applied in a large study from Dundee, Scotland, UK () and to determine changes in nutritional status in hospital. The mean prevale
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42

Crocker-Buque, Tim, Jonathan Myles, Adam Brentnall, et al. "Using ISARIC 4C mortality score to predict dynamic changes in mortality risk in COVID-19 patients during hospital admission." PLOS ONE 17, no. 10 (2022): e0274158. http://dx.doi.org/10.1371/journal.pone.0274158.

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As SARS-CoV-2 infections continue to cause hospital admissions around the world, there is a continued need to accurately assess those at highest risk of death to guide resource use and clinical management. The ISARIC 4C mortality score provides mortality risk prediction at admission to hospital based on demographic and physiological parameters. Here we evaluate dynamic use of the 4C score at different points following admission. Score components were extracted for 6,373 patients admitted to Barts Health NHS Trust hospitals between 1st August 2020 and 19th July 2021 and total score calculated e
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43

Kruse, Clemens Scott, Bradley M. Beauvais, Matthew S. Brooks, Michael Mileski, and Lawrence V. Fulton. "Models for Heart Failure Admissions and Admission Rates, 2016 through 2018." Healthcare 9, no. 1 (2020): 22. http://dx.doi.org/10.3390/healthcare9010022.

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Background: Approximately 6.5 to 6.9 million individuals in the United States have heart failure, and the disease costs approximately $43.6 billion in 2020. This research provides geographical incidence and cost models of this disease in the U.S. and explanatory models to account for hospitals’ number of heart failure DRGs using technical, workload, financial, geographical, and time-related variables. Methods: The number of diagnoses is forecast using regression (constrained and unconstrained) and ensemble (random forests, extra trees regressor, gradient boosting, and bagging) techniques at th
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44

Schmid, Olive, Bonnie Bereznicki, Gregory Mark Peterson, Jim Stankovich, and Luke Bereznicki. "Persistence of Adverse Drug Reaction-Related Hospitalization Risk following Discharge." International Journal of Environmental Research and Public Health 19, no. 9 (2022): 5585. http://dx.doi.org/10.3390/ijerph19095585.

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This retrospective cohort study analyzed the administrative hospital records of 91,500 patients with the aim of assessing adverse drug reaction (ADR)-related hospital admission risk after discharge from ADR and non-ADR-related admission. Patients aged ≥18 years with an acute admission to public hospitals in Tasmania, Australia between 2011 and 2015 were followed until May 2017. The index admissions (n = 91,550) were stratified based on whether they were ADR-related (n = 2843, 3.1%) or non-ADR-related (n = 88,707, 96.9%). Survival analysis assessed the post-index ADR-related admission risk usin
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45

Partonen, Timo, and Jouko Lönnqvist. "Seasonal Variation in Bipolar Disorder." British Journal of Psychiatry 169, no. 5 (1996): 641–46. http://dx.doi.org/10.1192/bjp.169.5.641.

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BackgroundIn patients with bipolar disorder, admissions for manic and depressive episodes frequently display a seasonal pattern. We examined this variation and compared the patterns with the seasonal admission rates for schizophrenia.MethodPatients with bipolar disorder or schizophrenia were identified from the Finnish Hospital Discharge Register of in-patient admissions to all psychiatric hospitals during the years 1969–91. They were included in the analysis if the first admission had occurred before 30 years of age. A total of 295 bipolar patients were found and a sample of 295 schizophrenic
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46

Song, Jinglin, Chen Chen, Shaoyang Zhao, Leming Zhou, and Hong Chen. "Trading quality for quantity? Evidence from patient level data in China." PLOS ONE 16, no. 9 (2021): e0257127. http://dx.doi.org/10.1371/journal.pone.0257127.

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In China, overcrowding at hospitals increases the workload of medical staff, which may negatively impact the quality of medical services. This study empirically examined the impact of hospital admissions on the quality of healthcare services in Chinese hospitals. Specifically, we estimated the impact of the number of hospital admissions per day on a patient’s length of stay (LOS) and hospital mortality rate using both ordinary least squares (OLS) and instrumental variable (IV) methods. To deal with potential endogeneity problems and accurately identify the impact of medical staff configuration
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47

Jamieson, Elizabeth, Martin Butwell, Pamela Taylor, and Morven Leese. "Trends in special (high-security) hospitals." British Journal of Psychiatry 176, no. 3 (2000): 253–59. http://dx.doi.org/10.1192/bjp.176.3.253.

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BackgroundSpecial hospitals in England provide psychiatric care and treatment in high security. Their future is often questioned.AimsTo test for variation in demand for high-security psychiatric services over one 10-year period.MethodThis study was from the special hospitals' case registers and hospital records. The main measures were numbers and annual rates for referrals and beds offered; the Mental Health Act 1983 (MHA) classification of mental disorder; adjusted population rates by health region; admission episodes; legal category of detention; admission source and type of offence.ResultsR
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48

Palazón-Bru, Antonio, Miriam Calvo-Pérez, Pilar Rico-Ferreira, María Anunciación Freire-Ballesta, Vicente Francisco Gil-Guillén, and María de los Ángeles Carbonell-Torregrosa. "Influence of Pharmaceutical Copayment on Emergency Hospital Admissions: A 1978–2018 Time Series Analysis in Spain." International Journal of Environmental Research and Public Health 18, no. 15 (2021): 8009. http://dx.doi.org/10.3390/ijerph18158009.

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No studies have evaluated the influence of pharmaceutical copayment on hospital admission rates using time series analysis. Therefore, we aimed to analyze the relationship between hospital admission rates and the influence of the introduction of a pharmaceutical copayment system (PCS). In July 2012, a PCS was implemented in Spain, and we designed a time series analysis (1978–2018) to assess its impact on emergency hospital admissions. Hospital admission rates were estimated between 1978 and 2018 each month using the Hospital Morbidity Survey in Spain (the number of urgent hospital admissions p
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Avery, Taliser R., Ken P. Kleinman, Michael Klompas, Ann Aschengrau, and Susan S. Huang. "Inclusion of 30-Day Postdischarge Detection Triples the Incidence of Hospital-Onset Methicillin-Resistant Staphylococcus aureus." Infection Control & Hospital Epidemiology 33, no. 2 (2012): 114–21. http://dx.doi.org/10.1086/663714.

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Background.Hospitalized patients are at increased risk for acquisition of methicillin-resistant Staphylococcus aureus (MRSA). As hospital length of stay shortens, hospital-acquired MRSA events may be more likely to be detected after discharge.Objective.We assessed the impact of attributing MRSA cases discovered within 30 days after discharge to the most recent hospitalization and identified patient characteristics associated with MRSA detection after discharge.Design.Retrospective cohort study.Setting.Twenty-seven acute care hospitals in Orange County, California.Participants.Adult acute care
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50

Sederer, Lloyd I., and Paul Summergrad. "Criteria for Hospital Admission." Psychiatric Services 44, no. 2 (1993): 116–18. http://dx.doi.org/10.1176/ps.44.2.116.

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