Navigation Links
Availability of diagnostic tests drive success in hospitalist-run short-stay units
Date:6/10/2009

Illinois, USA June 10, 2009 The most important factors for a successful stay in hospital short-stay units (SSUs) are the types of diagnostic tests performed and whether or not specialty consultations are needed. When hospitalists staff these units, they can ensure that only patients who need readily accessible services are admitted. These are the findings of a study published today in the Journal of Hospital Medicine.

SSUs provide an alternative to traditional inpatient services for patients and exist in one-third of hospitals in the United States. These units deliver efficient and high-quality care to patients requiring short anticipated hospital stays for medical conditions like low risk chest pain, but little is known about what factors predict SSU success.

As demand for inpatient services have grown, SSUs have expanded beyond 'observation medicine' to provide more complex inpatient services (such as management of heart failure, diabetes out-of-control, and transient ischemic attacks) in locations commonly adjacent to emergency departments. To inform the future direction of the rapidly expanding SSUs, the researchers collected data on consecutive patients admitted to a SSU over a four month period. 738 patients were eligible to the study, and the majority (85%) were admitted with either a provisional diagnosis of possible acute coronary syndrome or heart failure. As SSUs were designed to care for patients during brief stays, visits were considered successful when the length-of-stay was less than 72 hours and eventual admission to traditional inpatient services was not required.

Of the 738 patients, 71% (582) had successful SSU stays. Patients who received inaccessible tests or specialty consultations were much more likely to have an unsuccessful stay than patients who did not. For example, patients who received a consultation had a 52% chance of having an unsuccessful stay.

"We found that less accessible diagnostic tests and the need for consultations had the greatest association with unsuccessful stays," said lead researcher Dr. Brian Lucas, of Stroger Hospital of Cook County and Rush University Medical Center, Illinois, USA. "From this we concluded that hosptialists who staff SSUs should focus administratively toward gaining access to services that their patients will need. Also, hospitalists can help emergency department physicians make admission-location decisions by discussing the potential needs of the patient prior to SSU admission."

"Among very-low or low-risk patientsthe types of patients who are typically admitted to SSUsconsidering what services patients will need is more important than further refining their clinical risk," added Lucas.


'/>"/>

Contact: Jennifer Beal
wbnewseurope@wiley.com
44-012-437-70633
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Pathway Diagnostics Announces Commercial Availability of SensiTrop(TM) HIV Co-receptor Tropism Assay
2. LMS integrated obstetrics solution achieves general availability
3. Media availability: low-fat dietary pattern may lower risk of ovarian cancer
4. PA Breast Cancer Coalition Announces Special Press Availability for PA Breast Cancer Coalition Annual Conference
5. Pelosi to Hold Press Availability with SCHIP Family Tomorrow Morning
6. Wyeth Consumer Healthcare Announces the Availability of Centrum Cardio and New Formula Centrum Products
7. Anthem Blue Cross and Blue Shield in Kentucky Announces the Availability of New Health Plans for Medicare Beneficiaries
8. Panacea Pharmaceuticals Announces the Availability of CC Detect(SM), a Serum-Based Diagnostic Test for Colon Cancer
9. Visage Imaging Expands Availability of Its Advanced Visualization Offering
10. PharMEDium Announces Availability of Pre-Filled Operating Room Perioperative Compounded Drugs
11. Dblur Announces the Availability of a Software Lens(TM) Enabled Chip
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... A revolution is underway. ... transport experience for the millions of people who require these medical transport services ... industry through the use of technology. Now, SmartEMS has put forth an industry-changing ...
(Date:6/26/2016)... ... 2016 , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect ... videos a whole new perspective by using the title layers in ProSlice Levels ... , ProSlice Levels contains over 30 Different presets to choose from. FCPX ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , ... Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , ... our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First ...
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... The Academy of Managed Care Pharmacy (AMCP) ... would allow biopharmaceutical companies to more easily share health ... and coverage decisions, a move that addresses the growing ... The recommendations address restrictions in the sharing of ... label, a prohibition that hinders decision makers from accessing ...
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
(Date:6/23/2016)... -- Any dentist who has made an implant supported denture ... of them do not even offer this as a viable ... costs involved. And those who ARE able to offer that ... cost that the majority of today,s patients would not be ... , founder of Dental Evolutions Inc. and inventor of Implanova ...
Breaking Medicine Technology: