Search results for "admissions"
showing 7 items of 17 documents
Adherence to medical follow‐up recommendations reduces hospital admissions: Evidence from diabetic patients in France
2020
International audience; The aim of this study was to document the extent to which diabetic patients who adhered to required medical follow‐ups in France experienced reduced hospital admissions over time. The main assumption was that enhanced monitoring and follow‐up of diabetic patients in the primary care setting could be a substitute for hospital use. Using longitudinal claim data of diabetic patients between 2010 and 2015 from MGEN, a leading mutuelle insurance company in France, we estimated a dynamic logit model with lagged measures of the quality of adherence to eight medical follow‐up recommendations. This model allowed us to disentangle follow‐up care in hospitals from other forms o…
Right Heart Dysfunction and Readmission Risk Across Left Ventricular Ejection Fraction Status in Patients With Acute Heart Failure.
2021
BACKGROUND: Right heart dysfunction (RHD) parameters are increasingly important in heart failure (HF). This study aimed to evaluate the association of advanced RHD with the risk of recurrent admissions across the spectrum of left ventricular ejection fraction (LVEF). METHODS AND RESULTS: We included 3383 consecutive patients discharged for acute HF. Of them, in 1435 patients (42.4%), the pulmonary artery systolic pressure could not be measured accurately, leaving a final sample size of 1948 patients. Advanced RHD was defined as the combination of a ratio of tricuspid annular plane systolic excursion/pulmonary artery systolic pressure of less than 0.36 and significant tricuspid regurgitation…
Adaptation and Refinement of Validated Risk Screening Tools in the Spanish Healthcare System
2013
Abstract The aim of this study is to develop a tool to screen elders at risk of hospital readmissions adapted to Spanish target population. The development of this new tool is based on the validated instrument The Community Assessment Risk Screen – CARS –, which is being applied in a sample of 1.000 older patients. The adaptation and refinement of CARS is being carried out through the compilation of new potential variables from primary care clinicians to predict patients at risk of readmissions. The introduction of this new instrument adapted to Spanish target population will provide a potential tool to identify prematurel y patients at risk of hospital readmissions.
Rehospitalization burden and morbidity risk in patients with heart failure with mid-range ejection fraction
2020
Aims Heart failure with mid-range ejection fraction (HFmrEF) has been proposed as a distinct HF phenotype, but whether patients on this category fare worse, similarly, or better than those with HF with reduced EF (HFrEF) or preserved EF (HFpEF) in terms of rehospitalization risks over time remains unclear. Methods and results We prospectively included 2961 consecutive patients admitted for acute HF (AHF) in our institution. Of them, 158 patients died during the index admission, leaving the sample size to be 2803 patients. Patients were categorized according to their EF: HFrEF if EF ≤ 40% (n = 908, 32.4%); HFmrEF if EF = 41–49% (n = 449, 16.0%); and HFpEF if EF ≥ 50% (n = 1446, 51.6%). Covar…
The Female Sex Confers Different Prognosis in Heart Failure: Same Mortality but More Readmissions
2021
Introduction: Heart failure (HF) is a major cause of morbimortality both in men and women. Differences between sex in etiopathogenesis, response to treatment, and quality of care have been found in patients with HF. Females are usually under-represented in clinical trials and there is no solid evidence demonstrating the influence of sex in the prognostic of chronic HF. The primary objective of this study was to analyse the differences in mortality and probability of hospital readmission between males and females with HF. The secondary objective was to compare mortality and probability of hospital readmission by ejection fraction (reduced vs. preserved).Methods: Patients with decompensated H…
Ylioppilastutkinnon, tavoiteorientaatioiden ja muiden motivaatiotekijöiden yhteys luokanopettajakoulutukseen hakeneiden menestymiseen VAKAVA-valintak…
2019
Tässä tutkimuksessa selvitettiin ylioppilastutkinnon yleisarvosanan, tavoiteorientaatioiden ja muiden motivaatiotekijöiden yhteyttä menestymiseen valtakunnallisessa kasvatusalan valintayhteistyöverkoston toteuttamassa opiskelijavalintakokeessa (VAKAVA). Tutkimukseen osallistuivat Jyväskylän yliopiston luokanopettajakoulutukseen pyrkineet hakijat vuosina 2014 ja 2015 (n = 399). Tutkimusaineisto koostui VAKAVAkoepistemääristä sekä hakijoiden itsearvioinneista, jotka liittyivät erilaisiin tavoiteorientaatioihin (oppimis-, saavutus-, suoritus-lähestymis-, suoritus-välttämis- ja välttämisorientaatio) sekä muihin motivaatiotekijöihin (kokemus opiskelun mielekkyydestä, luovutusherkkyys ja epäonnis…