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2918 records – page 1 of 292.

1,005 delayed days: a study of adult psychiatric discharge.

https://arctichealth.org/en/permalink/ahliterature244608
Source
Hosp Community Psychiatry. 1981 Apr;32(4):266-8
Publication Type
Article
Date
Apr-1981
Author
P A Barrette
Source
Hosp Community Psychiatry. 1981 Apr;32(4):266-8
Date
Apr-1981
Language
English
Publication Type
Article
Keywords
Adult
Canada
Hospitals, Community
Hospitals, Psychiatric - organization & administration
Humans
Length of Stay
Patient Acceptance of Health Care
Patient Discharge
Abstract
Delay in discharge of psychiatric patients frequently is attributed to the lack of available community resources, or to the unwillingness of the patient or his family to accept discharge or transfer to another facility. The role of the psychiatric system itself rarely is mentioned as a factor. A study of 138 psychiatric patients in a Canadian community hospital in 1978 showed that 35 per cent were judged to be delayed in their discharge. By far the greatest source of delay was the administration of the various psychiatric services within the system. Delayed patients were found to be statistically similar to nondelayed patients, except for the delayed patients tendency to be poorer and to be overrepresented on two of the six wards studied. The cost implications of the delays in discharge are discussed, as are suggestions for solving the problems within the administrative framework.
PubMed ID
7227988 View in PubMed
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[2-stage treatment of acute pneumonia patients with rehabilitation at the sanatorial stage].

https://arctichealth.org/en/permalink/ahliterature239433
Source
Ter Arkh. 1985;57(3):133-5
Publication Type
Article
Date
1985
Author
Iu N Shteingardt
T N Zaripova
T S Ageeva
N A Mal'kov
N A Goreva
Source
Ter Arkh. 1985;57(3):133-5
Date
1985
Language
Russian
Publication Type
Article
Keywords
Acute Disease
Adult
Evaluation Studies as Topic
Health Resorts
Humans
Length of Stay
Methods
Middle Aged
Mud Therapy
Pneumonia - etiology - therapy
Siberia
Abstract
A total of 73 patients with acute pneumonia received two-stage treatment: etiotropic treatment based on early etiological diagnosis (at hospital) and subsequent early rehabilitation at sanatorium with the use of peloid therapy. It made it possible to attain the best short-term results in the treatment of pneumonias (as compared with control group patients), to shorten 2-4-fold the times of the patients' stay at hospital and to raise bed capacity, to reduce the total doses and duration of antibacterial therapy, to decrease the possibility of the allergic reactions and side effects, and to reduce 2-fold the cost of antibacterial therapy.
PubMed ID
4002155 View in PubMed
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[4-stage system of treatment of patients with injuries of the musculo-skeletal apparatus].

https://arctichealth.org/en/permalink/ahliterature246734
Source
Vestn Khir Im I I Grek. 1979 Nov;123(11):97-100
Publication Type
Article
Date
Nov-1979
Author
A V Vorontsov
T N Kukushkina
Iu M Dokish
Source
Vestn Khir Im I I Grek. 1979 Nov;123(11):97-100
Date
Nov-1979
Language
Russian
Publication Type
Article
Keywords
Dislocations - rehabilitation - therapy
First Aid
Fractures, Bone - rehabilitation - therapy
Humans
Length of Stay
Rehabilitation Centers - organization & administration
Russia
Transportation of Patients
Trauma Centers - organization & administration
Abstract
The four-step system for the treatment of traumatological patients contributes to earlier rehabilitation and shortens the time fo staying in hospitals. It also decreases the invalidism percentage.
PubMed ID
160650 View in PubMed
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[6 months after psychiatric hospitalization. Discharged patients have no housing ].

https://arctichealth.org/en/permalink/ahliterature217704
Source
Lakartidningen. 1994 Jul 27;91(30-31):2789-92
Publication Type
Article
Date
Jul-27-1994
Author
L. Bogren
Author Affiliation
Psykiatriska kliniken, Universitetssjukhuset i Linköping.
Source
Lakartidningen. 1994 Jul 27;91(30-31):2789-92
Date
Jul-27-1994
Language
Swedish
Publication Type
Article
Keywords
Dementia - nursing - psychology - therapy
Housing
Humans
Length of Stay
Mental Disorders - nursing - psychology - therapy
Patient Discharge
Social Support
Sweden
PubMed ID
8057734 View in PubMed
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10 year survey of pretrial examinations in Saskatchewan.

https://arctichealth.org/en/permalink/ahliterature246688
Source
Can J Psychiatry. 1979 Nov;24(7):683-9
Publication Type
Article
Date
Nov-1979
Author
R. Kunjukrishnan
Source
Can J Psychiatry. 1979 Nov;24(7):683-9
Date
Nov-1979
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Commitment of Mentally Ill
Crime
Female
Forensic Psychiatry
Humans
Length of Stay
Male
Mental Disorders - diagnosis
Middle Aged
Saskatchewan
Abstract
The results of a survey of pretrial examination cases admitted to the provincial psychiatric hospital in Saskatchewan from 1966 to 1975 are reported. The demographic and psychiatric data and data from the psychiatric reports to the Court are analyzed. Some deficiencies noted in the reports to the Court are discussed and some remedial measures are suggested.
PubMed ID
519634 View in PubMed
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A 12-month fever surveillance study in a veterans' long-stay institution.

https://arctichealth.org/en/permalink/ahliterature238375
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Publication Type
Article
Date
Sep-1985
Author
T P Finnegan
T W Austin
R D Cape
Source
J Am Geriatr Soc. 1985 Sep;33(9):590-4
Date
Sep-1985
Language
English
Publication Type
Article
Keywords
Aged
Bacterial Infections - complications
Cross Infection - epidemiology
Epidemiologic Methods
Female
Fever - epidemiology - etiology - mortality
Hospital Bed Capacity, 100 to 299
Hospitals, Veterans
Humans
Length of Stay
Male
Ontario
Abstract
This report describes a 12-month fever surveillance survey in a 258-bed veterans long-term care institution. There were 128 episodes of fever (one episode per 24 patient-months); 114 were studied. Lower respiratory tract infections were most frequent, 36 (32%), with 26 (23%) urinary tract infections. Streptococcus pneumoniae was the most common pathogen in the chest infections and Proteus mirabilis the most common of the urinary tract infections. In 40 (35%) there was no evidence of a lower respiratory tract, urinary tract, or other bacterial infection. Most recovered rapidly, many with no specific treatment. There was a 16% mortality associated with the febrile episodes.
PubMed ID
4031336 View in PubMed
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14-year outcome in early schizophrenia.

https://arctichealth.org/en/permalink/ahliterature248211
Source
Acta Psychiatr Scand. 1978 Oct;58(4):327-38
Publication Type
Article
Date
Oct-1978
Author
R C Bland
H. Orn
Source
Acta Psychiatr Scand. 1978 Oct;58(4):327-38
Date
Oct-1978
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Canada
Female
Fertility
Follow-Up Studies
Humans
Length of Stay
Male
Marriage
Prognosis
Schizophrenia - drug therapy - mortality
Sex Factors
Social Adjustment
Socioeconomic Factors
Abstract
Of 45 first admission schizophrenics from 1963, an incidence by first admission group for northern Alberta, 43 were followed-up 14 years later. Based on these figures the expectancy was found to be 0.49%. The proportion of patients who were married was less than expected in comparison with the general population, but amongst the married, fertility was probably comparable to the population's. At follow-up about half the patients were managing well with little or no disability, one quarter had moderate to marked disability and the remainder were socially, psychiatrically and occupationally disabled. From the time of first admission, patients had spent an average of 15% of their time in hospital and lost 28% of the total time due to psychiatric disability.
PubMed ID
717003 View in PubMed
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25 years or more after spinal cord injury: clinical conditions of individuals in the Florence and Stockholm areas.

https://arctichealth.org/en/permalink/ahliterature129470
Source
Spinal Cord. 2012 Mar;50(3):243-6
Publication Type
Article
Date
Mar-2012
Author
L. Werhagen
S. Aito
L. Tucci
J. Strayer
C. Hultling
Author Affiliation
Karolinska institutet Danderyds Sjukhus, Department of clinical sciences, Division of Rehabilitation Medicine, Danderyds hospital, Stockholm, Sweden. lars.werhagen @ki.se
Source
Spinal Cord. 2012 Mar;50(3):243-6
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Accidental Falls
Accidents, Traffic
Adolescent
Adult
Aged
Aged, 80 and over
Ethnic Groups
Female
Follow-Up Studies
Humans
Italy
Length of Stay
Male
Middle Aged
Retrospective Studies
Severity of Illness Index
Spinal Cord Injuries - complications - etiology - therapy
Sweden
Young Adult
Abstract
Retrospective analysis and retrospective follow-up.
Spinal cord injury (SCI) patients have today a nearly normal lifespan. Avoidance of medical complications is key to this end. The aim of the study was to analyse health in individuals surviving 25 years or more after traumatic SCI in Stockholm and Florence, and compare medical complications.
Data from the databases of the Spinal Unit of Florence and from the Spinalis, Stockholm were analysed. Patients included were C2-L 2, American Spinal Cord Association (ASIA) Impairment Scale (AIS) A-C, and =25 years post traumatic SCI. Patients underwent a thorough neurological and general examination, and were interviewed about medical events during those years. Analysed data include: gender, age at injury, current age, neurological level, AIS, cause of injury, presence of neuropathic pain (NP), and spasticity and medical complications.
A total of 66 Italian patients and 74 Swedish patients were included. The only statistical difference between the groups was cause of injury due to falls was higher in the Florence group (P
PubMed ID
22105457 View in PubMed
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30-Day Survival Probabilities as a Quality Indicator for Norwegian Hospitals: Data Management and Analysis.

https://arctichealth.org/en/permalink/ahliterature273361
Source
PLoS One. 2015;10(9):e0136547
Publication Type
Article
Date
2015
Author
Sahar Hassani
Anja Schou Lindman
Doris Tove Kristoffersen
Oliver Tomic
Jon Helgeland
Source
PLoS One. 2015;10(9):e0136547
Date
2015
Language
English
Publication Type
Article
Keywords
Comorbidity
Diagnosis-Related Groups
Episode of Care
Hospital Mortality
Hospital records
Hospitals - standards - statistics & numerical data
Humans
Length of Stay
Norway - epidemiology
Patient Admission - statistics & numerical data
Patient Discharge - statistics & numerical data
Patient transfer
Probability
Quality Improvement
Quality Indicators, Health Care
Survival Analysis
Abstract
The Norwegian Knowledge Centre for the Health Services (NOKC) reports 30-day survival as a quality indicator for Norwegian hospitals. The indicators have been published annually since 2011 on the website of the Norwegian Directorate of Health (www.helsenorge.no), as part of the Norwegian Quality Indicator System authorized by the Ministry of Health. Openness regarding calculation of quality indicators is important, as it provides the opportunity to critically review and discuss the method. The purpose of this article is to describe the data collection, data pre-processing, and data analyses, as carried out by NOKC, for the calculation of 30-day risk-adjusted survival probability as a quality indicator.
Three diagnosis-specific 30-day survival indicators (first time acute myocardial infarction (AMI), stroke and hip fracture) are estimated based on all-cause deaths, occurring in-hospital or out-of-hospital, within 30 days counting from the first day of hospitalization. Furthermore, a hospital-wide (i.e. overall) 30-day survival indicator is calculated. Patient administrative data from all Norwegian hospitals and information from the Norwegian Population Register are retrieved annually, and linked to datasets for previous years. The outcome (alive/death within 30 days) is attributed to every hospital by the fraction of time spent in each hospital. A logistic regression followed by a hierarchical Bayesian analysis is used for the estimation of risk-adjusted survival probabilities. A multiple testing procedure with a false discovery rate of 5% is used to identify hospitals, hospital trusts and regional health authorities with significantly higher/lower survival than the reference. In addition, estimated risk-adjusted survival probabilities are published per hospital, hospital trust and regional health authority. The variation in risk-adjusted survival probabilities across hospitals for AMI shows a decreasing trend over time: estimated survival probabilities for AMI in 2011 varied from 80.6% (in the hospital with lowest estimated survival) to 91.7% (in the hospital with highest estimated survival), whereas it ranged from 83.8% to 91.2% in 2013.
Since 2011, several hospitals and hospital trusts have initiated quality improvement projects, and some of the hospitals have improved the survival over these years. Public reporting of survival/mortality indicators are increasingly being used as quality measures of health care systems. Openness regarding the methods used to calculate the indicators are important, as it provides the opportunity of critically reviewing and discussing the methods in the literature. In this way, the methods employed for establishing the indicators may be improved.
Notes
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PubMed ID
26352600 View in PubMed
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2918 records – page 1 of 292.