length of stay

Summary

Summary: The period of confinement of a patient to a hospital or other health facility.

Top Publications

  1. ncbi Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care
    D C Angus
    Critical Care Medicine Division, Department of Anesthesiology and Critical Care Medicine, and the Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 29:1303-10. 2001
  2. pmc Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey
    Daniel Dindo
    Department of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland
    Ann Surg 240:205-13. 2004
  3. ncbi Rehospitalizations among patients in the Medicare fee-for-service program
    Stephen F Jencks
    Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    N Engl J Med 360:1418-28. 2009
  4. ncbi Comorbidity measures for use with administrative data
    A Elixhauser
    MEDTAP International, Inc, Bethesda, MD 20814, USA
    Med Care 36:8-27. 1998
  5. ncbi Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: the ProHOSP randomized controlled trial
    Philipp Schuetz
    Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, CH 5001 Aarau, Switzerland
    JAMA 302:1059-66. 2009
  6. ncbi Epidemiology of sepsis and infection in ICU patients from an international multicentre cohort study
    Corinne Alberti
    Department of Biostatistics, Saint Louis Hospital, Paris, France
    Intensive Care Med 28:108-21. 2002
  7. ncbi Preventing surgical-site infections in nasal carriers of Staphylococcus aureus
    Lonneke G M Bode
    Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands
    N Engl J Med 362:9-17. 2010
  8. ncbi World review of laparoscopic liver resection-2,804 patients
    Kevin Tri Nguyen
    Department of Surgery, UPMC Liver Cancer Center, University of Pittsburgh, Pittsburgh, PA 15213 2582, USA
    Ann Surg 250:831-41. 2009
  9. ncbi Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection
    John J Engemann
    Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Clin Infect Dis 36:592-8. 2003
  10. ncbi Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation
    Henrik Husted
    Department of Orthopedic Surgery, Hvidovre University Hospital, Copenhagen, Denmark
    Arch Orthop Trauma Surg 132:101-4. 2012

Detail Information

Publications359 found, 100 shown here

  1. ncbi Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of care
    D C Angus
    Critical Care Medicine Division, Department of Anesthesiology and Critical Care Medicine, and the Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 29:1303-10. 2001
    ..To determine the incidence, cost, and outcome of severe sepsis in the United States...
  2. pmc Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey
    Daniel Dindo
    Department of Visceral and Transplantation Surgery, University Hospital of Zurich, Zurich, Switzerland
    Ann Surg 240:205-13. 2004
    ..This shortcoming hampers comparison of outcome data among different centers and therapies and over time...
  3. ncbi Rehospitalizations among patients in the Medicare fee-for-service program
    Stephen F Jencks
    Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    N Engl J Med 360:1418-28. 2009
    ..However, we have limited information on the frequency and patterns of rehospitalization in the United States to aid in planning the necessary changes...
  4. ncbi Comorbidity measures for use with administrative data
    A Elixhauser
    MEDTAP International, Inc, Bethesda, MD 20814, USA
    Med Care 36:8-27. 1998
    ..This study attempts to develop a comprehensive set of comorbidity measures for use with large administrative inpatient datasets...
  5. ncbi Effect of procalcitonin-based guidelines vs standard guidelines on antibiotic use in lower respiratory tract infections: the ProHOSP randomized controlled trial
    Philipp Schuetz
    Department of Internal Medicine, Kantonsspital Aarau, Tellstrasse, CH 5001 Aarau, Switzerland
    JAMA 302:1059-66. 2009
    ..In previous smaller trials, a procalcitonin (PCT) algorithm reduced antibiotic use in patients with lower respiratory tract infections (LRTIs)...
  6. ncbi Epidemiology of sepsis and infection in ICU patients from an international multicentre cohort study
    Corinne Alberti
    Department of Biostatistics, Saint Louis Hospital, Paris, France
    Intensive Care Med 28:108-21. 2002
    ..To examine the incidence of infections and to describe them and their outcome in intensive care unit (ICU) patients...
  7. ncbi Preventing surgical-site infections in nasal carriers of Staphylococcus aureus
    Lonneke G M Bode
    Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands
    N Engl J Med 362:9-17. 2010
    ..Nasal carriers of Staphylococcus aureus are at increased risk for health care-associated infections with this organism. Decolonization of nasal and extranasal sites on hospital admission may reduce this risk...
  8. ncbi World review of laparoscopic liver resection-2,804 patients
    Kevin Tri Nguyen
    Department of Surgery, UPMC Liver Cancer Center, University of Pittsburgh, Pittsburgh, PA 15213 2582, USA
    Ann Surg 250:831-41. 2009
    ..To provide a review of the world literature on laparoscopic liver resection...
  9. ncbi Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection
    John J Engemann
    Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Clin Infect Dis 36:592-8. 2003
    ..Methicillin resistance is independently associated with increased mortality and hospital charges among patients with S. aureus SSI...
  10. ncbi Reduced length of stay following hip and knee arthroplasty in Denmark 2000-2009: from research to implementation
    Henrik Husted
    Department of Orthopedic Surgery, Hvidovre University Hospital, Copenhagen, Denmark
    Arch Orthop Trauma Surg 132:101-4. 2012
    ..As the previous nationwide studies have demonstrated substantial variations in length of stay (LOS) following standardized operations such as total hip and knee arthroplasty (THA and TKA), this nationwide ..
  11. ncbi Influenza-associated hospitalizations in the United States
    William W Thompson
    Epidemiology and Surveillance Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    JAMA 292:1333-40. 2004
    ..Respiratory viral infections are responsible for a large number of hospitalizations in the United States each year...
  12. ncbi Good alignment after total knee arthroplasty leads to faster rehabilitation and better function
    Lee M Longstaff
    Department of Elective Orthopaedics, Royal Perth Hospital, Perth, Australia
    J Arthroplasty 24:570-8. 2009
    ..Patients with a low cumulative error score had a better functional outcome (P = .015). These patients rehabilitated more quickly and their length of stay in hospital was 2 days shorter.
  13. pmc Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial
    Cristiano G S Huscher
    Department of Surgery, Azienda Ospedaliera S Giovanni Addolorata, Rome, Italy
    Ann Surg 241:232-7. 2005
    ..The aim of this study was to compare technical feasibility and both early and 5-year clinical outcomes of laparoscopic-assisted and open radical subtotal gastrectomy for distal gastric cancer...
  14. ncbi Intermediate results of a prospective randomized controlled trial of traditional four-port laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy
    Melissa S Phillips
    Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Ave, Lakeside 7, Mailstop 5047, Cleveland, OH 44106, USA
    Surg Endosc 26:1296-303. 2012
    ..This study presents a prospective, randomized, multicenter, single-blind trial of SILC compared with four-port cholecystectomy (4PLC) with the goal of assessing safety, feasibility, and factors predicting outcomes...
  15. ncbi The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments
    Peter C Sprivulis
    Department of Emergency Medicine, University of Western Australia, 2nd Floor R Block, Queen Elizabeth II, Medical Centre, Verdun Street, Nedlands, WA 6009, Australia
    Med J Aust 184:208-12. 2006
    ..To examine the relationship between hospital and emergency department (ED) occupancy, as indicators of hospital overcrowding, and mortality after emergency admission...
  16. ncbi Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial
    Ruben Veldkamp
    Erasmus Medical Center, Rotterdam, Netherlands
    Lancet Oncol 6:477-84. 2005
    ....
  17. ncbi Evidence-based surgical care and the evolution of fast-track surgery
    Henrik Kehlet
    Section of Surgical Pathophysiology 4074, Rigshospitalet, Copenhagen, Denmark
    Ann Surg 248:189-98. 2008
    ..Optimization of postoperative outcome requires the application of evidence-based principles of care carefully integrated into a multimodal rehabilitation program...
  18. ncbi Associations between reduced hospital length of stay and 30-day readmission rate and mortality: 14-year experience in 129 Veterans Affairs hospitals
    Peter J Kaboli
    Veterans Rural Health Resource Center Central Region, Iowa City Veterans Affairs Medical Center, Center for Comprehensive Access and Delivery Research and Evaluation at the Iowa City Veterans Affairs Healthcare System, Iowa City, Iowa 52246, USA
    Ann Intern Med 157:837-45. 2012
    Reducing length of stay (LOS) has been a priority for hospitals and health care systems. However, there is concern that this reduction may result in increased hospital readmissions.
  19. pmc Why still in hospital after fast-track hip and knee arthroplasty?
    Henrik Husted
    Department of Orthopaedic Surgery, Hvidovre University Hospital, Copenhagen, Denmark
    Acta Orthop 82:679-84. 2011
    b>Length of stay (LOS) following total hip and knee arthroplasty (THA and TKA) has been reduced to about 3 days in fast-track setups with functional discharge criteria...
  20. pmc Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based study
    Sean M Bagshaw
    Department of Critical Care Medicine, Calgary Health Region, University of Calgary, Calgary, Alberta, Canada
    Crit Care 9:R700-9. 2005
    ..Severe acute renal failure (sARF) is associated with considerable morbidity, mortality and use of healthcare resources; however, its precise epidemiology and long-term outcomes have not been well described in a non-specified population...
  21. ncbi The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis
    M Isabel T D Correia
    Department of Surgery, Faculdade de Medicina da, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
    Clin Nutr 22:235-9. 2003
    ..9%. It was concluded that malnutrition, as analyzed by a multivariate logistic regression model, is an independent risk factor impacting on higher complications and increased mortality, length of hospital stay and costs...
  22. ncbi Single-incision laparoscopic surgery (SILS) vs. conventional multiport cholecystectomy: systematic review and meta-analysis
    S R Markar
    Academic Surgical Unit, St Mary s Hospital, Praed Street, London, W2 1NY, UK
    Surg Endosc 26:1205-13. 2012
    ..The aim of this systematic review and pooled analysis was to compare clinical outcome following SILS and standard multiport laparoscopic cholecystectomy for the treatment of gallstone-related disease...
  23. ncbi Crowding delays treatment and lengthens emergency department length of stay, even among high-acuity patients
    Melissa L McCarthy
    Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21209, USA
    Ann Emerg Med 54:492-503.e4. 2009
    ..We determine the effect of crowding on emergency department (ED) waiting room, treatment, and boarding times across multiple sites and acuity groups...
  24. ncbi Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes
    Craig M Lilly
    Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
    JAMA 305:2175-83. 2011
    The association of an adult tele-intensive care unit (ICU) intervention with hospital mortality, length of stay, best practice adherence, and preventable complications for an academic medical center has not been reported.
  25. pmc Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis
    Allison Lipitz-Snyderman
    Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD 21205, USA
    BMJ 342:d219. 2011
    ..ICU project, a comprehensive statewide quality improvement initiative focused on reduction of infections, was associated with reductions in hospital mortality and length of stay for adults aged 65 or more admitted to intensive care units.
  26. ncbi Clinical and economic consequences of ventilator-associated pneumonia: a systematic review
    Nasia Safdar
    Section of Infectious Diseases, Department of Medicine, University of Wisconsin Medical School, 600 Highland Avenue, Madison, WI 53792, USA
    Crit Care Med 33:2184-93. 2005
    ..Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in critically ill patients. The clinical and economic consequences of VAP are unclear, with a broad range of values reported in the literature..
  27. ncbi Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients
    Henrik Husted
    Department of Orthopaedics, Copenhagen University Hospital of Hvidovre, Denmark
    Acta Orthop 79:168-73. 2008
    Very few studies have focused on patient characteristics that influence length of stay (LOS) in fast-track total hip (THR) and knee arthroplasty (TKR)...
  28. pmc The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada
    G Ross Baker
    Department of Health Policy, Management and Evaluation, University of Toronto, McMurrich Building Room 2031, 12 Queen s Park Crescent West, Toronto, Ontario M5S 1A8, Canada
    CMAJ 170:1678-86. 2004
    ..AEs are unintended injuries or complications resulting in death, disability or prolonged hospital stay that arise from health care management. We estimated the incidence of AEs among patients in Canadian acute care hospitals...
  29. ncbi Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial
    Jane C Weeks
    Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
    JAMA 287:321-8. 2002
    ..The safety and efficacy of LAC for colon cancer are unknown, and the nature and magnitude of any quality-of-life (QOL) benefit resulting from LAC for colon cancer is also unknown...
  30. ncbi Reducing clinical variations with clinical pathways: do pathways work?
    M Panella
    Department of Medical Sciences, Section of Public Health, University of Eastern Piedmont A Avogadro, Novara, Italy
    Int J Qual Health Care 15:509-21. 2003
    ..To test clinical pathways in a variety of Italian health care organizations in 2000-2002 to measure performance in decreasing process and outcome variations...
  31. pmc Prospective multicenter study of viral etiology and hospital length of stay in children with severe bronchiolitis
    Jonathan M Mansbach
    Department of Medicine, Children s Hospital Boston, Boston 02115, USA
    Arch Pediatr Adolesc Med 166:700-6. 2012
    To determine whether hospital length of stay(LOS) for acute bronchiolitis is influenced by the infecting pathogen.
  32. pmc Multidrug-resistant Acinetobacter infection mortality rate and length of hospitalization
    Rebecca H Sunenshine
    Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Emerg Infect Dis 13:97-103. 2007
    ..between patients with MDR Acinetobacter infection (n = 96) and increased hospital and intensive care unit length of stay compared with 91 patients with susceptible Acinetobacter infection (odds ratio [OR] 2...
  33. ncbi Parenteral nutrition in adult inpatients with functioning gastrointestinal tracts: assessment of outcomes
    Gary P Zaloga
    Methodist Research Institute and Indiana University School of Medicine, 1812 North Capitol Avenue, IN 46202, USA
    Lancet 367:1101-11. 2006
    Malnutrition is a common comorbidity that places inpatients at risk of complications, infections, long length of stay, higher costs, and increased mortality...
  34. pmc The hospital standardised mortality ratio: a powerful tool for Dutch hospitals to assess their quality of care?
    B Jarman
    Dr Foster Unit, Faculty of Medicine, Imperial College London EC1A 9LA, UK
    Qual Saf Health Care 19:9-13. 2010
    ..To use the hospital standardised mortality ratio (HSMR), as a tool for Dutch hospitals to analyse their death rates by comparing their risk-adjusted mortality with the national average...
  35. ncbi Promoting Global Research Excellence in Severe Sepsis (PROGRESS): lessons from an international sepsis registry
    R Beale
    Adult Intensive Care Unit, Guy s and St Thomas NHS Foundation Trust, St Thomas Hospital, Lambeth Palace Road, SE1 7EH, London, UK
    Infection 37:222-32. 2009
    ....
  36. pmc Factors associated with prolonged length of stay following a total knee replacement in patients aged over 75
    Shruti Raut
    Department of Trauma and Orthopaedics, Addenbrooke s Cambridge University Hospitals NHS Foundation Trust, Box 37, Hills Road, Cambridge, UK, CB2 0QQ
    Int Orthop 36:1601-8. 2012
    The aim of this study was to examine factors associated with a prolonged length of stay (LOS) in patients over 75 undergoing a total knee replacement (TKR).
  37. ncbi In-hospital medical complications, length of stay, and mortality among stroke unit patients
    Annette Ingeman
    Department of Clinical Epidemiology, Aarhus, University Hospital, Olof Palmes Alle 43 45, 8200 Aarhus N, Denmark
    Stroke 42:3214-8. 2011
    The relationship between in-hospital stroke-related medical complications and clinical outcome remains unclear. We examined whether medical complications were associated with length of stay (LOS) and mortality among stroke unit patients.
  38. ncbi Perioperative immunonutrition for gastrointestinal cancer: a systematic review of randomized controlled trials
    Yan Zhang
    Gansu Provincial Hospital, Donggang West Road No 204, Chengguan District, Lanzhou City, Gansu Province, China
    Surg Oncol 21:e87-95. 2012
    ..To improve the clinical outcome, immunonutrition (IN) was usually used in the patients undergoing elective gastrointestinal caner surgery. However, its effectiveness remains uncertain...
  39. pmc Risk factors in children hospitalized with RSV bronchiolitis versus non-RSV bronchiolitis
    Carla G García
    Department of Pediatrics, Division of Pediatric Infectious Diseases, University of Texas Southwestern Medical Center, Texas, USA
    Pediatrics 126:e1453-60. 2010
    ..The trends in hospitalization rates and risk factors for severe bronchiolitis have not been recently described, especially after the routine implementation of prophylaxis for respiratory syncytial virus (RSV) infections...
  40. ncbi Characteristics of patients who leave emergency departments without being seen
    Brian H Rowe
    Department of Emergency Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
    Acad Emerg Med 13:848-52. 2006
    ..Patients leaving the emergency department (ED) without being seen (LWBS) by a physician have become a growing concern in overcrowded EDs. The purpose of this study was to determine the acuity level, reasons, and outcomes of LWBS cases...
  41. ncbi The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost
    James D Whitehouse
    Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA
    Infect Control Hosp Epidemiol 23:183-9. 2002
    ..To measure the impact of orthopedic surgical-site infections (SSIs) on quality of life, length of hospitalization, and cost...
  42. pmc Clinical characteristics and outcomes of Medicare patients undergoing total hip arthroplasty, 1991-2008
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    JAMA 305:1560-7. 2011
    ..Total hip arthroplasty is a common surgical procedure but little is known about longitudinal trends...
  43. ncbi Medical Emergency Triage and Treatment System (METTS): a new protocol in primary triage and secondary priority decision in emergency medicine
    Bengt R Widgren
    Department of Accident and Emergency Medicine, Sahlgrenska University Hospital, Goteborg, Sweden
    J Emerg Med 40:623-8. 2011
    ..In many Emergency Department (ED) triage scoring systems, vital signs are not included as an assessment parameter...
  44. ncbi Incidence of pediatric traumatic brain injury and associated hospital resource utilization in the United States
    Andrew J Schneier
    Center for Injury Research and Policy, Columbus Children s Research Institute, Columbus Children s Hospital, 700 Children s Dr, Columbus, Ohio 43205, USA
    Pediatrics 118:483-92. 2006
    ..The goal was to examine the influence of sociodemographic characteristics and health care system factors on the utilization of hospital resources by US children < or = 17 years of age with a diagnosis of traumatic brain injury...
  45. ncbi Laparoscopic vs open hepatic resection: a comparative study
    M Morino
    Second Department of General Surgery, University of Turin, C so A M Dogliotti 14, 10126 Turin, Italy
    Surg Endosc 17:1914-8. 2003
    ..Although the feasibility of minor laparoscopic liver resections (LLR) has been demonstrated, data comparing the open vs the laparoscopic approach to liver resection are lacking...
  46. ncbi A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in critically ill patients
    Sean M Bagshaw
    Division of Critical Care Medicine, University of Alberta Hospital, 3C1 16 Walter C Mackenzie Centre, 8440 122 Street, Edmonton, Alberta T6G2B7, Canada
    Nephrol Dial Transplant 23:1203-10. 2008
    ..We sought to evaluate the RIFLE criteria on the day of ICU admission in a large heterogenous population of critically ill patients...
  47. pmc Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias
    B Todd Heniford
    Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina 28232, USA
    Ann Surg 238:391-9; discussion 399-400. 2003
    ..To evaluate the efficacy and safety of laparoscopic repair of ventral hernias...
  48. ncbi The rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed
    R Plowman
    Infection Control Unit, Laboratory of Hospital Infection, Central Public Health Laboratory, London, UK
    J Hosp Infect 47:198-209. 2001
    ..26 pounds; 1080.97 million pounds) per annum. The results presented represent the gross economic benefits that might accrue if these infections are prevented. Further research is required to establish the net benefits of prevention...
  49. pmc Derivation and validation of an index to predict early death or unplanned readmission after discharge from hospital to the community
    Carl van Walraven
    Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa Hospital, and the Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario
    CMAJ 182:551-7. 2010
    ..We sought to derive and validate an index to predict the risk of death or unplanned readmission within 30 days after discharge from hospital to the community...
  50. pmc Minimally invasive esophagectomy: outcomes in 222 patients
    James D Luketich
    Division of Thoracic Surgery and Foregut Surgery, University of Pittsburgh Medical Center, Pittsburgh 15213, USA
    Ann Surg 238:486-94; discussion 494-5. 2003
    ..To assess our outcomes after minimally invasive esophagectomy (MIE)...
  51. ncbi Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial
    Bernadette Mazurek Melnyk
    Arizona State University College of Nursing and Healthcare Innovation, 500 N 3rd St, Phoenix, AZ 85004, USA
    Pediatrics 118:e1414-27. 2006
    ..parents to prevent the development of negative parent-infant interaction trajectories and to reduce hospital length of stay. Our objective was to evaluate the efficacy of an educational-behavioral intervention program (ie, Creating ..
  52. ncbi Single-incision laparoscopic cholecystectomy: a systematic review
    Stavros A Antoniou
    Department of General and Visceral Surgery, Center for Minimally Invasive Surgery, Hospital Maria v d Aposteln Neuwerk, Mönchengladbach, Germany
    Surg Endosc 25:367-77. 2011
    ....
  53. ncbi Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial
    Peter J Hewett
    Division of Surgery, The Queen Elizabeth Hospital, Woodville South, Australia
    Ann Surg 248:728-38. 2008
    ..The long-term outcomes of all international randomized controlled trials are still awaited, and short-term outcomes are important in the interim...
  54. ncbi Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs
    Thomas Rotter
    Department of Public Health, Dresden Medical School, University of Dresden, Dresden, Germany, D 01307
    Cochrane Database Syst Rev 3:CD006632. 2010
    ..OBJECTIVES: To assess the effect of clinical pathways on professional practice, patient outcomes, length of stay and hospital costs...
  55. ncbi Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes
    Jerry A Krishnan
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA
    Chest 124:297-305. 2003
    ..To assess the consistency of caloric intake with American College of Chest Physicians (ACCP) recommendations for critically ill patients and to evaluate the relationship of caloric intake with clinical outcomes...
  56. ncbi Early enteral nutrition in acutely ill patients: a systematic review
    P E Marik
    Critical Care Medicine, The Mercy Hospital of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 29:2264-70. 2001
    ..The results of this meta-analysis must, however, be interpreted with some caution because of the significant heterogeneity between studies...
  57. ncbi Systematic review and meta-analysis of randomized clinical trials comparing single-incision versus conventional laparoscopic cholecystectomy
    S Trastulli
    Department of General and Oncological Surgery, University of Perugia, Perugia, Italy
    Br J Surg 100:191-208. 2013
    ..Single-incision laparoscopic cholecystectomy (SILC) may offer advantages over conventional laparoscopic cholecystectomy (LC)...
  58. ncbi Single incision laparoscopic cholecystectomy (SILC) versus laparoscopic cholecystectomy (LC)-a matched pair analysis
    Odo Gangl
    Department of Surgery, Krankenhaus der Elisabethinen, Fadingerstrasse 1, 4020 Linz, Austria
    Langenbecks Arch Surg 396:819-24. 2011
    ..cholecystectomy (SILC) and laparoscopic cholecystectomy (LC) with respect to complications, operating time, postoperative pain, use of analgesics, length of stay, return to work, rate of incisional hernia, and cosmetic outcome.
  59. ncbi Effect of weekend compared with weekday stroke admission on thrombolytic use, in-hospital mortality, discharge disposition, hospital charges, and length of stay in the Nationwide Inpatient Sample Database, 2002 to 2007
    Brian L Hoh
    Department of Neurosurgery, University of Florida, Gainesville, Fla 32610, USA
    Stroke 41:2323-8. 2010
    ..We studied patients with stroke in the Nationwide Inpatient Sample database for a weekend effect on thrombolytic use, in-hospital mortality, discharge disposition, hospital charges, and length of stay.
  60. pmc Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone
    Richard Gosselin
    School of Public Health, Berkeley University, El Granada, CA 94018 1983, USA
    Int Orthop 31:697-702. 2007
    ..Mean length of stay was 52.1 days (range 25-108), and mean duration of traction was 45.0 days (range 23-66)...
  61. pmc Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study
    Yong Fang Kuo
    Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas 77555 0177, USA
    Ann Intern Med 155:152-9. 2011
    Hospitalist care has grown rapidly, in part because it is associated with decreased length of stay and hospital costs...
  62. ncbi Nurse-staffing levels and the quality of care in hospitals
    Jack Needleman
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    N Engl J Med 346:1715-22. 2002
    ..It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die...
  63. ncbi How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients
    Katharina Hauck
    Imperial College London, Imperial College Business School, South Kensington, London, UK
    Med Care 49:1068-75. 2011
    ..This is important information for hospital managers, because they may consider discharging patients earlier to alternative care providers if this is associated with lower risk, but other costs and benefits are similar...
  64. pmc Pathway-controlled fast-track rehabilitation after total knee arthroplasty: a randomized prospective clinical study evaluating the recovery pattern, drug consumption, and length of stay
    Adrianus den Hertog
    Arch Orthop Trauma Surg 132:1153-63. 2012
    ..To investigate fast-track rehabilitation concept in terms of a measurable effect on the early recovery after total knee arthroplasty (TKA)...
  65. ncbi Jejunal feeding, even when instituted late, improves outcomes in patients with severe pancreatitis and peritonitis
    G Pupelis
    Department of Surgery, Medical Academy of Latvia, theRiga 7th Clinical Hospital
    Nutrition 17:91-4. 2001
    ..0001). There were fewer complications in the JF patients, with no significant difference; length of stay in the intensive care unit and in the hospital did not differ...
  66. ncbi The effect of extubation failure on outcome in a multidisciplinary Australian intensive care unit
    John R Gowardman
    Intensive Care Unit, The Canberra Hospital, Canberra, ACT, Australia
    Crit Care Resusc 8:328-33. 2006
    A reported association between extubation failure (EF) and increased hospital length of stay and mortality led us to assess outcome of EF in an Australian intensive care unit.
  67. ncbi Major elective joint replacement surgery: socioeconomic variations in surgical risk, postoperative morbidity and length of stay
    Jennifer Hollowell
    Department of Epidemiology and Public Health, University College London, London, UK
    J Eval Clin Pract 16:529-38. 2010
    ..Our aim was to examine associations between deprivation and aspects of the inpatient episode for patients undergoing these procedures...
  68. ncbi The enhanced recovery after surgery (ERAS) pathway for patients undergoing colorectal surgery: an update of meta-analysis of randomized controlled trials
    Liang Lv
    Department of General Surgery, Affiliated Hospital, Qingdao University Medical College, Jiangsu Road 16, Qingdao, 266003, China
    Int J Colorectal Dis 27:1549-54. 2012
    ..This study aimed to produce a comprehensive, up-to-date meta-analysis exploring the safety and efficacy of enhanced recovery programs after colorectal resection...
  69. ncbi Are there differences in hospital cost between patients with nosocomial methicillin-resistant Staphylococcus aureus bloodstream infection and those with methicillin-susceptible S. aureus bloodstream infection?
    Debby Ben-David
    Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
    Infect Control Hosp Epidemiol 30:453-60. 2009
    To examine the impact of methicillin resistance on in-hospital mortality, length of stay, and hospital cost after the onset of nosocomial Staphylococcus aureus bloodstream infection (BSI).
  70. ncbi Hospital costs and outcomes among intravenous antifungal therapies for patients with invasive aspergillosis in the United States
    Aryun Kim
    Center for Anti Infective Research and Development, Hartford Hospital, Hartford, CT 06102, USA
    Mycoses 54:e301-12. 2011
    ..All costs were inflated to $US 2006. Length of stay, hospital costs and mortality were compared after stratification by initial antifungal therapy...
  71. ncbi Carriage of methicillin-resistant Staphylococcus aureus in home care settings: prevalence, duration, and transmission to household members
    Jean Christophe Lucet
    InfectionControl Unit, Bichat Claude Bernard Hospital, Assistance Publique Hopitaux de Paris AP HP, Paris, France
    Arch Intern Med 169:1372-8. 2009
    ..However, information is lacking about factors associated with prolonged MRSA colonization and MRSA transmission to household contacts...
  72. ncbi Readmission to the intensive care unit after "fast-track" cardiac surgery: risk factors and outcomes
    Alexander Kogan
    Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petah Tiqva, Israel
    Ann Thorac Surg 76:503-7. 2003
    ..of "fast-track" management into cardiac surgery has significantly shortened the intensive care unit (ICU) length of stay. Readmission to the ICU, traditionally used as a quality index, has not been investigated in these patients...
  73. pmc A study protocol of a randomised controlled trial incorporating a health economic analysis to investigate if additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes
    Nicholas F Taylor
    Eastern Health, 5 Arnold Street, Box Hill, Victoria, 3128, Australia
    BMC Health Serv Res 10:308. 2010
    Reducing patient length of stay is a high priority for health service providers. Preliminary information suggests additional Saturday rehabilitation services could reduce the time a patient stays in hospital by three days...
  74. ncbi The four hour target to reduce Emergency Department 'waiting time': a systematic review of clinical outcomes
    Peter Jones
    Auckland City Hospital, Auckland, New Zealand
    Emerg Med Australas 22:391-8. 2010
    Governments in Australasia are introducing emergency department length of stay (EDLOS) time targets similar to the UK 'four hour rule'. There is debate about whether this rule had beneficial effects on health-care outcomes...
  75. ncbi Cost of hospitalization for preterm and low birth weight infants in the United States
    Rebecca B Russell
    March of Dimes, 1275 Mamaroneck Ave, White Plains, NY 10605, USA
    Pediatrics 120:e1-9. 2007
    ..The objective of this study was to estimate national hospital costs for infant admissions that are associated with preterm birth/low birth weight...
  76. ncbi Prediction models for prolonged intensive care unit stay after cardiac surgery: systematic review and validation study
    Roelof G A Ettema
    University of Applied Science Utrecht, Faculty of Health Care, Bolognalaan 101 3584 CJ Utrecht, Netherlands
    Circulation 122:682-9, 7 p following p 689. 2010
    ..However, no extensive quantitative validation of these models has yet been conducted. This study sought to identify and validate existing prediction models for prolonged ICU length of stay after cardiac surgery.
  77. ncbi Impact of delirium on clinical outcome in critically ill patients: a meta-analysis
    Zhongheng Zhang
    Department of Critical Care Medicine, Jinhua Municipal Central Hospital, 351, Mingyue Road, Jinhua, Zhejiang Province, 321000, PR China
    Gen Hosp Psychiatry 35:105-11. 2013
    ..Delirium is prevalent in the intensive care unit (ICU) and has been associated with negative clinical outcomes. However, a quantitative and systematic assessment of published studies has not been conducted...
  78. ncbi Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis
    Geetha Kayambu
    Burns, Trauma and Critical Care Research Centre, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia
    Crit Care Med 41:1543-54. 2013
    ..The purpose of this systematic review was to review the evidence base for exercise in critically ill patients...
  79. ncbi Increasing length of stay among adult visits to U.S. Emergency departments, 2001-2005
    Andrew Herring
    Department of Emergency Medicine, Highland General Hospital, Oakland, CA, USA
    Acad Emerg Med 16:609-16. 2009
    ..Longer ED length of stay (LOS) may compromise quality of care and contribute to delays in the emergency evaluation of other patients.
  80. ncbi Infection of the surgical site after arthroplasty of the hip
    S Ridgeway
    Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, UK
    J Bone Joint Surg Br 87:844-50. 2005
    ..For each procedure the mean length of stay doubled for patients with SSI...
  81. ncbi Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme
    P M King
    Department of Surgery, Yeovil District Hospital, Yeovil, UK
    Br J Surg 93:300-8. 2006
    ..This study compared short-term outcomes of laparoscopic and open resection of colorectal cancer within such a programme...
  82. pmc Comparison of hospital risk-standardized mortality rates calculated by using in-hospital and 30-day models: an observational study with implications for hospital profiling
    Elizabeth E Drye
    Yale University School of Medicine, Yale New Haven Hospital Center for Outcomes Research and Evaluation, New Haven, Connecticut 06510, USA
    Ann Intern Med 156:19-26. 2012
    ..In-hospital mortality measures, which are widely used to assess hospital quality, are not based on a standardized follow-up period and may systematically favor hospitals with shorter lengths of stay (LOSs)...
  83. ncbi Laparoscopic liver resection of benign liver tumors
    B Descottes
    Hopital Universitaire Dupuyten, Limoges, France
    Surg Endosc 17:23-30. 2003
    ..The objective of this study was to assess the feasibility, safety, and outcome of laparoscopic liver resection for benign liver tumors in a multicenter setting...
  84. ncbi A meta-analysis of the effect of combinations of immune modulating nutrients on outcome in patients undergoing major open gastrointestinal surgery
    Kanagaraj Marimuthu
    Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre National Institute for Health Research Biomedical Research Unit, Nottingham University Hospitals, Queen s Medical Centre, Nottingham, United Kingdom
    Ann Surg 255:1060-8. 2012
    ..Immune modulating nutrition (IMN) has been shown to reduce complications after major surgery, but strong evidence to recommend its routine use is still lacking...
  85. pmc Attributable hospital cost and length of stay associated with health care-associated infections caused by antibiotic-resistant gram-negative bacteria
    Patrick D Mauldin
    Department of Clinical Pharmacy and Outcome Sciences, South Carolina College of Pharmacy, Charleston, SC 29425, USA
    Antimicrob Agents Chemother 54:109-15. 2010
    Determination of the attributable hospital cost and length of stay (LOS) are of critical importance for patients, providers, and payers who must make rational and informed decisions about patient care and the allocation of resources...
  86. ncbi Impact of the Surviving Sepsis Campaign protocols on hospital length of stay and mortality in septic shock patients: results of a three-year follow-up quasi-experimental study
    Alvaro Castellanos-Ortega
    Intensive Care Medicine Department, Hospital Universitario Marques de Valdecilla, Santander, Spain
    Crit Care Med 38:1036-43. 2010
    ..To describe the effectiveness of the Surviving Sepsis Campaign bundles with regard to both implementation and outcome in patients with septic shock and to determine the contribution of the various elements of the bundles to the outcome...
  87. ncbi Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases
    M Abu Hilal
    Hepatobiliary Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton SO16 6YD, UK
    Br J Surg 97:927-33. 2010
    ....
  88. ncbi Acute colonic perforation associated with colorectal cancer
    S Khan
    Division of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA
    Am Surg 67:261-4. 2001
    ..5 +/- 2 vs 64.7 +/- 3; P < 0.04) and had a longer length of stay (46.8 +/- 17 vs 11.6 +/- 1 P < 0.001)...
  89. ncbi What determines length of stay after total hip and knee arthroplasty? A nationwide study in Denmark
    Henrik Husted
    Department of Orthopaedics, Hvidovre Hospital, 2650, Hvidovre, Denmark
    Arch Orthop Trauma Surg 130:263-8. 2010
    The goal of this study was (1) to identify logistical and clinical areas of importance for length of stay (LOS) by identifying departments with short and long LOS and to evaluate their set-up; and (2) to evaluate patient satisfaction in ..
  90. ncbi Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit
    Donald B Chalfin
    Division of Critical Care Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA
    Crit Care Med 35:1477-83. 2007
    ..We aimed to determine the association between emergency department "boarding" (holding admitted patients in the emergency department pending intensive care unit transfer) and outcomes for critically ill patients...
  91. ncbi Mortality and length-of-stay outcomes, 1993-2003, in the binational Australian and New Zealand intensive care adult patient database
    John L Moran
    Department of Intensive Care Medicine, The Queen Elizabeth Hospital, Woodville, SA, Australia
    Crit Care Med 36:46-61. 2008
    ..The objective was to model hospital mortality and ICU length-of-stay time-change of patients recorded in the Australian and New Zealand Intensive Care Society adult patient database...
  92. ncbi Randomized clinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer
    P K Jain
    Department of Surgery, Scarborough General Hospital, Woodland Drive, Scarborough YO12 6QL, UK
    Br J Surg 91:54-60. 2004
    ..The aim of this study was to evaluate the effect of drains and fibrin sealant on the incidence of seroma formation...
  93. pmc Asthma length of stay in hospitals in London 2001-2006: demographic, diagnostic and temporal factors
    Ireneous N Soyiri
    School of Public Health, University of Ghana, Accra, Ghana
    PLoS ONE 6:e27184. 2011
    ..This study identifies key determinants of length of stay (LOS) associated with asthma-related hospital admissions in London, and further explores their effects on ..
  94. ncbi Substantial morbidity for hospitalized children with community-acquired rotavirus infections: 2005-2007 IMPACT surveillance in Canadian hospitals
    Nicole Le Saux
    Division of Infectious Diseases, CHEO Research Institute, Children s Hospital of Eastern Ontario, Ottawa, Ontario, Canada
    Pediatr Infect Dis J 29:879-82. 2010
    ..6%) had significant dehydration, almost one-fifth (19%) had clinical sepsis and 7% had seizures at presentation. The median hospital stay was 3.4 days. Severe clinical presentations are less commonly described in surveillance programs...
  95. ncbi Optimised patient transfer using an innovative multidisciplinary assessment in Kanton Aargau (OPTIMA I): an observational survey in lower respiratory tract infections
    W C Albrich
    Medical University Department of the University of Basel, Kantonsspital Aarau, Tellstrasse, CH
    Swiss Med Wkly 141:w13237. 2011
    ..We describe our current triage practice and assess the potential of a combination of CURB65 with proadrenomedullin (ProADM) levels for triage decisions...
  96. ncbi Impact of surgical complications on length of stay after hip fracture surgery
    Nicolai B Foss
    Department of Orthopaedic Surgery, Hvidovre University Hospital, Denmark
    Injury 38:780-4. 2007
    ..Data suggest that surgical complications requiring reoperation may lead to an excessively long in-patient stays. However, the overall impact of surgical complications has not been examined in detail...
  97. pmc Inappropriate empiric antifungal therapy for candidemia in the ICU and hospital resource utilization: a retrospective cohort study
    Marya D Zilberberg
    EviMed Research Group, LLC, PO Box 303, Goshen, MA 01032, USA
    BMC Infect Dis 10:150. 2010
    ..Inappropriate antifungal therapy (IAT) is known to increase a patient's risk for death. We hypothesized that in an ICU cohort it would also adversely affect resource utilization...
  98. ncbi Population-based study of determinants of initial secondary care costs of acute stroke in the United Kingdom
    Ramon Luengo-Fernandez
    Health Economics Research Centre, University of Oxford, Oxford, UK
    Stroke 37:2579-87. 2006
    ..However, very few such data are available and none from population-based studies. We determined the predictors of resource use and acute care costs of stroke using data from a population-based study...
  99. ncbi Comparison of antimicrobial cycling and mixing strategies in two medical intensive care units
    Jose Antonio Martinez
    Department of Infectious Diseases, Hospital Clinic, IDIBAPS University of Barcelona, Spain
    Crit Care Med 34:329-36. 2006
    ..To compare a mixing vs. a cycling strategy of use of anti-Pseudomonas antibiotics on the acquisition of resistant Gram-negative bacilli in the critical care setting...
  100. ncbi Septic acute kidney injury in critically ill patients: clinical characteristics and outcomes
    Sean M Bagshaw
    Department of Intensive Care and Department of Medicine, Austin and Repatriation Medical Centre, Melbourne, Australia
    Clin J Am Soc Nephrol 2:431-9. 2007
    ..Patients with septic AKI had an increased risk for death and longer duration of hospitalization yet showed trends toward greater renal recovery and independence from RRT...
  101. ncbi A comprehensive hip fracture program reduces complication rates and mortality
    Susanne J Pedersen
    Department Orthopedic Surgery, Health Science Faculty, Bispebjerg Hospital, University of Copenhagen, University of Copenhagen, Copenhagen, Denmark
    J Am Geriatr Soc 56:1831-8. 2008
    To evaluate the rate of postoperative complications, length of stay, and 1-year mortality before and after introduction of a comprehensive multidisciplinary fast-track treatment and care program for hip fracture patients (the optimized ..

Research Grants74

  1. PRESSURE ULCERS IN ELDERLY EMERGENCY DEPARTMENT PATIENTS
    Mona Baumgarten; Fiscal Year: 2001
    ..pressure ulcers in elderly medical patients admitted through the ED, and to assess the impact of length of stay in the ED and of procedures experienced during the ED stay on pressure ulcer risk...
  2. Transforming PCI Informed Consent into an Evidence-based Decision-making Tool
    John A Spertus; Fiscal Year: 2010
    ..complication of PCI and is strongly associated with myocardial infarction (heart attack), stroke, increased length of stay/costs and death...
  3. DELIRIUM IN PERSONS WITH DEMENTIA
    Donna Fick; Fiscal Year: 2007
    ..The primary outcomes which will be measured include: hospitalization length of stay, cognitive decline, and functional status...
  4. NC/OFQ analogs as ORL1 agonists to promote gut motility
    MARK FINDEIS; Fiscal Year: 2005
    ..Targeted therapies that reduce POI and decrease the length of stay will have a significant impact on patient wellbeing, patient care, and the cost to society for this condition...
  5. Understanding/ Treating Neuropsychiatric Symptoms of Pediatric Physical Illness
    Eva Szigethy; Fiscal Year: 2009
    ..abstract_text> ..
  6. Hybrid Optical/Doppler Imaging of Ischemia in NEC - a multicenter trial
    David A Benaron; Fiscal Year: 2010
    ..A diagnosis of NEC increases the NICU length of stay by 22-60 days, and increases the total hospital charges by $76,000-$186,000 per case [3]...
  7. C. Difficile Outcomes and Effectiveness of Treatment Strategies in SCI
    Charlesnika T Evans; Fiscal Year: 2013
    ..mortality will be higher for SCI/D veterans with CDI diagnosis compared to those without such a diagnosis, 4) length of stay (LOS) will be higher for SCI/D veterans with CDI diagnosis compared to those without such a diagnosis, and 5) ..
  8. Assessment of Dehydration in Children with Diarrhea in Resource-Limited Settings
    ADAM CARL LEVINE; Fiscal Year: 2013
    ..compromise and death, children with mild to moderate dehydration have a significant reduction in hospital length of stay and fewer adverse events when treated with relatively inexpensive oral rehydration solution (ORS) as compared ..
  9. Routine Aspiration of Residual Gastric Contents in Very Low Birth Weight Infants
    Leslie A Parker; Fiscal Year: 2013
    ..enteral feedings, growth indices, hours of TPN, incidence of PNALD, hours with a CVL, incidence of LOS, and length of stay. For Aim 2, the effect of routine RGC aspiration on GI mucosal bleeding and inflammation will be determined ..
  10. Improving pain and function in hip fracture
    R Sean Morrison; Fiscal Year: 2013
    ..on patients'self reported pain intensity;systemic opioid requirements;post-operative function;incidence of delirium, treatment related side effects;and hospital length of stay and participation in physical therapy.
  11. Pharmacological Management of Delirium
    Malaz Boustani; Fiscal Year: 2013
    ..These complications contribute to prolonged ICU and hospital length of stay, higher mortality rates, poorer functional status, limited rehabilitation, increased institutionalization, and ..
  12. Accelerated Biologic Aging and Risk for Sepsis and Organ Failure Following Trauma
    ELIZABETH GROOMS NESMITH; Fiscal Year: 2012
    ..2) peak magnitude of inflammatory cytokines and immature neutrophils in plasma from ED admission through ICU length of stay. Secondary variables will also be analyzed, including socio-demographic and lifestyle factors...
  13. Nontoxigenic Clostridium difficile as an Oral Vaccine for C. difficile Infection
    DALE NICHOLAS GERDING; Fiscal Year: 2013
    ..in VA hospitals are no exception and in many instances are at higher risk due to advanced age and longer length of stay, particularly in long term care environments...
  14. Harmful effects of transfusion of older stored red cells: iron and inflammation
    Steven L Spitalnik; Fiscal Year: 2012
    ..stored blood is associated with increases in mortality, serious infections, multi-organ failure, and hospital length of stay. Our research is based on the overarching hypothesis that the adverse effects of the transfusion of stored ..
  15. HALF-PINT: Heart and Lung Failure - Pediatric INsulin Titration trial - CCC
    Vinay M Nadkarni; Fiscal Year: 2013
    ..The only single-center PICU trial of TGC showed a 55% decrease in 30-day mortality and 10% reduction in PICU length of stay (LOS), despite an extremely high rate of severe hypoglycemia...
  16. 1st Tier Drugs+Theophylline in Pediatric Severe Asthma
    JERRY JOHN ZIMMERMAN; Fiscal Year: 2010
    ..failure;alterations in biologic markers reflecting airway inflammation;incidence of adverse affects;PICU length of stay/ attainment of non-critical status;and follow-up patient satisfaction survey 24-48 hours following PICU ..
  17. The MIND USA Study
    E Wesley Ely; Fiscal Year: 2012
    ..Aim 3 will determine whether haloperidol or ziprasidone will reduce ICU length of stay compared with placebo and compared to one another...
  18. A novel treatment, TAT-HSP70, in attenuating lung injury in sepsis induced ARDS
    MARY MELANIE LYONS; Fiscal Year: 2012
    ..recent studies have shown that early mobilization of ARDS patients decreases intensive care unit and hospital length of stay. Thus, interventions that limit the extent of lung injury would provide both direct and indirect benefit...
  19. Stress as a determinant of smoking among sub-populations of Blacks in the U.S.
    Adebola O Odunlami; Fiscal Year: 2011
    ..effect of being foreign born is short-lived as there is a positive relationship between smoking behavior and length of stay in the U.S...
  20. OEF/OIF Veterans with PTSD in Mental Health Residential Treatment Programs
    Eric Slade; Fiscal Year: 2013
    ....
  21. Perioperative Use and Outcomes of Noninvasive Ventilation in Sleep Apnea
    Peter K Lindenauer; Fiscal Year: 2013
    ..Secondary outcomes will include other respiratory and cardiovascular complications, in-hospital mortality, length of stay, and cost of hospitalization...
  22. HALF-PINT: Heart And Lung Failure - Pediatric INsulin Titration trial - DCC
    David Wypij; Fiscal Year: 2013
    ..The only single-center PICU trial of TGC showed a 55% decrease in 30-day mortality and 10% reduction in PICU length of stay (LOS), despite an extremely high rate of severe hypoglycemia...
  23. Altering Sedation Paradigms to Improve Brain Injury and Survival in Severe Sepsis
    Pratik Pandharipande; Fiscal Year: 2013
    ..that these sedative medications contribute to iatrogenic injury, such as prolonging ventilator time and ICU length of stay and exacerbating acute brain dysfunction...
  24. Enhanced Risk Adjustment Using Laboratory Test and Pharmacy Data
    Amresh Hanchate; Fiscal Year: 2013
    ..Enhanced risk-adjusted mortality rates -- and length of stay and readmission (secondary outcomes of interest) -- will be obtained for selected patients cohorts by ..
  25. A Model-integrated, Guideline-driven Process Management System for Sepsis
    Arthur P Wheeler; Fiscal Year: 2010
    ..management recommendations, and positively impact pertinent clinical outcomes, such as ICU and hospital length of stay and requirement for mechanical ventilation...
  26. Economic Evaluation of Drug Abuse Treatment and HIV Prevention Services for Pregn
    Jennifer Prah Ruger; Fiscal Year: 2012
    ..g. longer gestations, greater birth weight, reduced medical consequences such as admission and length of stay in the Neonatal Intensive Care Unit (NICU))...
  27. Reduction of Tunneled Dialysis Catheter Dysfunction Via Long Term Nitric Oxide Re
    Prabir Roy-Chaudhury; Fiscal Year: 2013
    ..47,000 to the cost of care and a 14.6 d increase in length of stay. Current heparin, silver impregnated, or antibiotic coated TDCs are either expensive, non-effective, or suffer ..
  28. Effects of glycemic control on immunity
    Thomas P Shanley; Fiscal Year: 2012
    ..negatively impacts organ function, acquisition of nosocomial infections, intensive care unit (ICU) length of stay, and mortality in various critically ill patient populations-but particularly in post-operative cardiovascular ..
  29. Renal Protection Through PD-1/PD-L1 Interactions
    Gilbert R Kinsey; Fiscal Year: 2013
    ..by applicant): Acute kidney injury (AKI) is a common problem in hospitalized patients, which increases length of stay, morbidity and mortality...
  30. Impact of Heath Information Technology on Delivery and Quality of Patient Care
    AMANDA JANE HESSELS; Fiscal Year: 2012
    ..Outcomes of interest include nursing-sensitive AHRQ patient safety indicators (PSIs), length of stay, hospital readmission, and patient satisfaction...
  31. Urinary Biomarkers for Recovery After Acute Kidney Injury and Prognosis in Hospit
    ISAAC ELI HALL; Fiscal Year: 2010
    ..g. length of stay and in-hospital mortality) in a prospective cohort of 200 general hospitalized patients with acute kidney ..
  32. Predictors of Health Care Utilization and Costs Attributable to Hip Fractures
    John T Schousboe; Fiscal Year: 2013
    ..positive affect, depression, cognitive function and body weight with health care costs, acute hospital length of stay, skilled nursing facility (SNF) length of stay, and inpatient rehabilitation facility (IRF) length of stay ..
  33. Gene-environments and Admixture in Latino Asthmatics (GALA 2)
    Esteban Gonzalez Burchard; Fiscal Year: 2012
    ..Place of birth and length of stay in the U.S. are indicators of migration and acculturation...
  34. Acute Kidney Failure in a Cancer ICU
    Joshua A Samuels; Fiscal Year: 2010
    ..Mortality and length of stay information will also be collected to evaluate associations between exposures and outcome...
  35. Clinical Research to Bedside Care: Evidence and Tools for Improving Critical Care
    Gregory J Beilman; Fiscal Year: 2010
    ....
  36. Defining Precursors to VRSA Emergence: Epidemiology of MRSA &VRE Dual Infection
    Emily Toth Martin; Fiscal Year: 2013
    ..for infection with both MRSA and VRE;(2) To define the risk of post-infection adverse outcomes including length of stay following culture in patients with acute dual infections due to both MRSA and VRE compared to patients with ..
  37. Transcranial Direct Current Stimulation in the Management of Post-operative Pain
    Jeffrey J Borckardt; Fiscal Year: 2013
    ..and adequate postoperative pain control is an important factor in determining recovery time and hospital length of stay. Primary methods used to manage post-operative pain involve systemic opioid drugs, and regional blocks...
  38. A Randomzied Phase II Trial of CMV Prevention in Acute Lung Injury
    Gordon D Rubenfeld; Fiscal Year: 2012
    ..and to be independently associated with prolonged mechanical ventilation and increased ICU and hospital length of stay. Furthermore, CMV infection has been demonstrated both in vitro and in vivo to elicit multiple pro-..
  39. The Impact of Remote ICU Monitoring on Patient Outcomes and Processes of Care
    Peter M Cram; Fiscal Year: 2013
    ..of remote ICU monitoring on patient outcomes including mortality, ventilator acquired pneumonia, and ICU length of stay. Our secondary objectives are to develop a taxonomy for describing the nature of the recommendations made by ..
  40. Development of a novel antibody therapy for clostridium difficile infection
    Irving Nachamkin; Fiscal Year: 2011
    ..Patients with nosocomially acquired C. difficile disease incur significantly higher hospital costs and length of stay and has been estimated to exceed 1 billion dollars in the US. Thus, C...
  41. MRSA in Nursing Homes: Predictors of Burden and Environmental Contamination
    COURTNEY ANN REYNOLDS; Fiscal Year: 2013
    ..affects the chronically and critically ill and is associated with higher hospital costs, increased hospital length of stay, and substantial risks for patient morbidity and mortality both during and after hospitalization...
  42. Regional Variability in Inpatient Rehabilitation among Medicare Beneficiaries
    Timothy Reistetter; Fiscal Year: 2013
    ..The Specific Aims of this project are to: 1) Describe the differences in rehabilitation outcomes (length of stay, functional status, community discharge, re-hospitalization, and mortality) across Hospital Referral Regions (..
  43. Development of clinical triage assay for sepsis management in the Emergency Room
    Jennifer Skeen; Fiscal Year: 2013
    ..Earlier and more accurate information could reduce mortality, length of stay in intensive care and hospital, indiscriminate use of antibiotics, and development of antibiotic resistance...
  44. Vitamin D deficiency and the severity of bronchiolitis
    Jonathan M Mansbach; Fiscal Year: 2012
    ..care unit admission;2) the viral load of respiratory syncytial virus;and 3) the duration of cough and hospital length of stay. Using 75 hospitalized patients from the U01, and 150 newly-enrolled ED patients for this K23 project, we will ..
  45. Quality of Care and Outcomes of Healthcare-Associated Pneumonia
    Peter K Lindenauer; Fiscal Year: 2012
    ..If recommended therapy is beneficial but underutilized, these results will alert quality improvement officers and policy makers to an important opportunity to improve patient care for a common and deadly illness. ..
  46. Obesity and Surgical Outcomes
    Jeffrey H Silber; Fiscal Year: 2010
    ..operative outcomes of death, complications, failure-to-rescue (the probability of death after complications), length of stay, readmission rates, and cost;(2) Identify potential risk factors that may be especially important in treating ..
  47. Comparative Effectiveness of Prehospital and Hospital Emergency Care
    Joel C Cantor; Fiscal Year: 2010
    ..Differences in in-hospital complications (e.g., seizures, arrhythmias, shock) and resource use (overall length of stay and days in the ICU) will also be compared...
  48. Prospective Multicenter Study of Bronchiolitis Admissions: Etiology & Disposition
    Carlos A Camargo; Fiscal Year: 2010
    ....
  49. Patient safety and outcomes in sepsis
    Vincent Liu; Fiscal Year: 2010
    ..Second, it will describe the excess mortality, length of stay, and hospital cost associated with PSI events by multivariable case matching techniques...
  50. Intensive glycemic control for congestive heart failure exacerbation
    KATHLEEN MARIE DUNGAN; Fiscal Year: 2012
    ..primary aims of this study are to determine whether early intravenous (IV) insulin therapy improves hospital length of stay and autonomic tone (assessed with heart rate variability [HRV], an independent predictor of mortality in ..
  51. Regular and Off-Shift Nursing: Impacts on Patient Outcomes and Cost of Care
    Ciaran S Phibbs; Fiscal Year: 2013
    ..data for all VA acute care units to examine the effects of nurse staffing on adverse patient events and length of stay (LOS)...
  52. Impact of Implementing the EMS Traumatic Brain Injury Treatment Guidelines
    Daniel W Spaite; Fiscal Year: 2013
    ..who are intubated prior to hospital arrival, 3) non- mortality outcomes such as hospital/intensive care unit length of stay, ventilator days, and patient disposition, and 4) 6-month functional/neurological status...
  53. Genetic variation and biomarkers in children with acute lung injury
    Heidi R Flori; Fiscal Year: 2012
    ..leading to lower mortality, fewer days of mechanical ventilation, shorter intensive care and hospital length of stay, and lower hospital costs...
  54. Patient discomfort and agitation in the ICU: ET tube movement effects
    VIRGINIA ANNE HAMILTON; Fiscal Year: 2013
    ..Agitation has been shown to increase the length of stay in the hospital from a median of 5 days to 12 days...
  55. The Influence of Hospital Variability on the Management of Cancer-Associated Comp
    Jason Wright; Fiscal Year: 2013
    ..the direct and indirect effects operating through a mediator of prompt guideline-based treatment on outcomes (length of stay, readmission, cost, non-routine discharge and mortality) for each complication...
  56. Impact of Palliative Care on Healthcare Utilization of Seriously Ill Older Adults
    LAURA PILAR GELFMAN; Fiscal Year: 2013
    ..Specific Aim 1: To compare the difference in healthcare utilization, including costs of hospitalization, length of stay, number of days in the intensive care unit (ICU) number of rehospitalizations and hospice enrollment at ..
  57. ZeroG: Dynamic Over-Ground Body-Weight Support System
    Joseph Hidler; Fiscal Year: 2009
    ..Today, rehabilitation centers have less time to treat their patients than ever before, where the median length of stay in inpatient rehabilitation therapy has decreased from 20 to 12 days between 1994 and 2001, while the ..
  58. Integrated Drug and Medical Care-Cost and Effectiveness
    Constance M Weisner; Fiscal Year: 2010
    ..including medical conditions and psychiatric status);index treatment factors (integrated versus usual care, length of stay) and readmissions;and extra-treatment factors (e.g...
  59. Bundled Episode Payment and Gainsharing Demonstration Project
    Tom Williams; Fiscal Year: 2010
    ..surgical cost of care, revenues and contribution margins, the cost of the implantable devices used, hospital length of stay, and in- hospital complications...
  60. Pharmacogenetic Decision Support IT System for Psychiatric Hospitalization: RCT
    GUALBERTO RUANO; Fiscal Year: 2013
    ..innate drug metabolism will refine psychotropic medication selection and decrease both psychiatric hospital length of stay and re-admission...
  61. Preventing ICU Subsyndromal Delirium Conversion to Delirium with Haloperidol
    John W Devlin; Fiscal Year: 2010
    ..to 70% of ICU patients (even in patients who do not progress to delirium and increases patient mortality, ICU length of stay and the need for supportive care after ICU discharge...
  62. Sedation Management in Pediatric Patients with Acute Respiratory Failure
    MARTHA AQ CURLEY; Fiscal Year: 2013
    ..fewer days of mechanical ventilation, less sedative exposure, fewer iatrogenic withdrawal symptoms, a shorter intensive care length of stay, less costs, and experience a better post-discharge quality of life and emotional health.
  63. Improving Patient Safety in a Pediatric Service Line
    TINA SCHADE WILLIS; Fiscal Year: 2011
    ..compared to a baseline pre-intervention period will be in outcome measures such as decreased hospital length of stay, days on ventilators, and readmission rates...
  64. Ultrashort (msec) Light Exposure as a Countermeasure to Circadian Desynchrony
    Jamie M Zeitzer; Fiscal Year: 2013
    ..We introduce in this study a novel protocol that reduces the study length of stay from the standard week to just two days...
  65. Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB Infections
    Lisa Maragakis; Fiscal Year: 2009
    ..Finally, we propose to investigate clinical outcomes including morbidity, mortality, cost and length of stay;microbiological outcomes;and time to clinical or microbiologic outcomes among patients who receive different ..
  66. EARLY HEMICRANIECTOMY TO MANAGE TRAUMATIC BRAIN INJURY
    William Coplin; Fiscal Year: 1999
    ..Goals include: 1) reduced therapeutic intensity for ICP over a shorter length of stay (LOS), 2) reduced need for repeat computer tomography (CT) scans and returns to the operating room (OR), and 3)..
  67. Dose of Early Therapeutic Mobility: Does Type or Frequency of Activity Matter?
    Chris Winkelman; Fiscal Year: 2010
    ..will be randomized to receive either one or two episodes of ETM activity daily for 3 days, then weekly when length of stay exceeds 3 days. Type of ETM activity will be determined by patient condition and frequency will be randomized...
  68. GERIATRIC COMORBIDITY: HOSPITAL COURSE AND COST
    JAMES STRAIN; Fiscal Year: 1991
    ..Each patient's length of stay total cost per stay, and daily cost will be ascertained using chart audit a d computerized cost accounting ..
  69. CESAREAN SECTION REDUCTION IN PRIMIGRAVID PATIENTS
    Fredric Frigoletto; Fiscal Year: 1993
    ..A variety of other obstetrical endpoints will be evaluated including length of labor, use of oxytocin, length of stay and maternal complications...
  70. PREDICTORS OF POSTOPERATIVE ATELECTASIS PNEUMONIA
    JO BROOKS BRUNN; Fiscal Year: 2001
    ..pulmonary complications (PPCs) are frequent and associated with increased morbidity, mortality, hospital length of stay and resource utilization. Atelectasis and pneumonia account for >80% of reported PPCs...
  71. ULTRASOUND SCREENING AND RISK ASSESSMENT OF PREGNANCY
    Fredric Frigoletto; Fiscal Year: 1993
    ..birth weight, shoulder dystocia, low apgars, cesarean section, newborn admission to special care, and maternal length of stay will be determined by calculating rate ratios and rate differences for the screened and non-screened group...
  72. Aminocaproic Acid and Bleeding in Spinal Surgery
    Sean Berenholtz; Fiscal Year: 2006
    ..transfusions and an increased incidence of postoperative complications, including nosocomial infections, ICU length of stay, and hospital costs. 3...
  73. Comparison of the Effectiveness of CAM Therapies in Pediatric Patients Undergoing
    AMBIKA contact MATHUR; Fiscal Year: 2010
    ..doses may result in adverse effects of mediation/sedation, and also result in increased recovery times, length of stay in the hospital, and increased hospital costs...