| Autor: | Denise M. Hynes, Gayle R. Byck, John G. Demakis, Kendon J. Conrad, Frances M. Weaver, Marylou Guihan |
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| Rok vydání: | 1998 |
| Předmět: |
COPD
medicine.medical_specialty Joint replacement business.industry medicine.medical_treatment Medicine (miscellaneous) Health Informatics medicine.disease Pneumonia Health Information Management Intensive care Acute care Cellulitis Emergency medicine medicine Level of care Medical diagnosis Intensive care medicine business Information Systems |
| Zdroj: | Journal of Medical Systems. 22:161-172 |
| ISSN: | 0148-5598 |
| DOI: | 10.1023/a:1022663700045 |
| Popis: | Subacute care is a transitional level of care for medically stable patients who no longer require daily diagnostic/invasive care but require more intensive care than is typical in a skilled care facility. A Congressionally mandated study was undertaken to determine the number of VA patients with subacute needs being cared for in acute care. InterQual, Inc. subacute care criteria were retrospectively applied to 858 medical and surgical admissions from 43 VA hospitals. Over one-third contained at least one subacute days with an average length of stay (LOS) of 12.7 days (SD e 12.4)s of which 6.8 days were subacute. Patients with these admissions had significantly longer LOSs, were older, and were more likely to die or to be discharged to a nursing home. Diagnoses with subacute days included COPD, pneumonia, joint replacement, and cellulitis. Future studies should develop clinical pathways to prospectively manage admissions with subacute needs and then evaluate their effectiveness. |
| Databáze: | OpenAIRE |
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